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CCEB Part A Test Questions and Answers 100% Solved
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Exam of 17 pages for the course CCEB at CCEB (CCEB Part A Test)
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CCEB Part A Testlargest branch of vertebral arteries - answer PICA
Wallenberg syndrome - answer Aka PICA syndrome or Lateral Medullary Syndrome.
patient has trouble swallowing or speaking (both). due to infarction/occlusion of PICA or
other branch
LSTT symptoms - answer contralateral pain & temperature deficit
Spinal trigeminal nucleus symptoms - answer loss of pain & temp from ipsilateral face
nucleus ambiguous symptoms - answer affects vagus (X) and glossopharyngeal (IX).
(mainly X)
dysphagia, hoarseness, diminished gag reflex
vestibular system symptoms - answer vertigo, diplopia, nystagmus, vomiting
sympathetic horner's syndrome - answer ptosis (droopy), mitosis (pupil constriction),
anhydrosis (lack of sweating)
inferior cerebellar peduncle symptoms - answercerebellar signs, example ataxia
circle of willis compose of.... (5) - answeranterior cerebral artery.
anterior communication artery.
internal carotid artery.
posterior cerebral artery.
posterior communicating artery
causes of Horner's syndrome - answerPICA syndrome.
pancoast tumor.
cluster headaches.
trauma.
aortic aneurysm (thoracic).
middle ear infection.
NF.
goiter.
MS.
wallerian degeneration - answernerve fiber is cut/crushed. axon separates from cell
body and axon degenerates.
,addison's disease - answeraka chronic adrenal insufficiency/hypocortisolism.
adrenal glands produce insufficient amount of glucocorticoids and mineral corticoids.
DX blood tests, imaging.
addison's disease symptoms - answerinsidious onset.
fatigue.
muscle weakness.
weight loss.
vomiting.
diarrhea.
headache.
sweating.
mood/personality changes.
joint and muscle pain.
Low BP and orthostatic hypotension.
hyperpigmentation (darkening of scars).
hypoglycemia.
hyponatremia (loss production of aldosterone).
hyperkalemia (loss production of aldosteron increase potassium).
eosinophilia.
metabolic acidosis (loss of aldosterone because sodium respiration in distal tube)
syphilis - answerspirochete bacterium; trepemonema pallidum.
TX intramuscular penicillin antibiotics
3 stages syphilis - answer1. primary: chancre (firm painless ulceration).
2. secondary: red-pink rash on trunk and extremities, condylomata lat a, mucous
patches, fever, sore throat, malaise, weight loss, HA, meningismus, swollen lymphs.
Latent stage: serological proof of infection but no symptoms.
3. tertiary: gummas, can lead to neuropathic joint disease, neurosyphilis, cardiovascular
syphilis, chronic dementia, argyll robertson pupil (cat eye), tabes dorsalis
test of syphilis - answerwasserman
tetanus - answerclostridium tetani. neurotoxin. gram positive. inhibits GABA and Glycine
(inhibitory NTs). wound contamination (from soil).
lock jaw, risus sardonicus (facial spasm), neck stiffness, trouble swallowing, increased
BP/HR/temp, spasms
botulism - answerclostidum botulinum. gramp positive, spore.
blocks ACH release, flaccid paralysis.
Infantile. Honey. Foodborne.
symptoms botulism - answerdry mouth, blurred vision, double vision, trouble
swallowing, muscle weakness, trouble breathing, droopy eyelids, slurred speech,
vomiting, body paralysis
, ulcerative colitis - answerdescending and sigmoid colon (left). continuous lesions. lead
pipe rigidity. lead to toxic megacolon. bloody diarrhea. mucous and submucosa
affected. can lead to cancer or enteropathic arthritis.
crohn's disease - answerskip lesions, cobblestone pattern. intestinal wall thickened.
terminal ileitis. diarrhea (not bloody). transmural. pain in right lower abdomen, cramping
is common. fissures, strictures.
diverticulitis - answerinflammation of diverticuli (out pouching).
most common in sigmoid colon.
left lower quad pain, nausea, diarrhea/constipation, fever, leukocytosis
AS - answerautoimmune, seronegative, HLA B27.
chronic, painful, progressive disease.
bamboo spine, uvitis (photophobia), pain wakes person up, stiffness, amyloidosis
amyloidosis - answerproteins depositied in organs and tissues that shouldn't be there
enteropathic arthritis - answerseronegative, IBS
reiter's syndrome - answerTriad: arthritis, conjunctivitis, urethritis.
commonly from chlamydia
psoriatic arthritis - answerpsoriasis, scaly, silver, red, itchy, inflamed. sausage
fingers/toes. morning stiffness. decreased ROM. pitting or lifting up of nails.
pain/swelling over tendons/ligaments
RA - answerRF. inflammation of synovial membrane. synovitis leads to erosion,
deformity.
MC affects C1-2; transverse ligament of atlas leading to instability.
has antibodies. bilateral protusio acetabulae. ulnar styloid erosions and radial deviation.
symmetric. pain and stiffness. rat bite erosions, swan neck deformity, ulnar deviation of
fingers, boutonniere's deformity, nodules on skin over bony prominence.
hemaglobin dissociation curve - answerrelation between partial pressure of oxygen &
oxygen saturation.
Hbs affinity for oxygen increases as successive molecules of oxygen bind.
more molecules bind as partial pressure increases.
Hb curve shifted to the right - answerincrease in temperature, hypoxemia, lung disease,
CHF.
decrease in pH.
causes decrease affinity of Hb for oxygen, harder for Hb to bind
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