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WorksheetsPH-PHR121L Cases for Midterms
Total questions: 60
Worksheet time: 35mins
Which of the following populations are at risk of having Myasthenia Gravis?
Women between ages 20-40
People with a family history of autoimmune disease
People who are overweight
Men between ages 20-40
An enzyme or drug that blocks the action of acetylcholinesterase thus increasing stimulating effect on muscles
Anticholinesterase
Acetylcholine
Nicotine
Dopamine
Which channels are opened due to the arrival of an action potential from the motor neuron to the presynaptic terminals?
Sodium
Magnesium
Calcium
Potassium
Which ions are released upon binding of Ach to its receptors in the postsynaptic muscle fiber?
Sodium
Magnesium
Calcium
Potassium
A pharmacologic agent used as a diagnostic tool for Myasthenia Gravis
Atropine
Edrophonium Chloride
Corticosteroids
Pyridostigmine
A symptom of MG that refers to blurred or double vision
Ptosis
Dysarthria
Polyphagia
Diplopia
It is the space between the presynaptic terminal and the postsynaptic membrane of the neuromuscular junction
Axon Terminal
Synaptic Cleft
Vesicles
AChE Receptors
Which of the following is not a common symptom of Myasthenia Gravis?
Ptosis
Dysarthria
Polyphagia
Diplopia
Myasthenic Crisis is a life-threatening manifestation of MG affecting the diaphragm and breathing muscles leading to
Immunodeficiency
Hypoxia
Hypovolemia
Respiratory Failure
A procedure done for patients with severe symptoms of MG that involves removal of harmful antibodies in the plasma
Plasmapheresis
Thymectomy
EMG
Condition in which the body’s B-Cells produce autoantibodies that bind to Nicotinic AChE receptors thus inhibiting muscle contraction
Osteoarthritis
Myasthenia Gravis
Diabetes Mellitus
Parkinsons Disease
A small endocrine gland located behind the sternum that is only active until puberty and is important during immune system development
Parathyroid
Thyroid
Thymus
Pancreas
A surgical procedure that deals with the removal of benign or slow-growing tumors in the thymus gland
Plasmapheresis
Thymectomy
EMG
Group of drugs that suppresses autoimmunity and limits antibody production (e..g, prednisone)
Immunosuppressants
Non-steroidal Anti-inflammatory Drugs
Anticholinesterase Inhibitors
Corticosteroids
[BONUS - 2 MINUTES] Which Philippine politician has recently publicly announced that he is suffering from Myasthenia Gravis?
Rodrigo Roa Duterte
Vico Sotto
Juan Ponce Enrile
Franklin Drilon
A chronic degenerative disease involving the cartilage that is also known as wear-and-tear arthritis
Rheumatoid Arthritis
Osteoarthritis
Psoriatic Arthritis
Gout
Cells of mature cartilage that occur singly or in groups within spaces in the extracellular matrix of the bone
Monocyte
Osteocyte
Chondrocyte
Fibrocyte
Which of the following statements are TRUE?
Men are more likely to develop osteoarthritis than women
The risk of OA increases with age
Genetics play a key role in developing OA
Osteoarthritis (OA) is the most common degenerative joint disorder characterized by
Cartilage Degradation
Tissue Hyperproliferation
Autoimmunity
Synovial Inflammation
A group of enzymes responsible for the degradation of cartilage
Interleukins (IL)
TNF-Alpha
TGF-Beta
Metalloproteinases (MMPs)
In Osteoarthritis, synthesis of MMPs is greatly _________ and the available inhibitors are overwhelmed, resulting in ___________.
Decreased, net degradation
Increased, net degradation
Decreased, net synthesis
Increased, net synthesis
Bumps or swelling found on the lower joints called the proximal interphalangeal joints of the hands
Bouchard’s Nodes
Heberden’s Nodes
Osteophytes
The Synovial/Joint Fluid Test is used to rule out similar joint conditions such as
Rheumatoid Arthritis
Psoriatic Arthritis
Gout
Ankylosing Spondylitis
Type of arthritis that is characterized by the build-up of uric acid crystals around the affected area
Rheumatoid Arthritis
Psoriatic Arthritis
Gout
Ankylosing Spondylitis
Type of joint affected by osteoarthritis
Synovial Joints
Cartilaginous Joints
Components of the extracellular matrix that contributes to the overall elasticity and high tensile strength of joints
Type II Collagen
Chondrocytes
Proteoglycans
The following are examples of proteoglycans except
Hyaluronic Acid
Chondroitin Sulfate
Keratin Sulfate
Type II Collagen
Bony projections that develop along bone edges and often form where bones meet each other at the joints; a hallmark sign of OA
Bouchard's Nodes
Heberden's Nodes
Osteocytes
Pharmacological treatments for OA focus on:
Reducing pain and inflammation
Boosting immune system for antibody production
Weight reduction and improvement of general mobility
Nutritional supplementation
Non-pharmacologic treatments for OA focus on:
Reducing pain and inflammation
Boosting immune system for antibody production
Weight reduction and improvement of general mobility
Nutritional supplementation
Term used to describe slowness of movement; a hallmark feature of PD
Akinesia
Bradykinesia
Hypomimia
Micrographia
Which of the following statements are TRUE?
