toxin

Question 1

lead toxicity

Answer 1

5-44 Nothing
45-69 = 2,3 dimercaptosuccinic acid (DMSA , succimer) with the side effecy of rash and neutopeniaa

sever more than 70 = dimercaprol plus calcium disodium edetate( EDTA)

Question 2

ginko bilboba

Answer 2

memory enhancement

increased bleeding

Question 3

ginsing

Answer 3

improved mental performance

increased bleeding

Question 4

saw palmetto

Answer 4

benign prostatic hyperplasia

mild stomach discomfort

Question 5

black cohosh

Answer 5

menoposal symptomes( hot flashes and vaginal dryness)

hepatic injury

Question 6

st johns wort

Answer 6

depression insomnia

drug intaction : antidepressant ( serotonin synd)
OCs( oral conta..)
anticogulant( decreases the INR)
digoxin

Question 7

kava

Answer 7

anxiety and insomnia

sever liver damage

Question 8

licorice

Answer 8

stomach ulcers , bronchitis

hypertension and hypokalemia

Question 9

echinacea

Answer 9

treatment and prevention of cold and flu

allergic reaction , dyspepsia

Question 10

ephedra

Answer 10

treatment if cold and weight loss

HTN arrhythmia, MI, sudden death , stroke, seizure

Question 11

scombroid poisening

Answer 11

spicy fish , flushing, throbing headacem palpitations, and abdominal
cramps , diarrhea , oral burning

Question 12

inducers

Answer 12

chronic alcoholsim, barbituates, carbamazepin, grisiofulvin, modafinil, pjenytoin, rifampin, st johns wort

Question 13

inhibitors

Answer 13

acute alcoholisim, amiodarone, azoles, cimethidine, diltiazim and verapamil, grapefruit juice, izoniazides, macrolides, quinolones, protease inhibitors ( ritonavir) ,SSRI

Question 14

riluzole

Answer 14

glutamate inhibitor prolong survaival andd delay the need for tracheostomy

Question 15

gerstman synd

Answer 15

dominanat parital , difficulty performing simple arthmetic tast ( acalculia) , inability to name individual fingers, ( finger afnosia) , impaired writing(agraphia) , right and left confusion

Question 16

copying simple act , line drwang, wearing clothes. dressing apraxia,

Answer 16

nondominant parietal ( right side)

Question 17

wernike

Answer 17

dominant temporal

Question 18

temporal (both sides )

Answer 18

homonymous upper quadrantanopia)

Question 19

3 hz spike and wave discharge

Answer 19

absence epilepsy

Question 21

tuberous sclerosis ( if you can read t in the book)

Answer 21

AD,
derm: ash leaf spot, angiofiromas, shagreen patches,
neurologic; CNS lesions, (subemendymal tumors,) epilepsy, intellectual disability, autisim,
cardiovascular; rhabdomyomas,
renal ; angiomyolipomas

Question 22

disease modifying drugs for MS

Answer 22

beta interfrone, glatiramer

Question 23

tizanidine

Answer 23

muscle relaxant

Question 24

valproic acid side effects

Answer 24

thrombocytopenia, and other cells,, hepatotoxicity, and panreatitis, and its teratogen

Question 25

tissue plasminogen antidote

Answer 25

cryoprecipitate

Question 26

dabigatran antidote

Answer 26

Idarucizumab

Question 27

manifestations of sarcoidosis

Answer 27

pulmonary: bilateral hilar adenopathy , iterstitial infiltrates cutaneous; popular , nodular, or plaquelike lesions, erythema nodosum, ophtalmologic: anterio and posterior uveitis, keratoconjictivitis, reticuloendothelial, : peripheral lymphadenopathy, hepatosplenomegaly, musculoskeletal; acute polyarthritis, chronic arthritis, cardiovascular ; atrioventricular block, dilated restrictive cardiomegaly CNS and endocrine; facial nerve palsy, central DI, hypercalcemia lofgern synd; erythema nodosum, hilar adenopathy, migratory polyarthralgia, fever

Question 28

fronto temporal dementia

Answer 28

tau protein inclusions ( pick body) 50-6- hyperorality apathy and ritialistic, behavioral ... , empathy losss

Question 29

wernicke encephalopaty 3 items

Answer 29

encephalopathy : disorientation, oculomotor dysfunction ; lateral rectuss palsy gait ataxia; wide based gaitkor

Question 30

korsakof synd

Answer 30

retrograde and anterograde amnesia and confabulation, social behaivor and long term memory loss, ; mammillary body atrophy

Question 31

cerebral palsy MRI

Answer 31

periventricular leukomalacia basal gangllia lesions

Question 32

two item check before thrombolysis

Answer 32

BP under 180 and start the antipletlet after 24 hours, avoid hypotention

Question 33

what kind of hematoma in chldren needs CT scan

Answer 33

nonfrontal hematoma

Question 34

large vessel oclusion

Answer 34

24 h mechanical thrombectoy