NCCAOM BIOMEDICINE UPDATED EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔epistaxis tx - ✔✔nasal packing\
silver nitrate (burning)
✔✔flat, less than 0.5 cm diameter - ✔✔
✔✔flat - ✔✔macul
patch
✔✔elevated, palpable - ✔✔papul
plaque
✔✔elevated, fluid filled - ✔✔vesicle
bullae
✔✔macul vs patch in size - ✔✔macul less than 0.5 cm
patch more than 0.5 cm
✔✔papuls vs plaque size - ✔✔papul less than 0.5
plaque more than پالک طال بزرگه
✔✔vesicle vs buallae size - ✔✔vesicle less than 0.5
✔✔psoriasis - ✔✔silvery scaly, extensors, artritis
✔✔extensor surface vs flexor surface - ✔✔extensor (psoriasis) vs flexor (atopic
dermatitis=eczema)
✔✔detox for acetaminophen - ✔✔NAC (N acetyl cystein)
✔✔kayser fleischer ring - ✔✔wilson (copper overload)
✔✔bronze pigmentation - ✔✔adison's
hematochromasis
✔✔systemic lupus (SLE) - ✔✔butterfly rash, artritis, ANA +
✔✔RA or OA - ✔✔rhumatoid arthritis vs osteoarthritis
morning stifness : RA:60 min OA: <30 min
RA :autoimmune, symmetry
✔✔gout - ✔✔uric acid
,meat, alcohol
✔✔wernicke vs korsakof syndrom - ✔✔wernicke reversible
korsakof irreversible
✔✔wernike korsakof due to - ✔✔vit b1 (thiamin def)
due to alcohol abuse
medical emergency
tx: thiamin
✔✔wernike encephalopathy - ✔✔ataxia, confusion, Ophthalmoplegia( paralysis or
weakness of the eye muscles)
✔✔korsakof psychosis (amnesia) - ✔✔confabulation, impaired short term memory
✔✔nerve 1 - ✔✔olfactory (smell) sensory
✔✔nerve 12 - ✔✔tongue (hypoglossal), movement
✔✔nerve 2 - ✔✔optic, sensory
✔✔3, 4, 6 - ✔✔pure motor
✔✔oculumotor - ✔✔3
✔✔trochlear - ✔✔nerve 4
✔✔nerve 5 how many branches
nerve 7 how many branches - ✔✔5 3 branches
7 5 branches
✔✔abducent - ✔✔6
✔✔oculomotor - ✔✔3
✔✔vestibulocochlear - ✔✔8
✔✔semicircular canals+cochlear - ✔✔semicircuar for balance
cochlear for hearing
both are sensory
✔✔glosopharengial - ✔✔9 both sensory and motor
✔✔vagus - ✔✔10 both s and m
,connect most of organs: ht, lu, sp, kd, clon, st, lv, parasympathic
taste valecella, epiglot)
✔✔accessory - ✔✔11 , SCM, trapezius motor
✔✔cranial nerves (pure motor) - ✔✔3,4,6,11,12
✔✔pure sensory - ✔✔1, 2, 8
✔✔other nerves - ✔✔mixed s and m
✔✔parasympathetic - ✔✔7 (parasympathetic of salivary glands:submandibular and
sublingual)
9 (parasympathetic of parotic glands)
,10 parasympathetic for lots of organs
,3
✔✔trigeminal - ✔✔v1 ophtalmic
v2 maxillary
v3 mandibular motor to muscles of mastication
✔✔vestibular nerve - ✔✔position
✔✔trigeminal - ✔✔v1 s
v2 s
v3 s, m (mastication)
✔✔parasympathic for most abd - ✔✔10
✔✔parasympathetic for submandibular, sublingual, lacrimal glands - ✔✔7
✔✔rickets in children
osteomalacia in adults - ✔✔vit d def
✔✔...take ca to bone
ca from bone to blood - ✔✔vit d
from bone to blood:parathyroid
✔✔water soluble - ✔✔b,c
✔✔fat soluble - ✔✔A,D,E,K
✔✔k - ✔✔stop bleeding
, ✔✔warfarin=comadine - ✔✔inhibit vit k
✔✔RhoGAM shots at ...weeks - ✔✔28 weeks
✔✔vzv dormant in ...nerve - ✔✔dorsal root nerve
✔✔complication of neurolgia - ✔✔post herpetic neouralgia which is painful
✔✔slow grow, rarely metastasis - ✔✔basal cell carcinoma
✔✔precursor of scc - ✔✔actinic keratoses
✔✔risk factor for skin cancer - ✔✔sun
✔✔erectile dysfunction (organic) - ✔✔endocrine (DM)
vascular (atherosclerosis)
neurologic (stroke)
exogenouse (SSRI, Beta blocker)
✔✔rock hard prostat - ✔✔cancer
✔✔testicular torsion - ✔✔dopler ultrasound, decreased blood flow
✔✔prehn sx - ✔✔relief of pain when support scrotum
✔✔cremastric reflex in ? - ✔✔cemastric reflex present in epididymitis
no reflex in testicular torsion
✔✔testicular torsion - ✔✔no prehn sx, no cremastic reflex
✔✔27 m, right testicular pain, swelling, fever - ✔✔epidimitis
✔✔epidymitis - ✔✔both prehn sx and cremastic reflex present
✔✔fever - ✔✔A fever in Celsius is a temperature greater than 38 degrees, or the
equivalent of 100.4 degrees Fahrenheit.
