COMSAE 110 REAL EXAM 100% CORRECTLY SOLVED
PPV is higher in populations with - ANSWER higher disease prevalence
69 yo M brought into ED for eval of sudden-onset L side numbness of the face &
extremities. PMHx significant for HTN & T2DM. These symptoms most likely represent a
lacunar infarct of the:
a. basis pontis
b. central midbrain
c. posterior limb of internal capsule
d. subthalamic nucleus
e. ventroposterior thalamus
e. ventroposterior thalamus
renal failure on urinalysis - ANSWER waxy casts
CPT deficiency - ANSWER enzyme usually transports long chain fatty acids (C20:0) into
mitochondiria
deficiency causes muscle pain, stiffness, tenderness during exercise
ACE inhibitors can cause what EKG changes - ANSWER hyperkalemia ***
Peaked T waves, Widened P wave that is flat or dissapearing P wave, PR lengthens,
Prolonged QRS
Long thoracic nerve roots - ANSWER C5-7
which law is related to mental health professionals duty to protect those who are being
threatened by patient - ANSWER tarasoff v regents of the university of california
fibrates MOA - ANSWER increasing LPL
,treatment for hypertriglyceridemia
Sjogren syndrome antibodies - ANSWER anti SSA and SSB ro and la
parasympathetic innervation for kidneys and proximal ureters for myofascial release -
ANSWER OA
immunosuppresive agent for acute transplant rejection with side effects of
nephro/neuro toxicity, HTN, hyperlipidemia, gingival hyperplasia and hirsutism -
ANSWER cyclosporine
calcineurin inhibitor
tacrolimus MOA - ANSWER biding to FK binding proteins
calcineurin inhibitor for acute transplants
Acute management of SVT (narrow QRS and regular RR intervals)-ANSWER 1. vagal
maneuvers
2. adenosine
3. beta blockers (esmolol or metoprolol)
aortic regurgitation does what to pulse pressure-ANSWER widens
also increases systolic blood pressure and decreases diastolic blood pressure
alkaptonuria-ANSWER presents in third decade of life with dark urine after let sit
\\\\defect in homogentisic oxidase
bacterial meningitis in children <5 yr old-ANSWER most common is strep pneumo
tx with 3rd gen cephalosporin/vancomycin which both block the synthesis of
peptidoglycan
post-MI what can cause a paradoxical split S2-ANSWER LBBB due to delay in ejection by
the left ventricle
,hereditary angioedema-ANSWER C1 esterase inhibitor increased number of
proinflammatory cytokines
no inciting allergic stimulus
diabetes medication with SE of URI - ANSWER DPP4 inhibitors -gliptins
increase insulin secretion and decrease secretion of glucagon
causes of drug induced eosinophillic pneumonia - ANSWER nitrofurantoin
NSAIDs
sulfonamides
penicillin
phenytoin
radiation induced damage to the pituitary gland may cause - ANSWER growth hormone
deficiency
leads to muscle wasting, osteopenia, decreased energy, and dyslipidemia
HLA DRB1/DR2 - ANSWER MS
MELAS- ANSWER ragged red fibers
mitochondrial inheritance
mothers pass to all of their offspring
cluster headaches- horner syndrome
unilateral
treated with 100% oxygen
thiazolidinediones side effects -(glitazones)
weight gain and edema
de quervains tenosynovitis- radiostyloid tenosynovitis
abductor pollicis longus and extensor pollicis brevis
All peanut lovers eat peanut butter
, Childhood vaccines: Birth
Hep B
*Birth = Hep B
Childbirth vaccines: 2mo
Hep B
DTaP
PCV
RV
Polio
Hib
Childhood vaccines: 4mo
DTaP
PCV
RV
Polio
Hib
*same as 2mo except Hep B
Childbirth vaccines: 6mo
Hep B
DTaP
PCV
RV
Polio
Hib
flu
*same as 2mo
