Buzz Words Flashcards
Bitemporal hemianopsia
Pituitary adenoma
Upper quadrantanopsia
Temporal Lobe Stroke (Meyer’s Loop)
Hypocalcemia, Hyperphophatemia
Secondary Hyperparathyroidism
Elevated PTH
Susceptible to Bacitracin
PYR Positive
Bacteria?
Group A Strep
Bile Soluble bacteria
Strep Pneumoniae
Grows in hypertonic saline
PYR Positive
Bacteria?
Enterococci
Beta Hemolitic
PYR Negative
Bacteria?
Group B Strep
Cardiolipin, Lecithin, Cholesterol
Lab Test?
VDRL, Treponemal Test
Replaces Valine with Phenylalanine at 617 position
Polycythemia Vera
Makes hematopoietic cells become more sensitive to growth factors
Chorioretinitis, Hydrocephalus, Intracranial Calcification
Newborn
Toxoplasmosis
Obligate Intracellular Protozoa
Hydrops Fetalis
Newborn, ds DNA virus
Parvovirus
Deafness, Periventricular Calcification, Petechiae
Newborn, ds RNA virus
Cytomegalovirus
Blueberry Muffin, Deafness
Newborn, ss RNA virus
Rubella
Limb Hypoplasia, Cutaneous scarring
Newborn, ds DNA virus
Varicella Zoster Virus
Formula for Net Filtration Pressure
Hydrostatic Pressure - Osmotic Pressure
Glomerulus - Bowman’s Capsule
“Hoes before Bows”
Gram positive rods
Medusa Head
Bacillus anthracis
Gram positive rods
Antiphagocytic D-glutamate capsule
Bacillus anthracis
Intracellular polyphosphate granules
Bacteria?
Corynebacterium diphtheriae
Peritrichous flagella
bacteria?
Proteus mirabilis
IgG binding outer membrane
bacteria?
Staph. aureus
Protein A
Valine for Glutamic Acid in the 6th Codon
Disease?
Sickle Cell Disease
Phenylalanine DELETION (F508) Disease?
Cystic Fibrosis
Na K 2Cl Symporter
Furosemide
Ascending Loop of Henle
Increase NaCl and Fluid EXCRETION
Painful Genital Ulcers
H. ducreyii (deep, purulent)
HSV (superficial)
Painless Genital Ulcers
Syphilis (single, resolves) Klebsiella granulomatis (progressive, inguinal LN)
Increased endolymph volume in the inner ear
Meniere’s Disease
Hearing loss, tinnitus, vertigo
Mass lesion at the cerebellopontine angle
Acoustic Neuroma
progressive hearing loss; affects CN 6 , 7, 8
Positive test, with disease
Sensitivity
Negative Test, without disease
Specificity
Antagonism of Dopamine D2 Receptors MOA of what class of drugs?
Antipsychotics, First Generation
ex: Haloperidol
Antagonism of Serotoning 5HT2 Receptors MOA of what class of drugs?
Antipsychotics, Second Generation
Pancreatic Tumor Low Blood Glucose Signs of Hypoglycemia What Cell Type? (Alpha, Beta, Delta)
Beta
Insulinoma
Pancreatic Tumor High blood glucose (Diabetes) Dermatitis (necrolytic migratory erythema) DVT, depression (Alpha, Beta, Delta)
Alpha
Glucagonoma
Steroid secreting cells of the adrenal gland.
Cell type origin?
Adrenal Cortex = Mesoderm
ANS/Chromaffin Cells/Epinephrine secreting cells of the adrenal gland.
Cell type origin?
Adrenal Medulla = Neural Crest
Adenohypophysis / Anterior Pituitary
Cell Type Origin?
Ectoderm
from the oral ectoderm of the rathke’s pouch
Neurohypophyisis / Posterior Pituitary
Cell Type Origin?
Neuroectoderm
from the neuroectoderm of the diencephalon
Thyroid gland follicular cells
Cell Type Origin?
Endoderm
Antagonism of sodium channels MOA of what class of drugs?
Anti-epileptic drugs
ex: Carbamazepine
Antagonism of Monoamine Oxidase MOA of what class of drugs?
MAOIs - used for treatment of treatment-resistant depression
Potentiates effect of endogenous GABA MOA of what class of drugs?
Benzodiazepines
Give 3 things that can damage/impair the Left Recurrent Laryngeal Nerve
- RHD / Mitral Valve / Increased LA Size
- Thyroid Surgery
- Lung Cancer
GnRH: Hypothalamus :: LH: Anterior Pituitary :: Testosterone: ______
Leydig Cells, Testes
GnRH: Hypothalamus :: FSH: Anterior Pituitary :: Inhibin: ______
Sertoli Cells, Seminiferous Tubules
A2 to opening snap time interval
Assesses the degree of MITRAL STENOSIS
S3
Ventricular Volume Overload; Right Sided Heart Failure
S4
Pumping into a Stiff ventricle; Right Sided Heart Failure
Block NMDA receptors in hippocampal neurons Illicit Drug? Anesthetic? Dementia meds? Antiepileptic?
