Revision Flashcards

1
Q

Meiosis II is not completed in the oocyte until

A

fertilisation

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2
Q

ADH promotes….

A

insertion of aquaporins in collecting tubule membrane

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3
Q

Plasma clearance is the

A

volume of plasma that is completely removed of a substance in one minute

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4
Q

What is the status of the oocyte immediately preceding ovulation?

A

haploid, secondary oocyte arrested in metaphase II

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5
Q

GRAM - colour and gram + colour

A
  • pink

+ purple

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6
Q

In normal circumstances, the largest volume of blood is located in the

A

large veins

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7
Q

Methicillin-resistant Staphylococcus aureus (MRSA) is a significant healthcare associated pathogen.

What makes this bacterial pathogen so important?

A

It can cause different diseases including pyogenic infections and toxin-mediated infections, spreads easily through the health care setting and is difficult to treat due to resistance to multiple first-line antibiotics

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8
Q

when can you hear Korotkoff

A

the pulse can be heard clearly only when the pressure in the cuff is between the systolic and diastolic pressures

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9
Q

Which of the following values could be measured using a spirometer?

A

tidal volume, vital capacity and inspiratory reserve volume

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10
Q

Which one of these are properties that contribute to the classification of viruses?

A

Whether it has DNA or RNA and how the nucleic acid is arranged, structure of the virus particle and symmetry of the capsid

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11
Q

The plicae circulares

A

are duplications of the mucous membrane

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12
Q

Severe combined immunodeficiency diseases are caused by

A

genetic deficiencies in T cell development and function

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13
Q

he stage of infection where malaria infects red blood cells, T cells are most likely activated to respond to the malarial antigens in which site?

A

spleen

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14
Q

The rate of diffusion of a gas across the respiratory membrane is influenced by

A

surface area of respiratory membrane

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15
Q

The intratubular compartment of the testis is made up of

A

seminiferous tubules, epithelium, sperm cells, Sertoli cells

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16
Q

T cell antigen recognition

A

T cell receptors only recognise protein antigens when they are degraded into short peptides and displayed on MHC molecules on the surface of antigen presenting cells

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17
Q

role of PAMPS

A

activate DC cells to express signal 2 and indicate there is a danger

18
Q

costimulatory signal

A

PAMPS telling T cells there is danger using costimulatory molecule receptor

19
Q

B cells

A

secrete antibodies

20
Q

T cells

A

become CTL cells which kill cells

and T helper cells which help B cells make antibodies

21
Q

ways antibodies act

A

neutralisation
opsonisation
activation of complement system
triggering of mast cells to make histamine

22
Q

DC

A

major antigen presenting cell in activation of naive cell

23
Q

signal 1

A

T cell receptor binding MHC - Ag peptide

24
Q

what expresses costimulatory signal

A

DC when its activated by a PAMP via Toll like receptor

25
Q

absence of signal 2 leads to

A

T cell tolerance - trained to not kill that antigen.

26
Q

CD4 and CD8

A

CD4- t helper cells

CD8 - CTL cells (cytotoxic T lymphocytes)

27
Q

how does adaptive immune response recognise antigens

A

BCR- recognises epitope of antigen

TCR - recognises short peptides of antigen, bound to APC on an MHC molecule

28
Q

phagocytosis

A

killing of cell by engulfing it

29
Q

adaptive responses to bacterial killing

A
  • B cells making antibodies which act to kill cells
  • T help cells helping B cells do this
  • CTL cells killing antigens
  • BCR and TCR recognise antigens and proliferate or differentiate
30
Q

growth conditions in the lab

A
  • temp
  • oxygen level
  • amount of nutrients
  • pH level
31
Q

Koch’s postulates and what doesnt qualify

A
  • shown in all cases of disease
  • grown in pure culture
  • cause disease in healthy animal
  • be isolated and shown to be the same as the original
    wont work if they only infect humans and cant be grown in lab environment
32
Q

liver blood supply

A

venous and arerial
portal vein carries deoxygenated blood
hepatic artery carries oxygenated blood

33
Q

inflammation steps

A

release of cytokines and chemokines by innate immune cells.

leukocytosis - neutrophils enter blood from bone marrow
margination - neutrophils cling to capillary wall
diapedesis- neutrophils flatten and squeeze out of capillaries
chemotaxis- follow chemical trail

34
Q

Implantation of blastocyst steps

A
  • day 7: trophoblast cells proliferate to cytropoblast cells and syncytriotropoblast cells
  • day 9: blastocyst burrows into lining and gets sealed off. embryoblast cells differentiate into epiblast (fetus) and hypoblast (yolk sac)
  • day 12: implantation complete
35
Q

why do women use POP

A

history of: hypertension, stoke and DVT

36
Q

What are some of the common causes for infertility in males? In females?

A

males - dilation of paniform plexus and vas deferens blockage
females - ovarian disfunction (PCOS, endo), endocrine abnormalitles (hypothalamic and pituitary dysfunction) and implantation abnormalities (luteul and progesterone production deficiency)

37
Q

What are some of the methods used to assess infertility

A

ways to assess: blood test, ultra sound, xray, AMH test, semen analysis, DNA fragment test, sperm angulation test.

38
Q

What are the hormones used in a typical cycle of IVF and their roles

A

FSH - follicle growth
hCG- act as LH and promote ovulation
GnRH antagonist - suppress natural ovulation
Progesterone- given after implantation for luteal support.

39
Q
  1. Describe how the ascending limb contributes to the formation of the medullary osmotic gradient & what this does to the filtrate entering the distal & collecting tubules
A

The asc loop pumps nacl out which contributes to an increase of institutial fluid concentration and lower filtrate concentration entering the distal and collecting tubule.

40
Q
  1. Under what conditions is ADH released from the posterior pituitary? What effect does ADH have on the collecting ducts?
A

An increase in ECF concentration causes the posterior pituitary to release ADH, which promotes the insertion of aquaporins in the apical membrane of collecting tubule, which increases water permeability