Review 3

Question 1

When do pts present w/ DMD vs BMD

Answer 1

DMD = 2-4 yo; BMD = ~10 yo

Question 2

Sx’s = childhood neurologic dysfunction, cardiomyopathy, DM

Answer 2

Freidrich ataxia

Question 3

Schizotypal personality disorder =

Answer 3

Lack of close friends, odd behavior/thoughts, suspicious of others

Question 4

What does VIP do in the GI

Answer 4

Increases H2O and electrolyte secretion

Question 5

MC pancreatic carcinoma in MEN1

Answer 5

Gastrinoma

Question 6

What is the order of 2˚ ossification of the humerus/elbow

Answer 6

CRITOE = Capitulum, Radial head, Internal epicondyle, Trochlea, Olecranon, External epicondyle

Question 7

Liposarcoma =

Answer 7

Mature fat cells w/ interspersed lipoblasts

Question 8

Nuclear contents of Ebola virus =

Answer 8

Linear, non-segmented, - sense, ssRNA

Question 9

Persistent depressive disorder =

Answer 9

MDD > 2 years

Question 10

Pellagra =

Answer 10

Niacin deficiency –> 4 D’s = Dermatitis, Diarrhea, Dementia, Death

Question 11

Sx’s of Whipple disease =

Answer 11

Foul-smelling D, joint pain, neuro/cardiac Sx’s

Question 12

How does Whipple disease affect chylomicrons

Answer 12

Foaming macrophages (PAS+) –> compression of lacteals –> inhibition of chylomicrons entering lymph vessels

Question 13

Sx’s of NF1

Answer 13

Cafe-au-lait spots, Lischen nodules, Pheo’s, Optic gliomas

Question 14

Sturge-Weber syndrome =

Answer 14

Congenital port-wine stain + ipsi AV malformation in meninges

Question 15

Tuberous Sclerosis =

Answer 15

Infant w/ mental retardation, facial angiofibromas, ash-leaf spots,

Question 16

Sx’s = u/l swollen, painful, reddened face w/ cellulitis

Answer 16

Cavernous sinus thrombosis

Question 17

Brodman area 22 =

Answer 17

Werknicke’s

Question 18

Brodman area 44, 45 =

Answer 18

Broca’s

Question 19

Wernicke’s aphashia =

Answer 19

Difficulty comprehending spoken and written language w/ fluent, non-sensical speech

Question 20

Broca’s aphasia =

Answer 20

Difficulty forming words into a fluid speech pattern

Question 21

What causes the decreased LES relaxation in Achalasia

Answer 21

Loss of ganglion cells –> Decreased NO synthase

Question 22

CO poisoning –>

Answer 22

Decreased oxyhemoglobin and HCO3 + increased carboxyhemoglobin

Question 23

How does Na intake affect Ca levels

Answer 23

Increased Na intake –> increased Ca excretion

Question 24

Sx’s of Choriocarcinoma in male =

Answer 24

Gynecomastia, enlarged testes, increased hCG

Question 25

Sx’s of Yolk-sac tumor =

Answer 25

Increased AFP, Schiller-Duval bodies in kids ~ 2 yo

Question 26

Leucovorin =

Answer 26

Folic acid analog

Question 27

If high dose DEXA test decreases cortisol… =

Answer 27

ACTH-secreting pituitary tumor

Question 28

Which cholesterol levels are cardioprotective

Answer 28

HDL > 60