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Q1. Which type of pneumothorax causes tracheal deviation to the contralateral side?
Answer: Tension pneumothorax
Q2. What are some indirect indicators of chronic alcohol consumption?
Answer: Macrocytosis, AST:ALT ratio >2, increased GGT
Q3. Which antibiotic is effective for encephalitis caused by rickettsia, anaplasma, ehrlichia, bartonella,
or mycoplasma?
Answer: Doxycycline
Q4. A patient presents with blood in the urine and muscle cramps or weakness. What enzyme is
deficient and what is the diagnosis?
Answer: Deficient in glycogen phosphorylase; Diagnosis: McArdle disease
Q5. A chapman point is noted at T7 with left 5th intercostal space involvement. What type of point is
this and what does it signify?
Answer: Chapman's points represent the somatic manifestation of a visceral dysfunction
Q6. What condition results from a remnant of the vitelline duct and may contain ectopic gastric or
pancreatic tissue?
Answer: Meckel’s diverticulum
Q7. Which thyroid antibodies are commonly seen in Hashimoto's thyroiditis?
Answer: Anti-thyroid peroxidase and anti-thyroglobulin antibodies
Q8. What are the two main factors represented on the axes of the Starling curve?
, Answer: X-axis = preload (EDV), Y-axis = stroke volume or cardiac output
Q9. Which medications are first-line treatments for fibromyalgia?
Answer: TCAs (e.g., amitriptyline), SNRIs (e.g., duloxetine), and anticonvulsants (e.g., pregabalin)
Q10. Which drug classes block norepinephrine (NE) reuptake?
Answer: Tricyclic antidepressants (TCAs) and SNRIs
Q11. What is a potential complication of Paget's disease of bone?
Answer: Osteosarcoma
Q12. What does hematocrit (Hct) indicate in a complete blood count (CBC)?
Answer: The proportion of blood volume occupied by red blood cells
Q13. What is the mechanism of action of probenecid?
Answer: Inhibits reabsorption of uric acid in the proximal tubule and inhibits secretion of penicillin
Q14. What are the two major genetic causes of Severe Combined Immunodeficiency (SCID)?
Answer: Adenosine deaminase (ADA) deficiency and IL-2 receptor gamma chain defect
Q15. How does lithium affect water balance in the kidneys?
Answer: It inhibits the action of ADH (vasopressin), leading to nephrogenic diabetes insipidus and
polyuria
Q16. Which infertility drug can result in multiple gestations and how does it function?
Answer: Clomiphene; it blocks estrogen receptors in the hypothalamus, increasing GnRH, LH, and FSH,
thereby stimulating ovulation