BOARD REVIEW MNEMONICS!!!!!!!!

Some Lovers Try Positions That They Cannot Handle.--Bones of the wrist

Slowly Lower Tilly's Pants To The Curly Hairs

Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate

Randy Travis Drinks Cold Beers.--Brachial plexus

Robert Taylor Drinks Cold Beer
Roots, Trunks, Divisions, Cords, Branches

Oh Oh Oh To Touch And Feel Virgin Girls Vaginas And

Hymens--cranial nerves
On Old Olympus Towering Tops, A Finn And German Viewed Some Hops

You have I nose. You have II eyes.

I - Olfactory; II -- Optic

LR6 (SO4) 3--extraocularmotor muscles

LR6--Lateral rectus--> VI abductens
SO4--Superior Oblique--> IV Trochlear
3--The remaining 4 eyeball movers = III

Some Say Marry Money, But My Brother Says Big Bras Matter
More--what cranial nerve is Motor, Sensory, or Both

Ten Zebras Bought My Car--branches of facial nerve

Ten Zebras Bit My Cock
Two Zulus Buggered My Cat
To Zanzibar By Motor Car
Temporal, Zygomatic, Buccal, Masseteric, Cervical

c345 keeps the phrenic alive--innervation of phrenic nerve

c345 keep the diaphragm alive
c5-6-7 raise your arms to heaven
nerve roots of long thoracic nerve innervate serratus
anterior
The duck is between two gooses.
duck = thoracic duct
2 gooses = azyGOUS and esophaGOUS

A lady between tow majors.

Pectoralis major attaches to lateral lip of bicipital
groove, the teres major attaches to medial lip
of bicipital groove, and the latissimus dorsi
attaches to the floor of bicipital groove. The
"lati" is between two "majors."

Parasympathetic puts it up; sympathetic spurts it

out.--innervation of penis

Point Shoot Score

Parasympathetic, sympathetic, somatomotor

Lateral is less, medial is more.

Lateral pectoral nerves goes through pectoralis major
while medial pn goes though both pec major and minor

ABC'S
*A*ortic arch gives off the *B*racheiocephalic trunk,
the left *C*ommon Carotid, and the left *S*ubclavian artery

Granpa Shagging Grandma's Love Child.--Layers of the epidermis

Brent Spiner Gained Lieutenant Commander
Germinativum or Basale, Spinosum, Granulosum, Lucidum, Corneum

Seven French Tarts Sit Naked In Anticipation--Things going through Orbital Fissure

NAVEL--order of things in thigh

nerve, artery, vein, empty space, lymphatics

Biochemistry
In the Phasted State Phosphorylate
Phosphorylation cascade active when blood glucose low.
Exons expressed, Introns in the trash.--DNA expression into
mature mRNA

Pyrimidines are CUT from purines.

Pyrimidines are Cytosine, Uracil, Thiamine and are one
ring structures.
Purines are double ring structures.

Pharmacology
Morphine excites men, but sedates cats.

One heart two lungs--beta receptor activity

Beta-1 primarily on heart; airway is beta-2 receptors

Clinical
GET SMASH'D.--Causes of Acute pancreatitis
Gallstones, Ethanol, Trauma, Steroids, Mumps,
Autoimmune(PAN), Scorpion bites, Hyperlipidemia,
Drugs(azathioprine, diuretics)

Multiple Endocrine Neoplasia

MEN I is a disease of 3 P's (pituitary, parathyroid,
and pancreas) plus adrenal cortex
MEN II is a disease of 2 C's(carcinoma of thyroid and
catacholamines[pheochromocytoma]) plus parathyroid
for MEN IIa or mucocutaneous neuromas for MEN
IIB(aka MEN III)

Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate

Acute pneumonia caused by Miscellaneous microbes
--Mononuclear infiltrate

Takayasu's diz = pulseless diz, therefore when you have

Takayasu's, I can't Tak'a yu pulse.

CAGE--alcohol use screening

1. Have you ever felt it necessary to CUT DOWN on your
drinking?
2. Has anyone ever told you they were ANNOYED by your
drinking?
3. Have you ever felt GUILTY about your drinking?
4. Have you ever felt the need to have a drink in the
morning for an EYE OPENER?

