other 2 Flashcards

1
Q

Apneustic center - location and function

A

lower pon

stimulate inspiration, producing deep and prolonged inspiratory gasp (apneusis)

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2
Q

Pneumontaxic center - location and function

A

upper pons

inhibits inspiration –> regulates insiratory volume and respiratory rate

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3
Q

Beside chemoreceptros and central control, other types of receptors that control breathing

A
  1. Lung stretch receptor
  2. irritant receptors
  3. J (juxtacapillary receprors)
  4. Joint and muscles receptors
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4
Q

control breathing - Lung stretch receptor

A

when Lung strectch receptors (on SMC of the airways) are stimulated by distention –> decresea in RR (Hering-Breuer reflux)

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5
Q

Hering-Breuer reflux?

A

when Lung strectch receptors (on SMC of the airways) are stimulated by distention –> decresea in RR

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6
Q

control breathing - irritant receptors

A

located vetweein airway epithelial cells –> stimulated by noxious substance (eg. dust and polle)

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7
Q

control breathing - J (juxtacapillary receprors)

A

located in alveolar walls (close to capillaries)

engorgement of pulmon capillaries (eg. LHF) –> stimulates J receptos –> rapid, shallow breathing

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8
Q

control breathing - Joint and muscles receptors

A

movement of limbs –> activation –> early stimulation of breathing during exercise

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9
Q

mesothelioma - histology

A

papillary bodies

carletin and cytokeratin (+)

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10
Q

structrures that perforate diaphragm

A

IVC at T8
esophagus + vagus at T10
azygus, aorta, thoracic duct at T12

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11
Q

Sarcoidosis - steps

A
  1. bilateral hilar lymphadeopathy
  2. bilateral hilar lymphadeopathy with pulmonary inflitrates (esp upper)
  3. disappearance of hilar lymphadeonpathy
  4. lung fibrosis
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12
Q

alpha 1 antitrypsin - diagnosis / age of live disease / age of lung disease

A

diagnosis: measurement of serum ATT level –> followed by confirmatory genetic test
age of liver: first 2 decades
age of lung: 51 in nonsmokers, 36 in smokers

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13
Q
  1. middle meningeal artery is a branch of
  2. facial artery is a branch of
  3. occipital artery is a branch of
  4. opthalmic artery is branch of
  5. sphenopalatine artery is a branch of
A
  1. maxillary
  2. external carotid
  3. facial artery
  4. internal carotid
  5. maxillary
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14
Q

facial artery is branch of

A

external carotid

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15
Q

congenital torticollis

A
  • typically at 2 to 4 weeks of age
  • child prefers to hold the head tilted to one side
  • due to malposition of the head in utero or birth trauma
  • resolve with conservative therapy and stretching exercise
  • palpable soft-tissue mass at inferior 1/3 of the affected SCM
  • may also have additional musculoskeletal anomalies: hip dysplacia, metatarsus adductis etc
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16
Q

septic vs gout according to count of WBCs

A

gout less than 100 000

spetic more than 100 000

17
Q

Myotonic dystrophy - mode of inheritance
Freidrach ataxia - mode of inheritance
fRAGILE x - mode of inheritance

A

AD
AR
XD

18
Q

Marple syrop - glucose?

A

decreased gluconeogenesis