Ittuworld 18

gubavula's version from 2016-10-22 20:03


Question Answer Column 3 Column 4 Column 5
BrocaMessed up speechUnderstandsRight Hemiparesis(Face & upper limb)Furstrated
WernickeFluent but does NOT make senseDo No UnderstandRight superior visual field defectsNot Furstrated

Corticosteroids sx

Question Answer
Skin/MSKCentral obesity, buffalo hump, Skin Atrophy, Muscle weakness
GI TractPeptic ulcer, GI Bleed
EndocrineHyperglycemia,Hypogonadism, Osteoporosis, HPA axis suppresion
ImmuneInreased Neutrophils -> High risk for infection, Immunosupression, Increase risk of infection, Decrease in Eosinophils,basophils,monocytes, lymphocyte
NervousHypomania,psychosis, sleep disturbances
RespiratoryIncrease surfactant production

Seizures - Focal(1 Hemisphere)

Question Answer Column 3
SimpleNO Loss of consciousness, Motor,sensory, autonomic, psychicCarbamazepine, Gabapentin,Phenobarbital,Phenytoin
ComplexLoss of consciousness, Lip smacking, epigastric rising sensationSame

Seizures - Complex(2hemisphere)

Question Answer
Tonic clonicLoss of consciousness, Muscle contraction of limbstonic followed by rythmic jerkingclonic biting, urinating: Lamotrigine,levetiracetem,topiramate, valporic acid
MyoclonicNO loss of consiousness, brief jerking movementsSame


Question Answer
Cells responsible for forming athersclerosis fibrous capSmooth muscle cells
LOW AFP, LOW Estriol, High B-hcg, High inhibinTrisomy 21
LH stimulates Leydig cells releaseTestosterone
FSH stimulates Sertoli cells releaseInhibin B
Hypertrophic cardiomyopathy increases intensity of murmur whenSudden standing up or valsava maneuver or nitroglycerin administration -> decrease preload
Repurfusion injury and prevention of free radical oxygen species can be done withSuperoxide dismutase, glutathione peroxidase, catalase
CGD -> Catalase + organismsNAPH oxidase
Mesoderm, Kidney, muscles, spleen, adrenal cortex
Question Answer
EndodermGI, Liver, pancreas, lungs, thymus, thyroid, parathyroid, middle ear, bladder, urethra
Hepatic abcess in developed countriesS.Aureus Hematogenous route
Hepatic abcess in under-developed countriesE.Histolytica
Presence of fluid filled cavity in the liver with fever chills and right upper quadrant pain dxHepatic abcesss
Getting sun light effect what step in vitamin D synthesis7-dehydrocholestrol -> Cholecalciferol
Liver issues affects what step in vitamin D synthesisCholecalciferol -> 25-hydroxycholecalciferol
Kidney issues affect what step in vitamin D synthesis25-hydroxycholecalciferol -> 1,25-dihydroxycholecalciferol
Pt is presenting with difficulty using forkfinger agnosia & confused, left-right disorientation and unable carry out simple calculationsAcalculia, writeAgraphia or read, bp180/98 with long smoking history dxGerstmann Syndrome -> Dominant parietal lobe stroke -> Angular Gyrus -> Middle cerebral artery
Majority of water reabsorption occurs inProximal tubule
Medial foot lesion presents with lymphadenpathy in theInguinal
Lateral foot lesion presents with lymphadenopathy in theBOTH popliteal & Inguinal
A study testing a new cholesterol measuring test gets 200mg/dl 3 times and compared to the gold standard it is 260mg/dlReliable but not accurate
Chrons extraintestinal manifestationsAnkylosying spondylitis,peripheral arthritislow back pain,joint stifness worse at night
Vitamin K presentationEasy bruising,deep tissue joint bleeding, prolonged bleeding after surgery
Immune thrombocytopenic purpura presentationEpistaxis,gingivial bleeding, petechiae
34 yr old presents with easy bruising, and spontaneous bruising over his legs, fatigue, poor appetite, dull pain, stiffness. Hx of chrons and partial bowel resection. Dx?Bile acid malabosprtion due to terminal ileum resection leading to fat malabsorptionVitamin K deficiency
ConcentricLong standing Hypertenison
Hypertensive heart disease & HCM heart contractile function?Normal
Adrenal F Layer High cortisol meansCushing
Adrenal F Layer Low cortisol meansAddison disease -> Exogenous ACTH stimulation test does not increase cortisol levels -> Low Sodium & Bicarbonate, High potassium & chloride
Opposition defiant disorderGets angry for no reason, stubborn, irritable, argues with adults and refuses to follow rules, blames others for her own mistakes, skips class, annoys other purposely, fights with siblings
How is C-peptide is increased in the bodyInsulinoma OR giving drugs such as Sulfonylurea or meglinitides(Glyburide)
34 yr old present with vulvar itching and discharge, she took antibiotics 2 weeks ago for sinusitis, erythematous vulva with discharge shows thick white with budding cellsCandida due to antibiotcs wiping out Gram positive bacteria in the vagina
Candida vaginits causesAntibiotcs, estrogen(pregnancy), Corticosteriod, uncontrolled DM, Immunosuppresion
Bacterial vaginosisElevated pH of vaginal secretions
Pt has a renal mass and gross shows Golden yellow masshigh lipid and glycogen content & Biopsy shows rounded and polygonal cell with abundant clear cytoplasm. Most like originating in?: Renal cell carcinoma (Clear cell) -> Epithelium of proximal renal tubule
Question Answer
Huntington sx1st degree relative family hx, Choreform movementGrimace & extremity moves without control & progressive dementia, aggressive behaviorThreatening wife with gun,Losing temper, Caudate & Putamen
Cryptococcus neoformans in immunosuppresed HIV+ cd4 count less than 98Meningoencephalitis
Cryptococcus neoformans in immunocompetent ptsPneumonia(Asymptomatic)
Female with axillary lymph nodes showing overexpression of 185Kd glycoprotein MOAHER2/neu oncogene -> Accelerates cell proliferation
Inhibiton & proliferation of what would decrease T lymphocytesCalcineurin -> Calcineuring inhibitors -> Tacrolimus & Cyclosporine
35 yr old AA sickle cell anemia presenting with fever, chills, malaise,elevated wbcs and neutrophilia becomes hypotensive and dies due to?Septiciemia -> 1st S.pneumonia due to asplenia -> 2nd H.Influenza
Sickle cell osteomyelitisS.aureus & E.coli
Treatment resistant shizophrenia (Poorr esponse to atleast 2 trials of antipsychotics)Clozapine