Monday Wk 6 Mixed 1 Flashcards

1
Q

AML has inc P__
inversion 16 is M4Eo __ subtype of AML

closer r value is to margins in correlation graph, __ the association

fibrates inhibit __ which dec cholesterol solubility
thus, can promote __ formation
Omega 3 FA inc BA __, dec cholsterol saturation, and inc gallbladder __

recurrent PNA/gastro infections, hx of autoimmune conditions, anaphylaxis following transfusion has __
can have _ develop against IgA antigens, thus leading to anaphylaxis w exposure

collagen fibers are / and form triple helix in RER
tropocollagen molecules __ assemble to form triple helix

A

promyelocytes
eosinophilic

stronger

7a hydroxlyase
gallstone
prodxn, mobility

IgA deficiency
IgE

hydroxylated/glycosylated
spontaneously

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2
Q

Alzheimers has dec Ach due to deficiency in C__

NMDA receptors are __ in huntington dz

hemolysis/frequent RBC transfusions can lead to __ overload (hemosiderinosis)
Fe accumulates in __ and appears brown/yellow
in liver, accumulates in _ cells

O2 from lungs enters systemic circ at O2 conc slightly __ than alveolar due to mixing w __ circ and Thebesian veins of heart
normal A-a O2 gradient is less than __

active skeletal muscle in O2 _ and CO2 prodxn
countered by inc _ and SM perfusion
venous O2 will be __, while CO2 will be inc
perfusion/ventilation of alveoli will be normal, thus __ should not change

A

choline acetyltransferase

downregulated

Fe
macrophages
Kupffer

less
bronchial
15

consumption
CO
lower
physiologic dead space

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3
Q

Type A drug rxn is __ such as gastritis w NSAID
Type B is all __
can have __ sensitivity such as tinnitus after single use of aspirin
due to altered /
_ drug rxn is unexpected, such as HA in G6PD def
_ is due to immune system
_ mimics immune rxn, but via non immunologic process

B12 supplementation cause inc __ w reticulocytes released
peak at __, while Hb rises much slower

Tb reactivates to __ due to dec lymph flow, or inc O2 tension
erosion into pulm vessels can cause __ and heme dissemination
Gohn __ is focal Tb in lower lungs
w focus in place, spreads via __ to hilar LN and forms ghon compex

A
predictable
unpredictable
exaggerated
metabolism/sensitivity
idiosyncratic
immunologic
pseudoallergenic

erythropoeisis
1 w

upper lobes
hemoptysis
focus
lymphatics

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4
Q

anterior compartment of leg is __ nerve w _ artery/vein
lateral is __ nerve
deep is __ nerve, w __/__ artery/vein
fascia is inelastic, thus when pressure inc, severe / can develop ACS

Staph/Bacillus cereus form heat stable __ prior to exposure
other causes of vomiting/diarrhea are due to __ formed after exposure

ARPKD due to __ mutation
codes for __
sx include renal _ and nephromegaly, HTN after months
see bilateral, enlarged, echogenic __ on US
may present w __ fibrosis

avoid __ in pts w systolic cardiac dysfxn

A

deep peroneal, anterior tibial
superficial peroneal
tibial, peroneal/posterior tibial
pain/ischemia

enterotoxin
exotoxin

PKHD1
fibrocystin
insufficiency
kidneys
hepatic

NDCCB

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5
Q

lactase nonpersistence has declining __ expression in adulthood
bacteria can ferment lactose to __ that acidify the stool
H2 gas is released, thus breath content is __
high lactate in stool __ osmolarity w osmotic diarrhea

T__ is SSRI that also inhibs postsynaptic serotonin receptors to tx insomnia
rare SE of __ worse w other predisposing conditions MM/SCD
also affects / for SE

M/R/I/drugs like I/H and CTD can lead to pericardial tamponade
Becks triad is _
ECG shows low __ complexes w electrical alternans
chest xray shows __ w clear lungs

