-
first heart sound is produced by?
closing of the mitral and tricuspid valve
-
second heart sound is produced by
aortic and pulmonic valve
-
most sensitive test for hypothyroid
tsh
-
microcytic anemia with basophillic stippling is ?
lead poisoning
-
periods of deep breathing alt. with periods of no breathing is?
chyene stokes breathing: heart failure
-
describe papule
palable solid lesion sm than .5 cm
-
82 y/o female severe ab pain, post prandial,bloody diaherra afebrile hx of HTN and MI?
mesenteric ischemia
-
tick bite treatment?
doxycycline
-
35 weeks pg positve group b strep when is tx given
at time of delivery
-
patinet has severe pain near nose and mouth involved nerve is from which branchial arch?
third
-
after MVA pt dies from broken neck from small bony fragment driven into spinal column. Which bone?
axis
-
elastic connective tissue is located?
ligament of verterbral col and walls of hollow organs
-
common sx and smp of opitate withdrawl
diaherra piloerction rhinorrhea sweating
-
not a sign of opiate withdrawl
bradypena
-
characterics of tetralogy of fallot?
- rt to left cardiac shunt
- RVH
- large nonrestrictive ventrial spetal defect severe rt ventricular outflow obstruction
-
lab results of myeloid leukiema?
- pancytopenia
- circulating blasts
- Auer Rods
-
lesion with a greasy stuck on appearence
seborric keratosis
-
esophageal achalsia causes
- dysphagia
- of solids and liguids
-
cause of Rocky Mtn Spotted Fever
Rickettsia rickettsii
-
menometrorrhagia is?
excessive or irrengular menstrual bleeding during and between periods
-
injury to the rt orbit results in entrapment of the inferior rectus muscle in the orbit floor. double vision will occur when?
When the patient is looking upward
-
increased lang. output, imcomprehensible unable to comprehend written or verbal language. Where is the lesion located?
temporal lobe
-
MOST common cause of hepatic steatosis in industrialzed nation?
etoh
-
54 y/o male + renal transplant & cyclosporine tx. creat. levels rise
over the NEXT SIX MONTHS what is the needle bx report show?
- Intimal fiborosis
- interstitial fibrosis
- tubular atrophy
-
25 y/o girl + MVA major leg injury loss 600ml of hgb. what would increase in response to hemorrhage?
sympathetic nerve activity
-
somogyi effect?
occurs after an episode of hypoglycemia
-
pain less bumps in gential region skin colored umbilicated 2 mm papules?
molluscum contagiosum
-
Burning epigastric pain AFTER eating ab bloating early satiety wt loss of 8 pounds?
duodenal ulcer
-
painless lesion of penis clear base and indurated borders
syphilis
-
newborn with fever bulging fontanelle and nuchal ridgidity Which test of the CSF?
CAMP test
-
29 y/o girl with AIDS has blurred vision rt eye sm white opaque lesion in retina Which treatment?
gancilovir for CMV
-
nuchal rigidity with headache lumbar puncture shows positve lymphyoctes = viral meningitis. What organism is MOST likely?
Enterovirus
-
sober alcoholics increased sedative requirement is due to what change in the hepatocytes?
markedly increased smooth endoplasmic reticulum
-
what diuertic is most likely to cause hyper kalemia?
triamterne
-
subclinical hypothyroid is what?
elevated TSH normal T4 normal free T4
-
prolonged ppt, normal pt, nml bleeding time, nml fibrinogen levels, nml factor VII antigen levels is what?
hemophilia A
-
what condition presents with Cor Pulmonale, edema, severe hypoxia?
chronic bronchitis
-
herpes simplex is dx with what lab?
giant multinucleated ketinocyte on Giemsastained smear
-
small ulcer on the eye of contact lens wearer is what organism?
Acanthamoeba
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