09/05/22 Flashcards
Calcium binds to what in the troponin complex
Troponin C
Vasodilation or constriction to fix a sudden decr in perfusion?
Vasodilation
What increases cerebral blood flow?
Incr partial press of CO2
Adenosine action
A2, vasodilates
Coronary arteries et most blood…
Diastole
How is baroreceptor info conveyed to brain?
Carotid sinus, CN IX, finite pressure range
Valves closed in isovol contraction
All of them
“An increase in end-diastolic volume leads to a subsequent increase in stroke volume”
what law does this describe?
Frank starling
Intercalated discs?
Join myocytes together, allow elec transmission
Why give saline in haemorrhage?
Decr haemoglobin conc
Cholera mechanisms
Reversal of the concentration gradient of ions
Macrocytic anaemia destroys wich cells of stomach….
Parietal (they synth intrinsic which is necessary for b12 abs)
Brunner’s gland location
Submucosa of DD
Which cells of the intestinal crypts contain digestive enzymes?
Enterocytes
What are ras mutations?
Gain of function, driver
Damage to ext anal sphincter can damage what physio process..
Somatic/voluntary activation
Saliva producing cranial nerves…
Facial, glossopharyngeal
Sickle cell causes jaundice via…
Excessive haemolysis
Pharyngeal arches give rise to…
Head and neck
Round of branching for full resp tree
16
Which organ rotates in emryonic dev?
STomach, 90deg to left
Central diaphragm tendon formed by…..
Septum transversum
Endoderm forms which gut layer..
Epitthelium
lungs, liver, panc, gallbladder
Canalicular stage…
Forms resp bronchioles
Which way does midgut rotate in development?
Anti-clockwise
Important side effect of aspirin (NSAID)
Abdo pain from gastric ulcers
Steroid withdrawa can cause which disease that can be treated with hydrocortisone?
Addisonian crisis
What to investugate for in heparin induced thrombocytopenia?
Anti-platelet factor 4 (PF4) antibodies
Drug reducing alc cravings
Acamprosate
What meds interact w warfarin?
Macrolide antibiotics (warf is metabolised by liver p450 enzymes)
Don’t use isaphagula in which patients?
Frail, elderly, chronic constip
Effect on blood from a2
Platelet aggregation
Features of malignant hyperthermia
Musc contracture, acidosis, incr meta, dramatic incr in temp
Methotrexate is co-prescribed with what else?
folic acid
Donezipil can cause what heart issue?
Heart block (treat w external pacing)
Common comp of MI in terms of murmurs
Pan-systolic
First line `HT drug over 55
Ca blocker (amlodipine)
Paroxysmal AF treatment
Oral flecainide or sotalol
When to choose ICD?
Poor left vent ej fraction (e.g. HF) w maximum meds and good QoL
Prev episodes of VF/VT
Mobitz 2
Heart skips a beat
If HF patient is on max meds but can’t tolerate spironolacone anymore…
Hydralazine/nitrate (esp in AAs)
Leads 1-3 and aVF changes?
inferior leads
Changes in v1-3?
posterior
leads v1-6, aVL?
LAD
Important to remember in dischareging new asthmatics
Review technique and compliance
PCO2 in life threatening asthma?
Normal
initially low in acute mod severe due to hypervent
Investigation for mycoplasma
PCR
First lines for PE
Haem stable/no HT - anticoag e.g. rivaroxaban oral
Haem unstable - thrombolysis e.g. IV alteplase
Pneumonia assoc w herpes/mouth ulcers
Strep
Which enzye decr metabolism of warfarin and incr INR?
Isoniazid (hep enzyme inhib)
First line for variceal bleeding
variceal band ligation (VBL)
Upper GI bleeding assoc w cirrhosis?
Most likely infection - IV antibios
First line inv for hemochromatosis
Transferrin sats
First line inv for coeliac
total IgA plus IgA tTG
Typhoid features
Diarrhoea etc in early stages
Fever, heacahe, cough, anorexia, sore throat
ROSE SPOTS
Coeliac can cause what systemic issue requiring DEXA scan?
Reduced bone mineral density
Enzyme causing ulcers in ZE?
Gastrin
Peptic ulcers resistant to H pylori eradication?
ZE syndrome
Frist line for remission in Crohn’s flare not on any meds?
Corticosteroids e.g. prednisolone
When to use azathioprine in Crohn’s?
Induce remission if insufficient response to glucocorticoids
Why condition can campylobacter cause?
Guillain-barre
How do bacteria bcome resistnat by altering their membr?
Mutations leading to downregulation of porin genes, causing fewer porins to be inserted in the outer membrane, preventing antibiotics from travelling through the lipid bilayer
G6PD haemolytic anaemia mode of inheritance
X-linked recessive
Features of chlamydia trachomatis
Watery eyes, reduced vision, white lumps, entropion
Diff blood type mutation
Epistasis
Most common cause of trisomy 21
Non-dysjunction
Western blotting can differentiate…
Normal/mutated DNA