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202 Cards in this Set
- Front
- Back
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thoracodorsal n
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unable to wipe bottom
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suprascapular
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trouble initiating arm abduction
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n runs with lateral thoracic a
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long thoracic n
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n runs with deep brachial a
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radial n
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median n
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loss of forearm protonation
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hemochromatosis
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hla-A3
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PAIR ankylosing spondylitis
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HLA-B27
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Graves' Dz
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HLA-B8
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axillary LN
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upper limb
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celiac LN
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stomach drains into
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sup mesenteric LN
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duodenum, jejunum drains to
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colic --> inf mesentery
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sigmoid colon drains to
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internal iliac
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rectum above pectinate drains to
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superficial inguinal
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anal canal drains to
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superficial/deep plexus -> paraaortic LN
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testes drains to
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superficial inguinal
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scrotum drains to
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superficial inguinal
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thigh drains to
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thoracic duct
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drains to L subclavian & int jugular
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right Lymphatics
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drains to brachiocephalic v
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IL-12, IFN b, IFN a
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enhance NK cells
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T cells
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TCR
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CD 21
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EBV receptor on B cells
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helper T cell
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CD4
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B cell
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CD19,20,21
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Macrophage
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MHC II
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NK cell
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MHC I
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protection from complement
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CD 55
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IL1
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stim endothelium adhesion molecues
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IL6
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fever
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IL8
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major Neutrophil chemotaxis
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Neutrophil chemotaxis
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IL8
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IL12
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Tcells into Th1 cells
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secreted by Macrophage
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IL 1,6,8,12
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TNF a
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septic shock
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secreted by Th1 cells
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IL2
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secreted by Th2 cells
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IL4
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IL5
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stim eosinophils
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interferons a & b
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induce ribonucleases
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IFN y
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incr MHC I and II
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IL3
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all T cells secrete
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bacteria w Ag variation
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Salmonella (2 flagellar)
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IFN a & b
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released by virally infected cells
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IFN y
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inhibits prod of Th2 cells
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terminal deoxynucleotidyl transferase
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adds DNA during recombination of Ab diversity (B cells)
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C3b & IgG
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primary opsinins
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self cells protected against complement
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CD55
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PNH
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impaired GPI = no DAF
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preformed Ab= passive immunity dzs
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To Be Healed Rapid
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granulomatous dz
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fungal (histo, blasto)
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type 1
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MOA of hypersensitivity
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type 2
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Ab mediated hypersensitivity
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type 3
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Arthus reaction
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type 4
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T cell mediated
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B cell Dzs
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Bruton's
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T cell Dzs
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DiGeorges
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B & T cell Dzs
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SCIDS
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Phagocyte Dzs
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Chediak & Job Chronicallly Lack phagocytes
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DiGeorges
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young child w tetany from hypoCa++ and candidiasis
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CGD
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young child with recurrent lung infxn and granulomatous lesions
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ectoderm
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2yo child multi viral and fungal infxn, hypoPTH, what germ layer gives rise to missing organ?
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Job
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repeated Staph abcesses, neutrophils don't respond to stimuli
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DiGeorges
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heart defects and repeat viral infxn, low T cells
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Bruton's
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no tyrosine kinase gene, low Ig of all classes
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Hyper IgM
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defective CD40L
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IgA def
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milk allergy
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CVID
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defect in B cell maturation
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IL-12 receptor def
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disseminated mycobacterial infxn
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IL-2 r, ADA def, MHC II def
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3 types of SCID
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SCID
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high adenine
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ataxia telangiectasia
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DNA repair enzyme defect
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Wiskott-Aldrich
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X-recessive
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Leukocyte Adhesion Def
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defect in LFA-1 integrin
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Chediak Higashi
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pyogenic infxn
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def of MAC C5-9
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recurrent Neisseria infxn
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EEG waveforms
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BATS Drink Blood
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REM sleep
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like sex: incr pulse, clit tumescence, decr w age
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Narcolepsy
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Cataplexy (sleep w laughter)
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Modafinil
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D.O.C for narcolepsy
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SEM * 2 +_ mean
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how do you determine 95% confidence interval?
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3rd gen cephalosporins uses
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serious gram -
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4th gen cephalosporin uses
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pseudomonas & gram +
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aztrenonam USE
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binds PBP3
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how is aztreonam & aminoglycosides similar?
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serious gram - infxn
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imipenem & meropenem
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enterococci
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next step in TX otitis if resistant to amoxicillin
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Augmentin
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incr nephrotox of aminoglycosides
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cephalosporins
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Sx of Haemophilus inf
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EMOP
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Sx of Pseudomonas
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PSEUDO
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Enterobacteriacae
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gut PESKSS
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most common cause of gram - sepsis
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1. Ecoli
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Protease MOA
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carries urease
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Klebsiella Sx
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4 A's
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urease +
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H. pylori
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cat scratch
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bartonella henselae transmission
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dog/cat bite
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pasturella multocida transmission
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cat feces
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toxoplasmosis transmission
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puppy feces
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Yersinia enterocolitica transmission
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animal urine
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leptospira transmission
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rat bites
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spirillum minus transmission
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spirochetes
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BLT
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Reiter's synd bug
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shigella flexneri
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osteomyelitis in DM pt
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pseudomonas
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catalase & SOD
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enzymes anaerobes lack?
