test questions

Question 1

carvedilol

Answer 1

carvedilol and labetalol block peripheral alpha 1 , beta 1 and beta 2 receptors

atenolol and metoprolol - CARDIOSELECTIVE beta blockers- affect the beta 1 receptors ONLY

propranolol and nadlol- non selective beta blockers- both beta 1 and beta 2

Question 2

lateral epicodnyltisi

Answer 2

EXTENSOR carpi RADIALIS BREVIS muscle!!

Question 3

tumor lysis syndrome

Answer 3

allopurinol AS TX

condition in which large amonts of cancer cells are destroyed in short period of time by chemo - leads to hyperuricemia

Question 4

systolic heart failure

Answer 4

cannot use ccb in it

Question 5

iliotibial band syndrome

Answer 5

LATERAL pain!

Question 6

schlling test

Answer 6

to diagnose pernicious anemia

Question 7

osmotic fragility test

Answer 7

spherecytosis - increased fragility

Question 8

ejection click

Answer 8

mitral valve prolapse

Question 9

aortic stenosis

Answer 9

a weak, delayed peripheral pulse

Question 10

metformin

Answer 10

can cause megaloblastic anemia

Question 11

proto n pump inhibitors

Answer 11

se: macrocytic anemia

Question 12

hep c tx

Answer 12

alpha 2 interferon plus ribavirin

interferon BETA 1- TX for multiple sclerosis not for hep c

Question 13

sickle cell trait

Answer 13

is not a bad thing as sickle disease: they might see episodic hematuria as a common sign

Question 14

mixed study

Answer 14

mix good blood with bad blood- if its still bad- it means antiphospholipid

Question 15

legg-calve perthes disease

Answer 15

loss of abduction and internal rotation

Question 16

bleomycin

Answer 16

chemo agent- can be used intrapleurally for pleurodesis in patient with recurrent malig pleural effusion

Question 17

conn syndrome tx

Answer 17

spironolactone

Question 18

ITP

Answer 18

refractory treatment: do a splenectomy because it is the spleen that keeps killing the platelets

Question 19

prolactin

Answer 19

prolactin suppresses FH and LH release- leading to decrease in menstruation and decrease in libido from the testoterone reduction.
prolactonima first line: cabergoline or bromocriptine

Question 20

polycythemia vera

Answer 20

overproduction of the myeloid cel lines- increases in the red blood cell line but may also include platelet and white blood cells.
lymphocyte line is UnafFECTED!!!

Question 21

tetanus

Answer 21

first sign: pain and paresthessia at site of inoculation
then local muscle spasms- neck and jaw stiffness, dysphagia and hyperirritability
late symptoms: trismus, increase DTR, increase muscle rigidtiy

Question 22

sickle cell

Answer 22

first line management;: iv fluids and hydration

NOT hydroxyurea- thats for severe pain criss and long term management

Question 23

mmr vaccine

Answer 23

safe to adminstier for hiv patients only if count is more than 200

Question 24

rubella

Answer 24

lasts 3 days- can cause transiet photosensitivty and arthritis!

Question 25

congetive heart failure

Answer 25

after diuretics: use calcium channel blockers if someone has chest pain and htn!- lessens the load of the heart

Question 26

quinidine and procainadmide

Answer 26

class is sodium channel blockers

Question 27

single loud S2, blue skin, clubbing of fingers and toes, poor feeding, tachypnea without respiratory distress

Answer 27

transposition of the great vessels

Question 28

wpw

Answer 28

do not use ABCD : adenosine, beta, caclium or digoxine - that is used for afib. wpw- use procainamide

Question 29

anybody with unstable wide QRS will get

Answer 29

lidocaine procainamide amiodarone

Question 30

polyarteritis nodosa

Answer 30

inflammation of msall to medium arteries of ski, kidney, peripehral nerves and muscles!!! fever, anorxia, weight loss, muscle aches, peripheral neuropathy increased C-reactive protein and ESR urinalysis shows protineuria

Question 31

body dysmorphic

Answer 31

treat with SSRI

Question 32

parietal lobe is affected in

Answer 32

alzheimers

Question 33

exanetide

Answer 33

Exenatide is effective in lowering blood glucose levels due to the fact that it decreases gastric emptying, stimulating pancreatic insulin response to glucose and preventing glucagon rele

Question 34

subacute thyroiditis

Answer 34

aspirin is tx

Question 35

pneumococcal

Answer 35

The pneumococcal polysaccharide vaccine is indicated for individuals over the age of 65 who have a chronic illness that puts them at increased risk of communityacquired pneumonia. This vaccine is also indicated in children aged 2-5 years of age who have not previously been immunized.