5/30

Question 1

iliohypogastric nerve

Answer 1

sensation to suprapubic and gluteal regions
motor to anterolateral abdominal wall muscles

can be injured in appendectomy

Question 2

immediate therapy for status epilepticus

Answer 2

benzos

Question 3

P bodies

Answer 3

regulate translation and mRNA degradation

Question 4

CFTR is what type of channel

Answer 4

ATP binding cassete

Question 5

axillary nerve injury from

Answer 5

anterior humerous dislocation

Question 6

what do stop codons stimulate

Answer 6

releasing factors to release polypeptide

Question 7

PT, PTT, and bleeding time in hemophilia A, B, and vWD

Answer 7

Hemophilia A: increase PTT, normal PT and bleeding time

Hemophilia B: same

vWF: increase bleeding time and PTT; normal PT

Question 8

wrinkles

Answer 8

UVA –> reactive oxygen species

• decreased collagen fibril production
• increased matrix metalloproteinases- degrade elastin and collagen

Question 9

budding yeast with thick capsules, think…

Answer 9

cryptococcus neoformans

Question 10

NE extravasation

Answer 10

blanching of vein with NE infusion and pallor of surrounding tissues

use alpha blocker to treat

Question 11

which one is permanent damage- Wernicke or Korsakoff

Answer 11

Korsakoff

Question 12

phenyleprine MOA

Answer 12

alpha 1 agonist

Question 13

fidaxomicin MOA and Rx

Answer 13

Rx: recurrent c dif

MOA: macrocylic antibiotic- inhibits RNA pol

Question 14

toxic megacolon

Answer 14

complication of ulcerative colitis

abdominal distention, bloody diarrhea, fever, shock

do x-ray to confirm

Question 15

derivatives of allantois, umbilical arteries, and umbilical veins

Answer 15

allantois- median umbilical ligament

umb arteries- medial umbilical ligament

umb veins- ligametum teres hepatis

Question 16

Inclusion (I) cell disease

Answer 16

aut rec lysosome storage disease

defect in protein targeting to transport proteins to final destination, such as a defective phosphotransferase enzyme–> defective lysosomes –> debris builds up in lysosomes –> inclusions

FTT, corneal clouding, coarse facial features

Question 17

what are lung hamartomas comprised of?

Answer 17

native tissue- mature hyaline cartilage

Question 18

what’s the greatest factor to determine severity of Tetralogy of Fallot

Answer 18

right ventricular outflow tract obstruction

Question 19

hemodynamic forces in RV MI

Answer 19

decreased CO

reduced pulmonary wedge pressure (LA doesnt have to work as hard because reduced LV filling pressure)

increased central venous pressure (increased JVP) from impaired outflow

Question 20

half life calculation in first order kinetics

Answer 20

t1/2= (0.7 x Vd) / CL

Question 21

nonbacterial thrombotic endocarditis associations

Answer 21

advanced malignancies

chronic inflamm diseases (antiphospholipid, SLE)

sepsis

Question 22

which diuretic causes increased survival in CHF patients with systolic dysfunction (reduced EF)

Answer 22

MR antagonists

Question 23

what do strep viridans adhere to

Answer 23

fibrin-platelet aggregates –> endocarditis

Question 24

watershed areas besides splenic flexure in ischemic colitis

Answer 24

rectosigmoid junction

Question 25

which vitamin supp should you give in measles and why

Answer 25

Vitamin A- treat ocular complications, reduces comorbidities, reduces hospital stay, increases recovery time

Question 26

signs of shaken baby syndrome

Answer 26

subdural hematomas

bilateral retinal hemorrhages

larger heads, higher brain water content