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motile organism cause UTI
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Proteus
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borrelia lyme dz
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40 yo w acute unilateral knee pain and bilateral Bell's palsy
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Uses for macrolides
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PUS
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most common UTI bugs
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PEcK+ S. Saphrophyticus
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drugs for anaerobic infxn
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Metro, clindamycin, imipenem
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use of Metronidazole
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GET GAP on the metro
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Metronidazole MOA
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from free rads in bacteria- damage DNA
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H pylori triple therapy
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ppi, clathromycin, amoxicillin/metro
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effective against Pseudomonas
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TCP
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olfactory hallucinations
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ViAO = De Sc Ep tion
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TCA SE
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Tri=C's
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high potency neuroleptics SE
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haloperidol, trifluoperazine, fluphenazine
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low potency neuroleptics SE
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thioridazine, chlorpromazine
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patient on diphenhydramine & dementia wants sleep meds RX=
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trazadone
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benzos and barbituates MOA
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incr GABA (cl- channel vs duration)
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SNRIs=
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venlafaxine, duloxetine, Nefanizone
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MAOIs=
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the MAOI PITS
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NDRI=
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Buproprion
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tetracyclics=
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Mirtazapine= use for Depression w insomnia
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prevent relapse in alcoholics
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1 AA
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osteomyelitis in diabetic patient
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pseudomonas
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macrolide uses
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PUS
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unique properties of this Rickettsial organism
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Coxiella Burnetti
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zoonotic bacteria
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Big Bad Bed Bugs From Your Pet (Ella)
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chlamydia trachomatis sx
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50% subclinical
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C. pneumoniae & psittaci sx
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atypical pneumonia (aerosol)
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antibiotics contra in hepatic insufficiency
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MCMCRT
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ghon focus=
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calcified scar
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ghon complex=
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ghon focus + hilar nodes
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Mycobacterium kensaii sx
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cause pulm TB-like sx in COPD pt
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Mycobacterium kensaii sx in child
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cause cervical lymphadenitis in children
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imp SE of Ethambutol
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red-green color blindness
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Rifampin uses
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TB & leprosy
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macrolide drugs
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Azithromycin class
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class by itself
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Clindamycin classification
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fetal erythropoiesis
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Young Liver Syn Blood
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Truncus Arteriosus
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ascend. Aorta/Pulm trunk embryol structure
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Bulbis Cordis
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R ventr and smooth parts of L&R ventri embrol structure
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trabeculated parts of L&R ventri
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L ventricle embryl structure
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pain radiating to back
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acute pancreatitis
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patent urachus
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urine discharge from umbilicus
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vitelline duct
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meconium discharge from umbilicus
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primitive atria
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trabeculated L&R atria
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R horn of SV
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smooth part of R atria
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R common carotid v & R anterior v
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SVC embrological structure
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L horn of SV
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coronary sinus
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Neural Crest
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MAD CAPS CAPS
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aortic derivatives
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1= Max. a
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branchial Cleft derivatives
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1= ext Auditory meatus
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Branchial Arch derviatives
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1st date= M's & T's (masticate)
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hypochloremic metabolic alkalosis w hypoKalemia, nonbilious projectile vomiting
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Cong plylori stenosis
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problems of diabetic mother's kids?
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Transposition of great vessels
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heart defect a/w Cong rubella
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septal defects, PDA, pulm a stenosis
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heart defects a/w Turner's synd
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preductal coarctation
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22q11 synd (DiGeorges)
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Truncus Arteriosus, TOF
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short female, no Barr body
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Turner's synd sx
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XXY chromosome
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Klinefelter's chromosomes:
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unable to generate DHT
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5a reductase def results=
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male with Barr body in neutrophils
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Klinefelter's sx
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ambiguous genitalia until puberty then masculine
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5a reductase def sx
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Abx to avoid in Preg
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SAFE Moms Take Really Good Care
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what infxn a/w birds?
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Histo
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cASPofungin
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cell wall inhibitor used in invasive aspergillosis
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helminths enter thru skin
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SANd
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Enterobius common
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most common helminth in US
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Ascaris lumbricoides common
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1/3 world infected w
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meBENDazole use
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hookworm, pinworm, roundworm TX (best guess for roundworms)
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Metronidazole use
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GET GAP on the Metro
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praziquantal use
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most all flukes and tapeworms
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Chagas Dz transmitted by
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Reduviid bug vector for
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bacterial endocarditis Sx
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bacteria FROM JANE
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org cause culture neg endocarditis
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HACEK org cause
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Rheumatic Fever sx
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RC FEVERS
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Sturge-Weber dz sx
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Glaucoma SLAP ed
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Takayasu arteritis sx
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FAN MY SKIN On Wed
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antihypertensive safe to use in preg
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hydralazine, labetalol ,methyldopa, nifidepine
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5 deadly causes of acute chest pain
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1. aortic dissection
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most common cause of aortic stenosis
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bicuspid aortic valve
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TX for chronic Heart fail.
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diuretics,
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TX for acute Heart fail
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stop b blockers
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when do you see pulsus paradoxus
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tamponade
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most common location for atherosclerosis
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Aortic > coronary >popliteal > carotids
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live attenuated vaccines
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Live! see small yellow chickens get vaccinated w Sabin's and MMR!
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Killed vaccines
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RIP Always
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recombinant vaccines
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hep B (Ag= recombinant HBsAg)
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egg based vaccines
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influenza, yellow fever vaccines
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parvovirus
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which is ssDNA virus
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reovirus
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which is dsRNA virus
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naked (nonenveloped) viruses
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naked CPR and PAPP smears
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DNA viruses
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HHAPPPPy
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herpes viruses
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herpes in a CHEV
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DNA virus characteristics
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double stranded (not parvo)
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segmented viruses
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BOAR
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Neg stranded virus
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Always Bring Polymerase Or Fail Replication
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Picornaviruses=
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PERCH
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hepatitis v sx
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A= Asymptomatic, acute, alone
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most common causes of pneumonia in 4wk-18yr
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Runts May Cough Sputum
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cause of common cold
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corona and rhino virus
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meningitis in summer months
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echovirus, coxsackie, enterovirus
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