General

Question 0

Posterior pituitary hormones

Answer 0

Anti diuretic hormone

Oxytocin

Question 1

Anterior pituitary hormones

Answer 1

ACTH
PRL
GH
LH
FSH
TSH

Question 2

What is a tumor marker in medullary carcinoma of the thyroid?

Answer 2

Calcitonin-decreases serum calcium

Question 3

What are the 2 effects of the parathyroid hormone?

Answer 3

1-Increases serum calcium

2-Decreases serum phosphorus

Question 4

Hyperparathyroidism symptoms?

Answer 4

Bones, stones, abdominal groans, psychic moans and fatigue overtones

Question 5

What causes tetany, muscle cramps, carpopedal spasms and parasthesias around mouth/hands/feet?

Think Chvostek sign and trousseau sign

Answer 5

Hypoparathyroidism

Question 6

What is the only secondary gland dysfunction?

Answer 6

Cushing’s syndrome

Question 7

Muddy brown casts are common in what?

Answer 7

Acute tubular necrosis

Question 8

What are ‘casts’ a sign of?

Answer 8

Glomerulus

Question 9

APPLE stands for what in nephrotic syndrome?

Answer 9

Hypo Albuminemia (low blood Protein)
Heavy Proteinuria >3.5g/24 hr
Hyper Lipidemia
Edema

Question 10

Staghorn calculus is associated with?

Answer 10

Struvite stones in the kidneys/ureters

Question 11

What are PDE-5 inhibitors?

Answer 11

ED meds i.e. Viagra, Cialis

Question 12

What causes an obstructive grayish membrane that forms in nasopharynx or laryngotracheal area???

Answer 12

Diphtheria……tx with antitoxin and erythromycin

Question 13

String sign on barium swallow?

Answer 13

Pyloric stenosis…..also has palpable olive mass

Question 14

Kawasaki’s disease leads to risk of???

Answer 14

Coronary artery aneurysm….treat dz with hospitalization, high dose ASA, IVIG

Question 15

MCV<80?

Answer 15

Micro cystic anemia

Question 16

Causes of microcytic anemia?

Answer 16

TICS
Thalassemias
Iron deficient anemia
anemia of Chronic disease
Sideroblastic anemia

Question 17

Serum iron and TIBC are both decreased and Ferritin is normal or increased in what kind if anemia?

Answer 17

Microcytic: anemia of chronic disease

Question 18

Folate deficiency and vit B 12 deficiency are common in what?

Answer 18

Macrocytic anemia due to defective DNA synthesis

Question 19

Howell-Jolly bodies are common in what?

Answer 19

Folate deficiency and sickle cell anemia

Question 20

What does a left shift mean?

Answer 20

Increase of bands (immature neutrophils)=bacteria infection

Question 21

Philadelphia chromosome is diagnostic in?

Answer 21

Chronic Myelogenous Leukemia (too many white cells)

Question 22

Bone marrow containing Auer Rods are diagnostic in what?

Answer 22

Acute Myelogenous Leukemia

Question 23

Smudge cells are pathognomonic for what?

Answer 23

Chronic Lymphocytic Leukemia (median age 65)

Question 24

Reed-stern berg cells with EBV association is indicative of??

Answer 24

Hodgkin's lymphoma

Question 25

Bence-Jones proteins in plasma cells??

Answer 25

Multiple myeloma....dx'd thru electrophoresis

Question 26

What has lab that shows isolated mature lymphocytosis and is treated with Fludarabine?

Answer 26

CLL

Question 27

What are the vit K dependent factors??

Answer 27

II, VII, IX, X

Question 28

Rice water stools with no odor?

Answer 28

Cholera....vibrio cholerae

Question 29

Acetylcysteine is the antidote to what kind of poison?

Answer 29

APAP

Question 30

Thiamine deficiency (vit B1) causes what?

Answer 30

Wernicke encephalopathy

Question 31

Yergason's test is assoc with?

Answer 31

Bicep tendinitis

Question 32

Bamboo spine and uveitis with elevated HLA-B27

Answer 32

Ankylosing spondylitis

Question 33

Common metastatic tumors

Answer 33

PbKTL..... | Prostate, breast, kidney, thyroid, lung

Question 34

Best marker for MI?

Answer 34

Troponin

Question 35

What needs to be started within 12 hrs of STEMI?

Answer 35

Re perfusion therapy

Question 36

V1-V2 are which leads in the heart?

Answer 36

LAD-septal....septal wall

Question 37

V2-V4 are which leads in the heart?

Answer 37

LAD....anterior wall

Question 38

V1-V6 are which leads in the heart?

Answer 38

LAD-diagonal.....anterolateral

Question 39

I, aVL, (v5-v6) are which leads in the heart?

Answer 39

Circumflex artery....lateral wall

Question 40

II, III, aVF are which leads in the heart?

Answer 40

RCA, PDA, inferior wall

Question 41

What is the active phase of the heart and which valves does it affect?

Answer 41

Systolic.....M/T valves are S1 and A/P valves are S2

Question 42

Holosystolic murmur that radiates to axilla and frequently accompanied by a thrill??

Answer 42

Mitral regurg

Question 43

Described as a harsh murmur that has crescendo-de crescendo properties-radiates to carotids

Answer 43

Aortic stenosis

Question 44

What 2 murmurs are diastolic?

Answer 44

Aortic regurg and mitral stenosis

Question 45

Diastolic murmur heard along left sternal border with a de crescendo blowing sound

Answer 45

Aortic regurg (heard best sitting and leaning forward

Question 46

What is an Austin Flint murmur?

Answer 46

Low pitched mid diastolic rumble caused by reverberation of regurgitant flow against the anterior leaflet of the mitral valve

Question 47

A wide pulse pressure and increased stroke volume is indicative of what murmur?

Answer 47

Aortic regurg

Question 48

What has a diastolic rumble with an opening snap?

Answer 48

Mitral stenosis

Question 49

What are the 5 T's in cyanotic congenital heart defects?

Answer 49

Tetralogy of fallot, transposition of the great vessels, tricuspid atresia, total anomalous pulmonary venous connection, truncus arteriosus

Question 50

What does a fixed split second heart sound indicate?

Answer 50

Atrial septal defect

Question 51

A continuous rough, machinery like murmur, loudest below the left clavicle is indicative of what?

Answer 51

Patent ductus arteriosus

Question 52

What has pulmonary stenosis, right ventricular hyper trophy, ventricular septal defect, and overriding aorta?

Answer 52

Tetralogy of fallot

Question 53

What condition shows electrical alternans on EKG?

Answer 53

Pericardial effusion

Question 54

What are the 5 P's in acute arterial occlusion?

Answer 54

Pain, poikilothermia, parasthesia, pallor, pulselessness, paralysis

Question 55

What is it called when you feel the chest with your MCP's and pt is saying '99'?

Answer 55

Tactile fremitus

Question 56

Tactile fremitus is increased in which condition? Decreased in which condition?

Answer 56

Increased in pneumonia or tumor | Decreased in effusion/pneumothorax

Question 57

Currant jelly sputum is related to what?

Answer 57

Klebsiella pneumonia - alcoholics

Question 58

Frothy pink sputum, and white out on CXR is common in what?

Answer 58

ARDS