Men are more likely to develop the disease than women
Young people suffer from PD more than old people.
Risk of developing PD is higher if with family history of the disease
PD is characterized by the loss of nerve cells in the _____________ of the brain.
Diencephalon
Cerebrum
Substantia Nigra Pars Reticulata
Substantia Nigra Pars Compacta
Which region of the brain is the substantia nigra located?
Pons
Basal Ganglia
Medulla Oblongata
Brain Stem
It is the neurotransmitter implicated in Parkinson’s Disease
Endorphin
Serotonin
Dopamine
Enkephalins
Abnormal eosinophilic cells that develop inside nerve cells of patients with PD
Lewy Bodies
MPPP
Gaucher Cells
Leukocytes
A diagnosis of PD can be made with at least two of the three cardinal signs, including:
Resting Tremor
Bradykinesia
Distonia
Rigidity
Aside from motor symptoms, patients with PD may also experience non-motor symptoms such as:
Depression and Anxiety
Micrographia
Postural Instability
Loss of sense of smell
A parkinsonian tremor of the hand consisting of flexion and extension of the fingers in connection with adduction and abduction of the thumb.
Resting Tremor
Pill-Rolling Tremor
Physiologic Tremor
The widely used clinical rating scale for Parkinson’s Disease (Acronym not allowed)
(a)
Main strategy in pharmacologic treatment for PD
Stop or arrest neurodegenration
Increase dopamine signaling
Repair substanti nigra cells
Precursor of Dopamine that is administered to patients with PD since Dopamine is not able to cross the blood-brain barrier
Levodopa
Carbidopa
Dopa Decarboxylase
Administered together with Levodopa to avoid unwanted side-effects such as arrhythmia due to peripheral Dopa Decarboxylase Conversion
Amantadine
Carbidopa
Bromocriptine
Which of the following enzymes degrade Dopamine?
Monoamine Oxidase B
Catechol-O-Methyltransferase
Dopa Decarboxylase
[BONUS - 2 MINUTES] Which actress portrayed a character with early onset Parkinson’s Disease in the film Love and Other Drugs?
Emma Watson
Margot Robbie
Anne Hathaway
Emma Stone
Type of Diabetes Mellitus characterized by insulin resistance
Type 1 DM
Type 2 DM
Gestational Diabetes
Type of Diabetes Mellitus characterized by autoantibodies that attack insulin producing cells resulting in the inability of the body to make enough insulin
Type 1 DM
Type 2 DM
Gestational Diabetes
Gestational Diabetes usually develops in pregnant women during the
First Trimester
Second Trimester
Third Trimester
A gland which has both exocrine and endocrine functions
Parathyroid
Thymus
Pancreas
Thyroid
Cells in the pancreatic islets (Islets of Langerhans) responsible for the production of insulin
Alpha or A Cells
Beta or B Cells
Delta or D Cells
F Cells
Term referring to excessive thirst and is considered as one of the initial symptoms of diabetes
Polyphagia
Polyuria
Polydipsia
Another initial symptom of diabetes which refers to a condition of extreme or excessive hunger
Polyphagia
Polyuria
Polydipsia
Characterized by elevated blood levels of glucose
Hyperkalemia
Hypokalemia
Hyperglycemia
Hypoglycemia
Which of the following are risk factors for developing Type II Diabetes?
Age less than 5 years old
Sex
Obesity
Sedentary Lifestyle
Hormone produced by the pancreas targets the liver and raises blood glucose levels by increasing the breakdown of glycogen into glucose (glycogenolysis)
Insulin
Glucagon
Somatostatin
Pancreatic Polypeptide
A blood test that measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells, and provides average levels of blood glucose over the past 3 months.
Fasting Plasma Glucose Test
Random Plasma Glucose Test
Gylcated Hemoglobin (HbA1C) Test
Oral Glucose Tolerance Test
Type of Diabetes Mellitus that is preventable
Type 1 DM
Type 2 DM
Gestational Diabetes
Treatment for Type 1 Diabetes since these patients, while not able to make insulin, are still reactive to insulin
Surgery
Lifetime Insulin
SGLT-2 Inhibitors
Metformin
Complications of uncontrolled diabetes characterized by damages to the afferent and efferent arterioles, as well as the glomerulus
Stocking Glove Distributuon
Diabetic Retinopathy
Nephrotic Syndrome
Galucoma
According to the Department of Health, Diabetes is the _________ cause of Mortality (Death) in the Philippines in 2013.
Top 1
Top 5
Top 6
Top 10
