Shit gotta know - inter Flashcards

1
Q

what family is HIV? what typeof nucleic acid?what receptor does it bind to on entry? where is replication? where is assembly?

A

retrovirdae, ss RNA. binds to CD4 receptor on entry, replicates in nucleus, assembles in cytoplasm.

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2
Q

name 3 ways HIV avoids immune response

A

high mutation rate, latency, altered antigen presentation

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3
Q

4 targets for anti HIV drugs

A

fusion/entry inhibitors, reverse transcriptase inhibitors, integrase inhibitors, protease inhibitors

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4
Q

where do most lesions arise from in breast path?

A

epithelium of the terminal duct lobular unit

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5
Q

dif b/w fibrocystic change and fibroadenoma in breast path?

A

cyst = benign. multifocal and bilateral. fibrosis with cyst formation.Adenoma = benign - usually in younger women. solitary well circumscribed mass. presents as lump

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6
Q

define a carcinoma in situ. name the 2 types.what are the 2 invasive carcinomas? which is more common

A

Malignant population of cells confined to ducts and/or acini, w/o invasion through basement membrane.Ductal Carcinoma in Situ.Lobular Carcinoma in Situ.same as non-invasive. Ductal and lobular. Ductal much more common (D for Death).

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7
Q

skin circulation?

A

2 main plexuses.Papillary plexus - Beneath papillary dermis.Cutaneous plexus- At junction of dermis and hypodermis.

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8
Q

where is the thickest skin

A

on back

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9
Q

what type of cell is a merkel cell? role

A

neuroendocrine, somatosensory

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10
Q

pain fibres of the peripheral nerve and their difs?

A

A delta = fast. C = slow

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11
Q

3 organisms that transmit via airborne

A

TB, measles, Varicella

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12
Q

type of virus is ebola? countries affected? how long til symptoms appear after infection? when and how can transmission occur?

A

Filovirus, Guniea, Sierra Leone and Liberia. 2-21 days. transmission only during clinical illness via body fluids

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13
Q

definition of fever? when is temperature higher? optimum temp for immune response?

A

oral above 37.8 or morning above 37.2. Higher in afternoon. Optimum temp for immune is 39.5

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14
Q

4 differentials for PUO

A

infection, connective tissue disorder, malignancies, other (drugs)

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15
Q

in which disease can Pseudomonas Aurigenosa be potentially more virulent

A

Cystic Fibrosis

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16
Q

which common superficial places can Pseudomonas Aurigenosa infect (2)?

A

skin: wound infection or ottitus externaeye: keratitis(cornea)

17
Q

how do biofilms aid bacterial survival?

A

resist mechanical removal and are less visible to the innate immune system

18
Q

what do dermatophytes cause?

19
Q

where is candida albicans carried in the body (2)

A

gut and vagina

20
Q

which virus is associated with lymphomas

21
Q

name 3 risk factors for lymphomas

A

immunosuppresion, some autoimmune diseases (hashimotos) and EBV

22
Q

explain what does trachoma cause? how can it be prevented

A

repeated infections causes blindness. can be treated with good facial hygiene.

23
Q

3 types of haemoglobinopathies - give an example

A
  1. decreased/no synthesis of globin chains (a or b thalassemia).2. Structural variation to Hb (sickle cell anaemia).3. persistent fetal haemoglobin HbF (not clinical).
24
Q

genetic mutation for each of alpha, beta and sickle cell?

A

alpha = large deletion.other 2 are point mutations

25
symptoms of beta thalasseima? (4)
failure to thrive, anaemic, thinning of long bones & cranial bones(to make more blood cells) ,facial maxillary overgrowthHepatosplenomegaly
26
name 3 mechanisms for gene mutation
chromosomal translocation, point mutation and viral/bacterial
27
Philadelphia chromosome is involved in which leukaemia? 2 chromosomes and genes involved
CML. 22;9 Bcr-Abl
28
what happens in folliculitis and what is most common cause?
blockage of hair follicle caused by Staph A
29
M protein is a virulence determinant associated with which organism
GAS
30
what is a NET? which bacteria can overcome this and how
Neutrophil Extracellular Trap - the neutrophil essentially forms a net of DNA arround the organism. GAS can overcome this with a DNAse
31
what kind of trauma is pseudomonas infection likely to result (2)
diabetic foot ulcer and burn
32
how much blood is made? how often
red cell 3-5 x 10^12 p/L. 120 daysWhite 2-6 x 10^9 p/L. 3-5 daysPlatelets 150-400 X 10^9 p/L. 10 days
33
sites of Haemopoiesis throughout life
Yolk Sac - first few weeks.Liver and spleen - 6weeks-7 months.Bone marrow - 7 months- throughout life
34
name 3 haemantics
iron, B12, folate
35
non anaemic sign of iron defficiency
pica
36
components of a RBC (3)
membrane, haemoglobin, enzymes
37
anaemia is defined...
Hb levels below that which is normal for age and gender
38
2 main reasons for microcytic anaemia, one for child and one for adult
iron defficiency (diet) and blood loss (colon cancer)