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COMSAE ALL Exams Test Bank with Verified Solutions |Latest 2024/2025 (Updated) Alzheimer Disease decrease acetylcholine level from a deficiency of choline acetyltransferase most notably in the basal nucleus of meynert which participates in memory and cognition also decreased levels in the hip...

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COMSAE ALL Exams Test Bank with
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(Updated)

Alzheimer Disease decrease acetylcholine level from a deficiency of
choline acetyltransferase most notably in the basal nucleus of meynert
which participates in memory and cognition
also decreased levels in the hippocampus


Adson's Test a test for thoracic outlet syndrome; with the patient in a
sitting position, the hands resting on the thighs, the examiner palpates
both radial pulses as the patient rapidly fills the lungs by deep inhalation
and, holding the breath, hyperextends the neck and turns the head toward
the affected side. If the radial pulse on that side is decidedly or completely
obliterated, the result is positive.



Spurling Test The Spurling test is a medical maneuver used to assess
nerve root pain (aka radicular pain). The examiner turns the patient's head
to the affected side while extending and applying downward pressure to
the top of the patient's head. A positive Spurling's sign (i.e. the Spurling's
test is positive) is when the pain arising in the neck radiates in the direction
of the corresponding dermatome ipsilaterally. It is a variant of the foraminal
compression test (cervical compression test).



Patients with a cervical radiculopathy (compression of a nerve 'root' in the
neck) can present with a variety of symptoms, including pain, numbness

,and weakness. Many other disorders can produce similar symptoms. In
addition to the clinical history, the neurological examination may show
signs suggesting a cervical (neck) radiculopathy.


Kernig sign A sign indicating the presence of meningitis (inflammation
of the meninges covering the brain and spinal cord). The test for Kernig
sign is done by having the person lie flat on the back, flex the thigh so that
it is at a right angle to the trunk, and completely extend the leg at the knee
joint. If the leg cannot be completely extended due to pain, this is Kernig
sign.



trousseaus sign occlusion of brachial arter with BP cuff which leads to
carpal spasm.
present in hypoparathyroidism



Trousseau's Syndrome a migratory thrombophlebitis - presents with
redness and tenderness on palpation of extremities. associated with a
visceral malignancy mostly pancreatic adenocarcinoma or adenocarcinoma
of the colon and lung etc.


treatment for legionares? respiratory floroquinolone



Polyostotic fibrous dysplasia bone is replaced by fibroblasts, collagen
and irregular bony trabeculae.

,McCune-Albright Syndrome a form of polyostotic fibrous dysplasia
characterized by multiple unilateral bone lesions associated with endocrine
abnormalities (precocious puberty) and cafe au lait spots.


treatment for tinea versicolor selenium sulfatide, topical miconazole



Papillary thyroid carcinoma malignant - good prognosis, lymphatic
spread, most common thyroid cancer, papillary growth with optically clear
nuclie (orphan annie nuclie) (ground glass chromatin)



Clomiphine a SERM that inhibits negative feedback of estrogen in the
hypothalamus on gonadotropin release causing an increased release of LH
and FSH from the anterior pituitary glans which stimulates ovulation. It is
used to treat infertility in the setting of PCOS.



Osteitis fibrosa cystica bone pain, subperiosteal bone resorption on the
radial aspect of middle phalanges along with brown tumors of the long
bones.



Carcinoid Syndrome flushing wheezing, diahrrea and right sided
valvular lesions especially tricuspid regurgitation. needs to have
metastasized to the liver because if not and its in the GI tract it is subject to
first pass effect so you will not see symptoms.


causes of epiddymitis >35 yo ecoli, pseudomonas, proteus

, causes of epididymitis < 35 yo chlamydia, gonnohrea.


Fanconi's syndrome proximal tubular reabsorption defect

polyuria, renal tubular acidosis type II, growth failure, electrolyte
imbalances, hypophosphatemic rickets.


drug for UC/Crohns sulfasalazine



pulmonary effects of CF chronic bronchitis an dbronchiectasis



osteoporosis affects what parts of bone? (spongy and ) trabecular bone
mass loss



imipramine TCA



SE: Tri-Cs
convulsions

coma
cardiotox



antichol effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)


viscerosomatic visceral disease --> somatic finding

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