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uworld

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Episiotomy- cuts between?   show
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show Muscles, serosa, heart, lymphatics, internal genitalia, kidney ureters, spleen , connective tissue, adrenal cortex  
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show Suprarenal, aorta, duodenum, pancreas, ureters , colon , esophagus, rectum  
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show chromosome 3 p (Von hippel-lindau) rare, AD, clear cell renal carcinomas, cerebellar hemangioblastoma, pheochromocytoma VHL INHIBITS HYPOXIA - INDUCIBLE FACTORS (OVEREXPRESSION OF VEGF/PDGF), SO ANGIOGENESIS  
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C-myc (burkitt lymphoma) and LDBCL?   show
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show Chromosome 17  
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Rb tumor___ retinoblastoma and osteosarcoma   show
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WT-1 / wilms tumor   show
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show intracellular: cell-mediated (CD4 AND CD 8,cytotoxic t-cells, macrophages, cytokines) extracellular: humoral (b-cells and antibodies) and neutrophils  
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show Obligate: Unable to generate ATP independent of host à Chlamydia, Rickettsia, Coxiella Facultative: Able to generate ATP independent of host à Mycobacterium, Listeria, Legionella, Yersinia, Neisseria, Salmonella, Brucella, Francisella  
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show X-linked agammaglobulinemia. mutation in Bruton tyrosine kinase so lack of development of mature b cells. lymph nodes lack germinal centers.  
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in obese person (BMI >30) use body weight lower than pt body weight. WHY?   show
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show mild: oral glucose/ juice moderate: fast acting carbs, candy, sweetened juice severe: IV glucose/ (50% dextrose ampule) in medical setting. or IM glucagon (hepatic glycogenolysis and gluconeogenesis) , if both cant be done, give oral glucose stuff etc  
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sickle cell anemia?   show
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show Trypanosoma cruzi- mega colon, achalasia, cardiomyopathy HIV/ Immunocompromised- infectious esophagus candida albicans- exudative esophagus, concurrent oral thrush cytomegalovirus- ulcerative esophagitis, distal esophagus.  
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Perfusion limited and diffusion limited gas exchange difference?   show
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menopause hormone elevation?   show
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potter sequence causes?   show
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descending aorta lies?   show
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show smoking hx, hyperinflated chest, SOB, flattened diaphragm and narrowed mediastinum. increased residual volume,  
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show lack of proofreading from 3'-->5' exonuclease in RNA polymerase of envelope protiens.  
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show A2-OS interval  
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show PRIMARY: lower lobe ipsilateral hilar lymph node, ghon focus-->ghon complex--> latent(secondary), resolved or progressive (miliary) SECONDARY: reactivation of previous tb in lungs MILIARY: Hematogenous spread to many organs  
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show This is done by monoclonal antibodies, like pembrolizumab and nivolumab (on t cells) or atezolizumab (cancer cells) this causes cytotoxic t-cell to BE ACTIVE and prevents t-cell exhaustion.  
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is it good or bad to show neoantigens?   show
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show types 6 and 11. Stratified squamous epithelium(found in anal canal, vagina, cervix, true vocal cords) can be passed from mom to infant  
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stomach functions? what must be supplemented after gastrectomy?   show
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causes of acute pancreatitis?   show
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DNA-binding protein?   show
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show posterior upper lobes and basilar lower lobes respectively. more likely to aspirate on the right (take a bite, goes down right)  
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Pathogenesis of Neisseria meningitidis?   show
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heparin antidote warfarin antidote   show
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show Bicuspid aortic valve ASD, VSD, complete AV canal mitral valve prolapse  
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show non type: bacteremia, pneumonia, otitis media, epiglottitis b-type: MENINGITIS  
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Propranolol administered with epinephrine cause?   show
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show Increase cAMP in cardiac muscle cells (B1)- used in septic shock. NE acts on a1,a2,b1 (vasocon, inc HR, dec insulin and GI motiliy)  
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Wolf Parkinson White syndrome?   show
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show multiple resections or extensive intestinal disease resulting in loss of absorptive area s vitamin deficiencies (B-12) with peripheral neuropathy, subacute combined degeneration, and macrocytic anemia.  
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How to correct met. Acidosis due to DKA?   show
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Cluster headache ?   show
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show HIT 1- mild thrombocytopenia, platelet clumping, heparin continued, HIT-2 - confromational change in platelet factor 4 so igG antibodies and splenic macrophages destroy these. happens 5-10 days after administering heparin. Switch to non-heparin anticoa  
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Opsonins?   show
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Pancreatice adenocarcinoma risk factors?   show
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