Childhood immunizations: 12-18mo
PPV is higher in populations with - ANSWER higher disease prevalence
69 yo M brought into ED for eval of sudden-onset L side numbness of the face &
extremities. PMHx significant for HTN & T2DM. These symptoms most likely represent a
lacunar infarct of the:
a. basis pontis
b. central midbrain
c. posterior limb of internal capsule
d. subthalamic nucleus
e. ventroposterior thalamus
e. ventroposterior thalamus
renal failure on urinalysis - ANSWER waxy casts
CPT deficiency - ANSWER enzyme usually transports long chain fatty acids (C20:0) into
mitochondiria
deficiency causes muscle pain, stiffness, tenderness during exercise
ACE inhibitors can cause what EKG changes - ANSWER hyperkalemia ***
Peaked T waves, Widened P wave that is flat or dissapearing P wave, PR lengthens,
Prolonged QRS
Long thoracic nerve roots - ANSWER C5-7
which law is related to mental health professionals duty to protect those who are being
threatened by patient - ANSWER tarasoff v regents of the university of california
fibrates MOA - ANSWER increasing LPL
,treatment for hypertriglyceridemia
Sjogren syndrome antibodies - ANSWER anti SSA and SSB ro and la
parasympathetic innervation for kidneys and proximal ureters for myofascial release -
ANSWER OA
immunosuppresive agent for acute transplant rejection with side effects of
nephro/neuro toxicity, HTN, hyperlipidemia, gingival hyperplasia and hirsutism -
ANSWER cyclosporine
calcineurin inhibitor
tacrolimus MOA - ANSWER biding to FK binding proteins
calcineurin inhibitor for acute transplants
Acute management of SVT (narrow QRS and regular RR intervals)-ANSWER 1. vagal
maneuvers
2. adenosine
3. beta blockers (esmolol or metoprolol)
aortic regurgitation does what to pulse pressure-ANSWER widens
also increases systolic blood pressure and decreases diastolic blood pressure
alkaptonuria-ANSWER presents in third decade of life with dark urine after let sit
\\\\defect in homogentisic oxidase
bacterial meningitis in children <5 yr old-ANSWER most common is strep pneumo
tx with 3rd gen cephalosporin/vancomycin which both block the synthesis of
peptidoglycan
post-MI what can cause a paradoxical split S2-ANSWER LBBB due to delay in ejection by
the left ventricle
,hereditary angioedema-ANSWER C1 esterase inhibitor increased number of
proinflammatory cytokines
no inciting allergic stimulus
diabetes medication with SE of URI - ANSWER DPP4 inhibitors -gliptins
increase insulin secretion and decrease secretion of glucagon
causes of drug induced eosinophillic pneumonia - ANSWER nitrofurantoin
NSAIDs
sulfonamides
penicillin
phenytoin
radiation induced damage to the pituitary gland may cause - ANSWER growth hormone
deficiency
leads to muscle wasting, osteopenia, decreased energy, and dyslipidemia
HLA DRB1/DR2 - ANSWER MS
MELAS- ANSWER ragged red fibers
mitochondrial inheritance
mothers pass to all of their offspring
cluster headaches- horner syndrome
unilateral
treated with 100% oxygen
thiazolidinediones side effects -(glitazones)
weight gain and edema
de quervains tenosynovitis- radiostyloid tenosynovitis
abductor pollicis longus and extensor pollicis brevis
All peanut lovers eat peanut butter
, Childhood vaccines: Birth
Hep B
*Birth = Hep B
Childbirth vaccines: 2mo
Hep B
DTaP
PCV
RV
Polio
Hib
Childhood vaccines: 4mo
DTaP
PCV
RV
Polio
Hib
*same as 2mo except Hep B
Childbirth vaccines: 6mo
Hep B
DTaP
PCV
RV
Polio
Hib
flu
*same as 2mo
Childhood immunizations: 12-18mo
