Wacky World

Question 1

Common (non-obvious) presenting s/s of PTSD

Answer 1

amnesia
detachment
emotional numbing

Question 2

Dumping syndrome

Answer 2

postgastrectomy complication
NVD
Paplatations
diaphoreisis

rx: dietary modification

Question 3

Secondary hyperparathyroidism

Answer 3

common in CKD
Low phosphate excretion
low vitamin D
low/ normal calcium

Question 4

Variable decels

Answer 4

Due to cord compression
Abrupt sharp decrease in fetal HR
Rapid return to baseline
not alwats with contractions

Question 5

Step 1 when you see frequent variable decels

Answer 5

Maternal re-positioning

may alleviate pressure on cord

Question 6

Pseudocyesis

Answer 6

non-psychotic woman has all s/s of prego (ex morning sickness/ breast tenderness)
but she is not pregnant

Question 7

Benign feeling palpable breast mass over age 30

Answer 7

physical exam cannot exclude cancer

above 30, all masses get a mamogram

is it looks malignant–> core biopsy after

Question 8

Late decels

Answer 8

placental insufficiency
delayed vs contraction
gradual decrease

Question 9

Oxytocin

Answer 9

stimulates uterine contractions

increases frequency of contraction

Question 10

Neurofibromatosis type 1

Answer 10

spots
fibroadenoma
learning disability

Question 11

What measure would tell you a study is more precise

Answer 11

A tighter confidence interval = more precise

Question 12

Early decels

Answer 12

from head compression
symmetric to contraction
gradual

Question 13

Trousseaus syndrome

Answer 13

hypercoauablity asc. w/ cancer (panc, stomach common

Question 14

common variable immunodeficiency basics

Answer 14

impaired B cell differentiation

hypogammaglobulinemia

Question 15

Fetal scape stimulation

Answer 15

Helps induce accels

Question 16

Niemann pick disease deficiency

Answer 16

sphinomyelinase

Question 17

Hemi-neglect syndrome

Answer 17

ignoring left side of space

right (non-dom) parietal stroke

Question 18

Most common cause of glomerulonephritis in adults

Answer 18

IgA nephrotpthy

recurrent hematuria 5 days after URI

Question 19

5-alpha reductase inhibitor

Answer 19

blocks conversion of testosterone

used in BPH

Question 20

Alpha- 1 receptor blocker

Answer 20

lowers ureter muscle tone

Question 21

Gaucher deficiency

Answer 21

glucocerebrosidase

Question 22

Papillary thyroid cancer

Answer 22

has psammoma bodies
slow spread
most common thyroid ca

Question 23

physiology of tardive dyskinesia

Answer 23

prolonged exposure to Da blockers –> upregulated/ supersensativity of Da receptors

Question 24

Oxybutynin

Answer 24

anti-cholinergic
treates overactive bladder
improves bladder capacity

Question 25

Benthanechol

Answer 25

cholinergic

facilitates voiding

Question 26

Pericardial effusion ECG

Answer 26

shows electrical alternans

Question 27

hydroxyurea

Answer 27

used in sickle cell
decreases pain crisis
increases HbF
s/e: myelosupression

Question 28

Caudate nucleus atrophy is aka?

Answer 28

huntingtons

Question 29

Follicular thyroid cancer

Answer 29

2nd most common thyroid cancer
40-60 yo
biopsy shows lots of follicles
invades tumor capsul and often spreads hematogically

Question 30

Hurler syndrome s/s

Answer 30

lysosomal hydrolase deficiency

coarse face, umbilical hernia, corneal clouding, hepatomegally

Question 31

How dose amiodarone slow heart rates

Answer 31

slows impulse generation and conduction in SA and AV nodes

Question 32

Acid base status of PE, atelectosis, plural effusion?

Answer 32

Resp Alk

Pts will have compensitory tachypnea from V/Q mismatch

Question 33

Human bite antibiotic

Answer 33

amoxicillin-clavulanate

covers aerobic and anaerobic

Question 34

Spinal cord tracts affected by B12 deficiency

Answer 34

• -dorsal- position/vibration
• -corticospinal- spastic paresis/ hyperreflexia
• -spinocerebellar- ataxia

Question 35

Alteplase

Answer 35

recombinate TPA

Question 36

Wernicke korsakoff is from ____ deficiency

Answer 36

Thiamine- vitamin B1

encephalopathy, opthalmoplegia, ataxia