Test 38

Question 1

common x linked disorder of hexose monophosphate that results in episodes of hemolytic anemia d/t oxidative stess

Answer 1

glucose 6 phosphate DH

Question 2

screening tests for t. pallidum

Answer 2

RPR

VDRL

Question 3

confirmatory test for t. pallidum

Answer 3

FTA-ABS

Question 4

arteries that run along and perfuse the lesser curvature that are likely to be penetrated by ulcers

Answer 4

L/R gastric arteries

Question 5

def cortisol and aldosterone syntehsis + androgen overproduction

Answer 5

21 hydroxylase

Question 6

recurrent vomiting
pooor feeding
HYPOtensive
increased 17 hydroxyprogesterone

Answer 6

21 hydroxylase

Question 7

concern independent of understanding

Answer 7

support

Question 8

understanding and vicarious experiencing of pt’s situation

Answer 8

empathy

Question 9

leukocyte adhesion def

Answer 9

abscence of CD18

inability to syntehsize integrins

Question 10

w/out integrins…

Answer 10

no pus formation
delayed detachment of umbilical cord
poor wound healing

Question 11

N myc

Answer 11

TF that can bind DNA and therefore be detected by DNA probes

Question 12

lies along hte posterior wall of the duodenal bulb and is eroded by posterior duodenal ulcers

Answer 12

gastroduodenal artery

Question 13

tx for HCV

Answer 13

IFN alpha

ribavarin

Question 14

ribavarin (HCV, RSV)

Answer 14

inhibits RNA pol and depletes GTP (guanine nucleotide syntehsis)

Question 15

Fenoldopam–HTN emergency

Answer 15

D1 agonist>
coronary, peripheral, rneal, spanicnic VASodilatoin

decreases BP
increases natriuresis

Question 16

short acting

increases cGMP via direct release of NO

Answer 16

Nitroprusside

Question 17

used in hypertensive emergency

Answer 17

nitroprusside

fenoldopam

Question 18

used to induce bronchoconstriction in pts w/ asthma

Answer 18

methacholine challenge

Question 19

panic attack

Answer 19

hyperventilation
decreased pCO2>
cerebral vasoconsriction, decreased cerebral blood flow>
dizziness, weakness, blurred vision

Question 20

diffuse pruritic papulopostular rash

oxidase pos gram neg rods that produce pitgment on culture medium

Answer 20

p. aeruginosa infeciton of hear follicles

hot tob folliculitis

Question 21

produces toxic effects observed in meningitis

Answer 21

meningococcal LOS

outer membrane LOS acts as an endotoxin

Question 22

resistant to outliers

Answer 22

modes

Question 23

dompetitive antagonist of endothelin receptors used to tx idiopathic pumonary arterial htn

Answer 23

bosentan

antagonizes endothelin 1 receptors>
decreased pulm vascular resistance

Question 24

calcified cystic tumors that arise from remnants of rathke’s pouch

Answer 24

craniopharyngiomas

HA
growth failure
bitemporal heminaopia

Question 25

esophageal hypomotility incompetence of LES d/t atrophy and fibrous replacement of esophageal muscles (esophageal dysmotility) refulx

Answer 25

systemic sclerosis CREST

Question 26

severe heart burn finger tip ulceration multiple telangiectasia

Answer 26

CREST syndrome

Question 27

anti centromere ab

Answer 27

CREST syndrome

Question 28

necessary for development of acute pyelonephritis

Answer 28

anatomic/fxnl vesicouretral reflex frequent blacder infections can weaken hte vesicouretreral jxn and facilitate reflux

Question 29

tx for HIT

Answer 29

DIT like agratroban

Question 30

vessels most likely to get atherosclerotic plaques

Answer 30

``` abdominal aorta coronary arteries popoliteal arteries internal carotid circle of willis ```

Question 31

how do statins work

Answer 31

tx hypercholesterolemia reduce serum cholesterol and LDL concentration inhibit HMGcoA reductase> hepatocytes increase their surface expression of LDL to increase uptake of LDL

Question 32

recently diagnosed w/ lung cancer difficulty rising from chair hip girdle wekaness

Answer 32

Lambert Eaton | myasthenic syndrome

Question 33

paraneoplastic disorder that is commonly associated w/ small cell lung cancer

Answer 33

Lamber eaton autoantibodies to PREsynaptic ca channel that decrease Ach release