8/15/12 Flashcards

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1
Q

Which step in the TCA cycle produces a GTP?

A

succinyl-CoA –> succinate via succinate thiokinase

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1
Q

What reaction in the mitochondria requires the GTP produced by the TCA cycle?

A

OAA –> PEP via PEPCK

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2
Q

HIV pt w/ cough, low-grade fevers, and hepatosplenomegaly. Spherules seen w/in MΦs.

A

Histoplasma capsulatum

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3
Q

Pt w/ A fib experiences dizziness, confusion, nausea, blurry vision, and fatigue. She is also hyperkalemic. Dx?

A

Digitalis toxicity

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4
Q

What is the mechanism of action of zidovudine?

A

nucleoside reverse transcriptase inhibitor - analog of thymidine w/o the 3’ OH group - the chain cannot form next phosphodiester bond and terminates.

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5
Q

What is unusual about the respiratory drive of COPD pts? What is the main implication of this ofr treaatment in the hospital?

A

It depends more on pO2 than pCO2; therefore you should not give O2 to COPD pts b/c it may cause respiratory depression –>–> cerebral hypoperfusion.

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6
Q

What statistical test(s) compare(s) the mean in 2 populations?

A

t-test or z-test

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7
Q

What statistical test(s) compare(s) the mean between 3 or more populations?

A

ANOVA

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8
Q

What statistical test(s) compare(s) the proportions of 2 groups?

A

chi-square

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9
Q

Renal failure + anion gap metabolic acidosis + oxalate crystals in the urine =

A

ethylene glycol poisoning

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10
Q

What enzyme catalyzes the conversion of pregnenolone to 17-hydroxypregnenolone?

A

17α-hydroxylase

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11
Q

What enzyme catalyzes the conversion of progesterone to 11-deoxycorticosterone?

A

21-hydroxylase

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12
Q

What enzyme catalyzes the conversion of 11-deoxycorticosterone to corticosterone?

A

11β-hydroxylase

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13
Q

What is phenylephrine and what is its effect on the kidney?

A

selective alpha agonist. decreases renal blood flow.

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13
Q

What kind of a drug is imipramine?

A

TCA

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14
Q

What are the 2 main cardiovascular causes of cyanosis presenting at birth?

A

Tetralogy of Fallot and transposition of the great vessels

15
Q

Why might there be an S3 heart sound in severe mitral regurgitation?

A

The S3 sound represents a large amount of regurgitated blood being shot back into the left ventricle at mid-systole.

16
Q

Most common viral cause of hemorrhagic cystitis in children?

A

Adenovirus