A

lactase
short chain FA
higher
inc

trazodone
priapism
A1/H1

malignancy/radiation
infection, isoniazid, hydralazine
hypoTN, distended neck veins, muffled heart sounds
voltage
bottle shaped heart
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6
Q

Testosterone needed for S and P
DHT needed for growth of _ and amplifies testosterone effect
5AR type 1 found in _
5AR type 2 found in _, and if deficient, results in male pseudohermaphroditism
such as small __ w hypospadias

Alanine helps remove excess __ in body
transaminated to __ via AKG (as all transams are)
this forms __ which is degraded to ammonia/AKG
ammonia goes to __ cycle and is excreted in urine

mitochondrial dysfxn affects / first due to high metabolic demand
see M w lactic acidosis and N

consanguineous families inc incidence of __ diseases

calcineurin inhibs cause dose dependent renal _ w tubular cell damage
metabolized by __ isoenzymes

A
spermatogenesis, puberty
prostate
skin
gonads
phallus

nitrogen
pyruvate
glutamate
urea

muscles/CNS
myopathy, neuropathy

vasoconstriction
CYP3A4

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7
Q

Bile acid binding resin SE include __ upset w nutrient probs and inc __ levels

Glyburide/glimepiride are __ and thus inc risk of hypogly
glipizide is short acting, thus has __

radiodensity of fat is __ than water
in TSC, may have __ of brain w seizures/cog dysfxn ,cardiac rhabdomyomas, facial __ and ash leaf patches

Leptomeningeal capillary venous malformation seen in __
cerebellar hemangioblastomas, retinal hemangiomas, liver cysts seen in __

stasis in preg due to __ and compression of vessels
inc in Factor //_ and vWF and fibrinogen
w endothelial damage, pt is at high risk of __
look for fever, ab pain, and no response to _

A

GI, TG

long acting
less risk

less
hamartomas
angiofibromas

sturge weber
vHL

venous dilation
7, 8, 10
ovarian vessel throbmosis

antibiotics

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8
Q

transtentorial uncal herniation results in __ palsy initially
w midbrain/upper pons involvement, leads to midposition/__ pupils
damage to brainstem at/below red nucleus leads to __ posturing
due to extensor predominance of __ tract (which is never inhib)
lesion above red nucleus (ie cerebral hemispheres) inhibits _ of rubrospinal flexor tract, thus flexion predominates (decorticate)

CRAO due to thromboembolism of __ artery
dec blood supply to __ which branches to retinal artery

__ presents w fever, malaise, ab pain, sore throat
look for red pharynx and grey __ w strawberry tongue (inflamed papillae)
rash starts on body w __ appearance then generalizes
then forms __ like rash w flushed cheeks w circumoral pallor

A
CN3
fixed
decerebrate
vestibulospinal
repression

internal carotid
ophthalmic

scarlet fever
exudate
boiled lobster
sandpaper

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9
Q

__ are large cells w abundant basophilic cytoplasm
see folded/bilobed __
AUER RODS STAIN FOR __

TdT only present in __

pain, itching, rectal bleeding w ULCERATIVE mass is __

RPGN due to M, P, M that migrate to BS and secrete _
fibroblasts are recruited and release __ and crescents become sclerotic

acute synovitis w fever/leukocytosis is emergency and requires __
serum uric acid may be __ during acute gout attack

LEGIONELLA HAS __ appearance on XRAY

A

myeloblasts
nuclei
PEROXIDASE

lymphoblasts

HPV

monocytes, glomerular parietal cells, macrophages
fibrin
collagen

immediate arthocentesis
normal

lobar

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10
Q

Glomerular filtration barrier has fenestrated __ w GBM and podocytes
size selectivity is dependent on __ in GBM/slit diaphragm
charge selectivity depends on anions like __ to repel neg molecules
GPF from T cells causes inc _ of neg charged plasma proteins w selective albuminuria

tubular proteinuria only occurs when __ fxn is disrupted

A

endothelium
pores
heparan sulfate

filtration

proximal tubule

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