Comsae 107 Questions And Answers
Verified 100% Correct
beta blockers for asthma - ANSWER none- even beta 1s can be nonselective at higher
doses
what kind of teratogenic effects are seen w ACE/ARBs - ANSWER fetal renal agenesis
stones bones groans moans psych overtones - ANSWER high Ca or PTH
PTH is made by what cells? - ANSWER chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
ANSWER PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - ANSWER extensor-
hamstrings
thoracic CS - ANSWER E SaRa
most common cause of cellultis - ANSWER staph aureus, strep pyogenes
FPR- direct or indirect? active or passive? - ANSWER indirect- place them in position
of diagnosis
passive
cant treat kid w tetracycline so what do you give? - ANSWER amoxicillin
which Heps are there currently vaccines for? - ANSWER A and B (and so by virtue,
also D)
why does Hep D need Hep B? - ANSWER Hep D utilizes the HBV surface antigen as
its envelope?
most common hepatitis A/W IVDA in the US - ANSWER hep c
roseola - ANSWER 4 day high fever
,then rash on the trunk (spares face)
affects babies up to 2 years
HHV6- affects CD4 helper cells and kills them off
erythema infectiosum - ANSWER slapped cheek
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on
arms and spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD - ANSWER chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - ANSWER candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation
dx? - ANSWER innom outflare
immune complex in glomerular mesangium 2 days after URI
berger or PSGN? - ANSWER berger
PSGN is 2 wks post URI
kidney ureter viscerosomatic innervation - ANSWER T10-11
college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates - ANSWER myco PNA
,test for trichomonas - ANSWER nucleic acid amplification
painless enlarging tumor in left testis 75 yo - ANSWER diffuse large B cell lymphoma
most common in 70-80s
choriocarcinoma affecst what age group - ANSWER 15-35
yolk sac tumor affects what population - ANSWER infants and children 1-2 years
DMARD drug for UC/Crohns/RA - ANSWER sulfasalazine
pulmonary effects of CF - ANSWER chronic bronchitis and bronchiectasis
osteoporosis affects what parts of bone? - ANSWER (spongy and ) trabecular bone
mass loss
imipramine - ANSWER TCA
SE: Tri-Cs
convulsions coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
Sensourineural hearing loss, tinnitus, paralysis of facial muslces, loss of corneal reflex -
ANSWER Cerebellopontine angle tumor - between cerebellum and lateral pons -- CNs
5, 7, 9
Sleep changes in depressed patients - ANSWER decreased slow-wave sleep,
decreased REM latency, REM early in sleep cycle, increased total REM sleep, repeated
nighttime awakenings, early-morning awakenings
Cachexia mediated by - ANSWER TNF-alpha, IFN-gamma, IL-6
Tx for Orotic aciduria - ANSWER Uridine - inhibits carbamoyl phosphate synthetase
Short acting benzos - ANSWER ATOM
Alprazolam, Triazolam, Oxazepam, Midazolam
Medium acting benzos - ANSWER LET
, Lorazepam, Estraolam, Temazepam
Long acting benzos - ANSWER Clordiazepoxide, Clorazepate, Diazepam, Flurazepam
Climacteric period - ANSWER Menopause
Compartment syndrome d/t occlusion of: - ANSWER Microvasculature (small arteries)
Grave's disease ab - ANSWER anti-TSH
Addison's disease - ANSWER Primary adrenal insufficiency d/t adrenal atrophy or
destruction by disease
hpL - ANSWER human placental lactogen - increases insulin resistance, stimulates
proteolysis and lipolysis and inhibits gluconeogenesis --> hyperinsulin, hyperglycemia,
hyperlipidemia
Hit in front or back of head - ANSWER SBS compression
Hit under chin on same side - ANSWER Torsion
Blow on side of head - ANSWER Torsion strain
Hit on same side of head - ANSWER Lateral strain
Hit on forehead at top of head - ANSWER Superior strain
Hit at occiput - ANSWER Inferior strain
Touch, pain, temp sensation from ipsilateral face - ANSWER Spinal trigeminal nucleus
Ritodrine/Terbutaline - ANSWER Beta 2 agonist that relzxes the uterus to reduce
premature uterine cotnractions; tocolytic
"Ritodrine allows the fetus to return to dreams"
Ergonovine - ANSWER to facilitate delivery of the placenta and to prevent bleeding
after childbirth by causing smooth muscle tissue in the blood vessel walls to narrow,
thereby reducing blood flow;
dx Prinzmental's angina
Metoclopramide - ANSWER anti-emetic
Pyocyanin pigment - ANSWER blue pigment - Pseudomonas
Verified 100% Correct
beta blockers for asthma - ANSWER none- even beta 1s can be nonselective at higher
doses
what kind of teratogenic effects are seen w ACE/ARBs - ANSWER fetal renal agenesis
stones bones groans moans psych overtones - ANSWER high Ca or PTH
PTH is made by what cells? - ANSWER chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
ANSWER PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - ANSWER extensor-
hamstrings
thoracic CS - ANSWER E SaRa
most common cause of cellultis - ANSWER staph aureus, strep pyogenes
FPR- direct or indirect? active or passive? - ANSWER indirect- place them in position
of diagnosis
passive
cant treat kid w tetracycline so what do you give? - ANSWER amoxicillin
which Heps are there currently vaccines for? - ANSWER A and B (and so by virtue,
also D)
why does Hep D need Hep B? - ANSWER Hep D utilizes the HBV surface antigen as
its envelope?
