tot unkn: Block 1 (Fundamentals)

11 72 / 80 known

drink dirty water is what in infection cycle. I but have adhension, have no idea
1 after reading slides!

2 Somatoform disoder description- not sure if primary vs secondary

3 behavioral- next step after issue? I put PDA, but might be brainstorming
not sure of the question, it mentioned what is needed in a certain situtation
4 and I put = lympocytic infilrate
what is most important cell in healing. I but fibroblasts, but have no idea after
5 re-reading
Swollen face missing c1,2,3,4=Henoch-Schonlien Purpura I think after reading,
6 but am unsure

explain why Enterococci reist to erthy, azetreonam, cephtriaxone, PCN. Had to

pick a mode of resistance, and the trick was that Enterococci is already resistant
7 to 3 of the 4 drugs listed
I remember putting severe sepsis as an answer, but was unsure. septicemia vs.
8 severe sepsis??
Behavioral: Person thought God hated them. I though Paraphrasing, but after
9 reading might have been reflectioning
10 I think I remember a question on superantigen, but am unsure.
11 know that when pH=pKA, 50% ionized. Ex was amniodarone
12 Gunshot wound, no shoot with stippling- intermediate range
13 Lightning struck man in woods
14 Had to pick which one was adaptive immunity. (mast cells-IgE)
15 What stops the bystadner effect. Glycoprteins prevent MAC complex
16 differerence between Anaphylaxis(IgE) vs Anaphylactoid (non-IgE)
17 added nucleotides to change B-cells = Somatic hypermutation

18 Listeria and Pseudamonas similarity. They both have NAG-NAM w/peptides

19 what is pink on Maconkey agar - lactose fermenting gram (-) rods
20 How Listeria causes infection. survives in macrophages
21 Sign of irreversible cell death. Karyorrhexis
22 Vd calculation = 0.4 with 100kg man
23 Hepatic Clearance = 750mL
24 65mcg/min = maintenance dose
25 Question described an action, answer was competitive inhibitor
26 Cavitation in brain = liquid necrosis of brain
27 Pt with photosensitivty to Abx = Doxycyline
28 which cell has most MHC II = lymphocytes

29 Question talking about H.influenza grows on… Chocolate agar

30 IL -8 does recruitment of lymphocytes
31 What is the antiviral cytokine= INF-alpha
32 minumum needed for naked (-) RNA= RNA, capsid, RdRpol
33 picture of simple virus - surface protein for adhesion
34 plasma gas=sterilization, would prevent subsequent infection
35 how does clindymycin work= on ribosome
36 calcification in spots in lung=dystophic calcification
37 Gold stand - biochem/serology of colony
38 Behavioral - girl is pissed, what do you do… listen.
39 antineoplastic meds decreased tumor by= apoptosis
40 Rho factor used for termination

41 sigma factor binds to the promoter

42 electrifying bact cells make them competent
43 Empathy "I can see/imagine that its difficult for you.."
44 behavioral- complete informed consent prior to surgery
45 behavioral-
behavioral-ptkidisborn withdoes
old and all the
notproblems= Help/trylettogofixhome
want treatment. the baby
with info and
46 phone
47 behavioral- learning issue with math
epidem- CI is (1.01-1.56) with result of 1.24= study size is too small to have
48 realiable result
49 epidem- sensitivity of test= 125/300
50 epidem-what type of graph to use= histogram
51 behavioral- kid mad when caregiver leaves and returns. resistant attachment
52 timolol site of action = epithelial cells, decrease aqueous humor
53 where does neostigmine work = M3 receptors
54 why use epi with lidocaine = for vasoconstriction
55 behavioral-pee-a-boo at 7 months is appropriate
56 what helps in immune response with Gram (+) = PG
57 CAM- altern med has studies showing proof. Was only answer making sense
58 Lack of MHC I means no CD8
59 function of PBP = transpeptidases
site of action of scopalamine- works on vestibular nuclei. Did not like this
60 because they also have PANS as an answer choice
61 how does the liver regen = hyperplasia of the liver
62 anaplasia- loss of differentiation
why does cardiac cells get damaged after helping =reperfusion injury after MI
63 due to free radicals
64 what Ig is in the GI = IgA
behavioral-Fox- which is the most adaptive response = is the man who want to
65 go on living
66 LD1000/ED50 has the lowest TI, so easiest to overdose
67 Alternate forms of testing to go to electronic test
68 behavioral- "less likely for malpractice if dr-pt centered care"
69 behavioral- only using the internet is selection bias
70 blister from burn = serous exudate
71 cholera outbreak in Hati, minimized with better sewage control
72 function of alpha toxin- forms pores in membranes
73 the Prevnar13 vaccine protects against: ear, meningitis, pneumo
 Block 2 (musculoskeletal/heme and lymph)
40 / 40 known

pic of sub-dural CT scan??? Unsure of the scan, but think this is right
immune modulator that supresses GMP. I remember this question, after looking still have
no idea the drug
sindulac is NSAID for prevention of polypopsis

