Goueli Questions Flashcards

1
Q

65 yo m, acute SOB, chest pain –> PE —> what is the mechanism of LMWH?

A

Potentiate AT III

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2
Q

Mechanism of warfarin

A

inhibition of Vit K dependent gamma carboxylation of 2, 7, 9, 10, (and C and S)

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3
Q

Why is warfarin procoagulant at first?

A

Inhibition of Protein C (inhibits 5 and 8)

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4
Q

vWD pathologenesis

A

decreased function of vWF

Association of platelets with subendothelial collagen at tissue site

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5
Q

Vit A deficiency main symptom

A

night blindness

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6
Q

Vit E deficiency symptoms

A

hemolysis, neuropathy

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7
Q

Vit C deficiency

A

scurvy = poor wound healing, periodontal disease, corkscrew hair, petechiae

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8
Q

Familial ALS has defect in what enzyme

A

superoxide dismutase (superoxide –> H2O2 and O2)

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9
Q

Hydrogen peroxide –> water with what enzyme

A

catalase

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10
Q

CGD what enzyme

A

NADPH oxidase

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11
Q

Why ischemic reperfusion disease?

A

When less oxygen, less ATP –> increased Na+ and Ca++ levels
REduced state of electron carriers in loss of oxygen, and loss of mitochondrial ion gradients or membrane integrity –> increased superoxide production when oxygen becomes available again

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12
Q

what 25 AA with iron homeostasis

A

hepcidin

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13
Q

aspirin does what

A

inhibit platelet activity (thromboxanes)

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14
Q

iron primarily stored in

A

ferritin

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15
Q

what regulates intravascular oncotic pressure mostly

A

albumin

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16
Q

RBC formation stimulated by

A

Erythropoietin

17
Q

ROS can damage

A

lipids, DNA, proteins

18
Q

hydroxyl radical

A

reactive oxygen species

19
Q

primary hemostasis

A

platelet plug

20
Q

clotting factors synthesized where

A

liver

21
Q

Poor wound healing think

A

Vit C deficiency

22
Q

heme metabolism disorder

A

porphyrias