Boards Flashcards
Virchow’s Triad - 3 broad categories of factors that likely contribute to increased risk of thrombosis 
Hypercoagulability
Venus stasis
Endothelial injury or dysfunction 
This is a movement disorder caused by destruction of dopaminergic neurons in the substantia nigra.
Parkinson’s disease 
Pill-rolling tremor, shuffling gait, difficulty initiating movement, postural instability, and a mask like faces (decreased facial movement) are all signs of what disease? 
Parkinson’s disease 
This test is used for checking for strabismus
Cover uncover test
This test is used to check for the red reflex
Bruckner’s test
This test is used to determine color perception
ISHIHARA’s
What test is used for early detection of vision and potentially identifies life-threatening abnormalities such as cataracts, retinoblastoma, and other ocular disease? 
Red reflex 
What test is used for early detection of vision and potentially identifies life-threatening abnormalities such as cataracts, retinoblastoma, and other ocular disease? 
Red reflex 
The Snellen chart measures?
Visual acuity
This chart is used in assessing color, blindness, and individuals?
Ishihara chart
What type of testing is used to measure an individuals entire scope of vision and is also used to detect optic nerve damage?
Visual field testing
Rust-colored sputum is associated with which type of infection?
Streptococcus pneumoniae infection
Fever and cough productive of green sputum with a small amount of blood (or rust-colored sputum) are associated with?
Community Acquired Pneumonia
TSH >4.0 mU/L
Hypothyroidism
TSH <0.4 mU/L
Hyperthyroidism
PSA <4.0 ng/mL could mean
benign prostatic hyperplasia [BPH] or
prostate cancer
Ferritin <15 mcg/L
Iron Deficiency Anemia
When an oral drug reaches the stomach, it goes to the small intestines, then to the portal circulation where it is metabolized by the liver. After the liver has metabolized the drug, it is released to the systemic circulation where it can reach the target organ(s) this is known as?
First-pass metabolism (first-pass effect)
Macrolides
azithromycin
clarithromycin or
erythromycin
Most common cancer in females?
Breast Cancer
Most common cancer in males?
Prostate Cancer
Cancer with the highest mortality rate in males and females?
Lung Cancer
Most common cause of death in adults overall?
Heart Disease
Most common cause of death in adolescents?
Motor Vehicle Crashes
Most common gynecological cancer?
Uterine/endometrial
A chronic bony growth located midline in the hard palate indicates?
torus palatinus
Breast bud and areola start to develop in what Tanner stage for girls?
Tanner Stage II
Nipples and areola become elevated from the breast (a secondary mound) in what Tanner stage for girls?
Tanner Stage IV
Testes and scrotum start to enlarge (scrotal skin starts to get darker/more rugae) in what Tanner stage for boys?
Tanner Stage II
Penis become wider and continues growing in length (testes are larger with darker scrotal skin and more rugae) in what Tanner stage for boys?
Tanner Stage IV
Clinical finding in Iron Deficiency Anemia can include?
Pica (eating/craving unusual substances)
Spoon-shaped nails (or koilonychia)
Maculopapular rash in a lace-like pattern, slapped cheeks?
Fifth Disease
Maculopapular rashes with papules, vesicles, and crusts:
varicella zoster
herpes simplex
Maculopapular rashes that are oval shaped with a herald patch:
Pityriasis Rosea
Vesicular rashes on an erythematous base:
herpes simplex
genital herpes
For which conditions are H2 antagonists commonly prescribed?
GERD, peptic ulcer disease, Zollinger-Ellison syndrome, and prevention of stress ulcers.
Why should cimetidine be used cautiously in patients taking multiple medications?
Cimetidine inhibits cytochrome P450 enzymes, which can lead to drug interactions.
What side effect is particularly associated with cimetidine due to its antiandrogenic effects?
Gynecomastia or reversible impotence
What are some common side effects of H2 antagonists?
Headache, dizziness, diarrhea, constipation, and confusion (especially in the elderly).
In which patient populations should you monitor renal function when prescribing H2 antagonists?
Elderly patients and those with preexisting renal impairment.
Class: Penicillins
Generic Name: Amoxicillin
Brand Name: Amoxil
Mechanism of Action: Inhibits bacterial cell wall synthesis
Uses: Treats bacterial infections (respiratory, urinary tract, skin infections)
Class: Cephalosporins
Generic Name: Cephalexin
Brand Name: Keflex
Mechanism of Action: Inhibits bacterial cell wall synthesis
Uses: Treats bacterial infections (respiratory, urinary tract, skin infections)
Class: ACE Inhibitors
Generic Name: Lisinopril
Brand Name: Zestril, Prinivil
Mechanism of Action: Prevents conversion of angiotensin I to angiotensin II
Uses: Manages hypertension, heart failure
Class: Beta-Blockers
Generic Name: Metoprolol
Brand Name: Lopressor, Toprol XL
Mechanism of Action: Reduces heart rate and cardiac output
Uses: Manages hypertension, angina, heart failure
Class: Biguanides
Generic Name: Metformin
Brand Name: Glucophage
Mechanism of Action: Decreases hepatic glucose production, improves insulin sensitivity
Uses: Manages Type 2 diabetes
Class: Sulfonylureas
Generic Name: Glipizide
Brand Name: Glucotrol
Mechanism of Action: Increases insulin secretion from pancreatic beta cells
Uses: Manages Type 2 diabetes
Class: NSAIDs
Generic Name: Ibuprofen
Brand Name: Advil, Motrin
Mechanism of Action: Inhibits COX enzymes, reduces prostaglandin synthesis
Uses: Pain relief, reduces inflammation and fever
Class: Opioids
Generic Name: Oxycodone
Brand Name: OxyContin, Percocet (when combined with acetaminophen)
Mechanism of Action: Binds to opioid receptors in the CNS, altering pain perception
Uses: Pain relief
Class: SSRIs
Generic Name: Fluoxetine
Brand Name: Prozac
Mechanism of Action: Increases serotonin levels by inhibiting its reuptake
Uses: Treats depression, anxiety disorders
Class: SNRIs
Generic Name: Venlafaxine
Brand Name: Effexor
Mechanism of Action: Blocks reuptake of serotonin and norepinephrine
Uses: Treats depression, anxiety disorders
Class: Vitamin K Antagonists
Generic Name: Warfarin
Brand Name: Coumadin
Mechanism of Action: Inhibits vitamin K-dependent clotting factors
Uses: Prevents and treats blood clots
Class: Typical Antipsychotics
Generic Name: Haloperidol
Brand Name: Haldol
Mechanism of Action: Blocks dopamine D2 receptors, reducing psychotic symptoms
Uses: Treats schizophrenia, acute psychosis
Class: Sodium Channel Blockers
Generic Name: Phenytoin
Brand Name: Dilantin
Mechanism of Action: Stabilizes neuronal membranes, reduces excitability
Uses: Controls seizures in epilepsy
Class: Beta-2 Agonists
Generic Name: Albuterol
Brand Name: Ventolin, ProAir
Mechanism of Action: Relaxes bronchial smooth muscle by stimulating beta-2 receptors
Uses: Manages asthma, COPD