Monday Wk 7 Mixed 2 Flashcards

1
Q

__ is causative agent of Parkinsons dz

w candida skin test, __ present to CD4 T cells
can be used as __ control as all individuals are sensitized to candida
if neg, referred to as __

w injury, __ containing RBC escape to periorbital tissues to produce bruise
release of iron containing __ due to RBC destrxn
__ then forms biliverdin to produce green color
then reduced by __ to yellow color

RA/SVC pressure is around _
RV readings appear \_\_ w higher \_\_ pressure and same diastolic pressure
PA systolic pressure is _
diastolic pressure is less than \_\_
LA/PCWP is around \_\_
A

MPTP

macrophages
positive
anergy

Hb
Heme
heme oxygenase
biliverdin reductase

<6mmHg
pulsatile, systolic
same, 12
6-12

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2
Q

triple therapy for H pylori is / w clarithromycin, PPI

M is prokinetic w antiemetic properties

use Prostaglandin analog like __ to prevent NSAID ulcer

chronic rejection spirometry shows airflow __ w dec FEV1 and ratio
see __ infiltration of small airways
followed w __ exudate and granulation tissue w fibrosis/scarring/obliteration

Foscarnet can chelate __ and deplete Mg leading to SEIZURES

Cidofovir is __ w proteinuria/inc creatinine

Major SE of ganciclovir is __

A

amoxicillin/metronidazole

metochlopromide

misoprostal

obstruction
lymphocytic
fibrinous

Calcium

nephrotoxic

bone marrow suppression

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3
Q

long term activation of __ receptors results in inc receptor tunover and decoupling
upregulates __ receptors
this leads to __ and opioid induced hyperalgesia
can be precipitated by partial agonist __
has high __ w low activity

internal hemorrhoids innervated by __ plexus
covered w __ epi
external hemorrhoids covered w __ epi w innervation by inferior rectal nerve from __ nerve

SIADH from SCLC has dec serum __
kidneys cannot produce dilute urine thus urine osmolarity is above __

adenoca of lung assc w D/P and T

A
mu opioid
NMDA
tolerance
Buprenorphine
affinity

inferior hypogastric
columnar
modified squamous
pudendal

osmolarity
100

dermatomyositis, polymyositis, trousseau syndrome

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4
Q

minors require paretal consent for __ med tx
exception if S, S, P/C

B thal is due to point mutation in _ or _

LP for crypto meningitis may have __ leuks
tx w __ in long term
_ testing is sensitive/specific
culture w __ to confirm ddx

use voriconazole for __

MM produces hypercalcemia via __ w inc OC activating factors
FHH has low __ Ca

A2 receptors dec __ release and dec __ motility
B2 receptors inc __ release

NE typically does not raise HR due to baroreceptor reflex from high __

A

non emergent
STD, substance abuse, prenatal/contraception

splice site, promoter sequence

low
Fluconazole
crypto antigen
sabourad agar

aspergillus

osteolysis
urinary

insulin, intestinal
cAMP glucagon

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5
Q

ARDS __ phase has release of inflam cytokines activating pulm ednothelium
recruits __ to lung tissues w inc capillary permeability
leakage of __ fluid into alveolar space w formation of hyaline membranes
__ phase has endo/pneumo/fibroblasts proliferate
__ phase has collagen deposition w fibrosis/pHTN

w inspiration, diaphragm creates more __ IP pressure to draw air into lungs
passive recoil relies on elastic recoil of __ to expel air
w normal phrenic nerve activity and weaker contractions, problem must be skeletal muscle __ or impaired NT
women in post partum period are at high risk for ___

w phrenic nerve damage, would see uniform weak __

A
exudative
neutrophils
protein rich
proliferative
fibrotic 

negative
lungs
fatigue
MYASTHENIA GRAVIS

inspirations

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6
Q

normal IgA is in __ form and binds to pili to prevnt bacteial mucosal adherence

D1 receptor is __ second messenger system

majority of pts w calcium kidney stones are __ due to intact regulation by VD/PTH

hyperoxaluria from diet high in C/N/S
another risk factor is hypo__

sharp pain w bright red rectal bleeding on defecation has __
exacerbated w spasm of _
these occur __ to dentate and usually __ midline
this is __ tear in mucosa

LCX supplies lateral ventricle and MI occurs in _ as well as v5/v6
LAD supplies anterior/septal ventricle via leads __
proximal involves __ leads
distal may spare leads __

