3/20 - UW 15 Flashcards
What prevents C. diff from infecting healthy people?
Intestinal biomass…so much good bacteria!
What are the two possible cancers that cause blue lesions under the nail?
Glomus tumor (glomangioma)
Subungual melanoma
What the hell is a glomus body?
Small, encapsulated neurovascular organs in the dermis of the nail bed, pads of digits, and ears. For thermoregulation.
What is the prototypical triple helix polypeptide?
Collagen
What role does Proline play in the collagen structure?
Introduces bends into the chain
What are the three most common AA in collagen?
- Glycine (every third residue)
- Proline
- Lysine
What non-foregut organ is supplied by a foregut artery?
Spleen (by the splenic art. off the celiac trunk)
What enzyme is missing in Crigler-Najjar syndrome?
UGT, which catalyzes bile glucuronidation into conjugated bilirubin
What is kernicterus caused by Crigler-Najjar?
Severe jaundice and neurologic impairment
What process is impaired in Dubin-Johnson syndrome?
Active transport of conjugated bilirubin into bile ducts
What does the liver look like in Dubin-Johnson?
Darkly pigmented
What syndrome is similar to Dubin-Johnson, with impaired bilirubin secretion into bile ducts?
Rotor syndrome
In addition to histamine, what enzyme is released by mast cells in anaphylaxis?
Tryptase
In what cells can you find myeloperoxidase?
Neutrophils
What is increased 5-hydroxyindoleacetic acid (5-HIAA) associated with?
Serotonin breakdown, particularly in carcinoid syndrome
How does IgE cause mast cell degranulation?
Cross linking
What movement of the lung does “compliance” describe?
The ability to stretch during inhalation
What is a common topical treatment for psoriasis? MOA?
Vit D analogs (calcipotriene, calcitriol, tacalcitol), activating nuclear transcription factor that inhibits keratinocyte proliferation and stimulates kertatinocyte differentiation
Cyclosporine MOA?
Inhibits calcineurin, inhibiting NFAT from transcribing IL-2, which activate T cells
What does Etanercept inhibit?
TNF-a