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Simple Medicine

NBME common topics

Updated: Feb 23, 2022

Biochem:

Gaucher's disease

I-cell disease

Tay Sach's disease

Pompe's disease

MELAS

Collagen synthesis (hydroxylation of proline, diseases associated with primary, secondary and tertiary structures)

Wernicke Korsakoff

Loss of protein = methionine needed for protein synthesis

Pyruvate kinase deficiency and G6PD defi

Homocysteinuria

Lipoprotiens (APO C-2

Starvation state

Vitamin B3 is part of a cofactor (thiamine pyrophosphate) that contains adenine.

Vitamin B12 and Vitamin B9 difference (increased homocysteine in both but normal methylmalonic acid).

Effect of epinephrine on hypoglycemia: Stimulates hepatic glucose production

Fed state and fasting state enzymes

Morphine (how it causes deterioration)

Iron deficiency anemia lab findings

Glycogen phosphorylase deficiency

G - protein

Acid hydrolases found in lysosomes

Blotting


Genetics:

2 siblings have 1/4 chance of having identical HLA genes

Hardy Weingburg

Gluthathione reductase similar to G6PD

Modes of inheritance and probability

Heteroplasmy

Gonadal mosaism


Immuno:

Hypersensitivity (type 3)


GI

Intrinsic factor from parietal cells

Peutz Jeghers




MSK:

Bullous Pemphigoid and Pemphigus Vulgaris

Brachial plexus and Lumbar plexus

Brachial cyst

Osteosarcoma

NSAIDS

Cyclosporine

Tuberous sclerosis

Sciatica

Psoriasis

Fracture and dislocation of hand bones

Sarcomere (M line, A line and z line)

Chondrosarcoma

Rosacea

Apocrine glands (cause odor due to fat secretion)

Osteoid osteoma

Tennis elbow: inflammed extensor carpi radialis brevis

Gouty athritis

Actinic keratosis

Rotator cuff muscles

Dysplastic nevi

Metastasis: Bone into lung, Breast into pericardium, Prostate to bone, colon to liver, heart to brain, DVT to lung

Position for needle in thoracentesis at midaxillary line? 9th intercostal space

Flexor digitorum profundus damaged if we cannot flex the distal phalynges

CREST syndrome and Raynaud's phenomenon

Hereditary hemorrhagic telangiectasia.

Cell junctions, desmosomes, skin layers

Alendronate

Leucovorin

Gout

Cell cycle

GCSF

Probenecid

Muscles of mastication

Achondroplasia

Kidney stones

Paget's disease

Dermatomyositis



Neuro:

Myasthenia Gravis and Lambert Eaton Syndrome

Alcohol (formic acid,

Pediatric and Adult tumors: Pinealoma, Craniopharyngeoma, Glioblastoma

Neurotransmitters

Baclofen

Cranial nerve signs

Narcolepsy

Stimulation of certain receptors

Brain Hematomas: Epidural, subdural, subarachnoid

Parts of the cerebral hemisphere functions

Spinal cord lesions

Damage to Basal ganglia: Parkinson's, Hungtington's, Internal capsule

How Succinylcholine causes prolonged apnea

Eye circles diagram lesions

Entrapment of inferior rectus and inf oblique muscles occur in fractur of orbital floor

Rabies

Histo seen in brain in time periods after a stroke

Wernike Kossakoff syndrome

NMDA receptors

Multiple sclerosis

Shock

Schwanomma arises from neural crest cells

PICA and other brain stem lesions

Vitamin Deficiencies

PG

Dermatomes

Diuretics: acetazolamide, mannitol

Methamphetamine

Cholinergic drugs: especially succinylcholine, neostigmine, physostigmine, pheostigmine and atropine

Seizure treatments

The foreamens in the skull

Occlusion of Brain supply blood vessels

Relation between O2 and the brain (too much CO2 causes vasocontriction)


Repro:

Tamoxifen

Ovarian tumors

Steroids: suppression of GnRH


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