i just want to go on vacation already

Question 1

what is the MOA of pralixodime?

Answer 1

reactivates cholinesterase enxyme

atropine is just a muscarinic antagonist to help with the sludgey drippy symotoms of sarin/organophophate poisoning

Question 2

what nerve is injured in Erbs palsy?

Answer 2

Musculocutaneous

Question 3

PTH stimulates what i the renal tubulres?

Answer 3

adenylyl cyclase

Question 4

what is the CS position for TFL?

Answer 4

supine flexed, abducted

Question 5

within the first 24 hours at high altitude, what can happen int he pulmonary vessels?

Answer 5

pulmonary vascular resistance increases due to hypoxic vasoconstriction and shunting

Question 6

decreasing Na intake can help decrease what?

Answer 6

decrease foramtion of Ca oxalate stones

Question 7

when hyperkalemia is severe enough, what will you see on EKG in addition to tall peaked T waves?

Answer 7

also see flat P waves and prolonged QRS

Question 8

a presentation of chagas

Answer 8

childhood infection with facial and periorbital edema

now adult with leg swelling and SOB (dilated cardiomyopathy leading to HF)

treat with nitfurtimox in acute phase to decrease risk of later heart disease

Question 9

what does the CSF look like in guiillan barre?

Answer 9

elevated protein with normal WBC count

Question 10

where is the TP for ACL?

Answer 10

superior aspect of popliteal fossa medial or lateral to hamstring tendond

Question 11

what does the murmur with HCOM sound like?

Answer 11

holosysotlic increasing with vaslasva

Question 12

do you need serial BPs to dianose preeclampsia?

how much urine protein for preeclampsia?

Answer 12

yes

>300mg

Question 13

what does ace i do to GFr, FF and RPF?

Answer 13

vasodilates efferent arteriole leading to decreased GFR and FF and incresed RPF

Question 14

what valve defect is common in downs syndrome and associated with ASD and VSD?

Answer 14

tricuspid atresia

R-L shunt

blood flows from r ventricle to pulmonary a via pulm normal valve

Question 15

what heart manifestation acompanies q fever, esp in hx of rheumatic fever?

Answer 15

endocarditis

pts works with goats, hepatomegaly, generalized sick symotms, no rash

Question 16

thiazide diuretics can cause an increase of what electrolye excretion?

what does this lead to?

Answer 16

increase K excretion leads to metabolic alkalosis

Question 17

describe onchocericosis s/s and treatment?

Answer 17

south america or ME or AFRICA

black fly

atrphy, hyperpig and LAD of groin and vision changes

terat with ivermectin

Question 18

chrons dz affects

Answer 18

terminal ileum wich is SI which is T91011

Question 19

babies get how much of moms o2 assuming mom gets 100%

Answer 19

80%

Question 20

what is hyperchylomicronemia?

Answer 20

it is familial dyslipidemia type I

def in LPL

increased triglcycerides, LDL and VLDL

idk about this

def in LPL which reacts with CII

Question 21

what drug can you give for osteoporosis if the pt cant have SERMS or estrogen due to hx of DVTS?

Answer 21

Calcitonin

Question 22

what does a LBBB look like?

Answer 22

Question 23

unstable angina is due to

Answer 23

insult to an atherosclerotic plaque leading to thrombus or emboli

st depression

not better with ntre

Question 24

waxy casts seen in

Answer 24

renal failre

Question 25

trichomonas

Answer 25

trophozite that is in that form during transmission and infection

Question 26

best treatment for sinusitisi?

Answer 26

amxocillin +/- clavinulate

for strep pneumo

moraxella

h flu

Question 27

AA rotates in what palne?

Answer 27

horizontal plane

Question 28

edema factor in b antrhacis

lethal factor in b antrhacis

Answer 28

calmodulin dependent AC that converts ATP to cAMP and leads to ring of swollen tissue

zinc depedent protease that cleaves mitogen activated protein kinase leading to cell death

Question 29

if you think its crest but there is visceral organ involvement like restrictuve lung disease, what is it?

Answer 29

diffuse systyrmic sclerosis

anti dna topoisomerase, scl70

Question 30

calc

Answer 30

Question 31

laterla pontine syndrome (AICA)

Answer 31

facial paralysis

nerve deafness

n.v.vertigo

Question 32

a lesion in the medial medulla presetns with what?

Answer 32

contralateral paresis and contralateral loss of vibratory and position sense. The tongue deviates toward the side of the lesion.

Question 33

how should you treat stable angina?

Answer 33

BB (1st line) and vasodilator (NTG prn)

Question 34

Wilson’s dz, cerruloplasmin will be

Answer 34

decreased

wilsons is due to inadequate excretion from the body

accumulates in lvier and brain

Question 35

eczema/atopic dermatitis likes to be wear on kids?

Answer 35

on extensor surfaces for kids

flexors for adults

Question 36

what are teh s/s of chalymida piteraci?

Answer 36

pet store/birds

fever, sore throat, chest pain, cough

treat with azith or doxy

Question 37

in a left torsion, what will the occiput du?

Answer 37

opposite of the of the sphenoid

Question 38

how does bph change gfr, ff and rpf?

Answer 38

decreases gfr and ff

no change rpf