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Mandibular fracture, nerve that carries the pain sensation is the - ANSWERS-inferior
alveolar N. Lingual N. branches off earlier and provides sensation to anterior 2/3 of
tongue and floor of mouth.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting or
urinary incontinence. Most likely cause - ANSWERS-idioventricular rhythm. sudden
drop in cerebral perfusion due pacemaker failure.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks alcohol.
PMH hemorrhoids. Screening for him - ANSWERS-colonoscopy. Should be done
starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints. Congenital
abnormality - ANSWERS-spina bifida occulta.
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -2.1.
Add calcium, vitamin D and what med - ANSWERS-alendronate to prevent osteoporosis
(Inhibits osteoclast activity, reducing bone resorption - bisphosphonate)
What is the Pearson correlation value for this data set? - ANSWERS-correlation close to
0.00.
, 78 yr old presents to office with 1 week history of lower abdominal pain and urinary
hesitancy with interrupted flow. Enlarge, firm, tender prostate. PSA is normal. Gram
pos, catalase neg coccus. Etiological agent - ANSWERS-Enterococcus faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly
roughened lesion with focal areas of ecchymoses from scratching. Thinning of the
squamous epithelium. Hypocellular collagenous tissue. Dx - ANSWERS-lichen
sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed areas
of the skin. Urine sample is reddish brown in appearance and pink under fluorescent
light. Elevated glucose, alanine aminotransferase, aspartate aminotransferase. What
would be elevated - ANSWERS-uroporphyrinogen III. Porphyria cutanea tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury.
Reveals anesthesia along the lateral aspect of the arm and forearm, including the
thumb. Biceps ad brachioradialis reflex are 0/4 on the right and 2/4 on the left. Which
additional muscle is diminished - ANSWERS-abduction of the humerus. Axillary n. C5-
C6 (from the brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee surgery
2 weeks ago w/ upper respiratory tract recently. PMH is on psych drug. Mental status
deteriorates and develops seizure. Low NA, Psych drug acts by - ANSWERS-inhibiting
serotonin reuptake. Patient presents with serotonin syndrome due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory
infections. DX - ANSWERS-adenotonsilar hypertrophy. Enlarged tonsils and adenoids
more common in kids. Not cystic fibrosis b/c they would have lower resp infections and
thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that he is
a cattle farmer who has recently been working in an enclosed hay storage barn. His
serum IgE level is normal. High serum precipitating antibody levels to actinomycetes are
present. Restrictive pattern and reducing diffusing capacity. Multiple bilateral nodules
sparing the apices and bases. DX - ANSWERS-hypersensitivity pneumonitis. (Type
III/IV hypersensitivity)