Straight Memorization BS Flashcards
immunodeficiencies
seriously
signaling pathways
why????
- MAP-kinase
- PI3K/Akt/mTOR
- IP3
- cAMP
- JAK/STAT
things post MI
this bs
things post stroke
ugh
X-linked d/os
Oblivious Females Will Often Give Her Boys Her x-Linked Disorders Ornithine transcarbamylase def Fabry dz Wiskott-Aldrich synd Ocular albinism G6PD def Hunter synd Bruton agammaglobulinemia Hemophilia A/B Lesch-Nyhan synd Duchenne (and Becker) MD
AutoRec dzs
albinism ARPKD CF glycogen storage dzs hemochromatosis Kartagener mucopolysaccharidoses (except Hunter) PKU sickle cell sphingolipidoses (except Fabry) thalassemia Wilson
chromosome 3
VHL dz,
renal cell carcinoma
chromosome 4
ADPKD (PKD2)
achondroplasia,
Huntington
chromosome 5
Cri-du-chat syndrome
FAP
chromosome 6
hemochromatoSIX
chromosome 7
Williams synd
CF
chromosome 9
Friedreich ataxia
chromosome 11
Wilms tumor
sickle cell
beta thal
chromosome 13
Patau
Wilson
retinoblastoma (RB1)
BRCA2
chromosome 15
Prader-Willi
Angelman
Marfan
chromosome 16
ADPKD (PKD1)
alpha thal
chromosome 17
NF 1
BRCA 1
chromosome 18
Edwards
chromosome 21
down
chromosome 22
NF 2
DiGeorge (CATCH-22)
cGMP
guanylyl cyclase –> up cGMP
BNP
ANP
NO
Fabry def
alpha-gAlactosidase (–> extra globotriaosylceramide)
Tay-Sachs def
beta-hexosamidase A (–> extra GM2: ganglioside)
GaUcher def
beta-glUcocerebrosiderase (–> extra glucocerebroside)
Niemann Pick def
sphingomyelinase (–> extra sphingmyelin)
KrAbbe def
gAlactocerebrosidase (–> galactocerebroside and psychosine)
metachromatic leukodystrophy def
arylsulfatase A (–> extra cerebroside sulfate)
CDs
shit nugget
coenzyme crap
seriously
cAMP signaling
"FLAT ChAMP" FSH LH ACTH TSH CRH hCG ADH MSH PTH calcitonin GHRH glucagon
cGMP signaling
"BAD GraMPa" BNP ANP EDRF NO
IP3 signaling
"GOAT HAG" GnRH oxytocin ADH TRH histamine angiotensin II gastrin
intracellular receptor
"PET CAT on TV" progesterone estrogen testosterone cortisol aldosterone T3/T4 vitamin D
receptor tyrosine kinase
--> MAP kinase insulin IGF-1 FGF PDGF EGF
nonreceptor tyrosine kinase
--> JAK/STAT pathway prolactin immunomodulators (cytokines, ILs, IFN) GH G-CSF EPO thrombopoietin
surface proteins on all T cells
TCR (binds Ag-MHC complex)
CD3 (a/w TCR)
CD28 (bind B7 on APC)
CXCR4/CCR5 (co-receptors for HIV)
helper T cell surface proteins
CD4
CD40L
cytoxic T cell surface proteins
CD8
CXCR4/CCR5
regulatory T cells surface proteins
CD4
CD25
B cell surface proteins
Ig (binds Ag, all have IgM, IgD) CD19 CD20 CD21 (EBV rec) CD40 MHC II B7
macrophage surface proteins
CD14 CD40 CCR5 MHC II B7 (CD80/86) Fc and C3b receptors
NK cell surface proteins
CD16 (binds Fc)
CD56
hematopoietic stem cell surface proteins
CD34
anti-ACh receptor
myasthenia gravis
anti-BM
goodpasture
anti-cardiolipin, lupus anti-coagulant
SLE, antiphospholipid syndrome
anticentromere
scleroderma (CREST syndrome)
anti-desmoglein (anti-desmosome)
pemphigus vulgaris
anti-dsDNA, anti-smith
SLE
anti-glutamic acid decarboxylase (GAD-65)
type I DM
anti-hemidesmosome
bullous pemphigoid
anti-histone
drug induced lupus
anti-Jo-1, anti-SRP, anti-Mi-2
polymyositis, dermatomyositis
anti-Jo-1 = anti-histidyl-tRNA synthetase
antimicrosomal, antithyroglobulin
Hashimoto thyroiditis
antimitochondrial
primary biliary cirrhosis
antinuclear (ANA)
SLE, nonspecific
antiparietal cell
pernicious anemia
antiphospholipase A2 receptor
primary membranous nephropathy
anti-Scl-70 (anti-DNA topoisomerase I)
scleroderma (diffuse)
anti-SM
autoimmune hepatitis type 1
anti-SSA, anti-SSB (anti-Ro, anti-La)
Sjogren syndrome
anti-TSH receptor
Graves dz
anti-U1 RNP (ribonucleoprotein)
mixed connective tissue dz
voltage-gated calcium channel Abs
