*Cue Game of Thrones Intro*

Question 1

describe lateral medullary syndrome (wallenbrug)

Answer 1

decreased blood flow thru PICA

• Contralateral loss of pain and temperature sensation of the trunk and extremities: lateral spinothalamic tract
• Ipsilateral loss of pain and temperature sensation of the face: spinal trigeminal nucleus
• Dysphagia, hoarseness, diminished gag reflex: nucleus ambiguus
• Vertigo, ipsilateral nystagmus, vomiting: inferior vestibular nucleus
• Ipsilateral Horner syndrome: sympathetic fibers

corticospinal tract is normal

Question 2

what does a left unilateral sacral flexion SD look like?

Answer 2

positive seated flexion on left

deep SS on L

posterior ILA on L

negative spring test

Question 3

parallelogram head is what strain and what axis/axes?

Answer 3

lateral strain, 2 vertical axes

Question 4

what are the findings of SCC of the skni?

Answer 4

epithelial cells with somewhat enlarged, hyperchromatic, irregular nuclei, with intercellular bridges, occasional mitotic figures, and some individual apoptotic or hyperkeratinized cells

precurosor lesion is acktinic keratosis

Question 5

ope, flex the abs

Answer 5

median nerve innervation

opponens pollicis

flexor pollicis brevis

abductor pollicis brevis

1.2 lumbricals as well

sensation intact over thenar eminence with carpal tunnel

all the other muscles are ulnar nerve

Question 6

chapman’s points correlate with what?

Answer 6

areas of increased sympathetic input to the body

Question 7

the thermoregulatory centers of the brain are located where?

Answer 7

anteiror and posterior nuclei of the hypothalamus

Question 8

discuss the differences between cholecystitis and cholelithaisis?

Answer 8

cholecystitis is pain, fever, infection

cholelithiasis can be colicky off and on pain after fatty meals

choledocolithiasis is an obstructing stone causing jaundice wihtout fever

ascending cholangitis causes fever, RUQ pain and obstructive jaundice

Question 9

PV loop of chronic HTN?

Answer 9

Question 10

describe marcus gunn pupil and what is lesioned?

Answer 10

non-injured side, light causes bilateral constriction

injured side, light causes bilateral dilation

optic nerve

Question 11

memorize

Answer 11

Question 12

what is the best treatment for ricin poisoning (drippy s/s, resp alk)

Answer 12

intubation and ventiation management/supportive care

Question 13

memorixe murmur sounds

Question 14

aortic stenosis murmur willd ecrease with what maneuver?

Answer 14

decrease with sustained handgrip due to increased afterload

Question 15

h pylori treatments

Answer 15

Question 16

what is one of the adverse effects of tetracycline?

Answer 16

photosensitivity

Question 17

what drug can cause AV block (mobitz I)

Answer 17

Digoxin

CCB

BB

Question 18

what is adduction somatic dysfunction?

Answer 18

pain at medial or lateral elbow, a decreased carrying angle and motion testing revealing the proximal ulna restricted in medial glide during abduction.

treated by holding the arm in extension and supination and applying a medially directed thrust to the lateral elbow.

Question 19

aflutter might look like

Answer 19

treat with rate control

Question 20

surgery needed if Aortic Aneurysm is

Answer 20

5.5>

Question 21

can internal hemorrhoids be visualized with anoscopy?

can diverticulosis cause painless rectal bleeding?

Answer 21

yes

yes

Question 22

hunter’s don’t have corneal clouding but can have what eye manifesations?

Answer 22

papilledema and retinal degeneration

def in iudoronate sulfatase

hurler is corneal clouding and is def in a-L-iduronidase

Question 23

is there approximation of origin and insertion with post-isometric muscle contrction?

Answer 23

no

Question 24

what is a still murmur?

Answer 24

heard ebtween the ages of 2-7 when no other murmur has been heard previously

midsystolic vibratory LLSB

low pitched or musical

Question 25

know these

Answer 25

Question 26

amiodarone can cause what in th elungs?

Answer 26

interstital pneumonitis (restrivtive pattern)

Question 27

psotpartum thyroiditiz

Answer 27

Question 28

thymus shares embryonic origins with what?

Answer 28

inferior parathyroid glands

Question 29

which one is for bipolar, chlorpromazine or carbamazipine?

Answer 29

carbamazipine is for bipolar manic phases

CARBS for the bipolars

or valporate or lithium or lamotrigine

Question 30

what happens in the germinal centers of LNs?

Answer 30

isotype switching

Question 31

persistent vitiline duct is similar to what

Answer 31

meckels diverticulum

Question 32

elevatged Ach is associated with what?

Answer 32

neural tube defects, like anencephaly

also elevated afp

Question 33

graft vs host reaction involving liver and GI one week after transplant

Answer 33

graft T cells sensitization to host MCH

Question 34

describe cocaine intox

Answer 34

psychosis, paranoia, euphoria, tachycarida, diaphroesis, mydriasis

Question 35

what are the microscopic findings in frontotemporal dementia?

Answer 35

neuronal loss

tau proteins (neurofibrillary tangles and Pick bodies)

TDP-43 inclusions

Question 36

IgG-antigen complex formation leads to what

Answer 36

decrease C3 and C4

Question 37

review

Answer 37