Bio Med - Day 9b

Question 1

NSAIDS work by inhibiting what

A. Formation of Prostaglandins
B. HMG CoA Reductase
C. Xanthine oxidase production
D. PDE5

Answer 1

A. Formation of Prostaglandins

• HMG CoA Reductase = Statin
• Xanthine Oxidase production = Allopurinol
• PDE5 = Viagra

Question 2

Diazepam (Valium) and Antihistamines can

A. Increase the central depressive effects
B. No negative side effects
C. Cause insomnia
D. Inhibit the action of Diazepam

Answer 2

A. Increase the central depressive effects

Question 3

“More of the drug will be required to achieve the same effect in the future”

A. Tolerance
B. Physical dependence
C. Withdrawal symptoms
D. Addiction

Answer 3

A. Tolerance

Question 4

Dependent patterns of drug self administration without making a distinction between physical or psychological dependence

A. Tolerance
B. Physical dependence
C. Withdrawal symptoms
D. Addiction

Answer 4

D. Addiction

Question 5

Alcohol abuse associated with all the following except

A. Flushed face
B. Spider veins
C. Tremors
D. Palmer Pallor
E. Suicide or violent acts

Answer 5

D. Palmer Pallor

Question 6

Permissible for a doctor to breach patient confidentiality

A. With a concern for the safety of other specific persons
B. With certain communicable diseases
C. A & B
D. Patient confidentiality should never be breached

Answer 6

C. A & B

Question 7

Excessive use of corticosteroid can cause any of the following except

A. Moon face, buffalo hump
B. Hirsutism, easy bruising
C. Obesity, abdominal striae
D. exophthalmos, goiter

Answer 7

D. exophthalmos, goiter

Question 8

Boas’ sign is located

A. Right scapula
B. Left scapula
C. Right testicle
D. Left testicle

Answer 8

A. Right Scapula

*related to Cholecystitis

Question 9

Median nerve innervates all of the following except

A. Palmer aspect of the distal thumb
B.  Palmer aspect of the index 
C.  Palmer aspect of the middle finger
D. Dorsal aspect of the distal middle finger
E. Palmer aspect of the little finger

Answer 9

E. Palmer aspect of the little finger

Question 10

A normal adult mouth has __________ permanent teeth

A. 20
B. 32
C. 36
D. 40

Answer 10

B. 32

*20 deciduous teeth

Question 11

Least common symptom of TIA

A. Temporary loss of vision (amarosis fugax)
B. Difficulty speaking (aphasia)
C. Weakness of one side of the body (hemiparesis)
D. Numbness and tingling (Paraesthesia)
E. Impairment of consciousness

Answer 11

E. Impairment of consciousness

Question 12

“Curtain coming down vertically into the field of vision in one eye”

A. Amaurosis fugax
B. Cataracts 
C. Glaucoma 
D. Retinal disorders
E. Macular degeneration

Answer 12

A. Amaurosis fugax

*complication/symptom of TIA

Question 13

A medical emergency that requires prompt advanced life support interventions

A. Ventricular fibrillation
B. Atrial fibrillation
C. Ventricular tachycardia
D. First-degree AV block

Answer 13

A. Ventricular fibrillation

Question 14

Electrical impulses moves through AV node slower than normal. Heart rate and rhythm are normal. No treatment is generally needed

A. First-degree AV block
B. 2nd° AV block – type 1 (Wenchebach)
C. 2nd° AV block – type 2 (Mobitz II)
D. 3rd° AV block

Answer 14

A. First-degree AV block

Question 15

Order of electrical impulse in the heart

Answer 15

SA node
AV node
Bundle of Hiss
Septum
Pukinje fibers

Question 16

Tobacco smoking can cause any of the following except

A. Lung cancer
B. bladder cancer
C. Coronary artery disease
D.  Spontaneous abortion
E. Seizure disorder

Answer 16

E. Seizure disorder

Question 17

And spinal disc herniation, the pain often worsens upon________ and is often sharp or stabbing

A. Urination
B. Coughing or sneezing
C. Eating a meal
D. Drinking water

Answer 17

B. Coughing a sneezing

Question 18

Screening exam for a female over 50 except

A. General check up every year
B. Mammogram every other year
C. Pap smear every three years
D. Abdominal CT scan every year

Answer 18

D. Abdominal CT scan every year

Question 19

Symptom of Otitis externa except

A. Ear pain
B. Foul smelling discharge
C. Itching and irritation around ear canal
D. Profound hearing loss

Answer 19

D. Profound hearing loss

Question 20

Structure of the inner ear

A. Ear canal
B. Eardrum
C. Malleus and incus
D. Semicircular Canal and Cochlea

Answer 20

D. Semicircular Canal and Cochlea

Question 21

Thoracic Outlet Syndrome test

A. Adson’s test
B. Apley’s scratch test
C. Drop arm test
D. Speed’s test

Answer 21

A. Adson’s test

Question 22

System or tract that best described as the complex motor system, including pathways between the cerebral cortex, basal ganglia, brain stem and spinal cord, which helps to control muscle tone and to control body movements, especially gross autonomic movements such as walking

A. Ophthalmic track
B. Limbic System
C. Cortical Spinal System
D. Basal Ganglia System

Answer 22

D. Basal Ganglia System

Question 23

Dermatome that innervates the inguinal area

A. L3
B. T11
C. L1
D. L2

Answer 23

C. L1

Question 24

Dermatomes are innervated by the _______ root of a single spinal nerve

Answer 24

sensory

Question 25

__________ can occur with peripheral lesions of the CN VII, and central lesions involving the upper motor neurons between the cortex and the pons

Answer 25

Facial Paralysis

Question 26

Benign tremors are different from Parkinson’s because they __________

Answer 26

disappear at rest

Question 27

__________ and _________ are disorders resulting from an infection that inflames the inner ear or the nerves connecting the inner ear to the brain. This inflammation disrupts the transmission of sensory information from the ear to the brain. Vertigo, dizziness, and difficulties with balance, vision, or hearing may result.

Answer 27

Vestibular neuritis

labyrinthitis

Question 28

Purified protein derivative (PPD) or Mantoux test is a diagnostic tool for ___________

Answer 28

Tuberculosis