A

dimer

Gs

normocalcemic

chocolate, nuts, spinach
hypocitraturia

anal fissure
sphincters
distal
posterior, longitudinal

1, avL
v1-v4
all
v1-v2

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7
Q

in acid fast stain, bacteria x w __ first to penetrate wall
then tx w / to wash away wall cell membrane of nontb bacteria
then add __ to stain these orgs blue
__ is an org that is weak acid fast

stage 1 of sarcoid has __
stage 2 adds __ in upper lobes
stage 3 has __ disappear
stage 4 has __

activated macros in Tb infection releases P, N, R which also results in lung damage/cavitation
thus, cord factor is driver of __ formation

granulation tissue in small bronchioles is __

collection of extravasated blood at least 1cm is __
usually indicate deep __, ligament rupture or __ injury
__ is less than 5mm, while __ is just bigger
assc w __ dysxn
assc w high __ pressure

A

carbolfuschin
H2O2, alcohol
methylene blue
Nocardia

bilateral hilar LAN
pulm infiltrates
hilar LAN
progressive fibrosis

proteases, NO, ROS
granuloma

COP

ecchymoses, hemorrhage, muscle
petechiae, purpura
platelet
venous

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8
Q

__ is neurotoxin produced by puffer fish
along w __ from dinoflagellates leads to NV, paresthesias, lost __ w hypoTN/death
due to inhibition of __ influx
Ciguatoxin from /
batrachotoxin from SA __ both cause Na channel to stay /

S1 radiculopathy has sensory loss down __ thigh and lateral foot
weakness on thigh __ and knee __ and plantarflexion
absent __

L5 radiculopathy felt over _ and __ foot w problems w dorsiflexion, eversion and extension (EH/D)

damage to L4 leads to lost senstion of __ and medial calf/foot
see probs w hib __ and knee __ and __ REFLEX

lesion at L3 leads to lost hip __, hip adduction and knee extension but normal reflex
sensation only lost at __

A
tetrodotoxin
saxitoxin
reflexes
Na
Eel, exotic fish, frogs
depolarized, open

posterior
extension, flexion
ANKLE REFLEX

anteriorlateral, dorsal
extensor hallicus/digitorum brevis

anterior leg
flexion, extension, PATELLAR

adduction
anterior medial leg

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9
Q

ovarian tumors

__ has amenorrhea/virilization
usually in __ woman w hollow/solid tumors w round sertoli cells/fibrous stroma
secete __
GTC are also ___ tumors
secrete __ w endometrial hyperplasia/post men bleeding
high __ w CE bodies and coffee bean nuclei

Dysgerminoma is \_\_ tumor
\_\_/\_\_ is high w fried egg cells
may present w ruptured \_\_
_ is other germ cell tumor
AFP is high w ab pain due to torsion and no _
histology shows \_\_

__ is epithelial tumor w psamomma bodies
usually __ woman w out hormone activity
__ is other epi tumor w mucin prodxn
see P__

A
SL sex cord stromal
young
androgens
sex cord stromal
Estrogen
Inhibin
germ cell
HCG/LDH
ovarian follicle
Endodermal yolk sac
virilization
schiller duval bodies

serous cystadenoma
posmen
mucinous cystadenoma
pseudotumor peritonii

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10
Q

AGE occur w glucose attaching to __ w formation of irreversible products
along w __ in BV walls leads to athero and microangiopathic cops
sorbitol becomes fructose via __
when overwhelmed, leads to __ cell injury w oxidative stress
leads to cell injury like __

nephrotic syndrome has heavy __ and hypo__ w edema and hyperlipidemia
w dec intravascular oncotic pressure fluid moves to __ w edema formation
IV volume depletion activates __ to inc Na/water retention and inc hydrostatic pressure
stimulates liver to inc __ prodxn
w low LPL activity, __ develops
liver also tries to inc __ prodxn

A
proteins
LDL
sorbitol dehydrogenase
osmotic
cataracts
proteinuria, albuminemia
interstitial
RAAS
lipoprotein
hyperlipidemia
albumin
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11
Q

HbA2 is high in __
if HbA is present, dx is ___
if not, dx is __

in nonlactating women, __ is most breast tissue
in lactating women, __ proliferates
__ is precursor to IDC
__ is protective
see microcalcifications w ducts distended and central __ w/out extension beyond BM
spread of cells to nipple w eczematous changes indicates __

Invasive __ carcinoma has breast mass w single file cells

__ tumor comes from breast stroma and has hypercellular CT w __ projection

A

B thal
minor
major

stroma
epithelium
DCIS
breastfeeding
necrosis
Paget dz of breast

lobular

phyllodes, leaf like

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