Focused Questions Week6-9 Flashcards
acute myeloid leukemia are __
malignant immature hematopoietic cells
acute myeloid leukemia translocation occurs between
8 & 21
acute promyelocytic leukemia translocation occurs between
15 & 17
acute promyelocytic leukemia are sensitive to __
ATRA, arsenic trioxide, anthracyclines
acute lymphoblastic leukemia are __
malignant immature lymphocytes
what indicates minimal residual disease in ALL treatment
MRD marker
chronic myeloid leukemia translocation between
9 & 22
chronic myeloid leukemia are __
pluripotent hematopoietic stem cell neoplasm
CML phases are __
- chronic (3-5 years / 25+),
- accelerated (12-18 months / 4-5 years),
- blastic (3-9 months/6-12 months)
blastic
extramedullary disease with localized immature blasts
chronic lymphocytic leukemia diagnosis done using
peripheral blood
Rai staging
- Rai 0 (low; > 10 yrs)
- Rai 1-2 (intermediate; > 8 yrs)
- Rai 3-4 (high; 6.5 yrs)
Binet staging
- Binet A (> 10 yrs)
- Binet B (>8 years)
- Binet C(6.5 years)
stem cell transplantation involves
prep > conditioning > transfusion > engraftment
B cell development areas are __
germinal, mantle & marginal zones
burkitt lymphoma translocations occurs between __
8 & 14
Ann Arbor Staging
stage 1 = single lymph node
stage 2 = 2 or more lymph node on same side of diaphragm
stage 3 = 2 or move lymph node on different side of diaphragm
stage 4 = widespread
stem cell transplant process
collection > processing > cryopreservation > chemotherapy > infusion
ascending tract of spine
dorsal column medial lemniscal pathway, anterolateral, spinocerebellar
spinothalamic sends __
pain & temperature to thalamus
posterior column sends __
touch, pressure, vibration to brain
spinocerebellar sends __
kinesthesia, proprioception
descending tract includes __
corticospinal / corticobulbar
difference between lacunar & hemispheric syndromes
- hemispheric = presence of higher cortical dysfunction
- lacunar = absence of higher cortical dysfunction
purpose of ATP in neurons
ATP used to maintain neuronal integrity by keeping Ca2+ and Na+ outside cell & K+ inside cell
Cincinnati stroke scale utilizes __
FAST = facial droop, arm weakness, slurred speech, timing
if CT shows bleeding, what should not be given
rTPA not needed
door to needle occurs within __
1 hr
what is given for non-cardioembolic stroke
anti-platelets
what is given for cardioembolic stroke
anti-coagulants such as warfarin and NOACs
what is the significance of SPARCL trial
reduce stroke by reducing cholesterol
what are the requirements to drive for stroke patients
- private = driving test 1 month after stroke, pass DARP & review by neurologist
- vocational = >1 year after stroke, fully recovered, passed DARP, cleared by neurologist
types of partial seizures
simple, complex, partial with secondary generalization
types of generalized seizures
generalized tonic clonic seizure, absence, myoclonic
what hormones excite the brain
norepinephrine, epinephrine, dopamine, serotonin
what hormone inhibits brain
GABA
what hormone inhibits spinal cord
glycine
initial flaccid paralysis will change into __ weeks later
spastic paralysis
etiology of ischemic stroke is based on __
TOAST classification
febrile seizures AKA __
lennox gastaut syndrome
seizures managed using __
antiepileptic drugs, sedatives, vagus nerve stimulation
investigations for seizures include __
EEG for seizure location & type,
routine blood to identify metabolic causes,
neuroimaging studies identify structural abnormalities
seizure types
absent, tonic-clonic, partial seizure
rheumatoid arthritis target
synovium
major cell type in synovial fluid is
neutrophils
major cell type in pannus is
t cells and macrophages
spondyloarthropathies main target is
enthesis
characteristics of rheumatoid arthritis
MCPJ subluxation, ulnar deviation, swan neck deformity, Z thumbs
subtypes of spondyloarthropathies are __
ankylosing spondylitis, reactive arthritis, enteropathic arthritis & psoriatic arthritis
psoriatic arthritis clinical features
nail changes, pencil in cup deformity, achilles tendinitis, hairline psoarisis, DIPJ synovitis, oncholysis
arthritis mutilans are __
telescoped digits
derivatives of oxidated arachidonic acid
eicosanoids
prostanoids =
prostaglainds, prostacyclin, thromboxane
function of tofacitinib
downregulates cytokines as JK inhibitors prevent STAT phosphorylkation
ABE scoring
- mMRC 0-1, CAT<10, 0/1 exacerbation and not hospitalized = A = bronchodilator
- mMRC 2, CAT>10, 0/1 exacerbation and not hospitalized = B = LABA+LAMA
- > 2 exacerbation / >1 hospitalzaition = E = LABA+LAMA+ICS(if eosinophils>300)