Monday Wk 7 Mixed Flashcards

1
Q

claudication is due to fixed stenotic __ plaques
__ atherosclerosis can limit blood flow to internal pudendal arteries, making erection difficult

__ arteriolosclerosis is homogenous deposition of hyaline material in arteries/arterioles

osteolytic mets are more likely ___
ex include M, N, N, R, C
osteoblastic cancers are P, S, H

RCC originates from epithelium of __
cuboidal/polygonal cells w __ nuclei and abundant cytoplasm

Renal __ originates from COLLECTING DUCT CELLS
well differentiated eosinophilic cells w numerous __

__ is assc w RENAL PELVIS
tumor appears P__ w thin fibrovascular stalk

A

atheromatous
aortoiliac

hyaline

aggressive
MM, NHL, NSCLC, RCC, melanoma

Prostate, SCLC, HL

PT cells
eccentric

oncocytoma
mitochondria

transitional cell
papillary

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2
Q

wedge shaped hemorrhagic lesion at periphery of lung is __
hemorrhagic due to __ blood supply

Mycotic aneurysm is infectious aneurysm w destruction/dilation of __ wall

anaphylaxis has VD w _ and edema/tachycardia
upper airway edema and / w wheezing/bronchospasm
urticaria and __ w NV
tx IM __ and airway mx/fluids
type 1 HS rxn due to / degranulation
fluid goes from _ to _ space

high affinity IgE receptor on MC/basophils responds to crosslinking and __ following multivalent antigen binding
activates TK w __

acute transplant rejection has __ lymph infiltration of vessels, tubules, interstitum
calcineurin inhibs damage renal __ and tubule cells
look for arteriolar __ and tubule vacuoles

A

septic pulm emboli
dual

arterial

hypotension
stridor, hoarseness
pruritis
EPINEPHRINE
MC/basophil
intravascular, extravascular

aggregation
degranulation

DIFFUSE
endothelial
hyalinization

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3
Q

arterial fibrinoid necrosis following transplant is __
PMN/necrotizing vasc is _

COX1 acetylation prevents __ in platelets
COX2 acetylation prevents __ prodxn in inflam cells

Acetominophen primarily acts on COX in __
not anti__ due to weak inhibition

serratus anterior rotates __ upward
above horizontal, / abduct shoulder
Erb palsy seen w damage to M/S w shoulder adduction, elbow extension, forearm pronation

acute onset diplopia in diabetic pt is __
only action via / pulls eye down/out
somatic fibers run __ while autonomic component outisde
thus, pupillary / is not affected

lacunar strokes affect __ CN 3
midbrain stroke affects __ CN3

A

hyperacute reject
acute cellular reject

TXA2
prostaglandin

CNS
inflammatory

SCAPULA
trapezius, serratus anterior
musculocutaneous, suprascapular

CN3 mononeuropathy
SO, LR
in core
size, reactivity

contralateral
both

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4
Q

pathogenesis of EOC is due to trauma/repair at __
such as N, I, P/E, L
prevented by M, O

__ medium kills off other contaminants
__ media identifies orgs based on metabolic/biochem properties
__ media includes special growth factors
__ media removes O2

pain in migraine due to activation of __ affarents in meninges
releases SP, CGRP causing neurogenic __ w vasdilation/pp extravasation
Triptan is / agonist
inhibits release of peptides, promoting __ and blocking pain pathways
avoid in pt w / dz

untx gonorrhea/chlymidia leads to P/E

pleural plaques occur in __ pleura

A

ovarian surface
nulliparity, infertility, PCOS, endometriosis, lynch
multiparity, OCP

selective
differential
enrichment
reducing

trigeminal
inflammation
5HT1B/5HT1D
vasoconstriction
cardiac, cerebrovascular

prostatis, epidydmitis

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5
Q

esp use __ bridge w warfarin on pt w protein C def or w large loading dose
/ are depleted first in warfarin therapy

AML is inc __ on smear
translocates __ from c15 to __ on c17
CML translocates __ on c9 to c22

cuneus gyrus receives info from __ retina thus lower visual field
lingual gyrus receives info of __ retina thus upper visual fields

stroke of __ leads to loss of CN 5, 9, 10, 11 w Horner syndrome

rickets shows frontal __ w craniotabes, CC jxn widening w __
may see femoral/tibial __
XR of growth plates shows epiphyseal __ and cupping

