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23 Cards in this Set
- Front
- Back
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A girl is playing volleyball and gets knocked down by a med student. Her injury is the "unhappy triad" what is this made of?
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medial collateral ligament
ACL lateral meniscus |
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What are the exceptions to informed consent
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emergency
lacks decision making capacity or legally incompetent therapeutic privlege waived |
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you remember Dr. martin's lecture on Arnold-chiari type II malformation as you see your patient with this. She also have syringomyelia. What is that?
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Enlargement of the central canal of spinal cord and dilation distal (BELOW) to that. Usually in C8-T1 and causes cape like distribution of loss of pain and temperature but not touch
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you are osmosis jones. You want to find the B cells in a lymh node where do you go?
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in the follicle
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you are osmosis jones again where do you go to find the T cells in a lymph node
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paracortex
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where do you find the plasma cells in the spleen?
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medullary cords
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where do you find the macrophages in the lymph nide
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medullary sinus
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Pt cant breathe. EKG shows sinusoidal wave pattern of highs and lows. What does this pt have and what can cause it?
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Torsades de pointes!!
defect in cardiac sodium or potassium channel or with sensorineural deafness ( Jervell and Lange-Nielsen syndrome. hypokalemia, and hypomagnesium |
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A patient with peptic ulcer disease comes to you with no relief from the PPI you prescribed. You are so awesome you realize it might be from a tumor! What is this and where is this?
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Zollinger- Ellison- gastrin secreting tumor either pancreatic or duodenal
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If a patient came to you with peptic ulcers, renal stones and hypogonadism what would you think the patient has?
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MEN 1- parathyroid (renal stones) pituitary (hypogonadsim) and pancreas (ulcers)
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symptoms of MEN 2A?
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thyroid cancer, pheochromocytoma and parathyroid
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symptoms of MEN 2B?
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thyroid cancer, pheochromocytoma (NO parathyroid)
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You order rituximab for your patient's Non-hodgkins lymphoma. What is that warrior attacking?
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CD-20 on B cells
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A guy gets fired from his escort service job and says " he doesn't need the job, it doesn't matter" but he's in severe debt because of med school. What kind of defense mechanism is this?
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rationalization- proclaiming logical reasons for actions to avoid self blame
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A 15 year old fit male runner came in with dyspnea. He needs a chest tube due to pneumothorax but his parents arent there. can you save this kids life and be a hero?
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you can be that hero baby!
says enrique inglasias because its an emergency |
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What branchial arch causes facial abnormalities and affects Meckel's cartilage and what cranial nerves are affected?
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branchial arch 1
cranial nerves V2 and V3- maxillary and mandibular. |
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What is the embryological derivative of branchial arches?
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mesoderm (muscles, artreries) and neural crest for bone and cartilage
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What cytokines do Th1 cells secrete?
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IL-2 and IFN-gamma
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What cytokines do Th2 cells secrete?
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IL-4 IL5 Il 10
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What are the symptoms of a first degree heart block? What are the ekg findings?
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asymptomatic and PR elongated more than 5 little blocks- they are married but distant
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What is a non-benzodiazepine that should be avoided in elderly due to confusion?
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zolpidem and zaleplon which bind to BDZ-1 receptors at GABA A; short duration
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A pt comes to you with low back pain that shoots down their leg. What is this and whats the cause?
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sciatica- nucleus pulposus herniation at L5/S1
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what is vaginismus?
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bulbospongiosusand transverse perineal muscles trigger spasms in perivaginal and levator ani muscles.= dyspareunia
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