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21 Cards in this Set
- Front
- Back
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Tamoxifen- what class is it in? what else can it be used for? what are the risks? you got this!
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SERM receptor antagonist
osteoporosis endometrial cancer |
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If your patient is in a bad accident and talks about suicide what should you do?
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Take it seriously!
look at risks- males, alcohol, plan, talks about it, traumatic experience advise patient to stay you can involuntarily commit as well |
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What branchial arch has all things "s"? where is it derived from ?
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stapes, stylohyoid, styloid, cranial nerve seven
from mesoderm (muscles and arteries) and neural crest cells (bone and cartilage) |
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your patient is diagnosed with hereditary spherocytosis. what are they most susceptible to that you will have to treat?
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SSHiN and PECK
Salmonella s. pneumonia H influenza N. menigitis P aeruginosa (pseudomonas) E coli C neoformans (yeast) K. pneumonia |
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What do you see on lab in hereditary spherocytosis
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Howell-Jolly bodies
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Pt had a motorcycle accident where they were flung from their bike. Youre watching for cushing reaction...wait what are you watching for?
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cushing triad-hypertension, bradycardia and respiratory depression. sign of intracranial pressure sensed at central barorecptors
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Pt has MEN1- what pancreatic tumors could he have?
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Zollinger -Ellison syndrome (gastrinomas)
insulinomas VIPomas glucagonomas |
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psoriasis is characterized by decreased stratum granulosum and increased stratus spinosum- what are those skin layers again?
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california likes girls in string bikinis
corneum lucidum granulosum spinosum basale |
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psoriasis give you positive Auspitz sign - what is that?
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when you scrape off flake it bleeds
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Neurotransmitter levels in schizophrenia
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increased dopamine in mesolimbic pathway
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neurotrasmitter levels in parkinsons
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decreased dopamine, increased Ach, increases seratonin
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neurotransmitter levels in alzheimers
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decreased Ach
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neurotransmitter levels for Huntingtons
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decreased GABA and Ach
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what is type II B error?
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when there is a relationship but you say one doesnt exist
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What fetal blood vessels/ structures are not in adult circulation?
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ductous venosus- ligamentum venosus
ductus arteriosus- ligamentum arteriosus umbilical artery-medial umbilical ligament umbilical vein- ligamentum teres in falciform ligament foramen ovale= fossa ovalis |
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Your patient is on HAART and taking zidovudine- whats its mechanism of action and bad side effect?
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zidovudine is a nucleoside reverse transcriptase inhibitor so no DNA is made
causes megaloblastic anemia and bone marrow suppression |
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Your patient on HAART is on ritonavir. what is the MOA
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protease inhibitor-cleaves mRNA
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Why do SA and AV nodes have automaticity?
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Due to phase 4 slow and spontaneous diastolic depolarization of Na conductance
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pediatric patient has nausea and her blood glucose is over 500. What other lab findings will you see?
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Diabetic Ketoacidosis:
high H+ low HCO3- high ketones in urine and blood leukocytosis hyperkalemia (in plasma not in cells) metabolic acidosis anion gap |
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what organisms cause infective endocarditis?
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staph aureus= #1
viridans strep enterococci coagulase neg staph (epidermidis) culture neg endocarditis= HACEK Haemophilus Actinobacillis Cardiobacterium Eikenella Kingella |
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How does varenicline work?
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partial agoinst of nicotinic Ach receptors- used for smoking cessation
black box warning for suicide and depression |