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8. Associated with an increase in airway resistance, presented by a combination of either increased mucus, airway
inflammation, and smooth muscle constriction
- emphysema c. respiratory lung disease
- status asthmaticus d. all of the above
18. Total volume of exhaled air, from a maximal inspiration to a maximal exhalation -vital capacity
19. Volume of air in the lung at the end of exhalation during quiet breathing -functional residual capacity
20. Distinguish different types of pulmonary disease -RV/TLC ratio
21. Volume of gas that is moved per unit of time -minute ventilation
HAV- A
HBV- B
HCV- B
HDV- B
HEV- A
23. Shed in the stool for 2-3 weeks before and 1 week after the onset of jaundice- HAV
24. IV drug use- HCV
25. Superinfection of a chronic carrier of HBV with a new inoculum of HDV- HDV
26. Enterically transmitted; endemic in india- HEV
27. Transmitted vertically- HBV
32. HBeAg positive, high levels of HBV DNA (1billion IU/ml), normal serum aminotransferases, low risk of liver damage-
Immune tolerance
33. Fluctuating ALT, variable levels of HBV DNA- Immune active/ Immune clearance
34. Llow HBV DNA, HB eAb positive, normal liver function test; resolution- Immune control
35. Presence of HBeAb, high HBV DNA, liver damage may again occur- Immune reactivation/ Immune escapes
36. acetaldehyde and acetic acid- Ethanol
37. glycol-aldehyde, glycolic acid, glyoxylic acid- Ethylene glycol
38. formaldehyde, formic acid- Methanol
39. acetone- Isopropyl alcohol
40. massive intake of solute free fluid- hyponatremia
41. gastric losses, leaky membranes, shifts from extracellular to intracellular- hypokalemia
42. increased cellular uptake- hypophosphatemia
43. phosphorus deficiency- hypomagnesemia
44. extrahepatic biliary atresia; idiopathic sepsis- Neonatal cholestasis
45. prominent activated Kupffer cells and mild portal inflammation- Cholestasis of Sepsis
46. interlobular bile ducts actively destroyed by lymphocytic or plasmacytic inflammation; florid duct lesion - Primary biliary
cirrhosis
47. largest ducts- chronic inflammation; scarring- Primary sclerosing cholangitis
liver- A
pancreas- B
heart- C
skin- D
joint synovial linings- E
77. Hepatic artery obstruction- impaired blood flow into the liver
78. Peritoneal sepsis- impaired blood flow into the liver
79. Banti syndrome- impaired blood flow into the liver
80. Cirrhosis most common intrahepatic cause of portal blood flow- impaired blood flow through the liver
81. Passive congestion- impaired blood flow through the liver
82. Hepatic vein thrombosis (budd-chiari syndrome)- hepatic vein outflow obstruction
83. Sinusoidal obstruction syndrome- hepatic vein outflow obstruction
84. Isoniazid- mimicking chronic viral hepatitis
85. Minocyclin- autoimmune-like hepatitis
86. Steatosis- total parenteral nutrition
87. Reye syndrome- aspirin
88. Type 1 DM
89. massive autoimmune attack of the B cells of the pancreas
90. ketoacidosis is common
91. absolute deficiency of insulin
92. Type 2 DM
93. dysfunctional B cells and insulin resistance
94. responsive to oral hypoglycemic drugs
95. inability of B cells to produce appropriate quantities of insulin
98. Acute cholecystitis - enlarged & tense; bright red or blotchy, violaceous color
99. Chronic cholecystitis - may be contracted, submucosa and serosa thickened from fibrosis
100. Gangrenous cholecystitis - wall thickened, edematous and hyperemic into a green-black necrotic organ
101. Empyema of gallbladder - contained exudate is mostly pus
102. Trace the probable pathogenesis of acute pancreatitis
103. obstruction and increase intraductal pressure
104. lipase secretion
105. local fat necrosis; injures periacinar myofibroblasts
106. leaky microvasculature
107. ischemic injury to acinar cells
109. Vasovagal syncope has prodrome of nausea, diaphoresis, and pallor triggered by fear and unpleasant event
- True
118. primary headache includes tension headache, migraine and trigeminal autonomic cephalgia
- True
119. vestibular disease
- Inner ear
120. proximal weakness
- difficulty with movements such as combing hair, reaching up to shelf, getting up out of a chair or climbing
121. vasovagal syncope
- prodome of nausea, diaphoresis, and pallor triggered by a fearful or unpleasant event
122. epilepsy, except
- 60-70% of affected patients brain tumor
123. toni-clonic motor activity
- bowel or bowel incontinence, postictal state characterize generalize seizures. tongue biting or bruisibg of limbs.
