Saturday Wk 6 Mixed Flashcards

1
Q

Well circumscribed fluid mass in pancreas is __

lactase nonpersistence is due to dec __ of gene

on petri dish, __ cells will from layer and pile to form mounds
this is due to lack of C/C meaning no CONTACT INHIBITION

Light microscopy w Jones Methenamine silver indicates __ dz
__ does not take up stain and appear pale

stool testing w cysts/trophozoites tht take up RBC is __
large number of oocysts is __
cysts/trophs w/out RBC but has foul smelling diarrhea is __

A

panc pseudocyst

EXPRESSION

MALIGNANT
cadherins, conectins

MN
immune complexes

Entamoeba

CRYPTO
Giardia

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2
Q

high AFP seen in __ NTD and __ wall defects or multiple gestations
low in __
esp think DS w low / and high /

failure of homologous chromos to seperate occurs in __ esp oogenesis
RFLP shows __ chromos
failure of sister chromatids to separate occurs in __
RFLP shows __ chromos

urea can only be absorbed in __ collecting duct

degree of lung __ has large effect on PVR
inc lung volume __ alveoli w stretching of vessels
inc length and reduces __ thus inc resistance
dec lung volumes cause extraalveolar veins/arteries to __ due to dec radial traction w inc resistance
PVR is sum of / resistance
is highest at / lung volumes, lowest at FRC

A

open, ventral
trisomies
estriol, AFP
BHCG, inhibin

meiosis 1
3
meiosis 2/mitosis
2 w one darker

medullary

distension
expand
diameter
compress
alveolar/extraalveolar
LARGE, LOW
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3
Q

H, P, P are unidirectional glycolytic enzymes
bypassed w P/P, F, G
oxaloacetate must be shuttled from __ to cytosol w reformation of oxaloacetate

allergic contact derm is a type of __ w type 4 HS rxn
characterized by __
edema can lead to intraepidermal __ w lymphs/eosin
can progress to thickened SS __ or SC __ w plaques
look for __ description

GM is tumor of __ in frontal/temporal lobes/BG
crosses midline w N/H and is poorly demarcated
see __ necrosis w new vessels/small round/giant cells
Cyst w rare mitoses is __
found in __ ventricle
can lead to obstructive __

HCM is AD __ mutation in sarcomere genes
mutation in __ gene can lead to restrictive cardio

A

hexokinase, PFK, pyruvate kinase
Pyruvate carboxylase, PEPCK, F26Bisphosphatase, G6Pase
mitochondria

eczematous dermatitis
SPONGIOSIS
vesicles
acanthosis, hyperkeratosis
WEEPING
astrocytes
necrosis, hemorrhage
pseudopalisading
colloid cyst
3rd
hydrocephalus

missense
Transthyretin

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4
Q

AC that induce p450 inc VD __
Medroxyprog/Aromatase inhibs/GnRH agonists dec __ for osteoporosis
GC inc __ differentiation/activity
dec __ activity and synthesis of bone marrow
inhibit Ca __

major site of drug elim is __
major site of metabolism/transformation is _
hepatic eliminated drugs are highly __, w __ Vd

axillary nerve runs through __ space
superior is __, laterally is __
medially is __, and inferiorly is _
runs along __ of humerus to supply deltoid/teres minor

nacrolepsy isdue to low NT O__ hypocretin
tx w M__ a stimulant or amphetamines

supplement __ in measles
if low, leads to keratitis and corneal __

A

catabolism
estrogen
osteoclast, osteoblast
absorption

KIDNEY
LIVER
lipophilic, high

quadrangular
teres minor, humerus
long head of triceps, teres major
surgical neck

orexin
modafinil

Vitamin A

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5
Q

Malignant hyperthermia occurs after H/S use
inherited __ w defect in RR
w high release of Ca into cytoplasm, __ is consumed and generates heat
high temperatures damage __ w Rhabdo forming
sx include F, muscle __, tachycardia, HTN, hyper__ and M

osmotic sx of DM suggest BG is greater than __
use oral glucose tolerance test for /

gonadotroph adenomas usually produce inactive __ subunit thus only see mass effects

