Dimpleuworld 11

maxonupi's version from 2016-07-30 03:56


NerveMuscleFunctionLesion Sx
CN IIISuperior rectus, Medial rectus, Inferior rectus, Inferior oblique, Levator palpebraeAdduction,Depression,Elevation & External rotationEye deviated downward & laterally, Ptosis, Dilation of pupil
CN IVSuperior ObliqueAbduction, Depression & Internal rotationEye deviated upward
CN VILateral RectusAbductionEye deviated medially


Question Answer
TibialPlantar foot
Common peronealDorsal foot & Anterolateral leg
Deep peronealBetween great toe & second toe
ObturatorMedial thigh
FemoralAnterior thigh & Medial leg


Question Answer
Atriovenous malformationsIntracranial hemorrhage in children
Cerebral amyloid angiopathyMost common cause of Lobar/cortical(occipital,parietal) hemorrhage in the elderly
Charcout bouchardChronic hypertension with hemorrhagic stroke. Ct shows right away intraparnchymal hyperdensity(Basal ganglia, cerebellar nuclei, thalamus, pons
Cardiac arrest pt with decreased alertness with no focal neurologic deficits but instead watershed infarcts in perfusion zonesHypoxic encephalopathy
Progressive headache, nausea, vomiting, non localizing neurologic symptoms(confusion)Hypertensive encephalopathy
Abrupt onset of severe headache & associated with subarchnoid hemorrhageSaccular Aneurysm


Question Answer
Iyr old boy (Less than 2yr old) presenting with cough and difficulty breathing, wheezing/crackles with scattered rales throughout, Low grade fever, tachypnea, peaking 3-5 daysViral Bronchiolitis -> RSV
Inspiratory stridor with seal like cough less common than RSVParainfluenza
G+ cocci that synthesize dextrans from sucroseS.mutans, S.Sanguinis -> Compilcation Subacute bacterial endocarditis in defective heart valves AFTER DENTAL PROCEDURE
Baby with macrosomia,hypoglycemia, jitterness & irritabilityBeta cell hyperplasia leading to increase insulin release
Fetal effects of gestational DMEmbryopathy NTD, Heart Defects / Placental vasculopathy - Asphyxia,Growth restriction, Polycythemia / Increased fetal Insulin - Macrosomia, Hypertrophic cardiomyopathy, Hypoglycemia
A pt with a history with cholecystectomy a week ago, presents to clinic with nausea, fever, fatigue, anorexia, with abnormal liver grossHalothane Induced liver damage -> Fulminant Hepatits -> Elevated aminotransferase & Prolonged prothrombin time
Dual phospholipid bilayer membranes with foldings(Cristae)Mitochondria
Long folded membranes that are coated with ribsomes giving it a rough speckled appearanceRER
Found freely floating in the cytoplasm and bound to endoplasmic reticulumRibosomes -> found in the nucleolus
Turner syndromePaternal Meiotic Nondisjunction
Polycythemia(erythrocytosis)Men >52% or Women >48%
Increase in RBC MASSAbsolute Polycythemia
Normal RBC MASS OR Decrease in PLASMA VOLUMERelative erythrocytosis


Question Answer
Fatigue, Itching, hepatomegaly, Alkaline phosphatase elevated, Anti-Mitochondrial antibodies+Primary Biliary Cholangitis -> Patchy lymphocytic inflammation with destruction bile ducts and necrosis and micronodular regeneration of periportal tissues
Destruction of small and mid sized intraheptatic bile ducts with resulting cholestasisPrimary Biliary Cholangitis -> SAME HISTOPATHOLOGIC SEEN IN GVHD
Liver failure with centrilobular necrosis that can extend to entire lobuleAcetamenophen Overdose
Hepatocellular swelling and necrosis, mallory bodies, neutrophilic infiltration, fibrosisAlcoholic hepatits
Occlusion of hepatic veins leading to increased hepatic pressure, hepatomegally with reddish purple parenchyma, centrilobular congestion and necrosisBudd-Chiari Syndrome
Panlobular microvesicular steatosisReye Syndrome
Herpes Simplex Encephalitis TXAcyclovir -> Inhbit viral DNA Polymerase
Cardinal veins give rise toSuperior vena cava
Pulmonary truck arise fromtruncus arteriosus(neural crest migration -splitting into aorta & pulmonary)
Centriacinar EmphysemaSmoking pts with COPD affecting upper lung
Panacinar emphysemaA1 antitrypsin deiciency affecting lower lung
A pt who is having sudden nset chest pain, dyspnea, pain with deep breaths, thin tall pt in acute distressSpontaneous pneumothroax -> Apical Subpleural blebs
A pt who doubles her dose when having a bad day and skips dose when have a good day should beEducated about the risks of irregular dosing
A pt who doesnt take her medications because she forgets to take them should beGiven a proper written instructions on how to take the medication
Boy with bilateral breast enlargementgynecomastia-estradiol, tall, in special education classlearning difficulties, testicles small & firmhypogonadismKlinefelter syndrome
Klinefelter syndrome labsHIGH LH & FSH / LOW Testosterone
Galactokinase DeficiencyGalactose -> Galactose 1-P / Mild & NO liver or renal involvements, galatose in urine & blood, cataracts, "failure to track objects OR lack of smile"
Classic GalactosemiaGalactose1-p -> Glucose 1-p / Severe & Liver & renal involvements, cataracts, failure to thrive, jaundiceicterus/hepatomegaly
Ubiquitination deficiency leads toParkinsons Alzheimers other neurodegenerative disorder
Hormone highest after ovulationProgesterone
PancarditisInflammation of all 3 layers of heart. Complication of acute rheumatic fever
Knee pain and then a week later elbow painmigratory arthritis, with new holosystolic murmurmitral regurgitation, + Anti-streptolysin O titers leading to acute decompensation due to(Pancarditis) -> Acute rheumatic fever due to S.Pyogenes