Sat Wk 3 General Principles Flashcards

1
Q

N__ is found in nucleas, and produces rRNA components
main fxn is newly trxn __ and ribosomal proteins

RER has folded membranes coated w R__
electron dense H__ are found at periphery of nucleus and appears dark

Mito have C__ folding in inner membranes

X cell inactivation aka L__ is maintined across cell division
prevents development of __ recessive cx, unless skewed inactivation occurs

this inactive X becomes H__ Barr body
heavily M___ w deacytelyated histones

A

nucleolus
rRNA

ribosomes
heterochromatin

cristae

lyonization
X linked

heterochromatin
methylated

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2
Q

mtDNA is small __ chromosomes w different genetic code than nuclear DNA
encodes for __/__ RNA needed for mito protein synthesis

no lipid __ separate nucleolus from nucleus

apoptosis activates e__ to degrade DNA/protein
cell membrane remains I__ thus no inflam occurs
replacement of anti-apoptotic proteins Bcl2 w __ proteins Bax inc permeability of mitochondria

A

circular
ribosomal/transfer

membane

enzyme
intact
pro

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3
Q

1/RT = 1/R for every __ in circuit that is parallel
take inverse for __

Resistance in series just __ resistances together

volume of __ is volume of fluid in which drug is uniformly distributed to match plasma conc
Vd = amount of drug given over__ of drug
ECF plasma is around __ L
thus, drugs w a Vd around this have __ Vd
usually bound to __ proteins, is charged, or has __ molecular weight

if smaller MW, and hydrophilic, can enter __ fluid and inc Vd to 14-16

if small MW and lipophilic, can enter __ compartment w very large Vd

A

resistance
TPR

adds

distribution
plasma conc

3
low
plasma
high

interstitial

intracellular

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4
Q

bc of high amount of Okazaki fragents on lagging strand, DNA __ must act much more freq than on leading strand

small ribosomal subunit binds __ and tRNA
large subunit contains __ transferase to form AA bonds

free ribosomes remain floating in __ throughout protein synthesis
translate proteins in C, N, Peroxosome, and nuclear endoded mito proteins

Ribosomes attached to RER after protein __
synthesize __ proteins, cell membrane proteins, and proteins in ER, golgi, lysosomes
Ribosomes attach to RER via T__

A

ligase

mRNA
peptidyl

cytosol
cytosol, nucleolus

translation
secretory
translocons

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5
Q

drugs w high lipophilicity enter __ compartment quickly, ie plasma
redistributed to __ vascularized peripheral compartmens of organs
next, poor vascularized peripheral compartment like __ and fat

multiple, unrelated phenotypic manifestations in diff organ systems w single gene defect is P__

to reduce risk of wrong site surgery, have __ verification from 2 sources
or use surgical __

superficial lymph system follows __
deep lymph system follows A__
medial track follows __ vein to superficial inguinal LN w out going to popliteal
lateral track communicates w __/_ LN and cause LAN in both areas

prostate lymph goes to I__ ln

A

central
well
skeletal muscle

pleiotropy

independent
timeout

veins
arteries
saphenous
popliteal, inguinal

internal iliac

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6
Q

trisomies/monosomies can result from N__ in meiosis
failed separation of hologous chromos is meiosis __
failed separation of sister chromatids is meiosis __

failure of sister chromatids to separate would produce same number of stains, just __ appearance as inc amount of DNA is obtained

most important prevention of nosocomial infect is __ hygiene
only need _ precautions w MRSA, VRE, parasites

E__ is maximum result of a drug
P__ is dose req to produce an effect
thus, high potentcy drugs have __ dose reg (ED50)
due to high __ for receptor, or better access to tissue

A

nondisjxn
1
2

darker

hand
contact

efficacy
potency

lower

affinity

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7
Q

Phosphorylase kinase must be __ to active form for glycogenolysis
in Liver, PK is activated via E/G activation of Gs and release of __ to PKA

in Skeletal muscle, epinpehrine causes rise in cAMP w inc intracellular __
this allows s__ of muscle contractions/glycogen breakdown

inc ATP/G6P tell PK/gluconeogenesis to __

t1/2= .7 *__
CL
used for __ order drugs
completely eliminated after __ half lifes

A

phosphorylated
epi, glucagon, cAMP

Ca
synchronization

stop

Vd
first
5

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8
Q

5’ capping, polyA tail, and intron splicing occur before mRNA leaves __
can bind to __ in cytosol for translation
or to __ bodies that control mRNA reg and turnover
dec __, cause decay, perform quality control
may release __ later for translation

5’ end of mRNA is capped w 7__ in 5’-5’ linkage
1st step adds __ via guanylyltransferase
M__ occurs via G7M

when polyA tail is shortened, mRNA is D__

A
nucleus
ribosomes
P
translation
mRNA

methylguanosine
GTP
methylation

degraded

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9
Q

when cDNA is used to identify mRNA seq, look at number of __ present
if shorter by nonmultiple of 3, _ mutation has occurred

missense/nonsense mutations manifest in P__
mutation forms a __ loop w recruitment of termination factors
does not affect mRNA/cDNA __

anticholinergic toxicity due to blockade of __ receptors
blockade of nictoninc receptors produces R__ paralysis and autonomic dysfxn

