Coach Ellla Eh

Question 1

Secreted exclusively by adipocyte

Regulations of glucose

Answer 1

Adiponectin

Question 2

Creutzfeld Jacob Syndrome

Smallest most infectious
Spongiform encephalopathy

Answer 2

Prion

Question 3

Spiderweb coagulum

Answer 3

TB meningitis

Question 4

Progressive multifocal encephalopathy

Answer 4

JC polyoma virus

Associated HIV AIDS

Question 5

Procollagen Defect

Answer 5

Osteogenesis imperfecta

Aka brittle bone disease
Blue sclerae

Question 6

Rhodopsin deficiency

Answer 6

Retinitis pigmentosa

Question 7

CSF FINDINGS : GBS

Answer 7

Albuminocytologic dissociation

Question 8

CSF FINDINGS : Subarachnoid

Answer 8

Xanthochromia

Question 9

Miller Fischer syndrome

Answer 9

Variant of GBS
ACUTE OPTHALMOPLEGIA
ATAXIA
AREFLEXIA

Question 10

Antibody in Miller Fischer syndrome

Answer 10

Anti GQ1B antibody

Question 11

Ground glass appearance- hepatocytes

Answer 11

Hepatitis B infection

Question 12

Hobnail liver

Answer 12

Alcoholic cirrhosis aka leinniec cirrhosis

Question 13

Nutmeg liver

Answer 13

Chronic passive congestion of liver

CHF

Question 14

Pipe stem fibrosis of the liver

Answer 14

Schistosomiasis

Question 15

Mallory bodies

Answer 15

Alcoholic liver cirrhosis

Question 16

Mallory Weis tear

Answer 16

Linear laceration in esophagus

Upper GI BLEEDING
FORCEFUL RETCHING alcoholic

Question 17

Florid duct lesion

Answer 17

Primary biliary Cirrhosis

-autoantibody found = AMA (anti -mitochondrial antibodies)

Question 18

MacCallum plaques

Answer 18

Rheumatic Heart disease

Question 19

Caterpillar cells

Anitschow cells

Answer 19

Rheumatic heart Dse

Question 20

Aschoff body

Answer 20

Rheumatic heart disease

Question 21

Osteitis deformans

Answer 21

Pagets disease

-mosaic Lamellar pattern

Question 22

What bv is compressed in Nutcracker syndrome

Answer 22

Left renal vein

Hematuria
Renal failures

Question 23

Water-house friederichsen

Associted with waterhouse friedrichsen syndrome

Answer 23

LE rashes, in shock, fibrin in circulation

Question 24

Most common cause of primary brain parenchymal hemorrhage

Answer 24

Hypertension

Question 25

Smaller aneurysm from small vessels of the brain

Answer 25

Charcot - bouchard microaneurysm

Question 26

MC type of intracranial aneurysm

Answer 26

Saccular/berry aneurysm 85%

Question 27

3 most common location of saccular aneurysm

Answer 27

Terminal internal Carotid artery Middle cerebral artery bifurcation TOP of the Basilan artery

Question 28

Worse suddenly headache of your life :) And absence of focal neurologic symptoms HALLMARK

Answer 28

SUBarachnoid hemorrhage

Question 29

Xanthochromia

Answer 29

Blood (break down) in csf

Question 30

Treatment of SAH

Answer 30

Clipping or coiling

Question 31

MC cause of cerebral embolism overall

Answer 31

Non-rheumatic a trial fibrillation Notes : Patients with atrial fibrillation 5% average rise of stroke -annually

Question 32

3 D’ in dementia

Answer 32

Degenerative brain Dse. Decline in recognition Deteriorating functional

Question 33

Causes of potentially reversible dementia

Answer 33

``` Thyroid dysfxn Vit b12/folate def. CHx brain Infxn Meningioma Auto immune Dse. ```

Question 34

Montréal cognitive Clock drawing test Mini mental Exam Ct scan or MRI

Answer 34

Dx tests for dementia

Question 35

Slowly progressive Dse characterized by impaired memo and ADL

Answer 35

Alzhiemers Dse

Question 36

Neuropatho hallmark of AD

Answer 36

Amyloid plaques Neurofibrillary tangles Neuronal degeneration

Question 37

Apolipoprotein E4

Answer 37

Dx test for early onset AD

Question 38

DOC Of absence seizure

Answer 38

Ethosuximide

Question 39

1st line txt for GEN. TONIC-clonic seizure,atypical absence,Myotonic,clonic,

Answer 39

VLT VALPROIC LAMOTRIGINE TOPIRAMATE

Question 40

1st line for typiCal absence

Answer 40

Valproic & ethosuximide

Question 41

1st line for FOCAL seizure

Answer 41

``` COPLL CARBAMAZEPINE OXACAR Phenytoin LAMOTRIGINE Leveracitam ```

Question 42

30 min post ictal period ,dx Abnormality.?

Answer 42

Elevated prolactin

Question 43

MC source of metastases to brain

Answer 43

Lung and breast CA

Question 44

Has the greatest propensity to metastasize to the brain

Answer 44

MelanoMa

Question 45

Txt of choice for esophageal varices

Answer 45

Band ligation Octreotide,somatostatin,terlipressin

Question 46

Long term tx to decrease the rise of recurrent bleeding for esohageal bleeding

Answer 46

Propanolol | Will decrease the pressure

Question 47

MC cause of lower GI bleeding The mcc of clinically significant LGIB

Answer 47

Hemorrhoids Diverticula -abrupt , painless, sometimes massive,often Right side