9/5/12 Flashcards

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1
Q

What cells secrete renin?

A

modified smooth muscle cells of afferent arteriole

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2
Q

What condition affecting the bones causes an increase in unmineralized osteoid and widened osteoid seams?

A

Vit D def (rickets/osteomalacia)

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3
Q

Paget’s disease is most commonly seen in what age group?

A

elderly

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4
Q

What is the effect of moderate constriction of the efferent arteriole on GFR? On FF?

A

both up (at higher degrees of constriction, the gfr will decrease)

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5
Q

What is the level of the first porion of the duodenum?

A

L1

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6
Q

A tumor in the 3rd part of the duodenum puts which structures at greateest risk?

A

uncinate process of pancreas, SMA, and SMV.

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7
Q

Shaken baby syndrome, like head trauma in an elderly person, can cause what kind of an intracranial hemorrhage?

A

SUBdural

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8
Q

Ticlopidine (ADP antagonist anti-plt drug) may rarely cause mouth ulcers. What serious side effect does this indicate?

A

neutropenia

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9
Q

What is the target od Abciximab (anti-plt drug)?

A

GpIIb/IIIa

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10
Q

What is the effect of uremia on bleeding time? PT? PTT?

A

prolonged; normal; normal

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11
Q

What is the most common cause of a new heart murmur in a young patient?

A

Bacterial endocarditis

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12
Q

What is argatroban? What is its primary use?

A

direct thrombin inhibitor; tx and prophylaxis of heparin-induced thrombocytopenia (HIT) (including percutaneous intervention

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13
Q

How may heparin affect blood counts?

A

thrombocytopenia

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14
Q

What is a side effect of abciximab and other GpIIb/IIIa inhibitors?

A

thrombocytopenia

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15
Q

How does dialysis improve platelet function?

A

It removes anti-plt factors.

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16
Q

How does hemophilia affect coagulation studies?

A

increased PTT

PT, bleeding time, plt count normal

17
Q

How does warfarin affect coagulation studies?

A

Increased PT and PTT

18
Q

How does heparin affect coagulation studies?

A
increased PTT
(plt count down in HIT)
19
Q

How does vWF deficiency affect coagulation studies?

A

increased bleeding time

PTT may be increased

20
Q

How does DIC affect coagulation studies?

A

increased PT, PTT, and bleeding time. decreased plt count.