✔✔colonoscopy screening - ✔✔start at 50, every 10 year
✔✔mamogrphy for breast - ✔✔age 50, every 2 year
age 40, every year
✔✔pop smear for cervical cancer - ✔✔from 21-75 every 3 year
QUESTIONS AND ANSWERS SURE A+
✔✔epistaxis tx - ✔✔nasal packing\
silver nitrate (burning)
✔✔flat, less than 0.5 cm diameter - ✔✔
✔✔flat - ✔✔macul
patch
✔✔elevated, palpable - ✔✔papul
plaque
✔✔elevated, fluid filled - ✔✔vesicle
bullae
✔✔macul vs patch in size - ✔✔macul less than 0.5 cm
patch more than 0.5 cm
✔✔papuls vs plaque size - ✔✔papul less than 0.5
plaque more than پالک طال بزرگه
✔✔vesicle vs buallae size - ✔✔vesicle less than 0.5
✔✔psoriasis - ✔✔silvery scaly, extensors, artritis
✔✔extensor surface vs flexor surface - ✔✔extensor (psoriasis) vs flexor (atopic
dermatitis=eczema)
✔✔detox for acetaminophen - ✔✔NAC (N acetyl cystein)
✔✔kayser fleischer ring - ✔✔wilson (copper overload)
✔✔bronze pigmentation - ✔✔adison's
hematochromasis
✔✔systemic lupus (SLE) - ✔✔butterfly rash, artritis, ANA +
✔✔RA or OA - ✔✔rhumatoid arthritis vs osteoarthritis
morning stifness : RA:60 min OA: <30 min
RA :autoimmune, symmetry
✔✔gout - ✔✔uric acid
,meat, alcohol
✔✔wernicke vs korsakof syndrom - ✔✔wernicke reversible
korsakof irreversible
✔✔wernike korsakof due to - ✔✔vit b1 (thiamin def)
due to alcohol abuse
medical emergency
tx: thiamin
✔✔wernike encephalopathy - ✔✔ataxia, confusion, Ophthalmoplegia( paralysis or
weakness of the eye muscles)
✔✔korsakof psychosis (amnesia) - ✔✔confabulation, impaired short term memory
✔✔nerve 1 - ✔✔olfactory (smell) sensory
✔✔nerve 12 - ✔✔tongue (hypoglossal), movement
✔✔nerve 2 - ✔✔optic, sensory
✔✔3, 4, 6 - ✔✔pure motor
✔✔oculumotor - ✔✔3
✔✔trochlear - ✔✔nerve 4
✔✔nerve 5 how many branches
nerve 7 how many branches - ✔✔5 3 branches
7 5 branches
✔✔abducent - ✔✔6
✔✔oculomotor - ✔✔3
✔✔vestibulocochlear - ✔✔8
✔✔semicircular canals+cochlear - ✔✔semicircuar for balance
cochlear for hearing
both are sensory
✔✔glosopharengial - ✔✔9 both sensory and motor
✔✔vagus - ✔✔10 both s and m
,connect most of organs: ht, lu, sp, kd, clon, st, lv, parasympathic
taste valecella, epiglot)
✔✔accessory - ✔✔11 , SCM, trapezius motor
✔✔cranial nerves (pure motor) - ✔✔3,4,6,11,12
✔✔pure sensory - ✔✔1, 2, 8
✔✔other nerves - ✔✔mixed s and m
✔✔parasympathetic - ✔✔7 (parasympathetic of salivary glands:submandibular and
sublingual)
9 (parasympathetic of parotic glands)
,10 parasympathetic for lots of organs
,3
✔✔trigeminal - ✔✔v1 ophtalmic
v2 maxillary
v3 mandibular motor to muscles of mastication
✔✔vestibular nerve - ✔✔position
✔✔trigeminal - ✔✔v1 s
v2 s
v3 s, m (mastication)
✔✔parasympathic for most abd - ✔✔10
✔✔parasympathetic for submandibular, sublingual, lacrimal glands - ✔✔7
✔✔rickets in children
osteomalacia in adults - ✔✔vit d def
✔✔...take ca to bone
ca from bone to blood - ✔✔vit d
from bone to blood:parathyroid
✔✔water soluble - ✔✔b,c
✔✔fat soluble - ✔✔A,D,E,K
✔✔k - ✔✔stop bleeding
, ✔✔warfarin=comadine - ✔✔inhibit vit k
✔✔RhoGAM shots at ...weeks - ✔✔28 weeks
✔✔vzv dormant in ...nerve - ✔✔dorsal root nerve
✔✔complication of neurolgia - ✔✔post herpetic neouralgia which is painful
✔✔slow grow, rarely metastasis - ✔✔basal cell carcinoma
✔✔precursor of scc - ✔✔actinic keratoses
✔✔risk factor for skin cancer - ✔✔sun
✔✔erectile dysfunction (organic) - ✔✔endocrine (DM)
vascular (atherosclerosis)
neurologic (stroke)
exogenouse (SSRI, Beta blocker)
✔✔rock hard prostat - ✔✔cancer
✔✔testicular torsion - ✔✔dopler ultrasound, decreased blood flow
✔✔prehn sx - ✔✔relief of pain when support scrotum
✔✔cremastric reflex in ? - ✔✔cemastric reflex present in epididymitis
no reflex in testicular torsion
✔✔testicular torsion - ✔✔no prehn sx, no cremastic reflex
✔✔27 m, right testicular pain, swelling, fever - ✔✔epidimitis
✔✔epidymitis - ✔✔both prehn sx and cremastic reflex present
✔✔fever - ✔✔A fever in Celsius is a temperature greater than 38 degrees, or the
equivalent of 100.4 degrees Fahrenheit.
✔✔colonoscopy screening - ✔✔start at 50, every 10 year
✔✔mamogrphy for breast - ✔✔age 50, every 2 year
age 40, every year
✔✔pop smear for cervical cancer - ✔✔from 21-75 every 3 year
