Combank Questions Flashcards by Aaron Price

Primary Modality for Dx of Multiple Sclerosis + Findings

MRI: Periventricular Plaques

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Negative Symptoms of Schizophrenia

Apathy, Flat Affect, Alogia (Speech), Anhedonia (No Stimulation/Intimacy)

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Inheritance Pattern Neurofibromatosis Type 1

Autosomal Dominant

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Subacute Endocarditis Following Dental Procedure. Name the organism and bacterial serology.

S. mutans (Viridans Group). Gram + Cocci, Catalase Negative, Alpha Hemolytic.

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Disulfram-like Reaction occurs to which drugs?

Cefoperazone, Cefamandole, Procarbazine, Metronidazole, Griseofulvin, 1st Generation Sulfonylureas

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Classify the Acid-Base State: pH = 7.46, pCO2 = 21 mmHg, pO2 = 90 mmHg, HCO3 = 15 mEq/L, Hemoglobin Saturation = 98%

Respiratory Alkalosis w/ Metabolic Compensation

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First Line Treatment of Chronic Asthma

Corticosteroids 2. Cromolyn Sodium (Mast Cell Stabilizer)

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Febrile Patient, Aphasia, Febrile, AMS. ssRNA circular virus of bunyaviridae

La Crosse Virus: California Encephalitis

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Alcoholic Cirrhosis will present with Mallory Bodies. What is the description of Mallory Bodies?

Eosinophilic Hyaline Inclusion Bodies

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DOC for treatment of alcoholic withdraw

Chlordiazepoxide (Long Acting Benzo)

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Widened, flattened P waves, widened QRS complex, peaked T waves:

Hyperkalemia

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Chapman’s Point Located R 7 ICS

Pancreas

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Treatment of SBO w/ dilation of bowels:

Nasogastric Tube w/ low intermittent suction

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Whooping Cough (Bordatella Pertussis) Infectivity and Transmission route:

Highly contagious, droplet transmission

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Indication for surgical repair of AAA

If grows > 1 cm in one years time, or is larger than 5.5 cm in men or 4.5 cm in women

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What type of study analysis yields a Relative Risk? Odds Ratio?

RR = Cohort Study (Starting with or w/o exposure, looking for disease progression)
OR = Case-Control Study (Start w/ or w/o disease, and looking for exposures in the past)

Going from Sea Level to Skiing High Altitude would result in what Acid-Base Disturbances?

Respiratory Alkalosis: High pH, Low pCO2 (hyperventilation), Low Bicarb

Symptoms of Complex Regional Pain Syndromes

CRPS 1: Severe, burning pain at site of injury, muscle spasm, joint stiffness, restricted mobility, rapid hair growth, nail growth, vasospasm leading to edema, and skin changes.
CRPS 2 = CRPS 1 + Evidence of prior nerve injury at location.

Most common cause of bacterial sinusitis:

Strep pneumoniae: Gram +, Catalase - cocci

** MC Maxillary Sinus in Adults, Ethmoid Sinus in Children

Wilm’s Tumor Notes

Mesodermal cells in origin. Described as “epithelial, blastemal, and stromal in origin.” Associated with organomegally, macroglossia, and hypoglycemia (Beckwith-Wiedemann Syndrome)

Also assn with WAGR (Wilms, Aniridia, GU malformations, Retardation)

Eczema has a predilection for the _______ surfaces.

Flexor.

12 y.o. male w/ 2 month history of morning HA, emesis, and double vision. Exam reveals papilledema, MRI reveals tumor w/ non-communicating hydrocephalus. Dx?

Medulloblastoma. Pediatric tumor located at 4th ventricle. Increased ICP, leading to symptoms.

50 y.o. female, DEXA t-score -2.6, smokes a pack a day, history of DVT. What is DOC?

Calcitonin. Shown to improve bone mineral density.

47 y.o. male with history of right hip pain. Palpable lump lateral to the PSIS. Imaging shows aggressive-appearing soft tissue mass w/ erosion or right iliac cortex.

Chondrosarcoma. 40s-60s. Predilection for flat bones. Aggressive.

Diagnostic Histologic finding of end-stage AIDS Dementia

Multinucleated Giant Cells causing sub acute combined degeneration.

Findings in Anemia of Chronic Disease

Normal MCV, low Fe2+, high ferritin, low TIBC. Anemia is typically normocytic and normochromic. Process is regulated by excess hepcidin.

50 year old life time NON SMOKER with worsening SOB. X-ray shows peripheral NON NECROTIC lesion, biopsy confirms cancer. Dx?

Adenocarcinoma of lung. Large cell lung cancer is peripheral, however it would show up as a necrotic lesion.

Describe the continuum of erythropoiesis in developing fetuses.

Weeks 2-10: Yolk Sac Weeks 6-30: Liver Weeks 12-28: Spleen, secondary to liver Weeks 30 and on: Bone Marrow Dominates

Most likely metabolic effect of an ACE Inhibitor:

Hyperkalemia secondary to reduction of Aldosterone production.

How is G6-PD deficiency inherited?

X-linked Recessive

What metabolite is built up in Alkaptonuria?

Homogentisate

How to treat radial head subluxation?

Flex to 160 degrees while supinating the forearm.

How does pancreatic cancer present and what is the serum marker for pancreatic cancer?

Dull, constant epigastric pain worsening over past two months. Hx of smoking. Palpable RUQ mass, usually painless. Elevated CA19-9

Where does spironolactone act on the nephron?

Late DCT and Collecting Ducts.

Short acting non-barbiturate sedative. Favorable for patients with cardiac disease because of low cardiac side effects. Can cause inhibited steroidogenesis.

Etomidate

What is dumping syndrome?

Osmotic draw of fluid into intestine due to hyperosmolar content in the intestine. Usually due to prolonged periods without eating followed by large meal, like from gastric bypass or treatment of peptic ulcer or something like that.

Which ganglion do fibers innervating taste from the anterior 2/3 of the tongue synapse in before ascending to the gustatory nucleus in the brain?

Geniculate Ganglion