2018 Flashcards

1
Q

Lesion of Cranial nerve X : where does it exit, where is the lesion

A

exits brain from behind the olive in the medulla oblongata and leaves through the jugular foramen

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2
Q

What skull fracture is often associated with a lesion of the middle meningeal artery ?

A

the temporal bone at the pterion

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3
Q

What substances make up the plaques in atherosclerosis

A

cholesterol, fatty substances, cellular waste products, calcium and fibrin

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4
Q

What bacteria cause meningitis

A
Streptococcus pneumoniae (airborne)
Group B Streptococcus
Neisseria meningitidis (salivary fluid) (teens)
Haemophilus influenzae
Listeria monocytogenes
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5
Q

What creates the need to increase dosage for the same effect of a drug over time

A

desensitization of receptors

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6
Q

What are the infra-hyoid muscles

A

Thryohyoid
sternothryoid
sternohyoid
omohyoid (lateral)

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7
Q

Patient who exercises a lot and eats little. What is this patients energy source

A

gluconeogenesis (after glycolysis)

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8
Q

4 year old with fever, headache and stiff neck. Her right leg has a flaccid paralysis. What is the cause

A

meningitis ? ventral horn lesion (in review notes)

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9
Q

What nerve innervates temporal and masseter muscles

A

mandibular nerve (V3)

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10
Q

during cervical rotation which articulation will stop you from checking your blindspot

A

C1-C2

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11
Q

microcytic anemia hypochrome : how is the blood cell

A

small and colourless

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12
Q

Elbow pain when removing backpack and putting it on the table. what type of contraction is responsible for the pain

A

eccentric contraction

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13
Q

Where is the cell body of the superior gluteal nerve

A

Ventral horn : sacral plexus L4/L5/S1

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14
Q

a patient arrives with calf pain with tension in the leg and has a severe pulmonary infection. You refer him with suspicion of what

A

pulmonary embolism

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15
Q

What is the effect of acetylsalicylic acid (aspirine)

A

reduce production of prostaglandines and thromboxine by COX enzyme

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16
Q

Child with a sore throat and then headache, neck stiffness and fever. What bacteria is the cause.

A

Streptococcus B

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17
Q

What facilitates iron absorption

A

Vitamin C

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18
Q

cholesterol is a precursor of what vitamine

A

Vitamin D

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19
Q

Patient with back pain does SLR with leg straight which causes pain and then with external rotation which doesn’t cause pain. explain

A

piriformis ?

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20
Q

which sections of the sarcomere contract during muscle contraction

A

A band : same (length of thick filament)
Z line : same
H-zone : narrows and dissapears (thick filament only)
I band : contracts (thin filament only)

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21
Q

abdominal lesion to the left that hurts during left rotation which muscle is hurt

A

internal oblique

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22
Q

a kid played video games all weekend and can no longer extend his thumb, what muscle is involved

A

long abductor

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23
Q

what innervates facet joints and disks

A

medial branch of the dorsal ramus

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24
Q

What innervates disks?

A

sinuvertebral nerves

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25
Punch out lesions in a elderly patient's spine. What will we find on their blood test
Bence jones proteins (multiple myeloma)
26
What nerve innervates arm extensors
C6-C7-C8 ?? c7-c8 or c6-c7
27
benign pancreatic tumor on the islets can cause what
increased insuline secretion
28
Sympathetic ganglia T10, which nerve
Lesser splanchnic nerve | least splanchnic T12, Greater T5-9
29
If you have a complete lesion of a root, what symptom
anesthesia. (no sensation whatsoever.
30
What to do when you have kidney stones
drink lots of water.
31
medial elbow injury, what nerve could be injured
ulnar
32
how can you transmit a meningitis
kissing, airborne droplets
33
patient with trouble abducting and externally rotation arm. there is a lesion of the transverse scapular ligament, what nerve could be injured
suprascapular nerve.
34
What pathways could be interrupted with a tumour in the internal capsule
corticospinal, spino-thalamic, dorsal column/ lemniscal
35
what could occur in children if mother doesnt eat enough green vegetables
B9 deficiency, spina bifida
36
what causes benign prostate hyperplasia
proliferation of epithelial and stromal cells
37
what foods can increase risk of kidney stones
beets, rhubarb spinach, seafood, salt
38
horizontal nystagmus is caused by what
vestibular system
39
finger-nose test is positive for what syndrome
cerebellar
40
what movement is more present in the lower thoracics then in the upper
flexion
41
patient with numbness in the leg but neural exam is normal. what is it
paresthesia
42
MVA motor vehicle accident a few months ago and has many symptoms, how are these symptoms described
somatoform/psychosomatic
43
patient with torn infraspinatous and teres minor what would you see
less compression of humerus in glenohumeral joint and preferential internal rotation lack of external
44
what natural supplement to diminish inflammation in the hips
curcumin
45
you were doing subscapular work and hit a nerve that sent tingling into the patients 4th and 5th fingers. which nerve was it
ulnar
46
what type of epithelium is in the duodenum
simple columnar
47
complete extension of the knee is limited by what muscle
triceps surae (calf muscles)
48
you're in a vehicle that
movement of cristals in semi-circular canal
49
1 year old starts walking, mom sees the spine change at what level
lumbar
50
mom does a 30 week ultrasound, what developpement can be observes
differentiation of sexual organs
51
traumatic birthing, lesion of the brachial plexus the baby can't lift arm above shoulder height, what nerve is injured
musculo-cutaneous
52
taste of the back 3rd of the tongue is given by what nerve
IX glossopharngeal
53
glossodynia is a deficit in what
estrogen/progesterone
54
primary lumbo-pelvic stabilizing muscles
psoas
55
macrocytic anemia with fatigue. what vitamine should you give them
cobalamine (B12)
56
What ion is responable for allowing neurotrasmitters into the neuromuscular junction
Ca 2+
57
lady with car accident three weeks ago, stick neck, sore butt, fatigue, has stopped all activity because she doesn
her attitude.
58
older lady with a rock in her shoe that created a lesion on the bottom of her second toe, she didn
diabetic neuropathy of plantar nerves.
59
you get numbness if you sit in the leg after sitting in a certain position. what type of nerve lesion is this
neuropraxia
60
best muscle for retracting the scapula
rhomboids
61
squat, what type of kinetic chain
closed
62
a kid scraped his hip playing we suspect an infection and took an xray but see nothing. after how long could we expect signs to show after symptoms arise
5-14 days
63
numbness in first three fingers and tinel carpien test positive what type of structure is dammaged
neurological
64
A woman wants to become pregnant and she asks what supplement to take
B9- folic acid
65
in what for is C02 in the blood
bicarbonate
66
what portion of the vertebral artery has a 90 degree angle
C1 superior
67
person with lactose intolerance should eat what to maintain calcium levels
almonds
68
patient with long limbs and hyperflexible joints and stretchy skin, what type of disease do they have
genetic
69
Membrane that perceives sound and the thickening causes deafness
basilar membrane
70
Older patient with pulmonary consolidation : what is the cause
tumor ?
71
what does the dorsal scapular nerve innervate
rhomboid, levator scap,
72
What is the I band formed of
actine only
73
what muscles perform protraction of the mandible
external pterygoid/masseter
74
What contains omega 3
cachew, fish, oils
75
volleyball player, pain during flexion and right rotation.. which abdominal muscle hurts
Right internal oblique.
76
how many polypeptide subunits to collagen are there
3
77
what happens when you stretch muscle spindles ? | golgi tendons ?
muscle spindles activate muscle, golgi tendon inhibit
78
what is the mechanism of thickening of the ligamenta flava
change of elastic fibers to collagen