m.c, in infants and older adults
124. Important component of temporal lobe- Hippocampus, Amygdala, Lower optic radiation
125. Travels up the dorsal column or the spinothalamic tract into the brain stem- Afferent pathway
126. Motor tracts except- exit via dorsal nerve root
127. Afferent pathway except- reflex
128. Correct paired cranial nerves except- T11
129. Makes up the brachial plexus- C5-T1
130. Bulbar palsy is lower motor neuron lesions- true
131. Frontal lobe except - GAIT (other choices: executive function, decision making, restraint of emotions)
132. Broca's area - LEFT POSTERIOR INFERIOR FRONTAL LOBE
133. Postcentral gyrus – SENSORY
134. Functions of parietal lobe except - visual awareness
135. Functions of temporal lobe except – speech
136. Components of temporal lobe except - broca's area
137. Describe, differentiate, functional, Upper motor neurons
138. Components of basal ganglia- Thalamus
139. A key regulator of homeostasis via autonomic and neuroendocrine system- C.Hypothalamus
140. Brain stem consist of except- Diencephalon
141. Lewy bodies-
142. Parkinsons Disease
143. Neurofibrillary tangle- Tau protein
144. No sensory defect- Amyotrophic Lateral Sclerosis
145. Pseudobulbar palsy caused by UMN lesion- TRUE/FALSE
146. Bulbar palsy caused by LMN- TRUE/FALSE
147. Muscle contraction caused by LMN signaled by UMN- TRUE/FALSE
206. Pericardial effusion is the accumulation of a type of fluid in the pericardium of the heart
- True
207. Cardiac tamponade can cause a decrease in
- Cardiac output
208. Probable cause of myedema
- Hypothyroidism
46 year old female with a history of metastatic adenocarcinoma of the breast. 3 days increasing dyspnea with exertion
and generalized weakness. She denies of chest pain, cough/ congestion, any fever/chills. She is currently between
chemotherapeutic courses. Not currently undergoing radiation treatment. She presents awake/alert, not in respiratory
distress while at rest. T 97.7 P 105 BP 110/80 RR 20.
- Gen: WDWn, thin
- CV: tachycardia, RR
- Pulm: lungs clear bilateral, chest wall shows left sided mastectomy
- Neck: no JVD, trachea midline
- Abd: soft, non tender
- Ext: warm, no cyanosis, no edema
210. Plasma lipids that is used in diagnosing and management of lipoprotein disorders
- Cholesterol and Triglycerides
211. What is the predominant lipid after taking the blood sample of a 25 year old male who had just binge eating:
Triglycerides= 260 mg/dl, Cholesterol= 136 mg/dl
- Chylomicrons
244. 56 year old woman having exertional dyspnea, having 74 bpm, 15cpm, history of cancer. What is your impression
- Restrictive cardiomyopathy
245. Mechanism
- Dysfunction of diastolic filling
246. Morphological characteristic
- Assymetrical hypertrophy
247. 20 year old male rushed to the hospital having difficulty of breathing. Died after 10 minutes with failed resuscitation.
History if iv drug use. What is your impression
- Acute infective endocarditis
248. Soldiers plaque
- Chronic
249. 4 genes coding protein
- Hyper
250. Etiologic agent for caseous
- M. tuberculosis
251. Not likely true about cardiac myxoma
- More commonly seen in left atrium? more commonly seen in the ventricles?
252. Most characteristic lesion in acute rheumatic fever
- Aschoff bodies? MacCallum plaques?
253. Characteristics of “fishmouth/button hole”
- Chronic rheumatic heart disease
254. 20% defect spontaneously in first year of life
- ASD
255. Most occurring congenital type
- VSD
256. Common TOF
- VSD
257. Changes associated with BUO, except
- Inc RBF approx 90 mins
258. Ureteral and tubular pressure are inc for the first 4-5 hours
- Little early vasodialation is seen
259. All
260. None
272. Common location of sinusitis in a 23 year old medical student - maxillary sinus
273. patient with bronchial asthma- resorption atelectasis
274. cigarette smoker with excessive pleural adhesion- compression atelectasi????
275. tension pneumothorax- compression atelectasis
276. aspiration of foreign material- resorption atelectasis
285. Rapid changes in weight over a few days, suggest changes in body - fluids