P-Q-R-S-T--eliciting and HPI and exploring symptoms

P--palliative or provocative factors for the pain
Q--quality of pain(burning, stabbing, aching, etc.)
R--region of body affected
S--severity of pain(usually 1-10 scale)
T--timing of pain(eg.-after meals, in the morning,
etc.)

Argyll-Robertson Pupil--syphilitic pupil

Accommodation reflex present, Pupillary reflex absent

The five W's--post-operative fever

Wind--pneumonia, atelectasis
Water--urinary tract infection
Wound--wound infections
Wonderdrugs--especially anesthesia
Walking--walking can help reduce deep vein thromboses
and pulmonary embolus

Anna Cycled Immediately Downhill--Gell & Goombs

classification of hypersensitivity reactions
ACID
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity

"The duck is between 2 gooses"

"duck" = thoracic duct
"2 gooses" = azyGOUS and esophaGOUS

"Lateral is less, medial is more"

(re: The lateral pectoral nerves goes through the pectoralis major while
the medial pn goes through both the pec major and minor)

"a lady between two majors."

The pectoralis major attaches to the lateral lip of the bicipital groove,
the teres major attaches to the medial lip of the bicipital groove, and the
latissimus dorsi attaches to the floor of the bicipital groove.
The "lati" is between two "majors"

"ABC'S"
The *A*ortic arch gives off the *B*rachiocephalic trunk, the left *C*ommon
Carotid, and the left *S*ubclavian artery.
"C3,4,5 keep the diaphragm alive" Innervation of the phrenic nerve
"Some Say Marry Money, But My Brother Says Big Bras Matter More" For
remembering which cranial nerves are Sensory, Motor, or Both:
Re: facial nerve
Two = Temporal
Zulus = Zygomatic
Buggered = Buccal
My = Masseteric
Cat = Cervical

"S2, 3, 4 keep the penis off the floor",

which refers to the innervation of the penis by branches of the
pudental nerve which are derived from spinal cord levels S2-4

Cranial nerves in order:

"Oh oh oh to touch and feel virgin girls vaginas and hymens"

Layers of the epidemis:

"Granpa shagging Grandma's love child"
(from the dermal/epidermal junction upwards: Germinatibum; spinosum;
granulosum; lucidum; corneum)

(Multiple endocrine neoplasia) Each of the MENs is a

disease of three or two letters plus a feature. "MEN I" is a disease of the three Ps (pituitary, parathyroid
and pancreas)
plus adrenal cortex.
"MEN II " is a disease of the two Cs (carcinoma of the thyroid and
catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or
mucocutaneous neuromas for MEN IIb (aka MEN III).

"Robert Taylor Drinks Cold Beer"

Brachial Plexus: Roots, Trunks, Divisions, Chords, Branches

"One heart Two lungs"

for beta receptor activity. Beta-1 receptors are primarily on the heart, and the
airway is Beta-2 receptors.

"ACID" or "Anna Cycled Immediately Downhill"

Hypersensitivity reactions - Anaphylactic, Cytotoxic, Immune-complex, Delayed-hypersensitivity

Cranial Nerves
1. Olfactory Oh Some Sensory
2. Optic Oh Say Sensory
3. Oculomotor Oh Marry Mixed
4. Trochlear To Mary Mixed
5. Trigeminal Touch But Both
6. Abducens And My Mixed
7. Facial Feel Brother Both
8. Acoustic A Says Sensory
9. Glossopharyngeal Good(?) Bad Both
10. Vagus Vein(?) Business! Both
11. Accessory Ah Marry Mixed
12. Hypoglosseal Heaven Money Mixed
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The way to remember which cranial nerves are sensory, motor or mixed:

Some Say Marilyn Monroe But My Brother Says Bridget Bardot Mmm, Mmm!
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Prophase, metaphase, anaphase, telophase. = "People Meet And Talk."

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Chemoreceptor Trigger Zone: Serotonin, Histamine, Muscarinic, Opioids,

Dopamine
Sara Hates Men On Drugs
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Tonsil Arteries: Tonsilar, Maxillary, Pharyngeal, Facial, Internal

Carotid Branch
Tim Made Peter Faint In Class
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Aortic Regurgitation and Mitral Regurgitation
Fast, Full, Loose
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Oxyhemoglobin Dissociation Curve:
Think of exercising muscle for a rightward shift: Exercising
muscle is Hot, Acidic (Lactic Acid), Hypercarbic, Benefits from
oxygen unloading and has an increased 2,3 DPG. Also think Bohr
effect with a rightward shift(_CO2 = _O2). Realize that the
Haldane effect means (O2 =CO2 carried by Hgb).
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Cholinergic Crisis-Parasympathetic Stimulation:
SLUD

Salivation, Lacrimation, Urination and Defecation.

