Heme 5 Flashcards

1
Q

what enzyme catalyzes peptide bond formation

A

peptidyl transferase

ribozyme

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2
Q

what conditions are a/w target cells

A

HbC
Asplenia
Liver disease
Thalassemia

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3
Q

name given to anemia caused by aortic stenosis or prosthetics

A

macroangiopathic anemia

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4
Q

who synthesizes vWF

A

endothelial cells

megakaryocytes

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5
Q

what are the functions of vWF

A

stabalizes factor 8
-def causes inc PTT

adhesion to vessel wall
-def causes inc BT

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6
Q

what is the cause of ITP

A

auto Gp2b3a Ab

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7
Q

what is the cause of bernard soulier

A

def in Gp1b

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8
Q

life span of a platelet

A

8-10 days

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9
Q

what is expressed on platelets after activation

A

Gp 2b3a

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10
Q

MOA of:

streptokinase

A

increase plasmin

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11
Q

MOA of:

aspirin

A

irreversible inhibits COX 1 and 2

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12
Q

MOA of:

clopidogrel

A

inhibits ADP receptor

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13
Q

MOA of:

abciximab

A

inhibits Gp 2b3a

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14
Q

MOA of:

tirofiban

A

inhibits Gp2b3a

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15
Q

MOA of:

ticlopidine

A

inhibits ADP receptor

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16
Q

MOA of:

enoxaparin

17
Q

MOA of:

eptifibatide

A

inhibits Gp 2b3a

18
Q

lab findings in DIC

A

increased PT, PTT, BT, D dimers

decreased PC, fibrinogen, 5, 8

19
Q

where are platelets stored

20
Q

what is the vWF receptor on platelets

21
Q

what is the fibrinogen receptor on platelets

22
Q

disorder with a defect in platelet adhesion

A

bernard soulier

23
Q

disorder with a defect in platelet aggregation

24
Q

Rx for ITP

A

steroids

removal of spleen

25
labs in ITP
increased megakaryocytes
26
defect in TTP
ADAMTS 13 | vWF metalloprotease
27
labs in TTP
schistocytes inc LDH
28
symptoms on HUS
preceeded by bloody diarrhea usually EHEC hemolysis uremia (kidney failure) thrombocytopenia
29
symptoms on TTP
HUS + fever neuro problem
30
Dx of vW disease
ristocetin test
31
Rx for vW disease
DDAVP (desmopressin)
32
where are vWF stored
Weibel Palade bodies
33
causes of DIC
``` Sepsis Trauma Obstetrics Pancreatitis Malignancy Nephrotic syndrome Transfusion ```
34
when should you expect DIC
px with inc PT and PTT
35
what must be monitored in DIC
fibrinogen
36
which platelet disorder has a normal PC
glanzmanns