Illicit Drug: PCP
Anesthetic: Ketamine
Antiepileptic: Felbamate
Dementia Meds: Memantine
Downregulates calcium current in thalamic neurons
MOA of what drug?
Ethosuximide
absence seizures
Upregulates Chloride currents in CNS
MOA of what drug?
Benzodiazepines
Inhibit synaptic acetylcholinesterase in cortical neurons
MOA of what drug?
Donepezile
Alzheimer’s
Axetazolamide
Tubule site of action?
Proximal Convoluted Tubule
HCTZ
Tubule site of action?
Distal Convoluted Tubule
Mannitol
Tubule site of action?
Descending Loop of Henle
Furosemide
Tubule Site of Action
Ascending Loop of Henle
Amiloride
Tubule site of action?
Collecting Duct
Sodium Channel Blocker/Potassium Sparing Diuretic
Spirinolactone / Eplerone
Tubule site of action?
Collecting Duct (Aldosterone REceptor Antagonist / Potassium Sparing Diuretic)
Holosystolic murmur
3 pathologies that you will think of?
Tricuspid regurgitation - will increase with respiration
Mitral Regurgitation - will increase with handgrip, decrease with inspiration
VSD - will increase with handgrip
Inspiration will increase what murmurs?
Right-sided murmurs
ex: TR, PR
Mild hypercalcemia, Moderately increased PTH, Urinary Calcium is low, normal Vit D levels
Familial Hypocalciuric Hypercalcemia
Defective calcium sensing receptor (G-protein coupled receptors)
Steroid hormones, thyroid hormones, Vit D
What type of receptors?
INTRACELLULAR
receptor with a dna binding domain
Acetylcholine, Serotonin, NMDA, GABA
What type of receptors?
TRANSMEMBRANE LIGAND-GATED ION CHANNEL
Insulin, Insulin-like GF
What type of receptors?
Transmembrane receptor associated with intrinsic TYROSINE KINASE activity
GH, Prolactin, Erythropoeitin
What type of receptors?
Transmembrane receptor causing activation of JAK-STAT pathway
Basophilc stippling
Lead intoxication
Heinz Bodies
G6PD
Howell-Jolly Bodies
post-splenectomy; absent or decreased splenic function
Ring sideroblasts
Heme Synthesis Problem
Can be seen in lead intoxication BUT SEEN IN BONE MARROW ASPIRATE not peripheral smear
Schistocytes
Sickle Cell, Hemolytic anemia
Virulence Factor: Intracellular existence
Chlamydia, Ricketsiae, Legionella, Listeria
Virulence Factor: Outer Polysaccharide Capsule
Strep
Haemophilus Influenzae
Neisseria
Virulence Factor: Presence of Protein A in the cell wall
Staph Aureus
Virulence Factor: Release of Exotoxins
Staph aureus, Botolinum, Diphtheriae, Tetanus, Pertussis
Virulence Factor: Synthesis of an Extracellular Polysaccharide Matrix
Staph epidermidis
CNS Mass: above the sellar diaphragm
Craniopharyngoma
hypothalamic or pituitary dysfunction
CNS Mass: Dorsal Midbrain
Germ Cell Tumor
usually Pineal Gland
(inc ICP, parinaud syndrome)
CNS Mass: lateral cerebral convexity or parasagittal convexity
Meningioma
CNS Mass: Posterior Fossa
Medulloblastoma
Urge Incontinence
Etiology?
Detrussor muscle hyperactivity
Overflow incontinence
Etiology?
Bladder Outlet Obstruction
Stress Incontinence
Etiology?
Decreased Urethral Sphincter Tone
Rejuct null, null is true
Type I Error
Say there is a difference but there is none
Don’t reject null, Null is False
Type II Error
Say there is no difference but there actually is
Statistical alpha
Type I error
Probability of a result due to chance alone
Statistical Beta
Type II error
Power = 1 minus beta
Mode of infection: absorption through skin on feet
Strongyloides stercoralis
Mode of infection: Exposure to infected stool
Taenia solium
Mode of infection: handling of cat litter
Toxoplasma gondii
Mode of infection: Inhalation of fungal spores
Histoplasma
Blastomyces
Mode of infection: Scratch from a Cat
Bartonella henselae
Diabetes Drug MOA:
Decrease insulin resistance by increasing GLUT 4 and increasing adiponectin
PPAR -Y
Lactose fermenter, Indole positive
E. Coli
Fast Lactose fermenter, indole negative
klebsiella, enterobacter
Non-lactose fermenter, oxidase positive
pseudomonas
non-lactose fermenter, oxidase negative, h2s positive
proteus, salmonella, yersinia
non-lactose fermenter, oxidase negative, h2s negative
shigella
Migratory thrombophlebitis
Trosseau syndrome; visceral carcinoma
Seborheic keratosis
Leser Trelat Sign, GI malignancy
Antiarrhythmics that can cass QT prolongation
Quinidine
Sotalol
(Slass IA and III)
Antibiotiocs that can cause QT Prolongation
Macrolides, Fluoroquinolones