Ssm

Question 1

Down syndrome autoimmune diseases

Answer 1

Celiac and ipotiroidismo immune

Question 2

At Burt Down syndrome hematology problems

Answer 2

Policitemia e leukemia

Question 3

Endocrine problem of Down syndrome

Answer 3

Hypothyroidism rather them hyper

Question 4

What you use in Down syndrome as a diagnostic tool

Answer 4

Rc rachide cervicale - instabilità Atlanta assiale- tetraparesis

Question 5

Down sindrome - invecchiamento

Answer 5

Invecchiamento inizia 40

Question 6

Screening tests in Down syndrome

Answer 6

Hcg ridotta
Alfa proteine aumenta
Papp-A aumenta
Translucenza nucale >3.5 mm
Amniocentesi
Villocintesi
Analisi DNA del feto circulante

Question 7

Menkes diseases increased risk ?

Answer 7

Connective tissue disorder
Associated with copper absorption problems
Cerebral aneurism
Deficiency of collagen synthesis

Question 8

What gene mutated in Marian

Answer 8

FBN1 - deflect of fibrillin

Question 9

Delta wave you see in

Answer 9

WPW

Question 10

Aortic dissection classification

Answer 10

Stanford A and Stanford B
Stanford A - ascending aorta dissection sinotibular junction
Stanford B - descending aorta involvement

Question 11

Stanford A and B management

Answer 11

A- surgery
B - medically

Question 12

How you manage Stanford B medically

Answer 12

first beta blocker esmolol then vasodilator - nicardipine
If you give first vasodilator you may course

Question 13

Beck’s triade

Answer 13

Muffled heart sound-hypotension- jugular distention- cardiac tamponare