7/22 Flashcards

1
Q

what cancers does Lynch Syndrome give you, and what genes?

A

colorectal
endometrial
ovarian

MSH2
MLH1
MSH6
PMS2

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2
Q

what cancers does FAP give you, and what gene?

A

colorectal
desmoids and osteomas
brain tumors

APC

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3
Q

what cancers does VHL give you and and what gene?

A

hemangioblastomas
renal clear cell carcinoma
pheochromocytoma

VHL

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4
Q

what cancers does Li Fraumeni syndrome give you, and what gene?

A
sarcomas
breast cancer
brain tumors
adrenocortical carcinoma
leukemia

tp53

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5
Q

which nerves carry the afferent and efferent limbs of the carotid sinus reflex

A

afferent: glossopharyngeal
efferent: parasympathetic vagus

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6
Q

which molecule recognizes stop codons

A

Releasing Factor 1

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7
Q

what are efficacy and potency of drugs

A

efficacy is the “vertical” measure- % of maximal effect

potency is the “horizontal” measure-what doses are required to reach the same height on the graph

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8
Q

what is Sirolimus’s MOA

A

inhibits mTOR, which blocks IL-2 and prevents cell cycle progression and lymphocyte proliferation

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9
Q

what can cause a dilated coronary sinus

A

pulmonary HTN,

leading to elevated Right heart pressures

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10
Q

which pharyngeal pouch does the thymus come from

A

3rd pharyngeal pouch (with the inferior parathyroids)

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11
Q

what TB drug has to be processed by mycobacterial catalase peroxidase in order to be activated

A

isoniazid

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12
Q

what do you classically on crohn’s histology

A

noncaseating granulomas and transmural inflammation

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13
Q

which renal pathology causes selective loss of albumin in urine

A

minimal change disease

caused by loss of anion properties of the glomerular BM

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14
Q

which disease has autoimmune destruction of intrahepatic, interlobular bile ducts by granulomatous inflammation

A

PBC

typically presents w/ pruritus and fatigue in middle aged F

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15
Q

which lung exposure die you pleural thickening and calcified lesions on diaphragm etc?

A

asbestos

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16
Q

what 2 lab values will be elevated in a neural tube defect

A

AchE and AFP

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17
Q

what does dermatomyositis have a strong association with

A

malignancy, including lung, colorectal, and ovarian cancers

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18
Q

what is apolipoprotein E4 genotype associated with

A

Late-onset Alzheimer’s

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19
Q

what are the 3 gene mutations associated with early-onset Alzheimer’s

A

APP (chromosome 21)
Presenilin 1
Presenilin 2

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20
Q

what disease presents with tinnitus, vertigo, and sensorineural hearing loss

A

Meniere’s disease

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21
Q

what causes Meniere’s disease

A

increased pressure and volume of endolymph

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22
Q

what are occupational exposures to rubber, aromatic dyes, textiles, and leather a risk factor for

A

transitional cell carcinoma of the bladder

23
Q

what cells are neurofibromas and NF’s associated with

A

neural crest cells

24
Q

what are tazobactam, clavulanate, and sulbactam MOA’s?

A

beta-lactamase inhibitors

prevent excessive destruction of the antibiotic they’re paired with

25
Q

what vitamin can help treat measles

A

Vitamin A

26
Q

what will constriction of efferent arteriole do to RPF and FF?

A
decrease RPF
increase FF (by increasing GFR from back-up of fluid and increase of hydrostatic pressure)
27
Q

what is Trastuzumab’s MOA?

A

monoclonal antibody that binds to a portion of HER2 and prevents activation of tyrosine kinase, which will promote apoptosis

28
Q

when do you give an ER modulator vs an aromatase inhibitor for breast cancer

A

SERM:
tamoxifen
premenopausal pts

Aromatase inhibitor:
anastrozole, letrozole
postmenopausal pts

29
Q

what is the buzzword for tissue transglutaminase

A

celiac disease

30
Q

where is the best place to biopsy for celiac disease and crohn’s?

A

celiac: duodenum
crohns: terminal ileum

31
Q

what is a collection of squamous cell debris that forms a mass behind the tympanic membrane of an ear called?

A

cholesteatoma

32
Q
what does a young baby have with: 
pot-bellied
pale
puffy-faced
protruding umbilical hernia
Protuberant tongue
Poor brain development
A

congenital hypothyroidism,
“Cretinism”

may be asymptomatic until maternal T4 wanes

33
Q

what does stimulation of muscarinic receptors do to peripheral vasculature?

A

peripheral vasodilation

this is because ACh or a cholinergic agonist will cause synthesis of NO in endothelial cells, which leads to vascular SM relaxation.

muscarinic activation at other sites causes SM contraction

34
Q

what renal vascular problem might you see after an invasive vascular procedure on a pt?

A

“cholesterol clefts in arterial lumen”

the pt may have atheroembolic renal disease, which commonly involves kidneys. you’re dislodging cholesterol-containing debris from the catheter procedure

35
Q

what does carbon tetrachloride CCl4 poisoning cause?

A

free radical injury

you’ll see fatty change in a liver

36
Q

what helps cells in the extracellular matrix bind to fibronectin, collagen, and laminin?

A

integrin

37
Q

What are the 3 most common causes of acute pancreatitis

A

alcohol
gallstones
hypertriglyceridemia

38
Q

what’s the big risk in a subarachnoid hemorrhage pt for the next few days

A

vasospasm

39
Q

which lymphoma presents with painless waxing and waning lymphadenopathy

A

follicular lymphoma

40
Q

what do you characteristically see in pancreatic islet cells in a T2DM pt?

A

pancreatic islet amyloid deposition

41
Q

what does NF-kB do?

A

it’s a pro inflammatory transcription factor that produces cytokines

can be impaired in Crohn’s, so the intestinal microbes can induce an exaggerated response by the adaptive immune system, causing chronic GI inflammation

42
Q

what are anti-centromere antibodies seen in

A

CREST syndrome (limited sclerodactyly)

43
Q

what are all the antibodies that are specific for systemic sclerosis/CREST?

A

anti-DNA topoisomerase (Scl-70)

44
Q

what do you see antiphospholipid antibodies in

A

SLE and

antiphospholipid antibody syndrome

45
Q

what is important in calculating Cardiac output

A

CO = SV x HR

CO = rate of O₂ consumption/ AV O₂ content difference

46
Q

what is the most involved artery in atherosclerosis

A

abdominal aorta

next is coronary arteries

47
Q

what is a common cause of death in congenital long QT syndrome

A

V tach and sudden death

48
Q

define “erosion”

A

mucosal defect that does NOT fully extend all the way through the muscularis mucosa, which is
deep to mucosa and
superficial to submucosa

49
Q

what are CAAT and TATA boxes in DNA sequences?

A

they are the promoter sequences upstream of the start site, and they promote initiation of transcription (not enhancement)

50
Q

what are diabetic pts most likely to die from

A

MI, coronary artery disease

51
Q

what cancer do the owl eyes show up in

A

Hodgkin Lymphoma

52
Q

what’s the buzzword for Burkitt lymphoma

A

starry sky

53
Q

which cells help make the non-caseating granulomas seen in Crohn’s disease

A

Th1 cells

they produce IL-2, IFN-gamma, and TNF