the final countdown Flashcards

1
Q

Vit _ overuse: nausea, vomiting, vertigo, blurred vision, alopecia, HSM, hyperlipidemia, dry skin, papilledema

A

Vit A toxicity

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2
Q

testes lymph drains to

A

para aortic nodes

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3
Q

scrotum lymph drains to

A

superficial inguinal nodes

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4
Q

effect of tamoxifen on endometrium

A

hyperplasia and possible cancer

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5
Q

symmetrical proximal muscle weakness, difficulty climbing stairs/carrying heavy objects, anti-Jo-1 autoantibodies, endomysial mononuclear infiltrate and patchy necrosis

A

polymyositis (assoc with interstitial lung disease and myocarditis)

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6
Q

what is anti Jo-1 autoantibody

A

in polymyositis–histidyl tRNA synthetase

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7
Q

nucleolus is the primary site of _RNA transcription

A

ribosomal RNA (RNA pol I)

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8
Q

confabulation and permanent memory loss

A

Korsakoff syndrome (Wernicke symptoms–oculomotor dysfunction, ataxia, confusion– resolve with thiamine)

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9
Q

MC cardiovascular manifestation assoc with SLE

A

pericarditis–relieved by sitting forward

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10
Q

cuboidal granulosa cells in a rosette pattern with coffee bean nuclei

A

Call-Exner bodies

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11
Q

elevated acetylcholinestease in amniotic fluid

A

failed fusion–neural tube defects

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12
Q

end stage renal disease with bleeding

A

uremic platelet dysfunction. platelet count normal but bleeding time increased

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13
Q

MOA ethosuximide

A

blocks T type Ca channels that trigger and sustain discharges in thalami neurons

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14
Q

phenytoin, carbamazepine, valproic acid MOA

A

decreases Na current in cortical neurons

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15
Q

MCC death in patients with diabetes mellitus

A

coronary heart disease

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16
Q

where do anal fissures occur

A

posterior midline distal to the dentate line, due to chronic constipation

17
Q

a neonate with Hep B infection has a (high/low) risk of chronic infection

A

high risk

18
Q

gross hematuria, acute flank pain, passage of tissue fragments in urine in patients with SCD trait, DM, analgesic nephropathy, or severe obstructive pyelonephritis

A

renal papillary necrosis

19
Q

bluish neoplasm under nail bed (2)

A

glomus tumor (thermoregulation) or melanoma (pigmentation)

20
Q

K channels in pancreatic beta cells directly regulated by

A

ATP

21
Q

posturing: lesion below the red nucleus, extensors predominate

A

decerebrate (looks like waiter’s tip)

“Sarah extended her test”

22
Q

posturing: lesion above the red nucleus, flexors predominate

A

decorticate (hands tucked in) “flexible tickets for the decordoba”