False positive for Syphilis (anti phospholipid Ab = false +)

AML - Auer rods

Reed sternberg cell -hodgkins disease

Tdt and PAS stain= ALL

Maple syrup disease

B12 deficiency, two questions on B12, I think one answer was "B12"
Folic acid deficiency = spina bifida kid
Acute humoral -- picture
Trastuzumab + Doxirubicin
HIV -+++ in relation heart toxicity
to susecptable cells. In early infection, only resting T-cells are not
infected
Ewings description, answer was has glycogen w/ PAS
E6 binding to p53 - destruction in proteosome
CFU stimulation when giving chemo helps with neutropenia.
pic of spine with question = osteoporosis
2nd set graft rejection after 2nd kidney. While this was in his handout, by definition it is also
hyperacute, as 2nd graft rejection is like a type of hyperacute rxn, so I think the question is
bad
hypercalcemia=squamous cell carcinoma
Paget's possible complication=bone tumor
positive shillings test. This was the other B12 question
drug for HIV and HBV=lauivudine
Staph epidermidis w/ IV drug users on Tricuspid valve
description of PCN rxn, was a Type 1 hyper in anaphylactic
prednisone given for long term treatment
osmotic fragility test is positive with spherocytosis
broke pelvis= hypovolemia
To simulate Beta thal, you would just knock out a beta gene in mouse

baclofen action- agonist of gaba receptor

malignant hyperthermia treatment-dantrolene
Behvariol "SPIKES" - ask what the pt knows = perception
River blindness cause = O. Volvulus
positive TRAP test = Hairy Cell Leukemia
Ampocertin B / XXXX azole for systemic fungal infection
marker for hepatocellular cancer = alfa feto protein
bone pain treated with aspirin = osteiod ostoma
RA by description, joints get better through out the day
carinoma in-situ
OI from change in glycine to proline is lethal
Vitamin K rescue for warfarin prior to surgery
 Block 3 (cardio-resp)
47 / 50 known

aortic regurg leads to decreased LVEDV

TB, annual chest X-ray and then Tx with drugs as the way to prevent Tb recurrence
pt needs HTN meds. I put thaizide, a lot of people put Furosemide, so I am unsure

anti-anginal drugs (I put nifedipine)?? Vs furosemide vs adeonsine. No idea

infarct on lower ant side with only R sided issues, what is infarcted? = RCA
viarl infection then bacteria infection, what is seen? I put infiltrate pneumo but
unsure

how does RSV damage cells??

list of issues and present / negative physical findings, had to pick one organ that
could cause them, I put kidney

which Branchial arch ductous arteriosis = 6th

Diastolic HF from LV hypertrophy
paradoxical S2 pathogenesis from increased ejection time (from stenosis)
necrotizing granulomatous - describing Wegener's
Erhlichia resides monocytes
Aedes egypti is the vector for yellow fever
Pt on antiarrythmic with chichonism or something (hearing problem) = Quinidine
neutrophils in sputum from TB patient
HTN contra in Preg = ACE inhibitors

Q tells you BCYE agar therefore Legionella, spread = water

overcrowding = Tb
pneuomocystis in HIV
albuterol for 3 doses after climbing up ladder
sotalol is both beta blocker and K channel blocker
Mannitol works in descending loop of Henle
niacin action- inhibits lipolysis in adipose cells
Rhino virus responsible in kid with runny nose
Croup in kid with seal bark
pulus paradoxus when expir and inspi BP differs
CD4/Th1 needed to clear Tb
high fever with bradycardia in seen in Typhoid fever. Even asked about reason in
class and did not remember this, thought only yellow fever had Faget's sign
paradoxical emboli with ASD
Liebman Sacks/ SLE on both sides of valves
EKG of LBBB
cavernous hemangioma picture
H2N2 cause of flu epidemic, I think because H7s can not cause, and H1N1, H3N2 are
currently circulating
nasal canula at 4 L/min gives 37% O2
Abd aortic calicifacation lead to gangrene
purpose of beta blocker in angina is to reduce HR and contract
mitral stenosis, unsure of question
LVH, unsure of question
digitalis- decreases end systolic volume
pt wanted meds "like her other doc gave her" = acute flare up of COPD or HF with
edema. Unsure
CF damage due to imotile cilia
imiquimod for perianal warts
biopsy in TB=granulomatous necrosis
disease (strep pneumo?) spread from droplet of other infected???
acute gingivomoatist=latency
smoking linked to laryngial cancer
mps 61
57

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