HS has abnormal __ 5maleimide binding test
supplement w __
MCHC is high due to __

Extravascular hemolysis is process where macros in _ clear RBC
most commonly seen in __
AIHA is _ hemolysis

A
halothane, succinylcholine
AD
ATP
muscles
rigidity, kalemia, myoglobinemia

180
pregnant, CF

eosin
FA
dehydration
spleen
HS

extravascular

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6
Q

activated factor 10 converts __ to prothrombin
thus admin __ in pt w hemophilia to stop bleeding
active thrombin is needed to form __

pt w ab pain/facial swelling has __ deficiency
normally prevents breakdown of /
also prevents conversion of kininogen to __
leads to bradykinin assc angioedema w laryngeal __ and colicky ab pain
tx w __ care and C1INH concentrate
Mast cells activated by __ rxn or Opiods
leads to /
excess bradykinin can also be due to __
NO /

A

thrombin
THROMBIN/PT conc
fibrin

C1 inhibitor
C2/C4
bradykinin
edema
supportive
type 1 HS
urticaria, pruritis
ACE inhib
URTICARIA/PRURITIS
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7
Q

__ infarct occurs in small penetrating arterioles of deep brain B/P or subcortical white matter I/C
due to chronic __ w liphyalinosis, microatheroma, and hypertensive arteriolar _
narrowing of lumen leads to _
can be pure __ hemiparesis if posterior limb of _ or pons affect
or pure sensory if / of thalamis
ataxia hemiplegia syndrome if __ or basal pons involved
dysarthria, clumsy hand w __ of IC/basal pons
necrotic lesion turns into __ space filled w CSF/scar tissue
cardiac embolisms involve __ cerebral vessels

CB aneurysm ruptures w intraparenchymal __ thus show bright appearance on CT

A
lacunar
BG, pons, internal capsule, corona radiata
HTN, sclerosis
occlusion
motor, IC
VPL, VPM
posterior limb of internal capsule
genu
cavitary

LARGE

HEMORRHAGE

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8
Q
ZZ/E are not benzo hypnotics
have same \_\_ w rapid onset, and similar metabolism
no potential for \_\_
avoid in \_\_
preferably tx insomnia w \_\_ mechanisms

right side colon lumen is __
thus tumor is more likely to present w __
RS involvement leads to _

glucagon induces hepatic __ to rapidly inc GB levels
RLS to gluco is P/P
__ provides more glucose homeostasis in skeletal muscle, adipose, kidney

use __ for catabolic rxns and repairing damage
use __ for anabolism

can use hydrophilic bile salts like U__ to tx cholesterol gallstones

Cholestyramine inc biliary __ to dec gallstone risk

A

zolpidem, zaleplon, eszopiclone

LARGER
hematochezia

GLYCOGENOLYSIS
PC, PEPCK
epinephrine

NAD
NADP

ursodeoxycholic acid

mobility

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9
Q

Mycobacterium Avium also has __ granulomas

MC HL is __ w nodular growth and surrounding fibrous bands

IgG4 antibodies to __ on glomerular podocytes is IDIO MN
Mixed cryo deposits __ in glomerulus w GBM thickening

staph aureus endo can cause perforations in / or send septic emboli to lungs/systemic circ

Culture neg endo B, C, C, H, M
and HACEK

flank pain to groin w flank mass after pelvic surgery is _
ureter runs anterior to __ vessels and posterior to __ artery in girls
esp vulnerable w __ surgery

A

caseating

nodular sclerosis

PLA2R
IgM

valves, chordae

bartonell, chlamydia, coxiella, histo, mycoplasma
haemophilus, actinobacter, cardiobacter, eikenella, kingella

hydronephrosis
iliac, uterine
PELVIC SURGERY

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10
Q

Amyloid light chain is _
chronic inflam cx leads to _
AD has beta amyloid deposition due to cleavage and accumulation in temporal lobe w __
amyloid forms around cerebral __ w inc risk of hemorrhage

intranuclear eosinophilic inclusions of a synuclein is _
round cytoplasmic inclusons of tau protein is __