Lambert-Eaton synddrome
IgA anti-endomysial, IgA anti-tissue transglutaminase
celiac dz
MPO-ANCA/p-ANCA
microscopic polyangiitis
eosinophilic granulomatosis w/ polyangiitis (Churg-Strauss)
PR3-ANCA/c-ANCA
granulomatosis w/ polyangiitis (Wegener)
rheumatoid factor (IgM Ab that targets IgG Fc region), anti-CCP
rheumatoid arthritis
cytokines secreted by macs
IL-1 IL-6 IL-8 IL-12 TNF-alpha
cytokines secreted by TH1 cells
IL-2
IL-3
IFN-gamma
cytokines secreted by TH2
IL-2 IL-3 IL-4 IL-5 IL-10
what do you need phenylalanine for?
→ tyrosine (which → thyroxine) → dopa (which → melanin) → dopamine → NE → Epi
what do you need tryptophan for?
→ niacin (need B6) → NAD+/NADP+
→ serotonin → melatonin
what do you need histidine for?
→ histamine (need B6)
what do you need glycine for?
→ porphyrin (need B6) → heme
what do you need glutamate for?
→ GABA (need B6)
→ glutathione
what do you need arginine for?
→ creatinine
→ urea
→ nitric oxide
cancer genes
so many
t(14; 18)
follicular lymphoma
t(8; 14)
Burkitt lymphoma
t(9; 22)
CML
t(15; 17)
APL
what diff ILs do
who cares
B vitamin names
B1: thiamine B2: riboflavin B3: niacin B5: pantothenic acid B6: pyridoxine B7: biotin B9: folate B12: cobalamin
vitamin deficiencies
good christ
cofactors
how this
vitamin C AKA
ascorbic acid
vitamin A AKA
retinol
vitamin K AKA
phentomenadione
phenylloquinone
phytonadione
vit E AKA
tocopherol
tocotrienol
thiamine (B1) cofactor duties
- pyruvate dehydrogenase (pyruvate → acetyl CoA)
- alpha-ketoglutarate dehydrogenase (TCA)
- branched-chain alpha-ketoacid dehydrogenase (oxidative decarboxylation? of branched-chain AAs: leucine, isoleucine, valine)
- transketolase (HMP shunt: ribulose-5-P → glyceraldehyde-3-P….or goes on to fructose-6-P)
1st aortic arch →
part of maxillary artery
2nd aortic arch →
hyoid artery
stapedial artery
3rd aortic arch →
common carotid
proximal internal carotid
4th aortic arch →
L: aortic arch
R: proximal right subclavian artery
6th aortic arch →
proximal pulmonary arteries
L: ductus arteriosus
glucose-6-phosphatase deficiency
von gierke dz
lysosomal alpha-1,4-glucosidase deficiency
pompe dz
debranching enzyme (alpha-1,6-glucosidase) deficiency
cori dz
skeletal muscle glycogen phosphorylase (myophosphorylase) deficiency
McArdle dz
alpha-galactosidase A deficiency
Fabry
glucocerebrosidase (beta-glucosidase) deficiency
Gaucher
sphingomyelinase deficiency
Niemann-Pick
hexosaminidase A deficiency
Tay-Sachs
galactocerebrosidase deficiency
Krabbe dz
arylsulfatase A
metachromatic leukodystrophy
alpha-L-iduronidase
Hurler dz
iduronate sulfatase
hunter syndrome
structures from neural crest
MOTEL PASS melanocytes odontoblasts tracheal cartilage enterochromaffin cells laryngeal cartilage parafollicular cells (thyroid) adrenal medulla, all ganglia schwann cells spiral membrane
B1 deficiency →
wet beriberi
dry beriberi
Wernicke-Korsakoff
B2 deficiency →
angular cheilosis, stomatitis, glossitis
normocytic anemia
B3 deficiency →
pellagra
B6 deficiency →
cheilosis, stomatitis, glossitis
B9 deficiency →
megaloblastic anemia
neural tube defects
B12 deficiency →
megaloblastic anemia
neurologic defects
CD 31
endothelial cell marker
hepatic angiosarcoma
what does IL-1 do
aka osteoclast activating factor
fever, inflammation
activates endo to express adhesion molecules
induce chemokine secretion (to recruit WBCs)
(from macs)
what does IL-2 do
stim growth of NKs,helper T, cytotox T, regulatory T
from T cells
what does IL-3 do
support growth/differentiation of bone marrow stem cells
like GM-CSF
(from T cells)
what does IL-4 do
induce T → Th2
promote B cell growth
enhance class switching (→ E, G)
(from Th2)
what does IL-5 do?
