Heme 1 Flashcards

1
Q

RLS in:

glycolysis

A

PFK 1

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2
Q

RLS in:

gluconeogenesis

A

F16BP

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3
Q

RLS in:

TCA

A

isocitrate DH

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4
Q

RLS in:

glycogen synthesis

A

glycogen synthase

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5
Q

RLS in:

glycogenolysis

A

glycogen phosphorylase

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6
Q

Diabetic drug:

lactic acidosis

A

metformin

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7
Q

Diabetic drug:

SE of hypoglycemia

A

sulfonureas

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8
Q

Diabetic drug:

MOA closes K channels

A

sulfonureas

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9
Q

Diabetic drug:

inhibits a-glucosidase

A

acarbose

miglitol

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10
Q

Diabetic drug:

agonist at PPAR-y

A

TZD

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11
Q

what anticoagulant factors are dependent on vitamin K

A

S

C

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12
Q

what coagulant factors are dependent on vitamin K

A

10
9
7
2

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13
Q

effects of bradykinen

A

vasodilate

inc vascular permeability

inc pain

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14
Q

labs used to monitor:

warfarin

A

PT

INR

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15
Q

labs used to monitor:

heparin

A

PTT

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16
Q

labs used to monitor:

enoxaparin

A

factor 10a activity

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17
Q

Rx for HIT

A

lapirudin

bivalirudin

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18
Q

what mineral is needed for coagulation

A

Ca

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19
Q

what can cause a decrease in Ca coagulation

A

citrate

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20
Q

in liver failure, which factor is lost first

A

7

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21
Q

MOA of acute hemolytic transfusion reaction

A

recurrent meningiococcal infection due to hyperstabalized C3

deficiency on properdin
-would normally cleave C3

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22
Q

symptoms of clotting factor defect

A

bleeding

hemarthrosis

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23
Q

symptoms of platelet defect

24
Q

what stimulates the release of factor 8 and vWF form endothelial cells

A

desmopressin

25
main symptom of hemophilia
hemarthrosis
26
lab changes in hemophilia
inc PTT
27
lab changes in vitamin K def
inc PT and PTT
28
prothrombin gene mutation
G20210A
29
what does AT3 normally activate
``` 7 9 10 11 12 ```
30
heparin given to AT3 def px
reduced inc in PTT
31
MOA of acute hemolytic transfusion reaction
recurrent meningiococcal infection due to hyperstabalized C3 deficiency on properdin -would normally cleave C3
32
symptoms of clotting factor defect
bleeding hemarthrosis
33
symptoms of platelet defect
patechiae
34
what stimulates the release of factor 8 and vWF form endothelial cells
desmopressin
35
main symptom of hemophilia
hemarthrosis
36
lab changes in hemophilia
inc PTT
37
lab changes in vitamin K def
inc PT and PTT
38
prothrombin gene mutation
G20210A
39
what does AT3 normally activate
``` 7 9 10 11 12 ```
40
heparin given to AT3 def px
reduced inc in PTT
41
liver makes all clotting factors except
vWF
42
D-dimers rise from the break down of
fibrin
43
FDP rise from the break down of
fibrin or fibrinogen
44
MOA of enoxaparin
inhibit factor 10a
45
MOA of heparin
increase activation of AT
46
MOA of HIT
heparin binds to platelet factor 4 causing antibody production
47
why are px with HIT hypercoagulable
platelets are dropped but remaining ones are hyperactive
48
MOA of argatroban
directly inhibits thrombin
49
when is lepirudin used
px who take heparin and develops HIT
50
MOA of warfarin
inhibits epoxide reductase -normally recycles vit K no more y-carboxylation of factors
51
what labs change with thrombolytics
inc PT and PTT
52
what is used in atrial fib
warfarin
53
what is used in STEMI
thrombolytics
54
MOA of thrombolytics
increase conversion of plasminogen to plasmin
55
name some thrombolytics
streptokinase urokinase alteplase (tPA) APSAC (anistreplase)
56
how does aminocaproic acid work
inhibits fibrinolysis