A

bases
frameshift

protein
hairpin
size

muscarinic
respiratory

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10
Q

drugs that undergo hepatic elimination are highly l__ and have high V__, and ability to enter BBB
allows them to cross renal tubular membranes and __ tissues

low Vd, high hydrophilicity will be eliminated by __

Beers criteria: avoid in \_\_
first gen anti\_\_
GI anti\_\_
alpha 1 \_\_, central A2 agonists
many antiA\_\_

avoid TCA and anti__, all hypnotics/depressants
avoid _ and NSAID/relaxants

A

lipophilic, Vd
reenter

kidney

elderly
antihistamines
spasmodics
agonists
arryhthmias

psychotics
SFU

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11
Q

tumor cells, B/T cells, viral infected cells die through A__
cells damaged display __ signals in intrinsic pathway
or __ pathway has interaction w receptors
both pathways converge to activate __ which contain cysteine to cleave Aspartic acid residues
these kill intracellular __

P__ is cofactor in transamination/decarbox rxn
amino group of AA is transferred to __ acid, and a keto acid becomes AA
ex is G__ AA rxts w oxaloacetate (A keto acid)
produces aspartate (AA) and A__ (aketo acid)

A

apoptosis
apoptotic
extrinsic
caspases

pyridoxine
aketo acid
glutamate
a keto glutarate

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12
Q

biotin is found in pyruvate c__, acetyl coa __, propionyl coa __ and MCAD __ (all same)

arrangement in which employer pays predetermined fee to cover medical services is C__
found in __ plan
restricts pt to limited __ and requires referrals
can be made to private __ company, or large physician group

Discounted fee for service pays for each individual service at pre arranged, D__ rate

Global payment covers all __ assc w each incident (ie surgery and post op)
Point of service req pt to see __ physician first, then they are free to see other docs

A

carboxylase

capacitation
HMO
physicians
insurance

discounted
exoenses

primary care

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13
Q

C__ is most abundant protein in body
3 polypeptide __ chains w hydrogen bonds forming a rope like triple helix
most AA is __ and is present every 3 bases
proline and hydroxy__/__ are also freq
Proline maintains __ structure
Hydroxylsyine maintains __ of assembled fibrils

high altitude sickness due to __ hyoxia
less O2 in air due to lower __ w elevation
thus, __ chemoreceptors stimulated to ventilate
w/in 48 hrs, pH should be near __ as bicarb is lost

A
collagen
alpha
glycine
proline/lysine
rgidi
strength

hypobaric
pressure
peripheral, ventilate
normal

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14
Q

pt w B__ syndrome has mutation in BLM gene encoding DNA helicase
cannot unwind, leading to chromo __ and breakage
pt has growth __ w facial anomalies, photosensitivity, and recurrent I_

T__ is found ahead of dna helicase to prevent supercoiling

in glycolysis, pyruvate formed is converted to __ via pyruvate dehydro
in hypoxic cx, NADH builds and inhibits the __
thus, pyruvate is shunted towards __, resulting in lactic acidosis

DNA poly 1 is only prokaryotic polymerase that has __ proofreading activity

__ recog sequence identifies origin of rep for helicase to act at

A

bloom
instability
retard, infections

topo

acetyl coa
enzyme
lactate

5’-3’

origin

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15
Q

__ is probabiliy of not having dz when test was neg
vaires w __ thus must determine pretest prob
if pt has high prob, neg test means __ NPV
if pt has low prob, neg test means __ NPV

eukaryotic genome is __ than prok, but can be copied more quickly due to __ origins of rep

euk pol alpha synthesis __ primer, starts DNA synth
Beta __ damaged DNA
gamma replicates m__ DNA and proofreads
Delta elongates __ fragments and proofreads
Sigma elongates __ strand and proofreads

A

NPV
population
low
high

larger
multiple

RNA
repairs
mtDNA
okazaki
leading
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16
Q

prok DNA pol 2 R/P DNA
DNA poly 3 synthesizes __/__ strand and proofreads
DNA poly 1 has __ activity and can proofread

H__ or hox gene is highly conserved 180 nucleotide DNA seq
codes for __ factors that bind regulatory regions of DNA
important in segmental __ of embryo
thus, mutations can lead to S/L/O malformations

A

repairs, proofreads
leading/lagging
exonuclease

homeobox
transcription
organization
skeletal, limb, organ

17
Q

inactivate GTP is __ of alpha, beta, gamma bound to GDP
alpha 1 receptor activates __ to form DAG/IP3
IP3 inc intracellular __ to turn on PKC
DAG directly activates __

R__ is technique using antibodies w radiolabeled antigen to determine amt of antigen in a sample
Sepcific antibodies added, w radiolabeled __ and unlabeled antigen
plate is __ and unbound antigens removed
basically measuring __ displaced from antibody

if no change in radioactivity occurs, unlabeled antigen has no shared __ w radiolabeled antigen

if they shared equally, as Y inc, X would __ proportionately

A

heterotrimer
phospholipase C
Ca
PKC

radioassay
antigen
washed
antigen

epitopes

dec

18
Q

p450 enzymes work to deactivate drugs by improving __ solubility
different __ of enzymes exist, altering rate of drug metabolism

Tamoxifen is metabolized by __ to active metabolite
if polymorphism has dec activity, less active __ is found in body

hepatic N acetyltransferase is necessary to metabolize drugs like I/S

A

water
phenotypes

CYP2D
metabolite

isoniazid, sulfonamides

19
Q

euks have 2 promoter regions: __ box 75 bases upstream and __ box 25 bases upstream

trxn occurs when RNA poly 2 and trxn factors bind __
fxn is inc when activator binds __ region

if mutation occurs in promoter, alterations in _ of RNA poly 2/trxn factors occur

A

CAAT
TATA

promoter, enhancer

binding