Mixed 4-20

Question 1

Accessory nipples due to? Appears as?

Answer 1

Due to failed regression of mammary ridge in utero

Appears hyperpigmented, epidermal thickening and tender during hormonal fluctuations

Question 2

Cells with intracytoplastic granules that look like tennis racquet?

Answer 2

Langerhan cells

Question 3

Niacin deficiency presents? 
Made from? 
Used in rxn?
How does Deficiency occurs in under/developing countries? 
Pellargra seen in what diseases? 
harpnip disease?

Answer 3

Pellagra( scaly dermatitis, diarrhea, dementia) ;
Tryptophan
NAD & NADH
Corn/poor diet
Carcinoid syndrome, prolonged isoniazid therapy, Hart nip disease( dec absorbition of neutral AA, detected with neutral aminoacid on urine)

Question 4

Ascobic acid is Vit?
Used in rxn?
Deficiency presents(3)
Skin finding?

Answer 4

C
Hydroxylation of proline + lysine
Micro vascular bleeding(petechei), gingervitis impaired wound healing
Petechei

Question 5

Zinc deficiency presents?

Answer 5

Acromadermatitis enteripathica, growth retardation, infertility

Question 6

Vitamin B2/B6 deficiency presents

Answer 6

B2: chelitis, glossitis, seborheic derm stomatitis, rye changes and anemia
B6: cheliosis, glossitis, dermatis, peripheral neuropathy

Question 7

During fasting was enzyme both increases ketone and glycerol?

Answer 7

Hormone-sensitive lipase( in adipocytes) breaks down TG into FFA and glycerol -> gluconeogenisis and ketone body formation

Fasting: glycerol break down->gluconeogenis-> fat breakdown

Question 8

Enzyme deficiencies are autosomal _

Lieberman hereditary optic neuropathy is a _ disorder

Answer 8

Enzyme deficiencies are autosomal recessive( defective proteins are form)
Lieberman hereditary optic neuropathy is a mitochondrial disorder

Question 9

MCA strokes present with contralaterak hemiplegia of face and aphasia if dormant(left) hermisphere
Id.21

Answer 9

MCA strokes present with contralateral hemiplegia of face and aphasia if dormant(left) hermisphere

Question 10

Motor vehicle accidents mess up which part of aorta?

Answer 10

Isthmus cause not as mobile

Question 11

Falls in elderly must review

Answer 11

Medications

Question 12

Hematogenous osteomyelitis common causes

Answer 12

Staph then strep in children

Question 13

Diastolic HF on pressure vrs volume graph compared to norm?

Answer 13

Low curve is low contractility

Question 14

Supplemental oxygen given to COPD patients can cause _due to reversal of hypoxic pulmonary vasoconstriction so more dead space hence _mismatch.

Answer 14

Supplemental oxygen given to COPD patients can cause increased CO2( oxygen induced hyper apnea) due to reversal of hypoxic pulmonary vasoconstriction so more dead space ventilation hence lead to V/Q mismatch.

Question 15

Arsenic poisoning presents? 2 & impairs _ enzyme
Sources
Cheating gent

Answer 15

Garlic order, watery diarrhea , impair PDH
Insecticides, contaminated water
Dimercaprol

Question 16

Precision

Answer 16

Similar results on repeat measurement

Question 17

DNR includes basic life support?

Succession of decision making?

Answer 17

Includes basic(like mouth to mouth) and advanced life support. 
Succession: derogate, next of kin(spouse, children etc), friends.

Question 18

Henoch-Schonlein outputs precede by upper respiratory infection that presents with joint pain, abdominal pain and lower extremity purpura

Answer 18

Henoch-Schonlein outputs precede by upper respiratory infection that presents with joint pain, abdominal pain and lower extremity purpura

Question 19

Overdose death

Answer 19

Most overdoes death are opioids.

Question 20

Neurological paraneoplastic syndromes are autoimmune

Answer 20

Autoimmune

Question 21

Psoas muscle originates from the vetebre

Illacus from the lilac crest

Answer 21

Psoas muscle originates from the vetebre

Illacus from the lilac crest

Question 22

Avascular necrosis via

Answer 22

CAST BEND LEGS:

Vasculitis

Question 23

Scotima is a _ visual field defect.

Macular degeneration is most common cause of blindness in people. It’s due to deposition of far behind retina() and neocasculirization(_)

Sunlight-> liver -> kidney= make cholecalciferol(vitD3) -> _-> 1-25

Kras activating mutation makes antiegfr _

Answer 23

Scotima is a retinal visual field defect.

Macular degeneration is most common cause of blindness in old people. It’s due to deposition of far behind retina(dry) and neocasculirization(wet)

Sunlight-> liver -> kidney= make cholecalciferol(vitD3) -> 25-> 1-25

Kras activating mutation makes antiegfr resistance