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USMLE 2CK - anatomy review
brief review of anatomy for USMLE 2CK test
21
Medical
Professional
12/11/2007

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Cards

Term
Meckel diverticulum's rule of 5x2s
Definition

1. 2 inches long,

2. 2 types of epithelia (gastric and pancreatic),

3. 2 feet from ileocecal valve in ileum,

4. 2% of population has it,

5. common in first 2 years of life

persistent vitelline duct or yolk stalk

most common congenital anomaly of GI tract

DDx: omphalomesenteric cyst = cystic dilation of vitelline duct

Term
oligohydramnios
Definition

less than 0.5L of amniotic fluid

associated with

bilateral renal agenesis

or posterior urethral valve in males

Term
polyhydramnios
Definition

over 1.5 to 2 L of amniotic fluid,

associated with esophageal or duodenal atresia and anencephaly

Term
unhappy triad ofknee injury
Definition

due to blow from the side,

3 structures commonly injured:

MCL

medial meniscus

ACL = positive anterior drawer sign

Term
chorea
Definition

sudden, jerky, purposeless

characteristic of Basal ganglia lesion

also look for athetosis: slow writhing of fingers

Term
athetosis
Definition

slow writhing of fingers

characteristic of basal ganglia lesion

also look for chorea

Term
hemiballimus
Definition

sudden wild flailing of 1 arm

characteristic of contralateral subthalamic nucleus lesion

Term
intention tremor
Definition
cerebellar tremor
Term
resting tremor
Definition
basal ganglia tremor
Term
fluent aphasia
Definition
Wernicke's area, also called sensory aphasia, words that make no sense
Term
Kluver-Bucy syndrome
Definition
hyperoral, hypersexual,disinhibitive due to bilateral amygdala lesions
Term
expressive aphasia
Definition
also called motor aphasia or Broca's aphasia, broken speech
Term
spacial neglect syndrome
Definition
right parietal lobe lesion, agnosia of the other (contralateral) side of the world
Term
coma
Definition
lesion of the Reticular Activating System
Term
frontal release sign
Definition
personality change, poor concentration, orientation and judgement due to frontal lobe lesions
Term
lesion in both mamillary bodies
Definition
Wernicke- Korsakoff encephalopathy: confabulation, anterograde amnesia
Term
internuclear ophthalmoplegia 
Definition
lesion in medial lateral fasciculus due to Multiple Sclerosis, results in medial rectus palsy on attempted lateral gaze + nystagmus on the abducting eye BUT convergence is normal.[image]
Term
lower motor neuron signs 
Definition

everything is low

low muscle mass = atrophy

low tone = flaccid 

low reflexia

+/- fasciculations 

Term
upper motor neuron signs
Definition

everything is up

spastic

no atrophy and increased tone

increased DTRs

clonus and Babinski upgoing toes 

 

Term
development: 3 month old
Definition
hold head up, social smile, no more Moro
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