Friday July 3rd Flashcards

1
Q

why arent adolescents able to weigh out risks and benefits of their behaviours as well as adults?

A

The prefrontal cortex doesnt complete development until the third decade of life

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2
Q

how is methicillin resistance (MRSA) usually mediated?

A

via changes in the penicillin binding proteins

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3
Q

are nafcillin, oxacillin and dicloxacillin sensitive or resistant to beta lactamases?

A

RESISTANT

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4
Q

where does the transcription of rRNA occur?

A

the nucleolus

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5
Q

which rna polymerase transcribes rRNA?

A

RNA polymerase I

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6
Q

which 2 neuropeptides may be decreased in a person with narcolepsy with cataplexy?

A

hypocretin-1 (orexin-1) and hypocretin-2 (orexin-2)

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7
Q

what is the function ohypocretin-1 (orexin-1) and hypocretin-2 (orexin-2)?

A

promote wakefullness and inhibit REM-sleep related phenomena

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8
Q

the mild form of leprosy (tuberculoid) is associated wiht which type of immune response?

A

Th1

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9
Q

the disseminated form of leprosy (lepromatous leprosy) is associated with which type of immune response?

A

Th2

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10
Q

how does the mild form of leprosy (tuberculoid) present?

A

small hypopigmented plaques with decreased sensation

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11
Q

how does the lepromin skin test differentiate between mild leprosy and lepromatous leprosy?

A

patients with the tuberculoid form (mild) develop a nodule at the site of injection due to a Th1 immune response, whereas patients who do not develop this nodule likely have a poor Th1 response and thus lepromatous leprosy

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12
Q

Glyburide is a ….

A

sulfonylurea

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13
Q

what type of drug is pioglitazone?

A

thiazolidinedione

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14
Q

thiazolidinedione MOA?

A

activate PPAR-gamma leading to increased insulin sensitivity and levels of adiponection

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15
Q

metformin MOA?

A

inhibits hepatic gluconeogenesis and the actions of glucagon -> increased glycolysis and peripheral glucose uptake

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16
Q

Mycophenolate MOA?

A

blocks conversion of IMP to GMP

17
Q

Ribavirin MOA?

A

blocks conversion of IMP to GMP

18
Q

aziothioprine and 6-MP MOA?

A

block conversion of PRPP to IMP

19
Q

what metabolizes theophyllie?

A

CYP450 system

20
Q

which antibiotics inhibit the CYP450 system?

A

fluoroquinolones, macrolides

21
Q

what is ciprofloxacin?

A

a fluorquinolone

22
Q

how does hypocapnia effect cerebral blood flow ?

A

it leads to decreased cerebral blood flow

23
Q

Phrenic nerve irritation may present with ___ due to spasmodic diaphragmatic contraction

A

hiccups

24
Q

what is the greatest risk factor for a Clostridium septicum infection?

A

Underlying colonic malignancy

25
Q

What does colonic malignancy increase risk for C septicium infection?

A

C septicium is a normal part of the GI flora, but a breakdown in the GI mucosa can lead to hematogenous invasion by C septicium to healthy tissues, resulting in spontaneous C septicium infection