NBME 20 Flashcards
Pes Anserinus from anterior to posterior
Say Grace before Tea
Sartorius (most anterior), gracillis, then semitendinosus
Mechanism of the Echinocandins i.e. “fungin”
Adverse side effect
Inhibit synthesis of B-glucan, which inhibits cell wall synthesis and is used for invasive aspergillosis and systemic candida
Histamine flushing
How does thereapeutic hyperventilation work?
Causes decreased PCO2, which causes vasoconstriction, which decreases cerebral blood flow, thereby decreasing intracranial pressure
Hyperchylomicronemia is a deficiency in what? What will the serum look like?
Type I familial dyslipidemia=hyperchylomicronemia
Milky appearing serum due to triglycerides super high
Lipoprotein lipase or APO-CII are affected
Pancreatitis***, eruptive xanthomas, but NO increased risk for atherosclerosis
b-HCG, LH, FSH, TSH all share?
The same alpha subunit
Emphysema will cause what kind of tactile fremitus and percussion findings?
decreased fremitus because air filled doesnt travel as well as would through liquid filled, hyperressonant
Arachnoid and pia mater are from what origin? What about dura?
Arachnoid and pia are from neural crest, whereas dura is from mesoderm
What happens when you fuck the deep branch of the ulnar nerve by busting hook of hamate?
Froments sign (flexion at IP joint at thumb when grabbing paper) Loose inneration to the hypothenar muscles, medial two lumbricals, adductor pollicis, palmar/dorsal interoccei of hand, and palmaris breis
What type of aphasia would you get if you had an inferior frontal gyrus of frontal lobe lesion?
Broca’s expressive aphasia. Broca=broken boca
What would happen if you had a lesion in superior temporal gyrus of the temporal lobe?
Wernicke’s RECEPTIVE aphasia. Can speak fluently but can’t comprehend
What are infliximab and adalimumab?
Monoclonal anti-tnf-alpha drugs used in tx of IBD. Test for latent TB as TNF-a is important for granuloma formation/stabilization.
Keloids are a big increase in which types of collagen?
Types I and III
When might you see someone with Hypertrophic Osteoarthropathy? (Abnormal proliferation of skin and bone at distal extremities with clubbing, arthralgia, joint effusions, periostosis)
Paraneoplastic syndrome associated with adenocarcinoma of the LUNG, AKA bronchogenic carcinoma
What is the difference between patient presentation of severe vitamin E deficiency than that with B12 deficiency?
In B12 you have megaloblastic anemia, hypersegmented neutrophils, increased serum methylmalonic acid levels
What are the findings in the distributive shock subtype known as Septic Shock?
Decreased SVR, decreased preload, decreased PCWP, but *increased CO
Hereditary spherocytosis genetics
Autosomal Dominant