most common hepatitis A/W IVDA in the US - ANSWER hep c
roseola - ANSWER 4 day high fever
,then rash on the trunk (spares face)
affects babies up to 2 years
HHV6- affects CD4 helper cells and kills them off
erythema infectiosum - ANSWER slapped cheek
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on
arms and spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD - ANSWER chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - ANSWER candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation
dx? - ANSWER innom outflare
immune complex in glomerular mesangium 2 days after URI
berger or PSGN? - ANSWER berger
PSGN is 2 wks post URI
kidney ureter viscerosomatic innervation - ANSWER T10-11
college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates - ANSWER myco PNA
,test for trichomonas - ANSWER nucleic acid amplification
painless enlarging tumor in left testis 75 yo - ANSWER diffuse large B cell lymphoma
most common in 70-80s
choriocarcinoma affecst what age group - ANSWER 15-35
yolk sac tumor affects what population - ANSWER infants and children 1-2 years
DMARD drug for UC/Crohns/RA - ANSWER sulfasalazine
pulmonary effects of CF - ANSWER chronic bronchitis and bronchiectasis
osteoporosis affects what parts of bone? - ANSWER (spongy and ) trabecular bone
mass loss
imipramine - ANSWER TCA
SE: Tri-Cs
convulsions coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
Sensourineural hearing loss, tinnitus, paralysis of facial muslces, loss of corneal reflex -
ANSWER Cerebellopontine angle tumor - between cerebellum and lateral pons -- CNs
5, 7, 9
Sleep changes in depressed patients - ANSWER decreased slow-wave sleep,
decreased REM latency, REM early in sleep cycle, increased total REM sleep, repeated
nighttime awakenings, early-morning awakenings
Cachexia mediated by - ANSWER TNF-alpha, IFN-gamma, IL-6
Tx for Orotic aciduria - ANSWER Uridine - inhibits carbamoyl phosphate synthetase
Short acting benzos - ANSWER ATOM
Alprazolam, Triazolam, Oxazepam, Midazolam
Medium acting benzos - ANSWER LET
, Lorazepam, Estraolam, Temazepam
Long acting benzos - ANSWER Clordiazepoxide, Clorazepate, Diazepam, Flurazepam
Climacteric period - ANSWER Menopause
Compartment syndrome d/t occlusion of: - ANSWER Microvasculature (small arteries)
Grave's disease ab - ANSWER anti-TSH
Addison's disease - ANSWER Primary adrenal insufficiency d/t adrenal atrophy or
destruction by disease
hpL - ANSWER human placental lactogen - increases insulin resistance, stimulates
proteolysis and lipolysis and inhibits gluconeogenesis --> hyperinsulin, hyperglycemia,
hyperlipidemia
Hit in front or back of head - ANSWER SBS compression
Hit under chin on same side - ANSWER Torsion
Blow on side of head - ANSWER Torsion strain
Hit on same side of head - ANSWER Lateral strain
Hit on forehead at top of head - ANSWER Superior strain
Hit at occiput - ANSWER Inferior strain
Touch, pain, temp sensation from ipsilateral face - ANSWER Spinal trigeminal nucleus
Ritodrine/Terbutaline - ANSWER Beta 2 agonist that relzxes the uterus to reduce
premature uterine cotnractions; tocolytic
"Ritodrine allows the fetus to return to dreams"
Ergonovine - ANSWER to facilitate delivery of the placenta and to prevent bleeding
after childbirth by causing smooth muscle tissue in the blood vessel walls to narrow,
thereby reducing blood flow;
dx Prinzmental's angina
Metoclopramide - ANSWER anti-emetic
Pyocyanin pigment - ANSWER blue pigment - Pseudomonas
