WE2 mock SB (-3.5) Flashcards
WE2 mock blocks (30-37) Missing blocks 34.5-37
dopamine has what effect on prolactin?
inhibits
prolactin has what effect on GnRH?
inhibits
low dopamine –> incr prolactin. what affect does this have on sexual function and why?
decr sex f(x) + gynecomastia
incr prolactin –> decr GnRH –> decr FSH/LH
antidopaminergic effects on what pathway lead to antipsychotic efficacy?
mesolimbic
antidopaminergic effects on what pathway lead to extrapyramidal s/s?
negrostriatal
antidopaminergic effects on what pathway lead to sexual dysf(x) and gynecomastia?
tuberoindundibular
can positive superficial wound cultures reliably predict the causative organism in diabetic foot ulcers (+/- osteomyelitis)?
NO
what special test must be done to confirm the dx of diabetic foot ulcer/osteomyelitis anad guide management?
bone bx
what are some of the possible complications of BPH?
- compression of urethra
- incomplete bladder emptying
- incr UTI/polynephritis
how does intermittent testicular torsion present?
- young M w/ sudden onset testicular pain, n/v, often during exercise, s/p mild trauma, or w/ movement in sleep
- UNLIKE TESTICULAR TORSION, THE S/S WILL SELF-RESOLVE AND LATER RELAPSE
what is negative prehn sign and what does it suggest?
- negative sign = scrotal pain does not resolve w/ testicular elevation
- this suggests testicular torsion
what are the two types of breath-holding spells?
- cyanotic
2. pallid
how do cyanotic breath-holding spells present?
crying –> breath holding –> cyanosis + LOC
how do pallid breath-holding spells present?
minor trauma –> breath holding –> pallor + LOC
when are breath-holding spells concerning?
- recurrent/prolonged occurance
- famHX = + cardiac dz/death
which exhibits fistulas chron’s or UC?
chron’s
which is the most effective emergency contraceptive?
copper IUD (99%)
what is ulipristal?
= antiprogestin that delays ovulation. >= 85% effective as emergency contraception if used w/in 120 hrs after sex
what is levonorgestrel?
= progestin. 85% effective as emergency contraception if used w/in 72 hr of sex
how does ulipristal compate to levonorgestrel?
more effective and has a larger window of use (120 hrs vs 72 hrs)
how does ovarian ca present?
- asymp
- pelvic pain and bloating
- SOB, constip w/ vomiting, abd distension
how does ovarian ca look on U/S?
- solid mass + thick septations
- free fluid/ascites
what is ovarian ca?
abn proliferation of ovarian or tubal epithelium or peritoneum
what will syringomyelia most commonly present w/?
loss of pain and temp sensation in a “cape-like” distribution