EXCESS mineralized bone is __

A

HEPARIN
factor 7, protein C

promyelocytes
PML, RARa
ABL

upper
lower

PICA

bossing
rachitic rosary
bowing
widening

osteosarcoma

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6
Q

muscles lack __ thus must use G6P for glycolysis
no rise in blood lactate after exercise is __

Achondroplasia is mutation in __ gene
in __ bone formation, mesenchymal cells form chondrycytes to secrete cartilage matrix
form elongating cartilage templates that is _ and invaded by OB
deposition of __ forms woven bone and remodeled to compact bone

flat bones grow via __ ossification
mesenchymal cells form __ and osteoid matrix is secreted w cartilaginous bones

some NSCLC has inversion of c2 w fusion of __ gene
tx w __ in adenoca

cyclin D1 promotes G1/S __

Acute chest syndrome localizes to pulm __
spleen is brown due to __ w extravascular hemolysis

A

G6phosphatase
McArdle’s Dz

FGFR3
LONG endochondral
calcified
osteoid

intramembranous
OB

EMK-ALK
crizotinib

transition

vasculature
hemosiderinosis

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7
Q

cutaneous SV vasculitis due to drugs or __
think P, C, S, P, A
nonblanching palpable __ of LE
due to __ necrosis w PMN infiltration

__ has widened CT septa w PMN infiltration and fibrin exudation
see __ w septal fibrosis

superficial dermal edema w dilated lymph channels is _

Nystatin is not absorbed in _ thus only tx oral infections

A

pathogens HepB/C
penicillin, cephalosporin, sulfonamides, phenytoin, allopurinol
purpura
fibrinoid

EN
PMN

urticaria

GI tract

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8
Q

alveolar transmural pressure is always __ due to lung elasticity
chest wall result in __ transmural pressure except w maximal inspiration
oppose each other equally at __ w airway pressure of 0
intrapleural pressure is __ thus pulling air in

infiltrative dx of restrictive cardio may also cause _ w need for pacemaker

parasitic protozoa in heart w dense cell infiltrate/myofiber dysfxn is __ dz

cysts in ADPKD are __ w smooth border
do not __
can occur in any portion of _
tubular cell prolif w __ secretion

most common mutation in HFE on c6 is __

__ type receptors are ligand gated ion channels
Ach receptors have __ binding sites and only open when both bound

A

positive
negative
FRC
-5

bradycardia

Chagas

homogenous
enhance
nephron
fluid

C282Y

iontropic
2

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9
Q

A1/M1/M3 receptors are __ system
M2 is __ system

dilation of sinusoids/perivenular hemorrhage is due to __ obstruction in liver ie Budd Chiari Syndrome

mengiomas arise from __ cells at dural reflections of leptomeninges

well circum gray mass w calcification at white matter of brain is _

isoniazid requires specific protein sequence in enzyme __
this can have modified _ w resistance

PP is extension of __ neurons
solid, calcified, cystic component mass in brain is __

A

GPCR-Gq
GPCR-Gi

outflow

arachnoid

oligodendroglioma

target
binding site

hypophyseal
craniopharyngioma

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10
Q

Opsoclonus-myoclonus syndrome is __
arises from __ of AM/ganglia
firm ab mass w __ ecchymoses w anemia/pancytopeni
OM syndrome to _ response to CNS antigens

__ is malignant tumor in kids w HW rosettes

synaptophysin is glycoprotein in presynaptic vesicles of _, _, _ cells

GFAP positivity is seen in G, O, E, P due to astrocytes

meningiomas come from __ cells which are GFAP/synaptophysin neg

__ is CCB that can act on both vasc smooth muscle and cardiac myocytes
__ causes reflex tacchycardia and is useful in pt w bradycardia

A

neuroblastoma
NCC
periorbital
autoantibody

medulloblastoma

neurons, neuroendocrine, neuroectodermal

glioblastoma, oligodendroglioma, ependymoma, peripheral nerve sheath tumors

arachnoid

DILTIAZEM
Dihydropyridines

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11
Q

hypovolemia promotes __ reabsorption w acute gout attack

aldosterone inc / SECRETION w metabolic alkalosis

A

uric acid

H/K

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