stim grow/diff eosinophils
promote B cell growth
enhance class switching (→ A)
(from Th2)
what does IL-6 do?
fever
stim production of acute phase proteins
(from macs)
what does IL-8 do?
chemotaxis of neutrophils
from macs
what does IL-10 do?
attenuate inflammation
inhibit macs/dendritic cells
decrease MHC II and Th1 cytokines
(from Th2 and regulatory T)
what does IL-12 do?
activate NK
induce T → Th1
makes NK/T secrete IFN-gamma
(from macs)
what does TNF-alpha do?
WBC recruitment vascular leak activate endothelium mediate septic shock cause cachexia in malignancy
what does IFN-gamma do?
response to IL-12 (macs) stim macs to kill phagocytosed pathogens stim NK to kill virus-infected cells increase MHC/Ag presenting in all inhibits diff of Th2
alveolar gas equation
PA O2 = 150 - Pa CO2 / 0.8
150 changes if you give them more O2 (up) or altitude (down)
dendritic cell surface proteins
CD80/CD86 (B7 protein)
CD40
what CD are Fas receptor?
CD95
complement pathways (and what starts them)
classic: IgG/M binds Ag and then C1
alternate: activated by molecules on microbes or just activate itself
lectin: mannose binding lectin binds to mannose on microbe surface
complement proteins in MAC
C5b C6 C7 C8 C9
opsonization complement proteins
C3b (and IgG)
anaphylaxis complement
C3a and C5a
mast cell/basophil complement
C3a
neutrophil chemotaxis complement
C5a
def of C2 esterase inhibitor
hereditary angioedema
more brady?
def of C3
recurrent pyogenic infections and RTIs
-strep pneumo
- H flu
susceptible to type III HSR
def of DAF (CD55)
paroxysmal nocturnal hemoglobinuria
neutrophil chemotactic agents
IL-8
C5a
LTB4
what activates LCAT
ApoA-1
what mediates chylomicron secretion
ApoB-48
what mediates VLDL secretion
Apo-B100
essential AA
PVT TIM HaLL Phenylalanine Valine Threonine Tryptophan Isoleucine Methionine Histidine Leucine Lysine
basic AAs
lysine
arginine
histidine
acidic AAs
aspartate
glutamate
maple syrup urine dz defect
branch chain alpha ketoacid dehydrogenase complex (no isoleucine, leucine, methionine)
Hartnup dz
decreased tryptophan → pellagra
ALK
lung adenocarcinoma
BCR-ABL
CML
ALL
c-MYC
burkitt
RET
MEN 2A/2B,
medullary thyroid cancer
JAK2
chronic myeloproliferative d/os
MYCL1
lung tumor
MYCN
neuroblastoma
BCL-2
follicular lymphoma
diffuse large B cell lymphoma
BRAF
melanoma
non-hodgkin
c-KIT
GI stromal tumor
KRAS
colon
lung
pancreatic
RAS
cholangiocarcinoma
pancreatic adenocarcinoma
APC
colorectal
CDKN2A
melanoma
pancreatic
DCC
colon
DPC4/SMAD4
pancreatic
PTEN
breast
prostate
endometrial
Rb
retinoblastoma
osteosarcoma
cervical
TSC1/2
tuberous sclerosis
MSH2/MLH1
lynch syndrome