SOB, cough, swelling of face/UE is __
may have HA/dizziness due to high __ pressure
MCC are / cancers
found in ___

superior sulcus tumors compress __ and cervical symp ganglion

A

AL
AA
NEURITES
vessels

PD
Frontotemporal dementia

SVC syndrome
intracranial pressure
lung/NHL
MEDIASTINUM

brachial plexus

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11
Q

heme osteomyelitis most commonly affects __ in kids
or __ in adults w RF
sx progress to pain and lack of __
abscess expands and leads to bone __ and periosteal disruption
usually due to S/S in kids

atherosclerosis most common places A, C, P, I, C
these are large/medium __ arteries

basophilic cyto w wagon wheel/clock distribution of nuclear chromatin is __
perinuclear zone is pale due to well develop /
BM >30% plasma cells is __
look for / anemia, secretion of IL1/IL6 w formation of lytic bone lesions
lack of normal Ig prodxn leads to inc__
look for __ in serum and BJ protein in urine
also __ formation of blood smear w high ESR
AL amyloid is then deposited in K, H, T, B

__ vein joins w splenic to form portal vein

A
LONG BONES
vetebrae
movement
necrosis
staph, strep pyo

ab aorta, coronary, popliteal, internal carotid, CoW

plasma cells
golgi/centrioles
MM
n/n
infections
monoclonal Ig
rouleaux
kidney, heart, tongue, brain

SMV

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12
Q

__ duct drains lymph from left side of body
all regions __ to umbilicus
enters thorax via aortic __ and empties in left SC vein

common iliac veins form IVC at / level
kidneys begin at _

NFkB is normally inhibited by __
w bacteria binding to TLR, IKB __ is activated
this __ IkB and releases NFkB
goes to nucleus to trxn C, A, G as well as IkB

Narcolepsy is recurrent lapses into __ multiple times in same day 3x wk/3m
see __ w positive emotion or sleep __
__ deficiency in CSF from lateral hypothalamus
REM latency less than __m

inc 14-3-3 protein in CSF is _

A

thoracic
below
hiatus

L4/L5
L1

IkB
kinase
ubiquitinates
cytokines, APP, growth factors

sleep
cataplexy
paralysis
hypocretin 1
15m

CJD

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13
Q

cardiac venous blood drains to RA via __
myocardial O2 extration is __
thus blood in coronary sinus is most __ in body
since O2 extraction is high, when demand inc, __ must inc

__ in ADIPOSE TISSUE breaks down TG to FFA and glycerol
activated w _ hormones w activation of PKA, inhib by insulin
these products go to __ to be used in gluco/KB synthesis

LPL degrades TG to FFA for __ storage and energy usage by tissues

__ ligament connects lateral uterus to pelvis
__ descends from FT
__ covers ovaries
__ extends to EI vessels

ovaries suspended by _ superior, _ medially, _ laterally
IP lig attaches ovary to __ w ovarian A/V/N/L

A

coronary sinus
HIGHEST
DEOXYGENATED
Blood flow

HSL
stress
liver

adipose

broad
mesosalpinx
mesoovarium
mesometrium

mesoovarium, ovarian, suspensory
pelvic side wall

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14
Q

ureter is close to __ lig of ovary and must be avoided during ligation

HbA has very __ charge
HbC has glutamate replaced w __, thus moves very slow towardd + electrode
sx of mild __ and splenomegaly

HbS/HbC due to AR missense mutations in __ gene

HbH is __ dz

__ molecules migrate further on electrophoresis

eggshell calcified hilar nodes w birefringent particles is __
inc risk of Tb due to impaired __ of CMI
silica particles internalized by macros and are __ w enzymes that contribute to lung injury/fibrosis
over time, leads to macro _

A

suspensory

negative
lysine
HA

b globin

alpha thalassemia

smaller

silicosis
macrophages
released
apoptosis

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15
Q

__ is gram positive rod w cutaneous sinus tracts/sulfur granules
masses are __ growing
always tx w __

__ is gram neg rod from oral flora of animals
can lead to soft tissue infection w sinus __ and LAD/osteomyelitis
presents __ time frame

tx anthrax w __

A

actinomyces
SLOW (Cervicofacial actinomyces abscesses)
penicillin

p multicoda
tracts
acute

cipro

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