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Albumin functions
Protein produced by liver that maintains intravascular oncotic pressure and transports water-insoluble substances such as bilirubin
bile consists of
water, electrolytes, bile acids, cholesterol, phospholipids and coagulated bilirubin
Transudate
Pushed from vessel due to high pressure within
Exudate
Fluid that leaks around cells, caused by inflammation
Cor pulmonale
Abnormal enlargement of the right side of the heart due to lung or blood vessel disease
What separates the subclavian artery from the subclavian vein?
Scalenus anterior
C. difficile
Gram-positive bacillus
E. Coli
Gram-negative bacillus
Neisseria meningitidis
Gram-negative cocci
S. aureus
Gram-positive cocci
Histology of coeliac disease
Villous atrophy, raised intra-epithelial lymphocytes and crypt hyperplasia
Histology of peptic ulcer disease
Mucosal defect in muscularis mucosa and lamina propria
Histology of crohn’s disease
Transmural inflammation with granulomas and lymphoid aggregates
Histology of adenoma/adenocarcinoma
Cells with hyperchromatic nuclei forming irrgular gland-like structures
AV node supplied by
Right coronary artery
Level of coeliac trunk
T12
Level of superior mesenteric artery
L1
Level of inferior mesenteric artery
L3
Type of necrosis that affects the heart
Coagulative
Vitamin K dependent clotting factor
II, VII, IX, X
Warfarin mechanism of action
Inhibiting vitamin K epoxide reductase and therefore preventing gamma-carboxylation of vitamin k dependent clotting factors
How can chronic pancreatitis lead to diabetes?
Destruction of islets of Langerhans cells
Direct inguinal hernia passes through
Transversalis fascia and superficial inguinal ring
If a hernia reappears on occlusion of the deep inguinal canal
It is direct
VSD heart sound
Pan-systolic murmur
ASD
Ejection systolic murmur
Restrictive spirometry
Low FVC and FEV1 but normal FEV1/FVC ratio
Heart failure with preserved ejection fraction
Diastolic dysfunction
decrescendo early diastolic murmur
aortic regurgitation
low-pitched rumbling mid-diastolic murmur over apex
mitral stenosis
test of choice for diagnosis of carcinoid tumour
Urine 5-IHAA
Striated muscle
Skeletal and cardiac
Muscle innervated by somatic nervous system
Skeletal
Glandular growth
Adenoma
Squamous growth
Papilloma
Fat growth
Lipoma
Skeletal muscle growth
Rhabdomyoma
Smooth muscle growth
Leiomyoma