ALL THE COMSAE EXAM WITH QUESTIONS AND ANSWERS drug for UC/Crohns - ANSWER sulfasalazine pulmonary effects of CF - ANSWER chronic bronchitis an dbronchiectasis osteoporosis affects what parts of bone? - ANSWER (spongy and ) trabecular bone mass loss imipramine - ANSWER TCA SE: Tri-Cs convulsions coma cardiotox antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block alpha1) viscerosomatic - ANSWER visceral disease --> somatic finding loratidine vs ranitidine - ANSWER loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less sedating ranitidine: H2 receptor antagonist (like cimetidine) cells w RBCs inside - ANSWER entaemoba histolytica which type of pneumothorax causes tracheal deviation to the contra side? - ANSWER tension intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous vessels - ANSWER AVM arteriovenous malformation cavernous hemangioma - ANSWER benign tumor of liver, A/W VHL anti-HepB surface antibody is only present in what pop - ANSWER recovered or immunized not in chronic or proctalgia fugax - ANSWER levator ani syndrome fasciculus is UMN or LMN lesion? - ANSWER LMN ectopic gastric tissue - ANSWER meckels diverticulum can also have ectopic pancreatic tissue remnant of vitelline duct antibodies in hashimotos attacks - ANSWER thyroid peroxidase or antithyroglobulin enlarged non tender thyroid 2 factors that influence starling curve - ANSWER x axis- preload (EDV) y axis- stroke volume or CO treatment for fibromyalgia - ANSWER TCA, SNRIs anticonvulsants what blocks NE reuptake? - ANSWER TCA or SNRIs possible complication of pagets bone disease - ANSWER osteocarcoma what does Hct tell you? - ANSWER ratio of volume of RBCs compared to total blood volume probenecid - ANSWER inhibits reabsoprtion of uric acid in PCT - also inhibits secretion of PCN - can ppt uric acid calculi 2 causes of SCID - ANSWER ADA deficiency (adenosine deaminase required for degradation of adenosim and deoxyadenosine - in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID hypoplastic thymus lithiums effects on urination - ANSWER inhibits vasopression/ADH --> increased urinary frequency infertility drug that can result in multiple fetuses - ANSWER clomiphene (clones- multiple babies) antagonist at estrogen R in hypothalamus (thus inhibits normal negative feedback) upregulates LH and FSH release from pituitary --> ovulation used to treat PCOS but can cause ovarian enlargement, multiple fetuses AFP levels in down syndrome - ANSWER low GI malformation A/W down syndrome - ANSWER Hirschprungs- congenital aganglionic megacolon defective relaxation and peristalsis of rectum and distal sigmoid colon failure to pass meconium, empty rectal vault, megacolon myasthenia gravis associations - ANSWER thymoma, thymic hyperplasia ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration tx for tinea - ANSWER azoles beta blockers for asthma - ANSWER none- even beta 1s can be nonselective at higher doses what kind of teratogenic effects are seen w ACE/ARBs - ANSWER fetal renal agenesis stones bones groans moans psych overtones - ANSWER high Ca or PTH PTH is made by what cells? - ANSWER chief cells of parathyroid gland PTH inhibits reabsorption of phosphate where? increases calcium resorption where? - ANSWER PO4- proximal tubule ca- DCT anterior innominate rotation means tight hip flexors or extensors? - ANSWER extensor- hamstrings thoracic CS - ANSWER E SaRa most common cause of cellultis - ANSWER staph aureus, strep pyogenes FPR- direct or indirect? active or passive? - ANSWER indirect- place them in position of diagnosis passive cant treat kid w tetracycline so what do you give? - ANSWER amoxicillin which Heps are there currently vaccines for? - ANSWER A and B (and so by virtue, also D) why does Hep D need Hep B? - ANSWER Hep D utilizes the HBV surface antigen as its envelope? most common hepatitis A/W IVDA in the US - ANSWER hep c roseola - ANSWER 4 day high fever then rash on the trunk (spares face) affects babies up to 2 years HHV6- affects CD4 helper cells and kills them off erythema infectiosum - ANSWER slapped cheek parvovirus B19 nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on arms and spreads to trunk/legs rash can worsen w fever and sun exposure TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis most common STD - ANSWER chlamydia sxs similar to STI plus discharge will have high neutrophil count dimorphic- butterflies - ANSWER candida, histo, cocci, paracocci, blasto, sporothrix, butterflies huge pair of cocc catching stamp hip restricted in internal rotation dx? - ANSWER innom outflare immune complex in glomerular mesangium 2 days after URI
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