244 (page 190)

Question 1

the antidote of choice for beta-blocker poisoning is:

And why

Answer 1

Glucagon

because it increases intracellular levels of cyclic AMP independent of the beta receptors that are blocked.

Question 2

Female athlete triad is compounded by:

1. -
2. -
3. -

Answer 2

1. • menstrual dysfunction,
2. • calorie deficit
3. • and decreased bone density

in athletic female young adults or adolescents

Question 3

Is anemia part of Female athlete triad?

Answer 3

it’s only a consequence that is not always present.

Question 4

A child can start riding facing forward when he or she is at least __ Kg.

Answer 4

10 kg (22 lb.).

Question 5

One of the most characteristic findings in dermatomyositis is this lesion on fingers:

Answer 5

Gottron’s papules
which are flat-topped, sometimes violaceous papules that often occur on most, if not all, of the
knuckles and interphalangeal joints.

It’s like a metal glove of GO (GameOf )Thrones

Question 6

How would you call this sign?
The individual arrives at a standing position by supporting themselves on their thighs and then using the hands to “walk up” the body until they are upright.

Answer 6

Gower sign

GO?, WHERE? says the kid trying to stand up

Question 7

Choose a word:
Motor and sensory conduction velocities are typically (slow) / (normal) in patients with
dermatomyositis.

Answer 7

normal

Question 8

In acute intermittent porphyria (AIP) EMG is expected to show _____ motor
and sensory conduction velocities or ___amplitude of action over muscle.

Answer 8

either low

low

Question 9

For Duchenne muscular dystrophy (DMD) By the age of 6 these children usually have muscle ___ and _____ posture when walking.

Answer 9

contractures

lordotic

Question 10

creatine kinase levels for:
Guillain-Barré syndrome (GBS):
Duchenne muscular dystrophy (DMD): .
Dermatomyositis:

Answer 10

Guillain-Barré syndrome (GBS): normal.
Duchenne muscular dystrophy (DMD): >15000
Dermatomyositis: Typically elevated 2–100 times the normal value (= high around 1200 U/L)

Question 11

electromyography findings for:
Myasthenia gravis:
Guillain-Barré syndrome: 
acute intermittent porphyria:
dermatomyositis.

Answer 11

MG: decremental response to repeated nerve
stimulation.
GBS: velocities are reduced
AIP: velocities are reduced
dermatomyositis: typically normal