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Sympathetic nervous system: Fight or Flight
Parasympathetic nervous system: Rest and Digest
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C3-C4-C5 keeps the diaphragm alive.
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Spinal Meds: Lidocaine, Bupivicaine, Procaine, Tetracaine
Little Boys Prefer Toys.
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Go Glomerulosa Make Mineralcorticoids

Find Fasiculata Good Glucocorticoids
Rex Reticulata Sex Hormones

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F L A G T O P Hormones of the Anterior Pituitary

F: Follicle Stimulating Hormone

L: Lutinizing Hormone
A: ACTH
G: Growth Hormone
T: Thyroid Stimulating Hormone
O: MSH
P: Prolactin
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President Kennedy had Addisions disease: He always had a great

tan. A president would need cortisol to respond to stress and hypoglycemic.
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Treatment of Malignant Hyperthermia

Some Hot Dude Better Give Iced Fluids Fast!!!
S: Stop all triggering agents, give 100% O2
H: Hyperventilate
D: Dantrolene 2.5mg/kg
B: Bicarbonate
G: Glucose and Insulin
I: IV Fluids, Cooling Blanket
F: Fluid Output; Furosemide
F: Tachycardia, be prepared to treat V Tach
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Regarding what to do in case of syncope:
If the face is red, raise the head. If the face is pale, raise
the tail!
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Nothing beats the old classic list for remembering the branches
of the superior thyroid artery:
MAY muscular
I infrahyoid
SOFTLY superior laryngeal
SQUEEZE sternomastoid
CHARLIE'S cricothyroid
GIRL glandular
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More seriously: "LR6SO4 rest 3" (lateral rectus=3rd cranial,
superior oblique=4, rest of ocular muscles are 3rd cranial)
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Robert Taylor Drinks Cold Beer for:
Roots, Trunks, Divisions,
Cords, Branches (how the nerves are organized along the brachial
plexus from the neck to the fingers).
Real Texans Drinks Coors Beer: See above
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The branches of the facial nerve are:
"Two zulu's bugging my cat"
two temporal
zulu's zygomatic
bugging buccal
my mandibular
cat cervical...
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"9 O P" ninth cranial nerve innervates the parotid gland by way
of the otic ganglion.
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Things that pass through the Supraorbital fissure:

Luscious Lacrimal nerve (V1 branch of trigeminal nerve)
French Frontal nerve (V1 branch of trigeminal nerve)
Tarts Trochlear nerve (CN IV)
Sit Superior branch of Oculomotor nerve (CN III)
Naked Nasociliary nerve (CN V1 branch of trigeminal nerve)
In Inferior branch of Oculomotor nerve (CN III)
Anticipation Abducens nerve (CN VI)
Of Ophthalmic veins
Sex Sympathetic nerves
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"RL6SO4 taken 3 times" converts to:
Rectus Lateralis: 6th cranial nerve (abducens)
Superior Oblique: 4th cranial nerve (trochlear)
All other muscles(medial rectus, superior and inferior recti,
and inferior oblique): 3rd cranial nerve (oculomotor)
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Oculomotor Reflex is the 5 & dime reflex:
Afferent: Trimenimal V and Efferent: Vagus X

Back Pain: DISK MASS

D == Degeneration: DJD, Osteoporosis, spondylosis

I == Infection: UTI, PID, Potts, osteomyelitis, prostatitis, Injury/fractur
e, compression fracture.
S == Spondylitis, ankylosing
Spondyloarthropathies (rheum. arthritis, Reiters, SLE)
K == Kidney stones/infarction/infection (pyelo/abscess)
M == Multiple myeloma
Metastasis from breast, prostate, lung, thyroid, kidney CA
A == Aneurysm Abdominal pain referred to the back (see acute abdominal pain)
S == Slipped disk, spondylolisthesis
S == Strain, scoliosis/lordosis
Skin: herpes zoster.
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Kenny Liu (213) 382-7854 USC School of Medicine