5/22/2014 Flashcards

1
Q

G cells secrete

A

gastrin

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2
Q

zollinger ellison

A

pancreatic gastrinoma - excessive gastric acid secretion

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3
Q

ulcers of duodenum to jejunum

A

zollinger ellison

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4
Q

delta cell tumors

A

somatostatinoma - DM, Cholelithiasis, steatorrhea, hypochlorhydria

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5
Q

therapy to lessen anxiety of a particular situation or behaviour

A

behavior modification

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6
Q

partial serotonin agonist and 5-HT1a receptors - for patients with generalized anxiety, acts like an anxiolytic

A

buspirone

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7
Q

SSRI for depression, OCD, bulemia, and social phobias

A

fluoxetine

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8
Q

alpha 1 inhibitors

A

-zosins (terazosin, prazosin, doxazocin) - useful for both BPH and HTN

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9
Q

repression vs suppression

A

unconscious vs conscious

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10
Q

pagets of breast

A

unilateral, painful, itching and scaling. associated with intraductal carcinoma

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11
Q

large epidermal cells with a clear halo

A

paget

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12
Q

underlying ductal carcinoma in situ

A

paget

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13
Q

breast abscess during breast feeding, staph aureus

A

mastitis - lactiferus sinus

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14
Q

intramedullary carcinoma

A

spinal cancer

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15
Q

innervation of superior oblique

A

trochlear, CNIV

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16
Q

exits through stylomastoid foramen

A

facial nerve

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17
Q

exits through foramen ovale

A

CNV-3 mandibular

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18
Q

foramen spinosum

A

middle meningeal artery

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19
Q

superior orbital fissure

A

ophthalmic nerve V1 - corneal reflex

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20
Q

only motor output of glossopharyngeal nerve CNIX

A

stylopharyngeus

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21
Q

calcitonin secretion

A

medullary carcinoma

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22
Q

most common thyroid cancer - malignant but good prognosis

A

papillary carcinoma

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23
Q

antibodies against TSH receptors

A

graves disease

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24
Q

myosin antibodies

A

rheumatic fever and heart disease - M-protein

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25
Q

IgE and cross linking of mast cells and basophils to cause histamine release

A

type I

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26
Q

hypersensitivity of ABO transfusion and rheumatic heart disease

A

Type II cytotoxic

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27
Q

autonomic symptoms of lambert eaton

A

dry mouth and erectile dysfunction

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28
Q

hashimoto tx

A

levothyroxine

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29
Q

villous atrophy in small intestine

A

celiac

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30
Q

lacerated middle meningeal

A

epidural hematoma - lens shaped, will not cross suture lines

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31
Q

tears of basilar artery =

A

subarachnoid hemorrhage

32
Q

presenting sign and symptoms of subdural hematoma

A

confusion and depressed consciousness

33
Q

anterior pituitary hormones

A

TSH, Prolactin, LH, FSH, GH, ACTH (FLAT PiG)

34
Q

basophil secreted anterior pit hormones

A

B-FLAT

35
Q

TRH

A

thyrotropin releasing hormone of hypothalamus - stimulates TSH and prolactin.

36
Q

hypothalamic hormones

A

TRH, Dopamine, CRH, GHRH, Somatostatin, GnRH

37
Q

Prolactin effect on hypothalamus

A

decreased GnRH

38
Q

active TH and inactive

A

triiodothyronine and thyroxine

39
Q

T3 effects 4Bs

A

brain maturation, bone growth, beta-adrenergic, basal metabolic

40
Q

distinguishing primary vs secondary hyperthyroidism

A

TSH level

41
Q

tertiary hyperthyroidism

A

elevated TRH

42
Q

PTU

A

propylthiouracil - impedes iodine organification and coupling. inhibits peripheral conversion of T4 to T3

43
Q

pharm tx of pituitary adenoma of thymotrophs - TSH

A

PTU

44
Q

Methimazole

A

inhibition of iodine organification and coupling - no peripheral effect on hormone conversion

45
Q

drugs with disulfiram like effects

A

metronidazole, procarbazine, sulfonylureas, cephalosporins

46
Q

herpes

A

acyclovir

47
Q

syphilis tx

A

penicillin G

48
Q

third gen cephalosporin for neisseria

A

cephtriaxone

49
Q

tetracycline for chlamydia

A

doxycycline

50
Q

acetazolamide

A

carbonic anhydrase inhibitor

51
Q

spironolactone

A

competes with aldosterone

52
Q

chronic bronchitis

A

3 mo for 2 consecutive yrs. productive cough. smoking and cystic fibrosis

53
Q

s3 heart sound

A

heart failure

54
Q

keratin pearls

A

squamous cell cancer

55
Q

TB in CD4 <50 pts.

A

mycobacterium avium intracellular complex

56
Q

MAC in AIDS tx

A

clarythromycin and azythromycin

57
Q

decreased ferritin and increased TIBC

A

iron deficiency anemia

58
Q

Methylmalonic acid buildup

A

B12 deficiency anemia

59
Q

normocytic normochromic cells are

A

ACD anemia of chronic disease

60
Q

low TIBC/transferrin, increased ferritin

A

ACD

61
Q

Virchow’s node

A

left supraclavicular lymph adenopathy - pancreatic cancer

62
Q

pancreatic referred pain

A

back

63
Q

GB referred pain

A

shoulder

64
Q

enlarged palpable painless GB

A

Coursoviers sign - pancreatic cancer

65
Q

echymosis behind ear

A

battle sign - basilar skull fracture

66
Q

calf pain with forced dorsiflexion of foot - sign of DVT

A

Homan sign

67
Q

palpation of left abdomen that results in apendiceal pain on the right

A

rovsing sign

68
Q

CA19-9

A

tumor marker of pancreatic adenocarcinoma

69
Q

CA 125

A

marker of ovarian cancer

70
Q

best cancer imaging

A

CT

71
Q

obesity and nulliparity - risk of

A

endometrial cancer - not cervical cancer

72
Q

tx of schizophrenia that causes agranulocytosis

A

clozapine - have WBCs checked weekly

73
Q

risk of adhesive capsulitis

A

diabetics, females and thyroiditis

74
Q

tx of early adhesive capsulitis

A

intra-articular steroid injections

75
Q

injury of overuse

A

tendonitis - dx with speed or yergason tests