Medical Examination (Genuine Exam).”
Exam Study Guide Prep Questions
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Dissecting Aneurysm and cocaine Diminished pulses in left upper extremity
Crackles heard over all lung fields
Chest x-ray w/ widened aortic arch
Malaria The most severe form is caused by P. falciparum
Variable clinical features include fever, chills, headache, muscular aching and weakness,
vomiting, cough, diarrhoea and abdominal pain.
MLF Syndrome (intranuclear opthalmoplegia) Common in MS
- Convergence intact bc cortex sends signal directly to CN III nuclei
- MLF syndrome causes ipsilateral eye to not adduct
Hemiballisms Sudden wild failing of 1 arm+/- ipsilateral leg
Contralateral subthalamic nucleus damage (lacunar stroke)
Nerve damage during repair of internal carotid aneurysm location? Cranial Nerve III Damage
after repair of aneurysm in right internal carotid artery
Right pupil larger than left pupil, sympathetic fibers on the outside of the nerve is damaged
Inhaled glue toxicity 14 y/o boy
Bilateral aching in the temple
forgetting names, dates, and places
Clumsy w/ frequent falls
Broad Based Ataxic Gate
Pellagra Chronic lack of niacin
3 D's
D-Diarrhea
D-Dementia
D-dermatitis
Stroke Findings in Parietal Temporal Lobe Sensory loss with agraphesthesia
Neural Tube Defect Timing Everything goes down on the 4th week!
BerberiThiamine deficiency
Dry- Polyneuritis and muscle wasting
Wet- cardiac output failure, edema
, Peritoneal inclusion cyst Usually from Endometriosis (proliferative endometrial tissue)
tissues breaks off from endometrial cysts--> seeds ovaries--> seeds peritoneum and pelvis
Beta Thalessemias Mismatched intron splicing
Sickle Cell Single Nuclotide substitution missense
ETC Uncoupling agents Inc. O2 consumption to ATP
ETC machine not working, therefore need more O2 to keep it running
Osteogenesis Imperfecta Auto Dom defect in collagen Type I synthesis
Multiple fractures, blue sclera, and hearing loss
poor skull formation, easily damaged during birth
Glycosyltransferase Deficiency Crigler- Najjar Syndrome
Amyloidosis Aggregation of protein
Porphyria Cutanea tarda Most COMMON porphyria
Blistering cutaneous photosensitivity
Tea Colored urine
Familial Hypercholesterolemia heterozygotes- 30omg/dL
homozygotes 700 mg/dL
Ibutilide tox Torades de Pointes
Pacemaker indications Mobitz II and 3rd degree heart block
A fib Antithrombic therapy, rate control, cardiac conversion
A flutter Same as A fib + CATHETER ABLATION
V fib CPR + Defib
1st degree HB No treatment Reqd
Post MI 3 days 0-24 hours arrhythmia, cardiogenic shock, congestive heart failure and
death
1-3 days: fibrinous pericarditis
3-14 days: free-wall rupture
2 weeks: Dressler's Syndrom
Aortic stenosisLVH
Aortic Insuff Blood back flow and ventricular dilation
Left Sternal border murmur Tricuspid murmur
SA Pacemaker Node SVC and RA junction
Il-8 NEUTROPHILS clean up on Il-8
Toll like receptors-3 Recognize Pamps, and most abundant in
Half life Equations
Endometrial hyperplasia abundant tissue on endometrial curettage
Congenital Diaphragmatic hernia Incomplete pleuroperitoneal membrane
No Bowel sounds in abdomen, mediastinum enlargement