Test 62 Flashcards
innervates the muscles of mastication and passes through foramen ovale
CN V3
mutation in CFTR gene
defective post-translational folding and glycosylation>
degradation of CFTR integral membrane portein before it reaches the cell surface
*could help restore CFTR proteins in teh membrane
mutations in phenylalanine hydroxylase> protein misfolding
PKU
mutations in B globin gene of hemoglobin S
Sickle cell anemia
mitochondrial protein impt in respiratory fxn and iron homeostasis that is mutated
frataxin
Friedrichs ataxia
GAA repeat
complication of using concentrated O2 therapy for neonatal RSD
retinopathy of prematurity
abnormal retinal neovascularization is major cuase of blindness in developed illness
difference between acute stress disorder vs PTSD
ASD lasts no more than 4 weeks
PTSD longer than 4 weeks
congenital bicuspid aortic valves
accelerated onset of calcific aortic stenosis beginning in the sixth decade
senile calcific stenosis of normal aortic valves
symptomatic in eigth decade
common location for ulnar nerve injury leading to a “claw hand” deformity
medial epicondyle of the humerous
Guyon’s canal (handle bar pressure) near the hook of hamate and pisiform bone of the wrist
rare neoplasm that arises from the pleura/peritoneum that is associated w/ asbestos exposure
malignant mesothelioma
gold standard for dx of malignant mesotehlioma
electron microscopy
tumor cells w/ numerous, long, slender microvilli and many tonofilaments
defect in hepatic excretion of bilirubin glucuronidases across canalicular membrane
leading to a BLACK LIVER
Dubin Johnson syndrome
*dense pigment composed of EPI metabolites in lysozomes
Gram + diplococci, alpha hemolytic, optochin sensitive and BILE SOLUBLE
S. pneumoiae
causes osteoblasts to increase the production of RANK-ligand and M-CSF> osteoclastic differentiate into bone resorbing, mature osteocalsts
PTH
irregular, hcatoic electrical activity in atria nad ABSENT P waves, irregular irregular RR intervals and narrow QRS complexes
A. Fib
Regulates the number of atrial impulses that reach the ventricle and determines the ventricular contraction rate
AV node refractory period
MC site of colonization for MSRA
anterior nares
decrease in L ventricular chamber apex to base dimension
sigmoid shaped ventricular septum
myocardial atrophy w/ increased COLLAGEN deposition
accumulation of cytoplasmic lipofuscin pigment w/in cardiomyocytes
NORMAL AGING
who knew
tx for alcohol w/drawal
Benzos
substitue action of alcohol on GABA receptors
chlordizepoxide
diazepam
*short acting are used in pts w/ advanced liver dysfxn
Flushed skin and mydriasis
muscarinic receptor blockade
meds w/ antimuscuarinic effects
atropine TCAs H1 receptor antags neuroleptics anti-parkinson drugs
drugs that are preferentially processed by the liver
lipophillic!–allows drugs to cross cell barriers more easily and enter hepatocytes (high Vd, good penetration into CNS) are preferentially processed by liver into more polar cmpds for easier elimination into bile and urine
shistocytes
dx of a traumatic mechanism and indicate microangiopathic hemolytic anemia (TTP, HUS, DIC) or mechanical damage
rapidly progressive dementia
myoclonic jerks
vacuoles in gray matter of brain (spongiform encephalopathy)
prion
CFJ disease
erythema nodosum
arthralgias
hilar lymphadenopathy
elevated serum ACE levels
sarcoidosis
*evidence of liver involvement in 75% of cases
liver findings in sarcoidosis
scattered noncaseating granulomas
symmetrical enlragement of ventriculi
comm hydrocephalus often occurs d/t dyxfxn of subarachnoid villi
*commonly seen w/ meningeal infection or hemorrhage
AZT (Zidovudine)
Nucleoside reverse transcriptase inhibitor used to tx HIV
BINDS to RT and is incorporated into viral genome as thymidine analog
DOESNT ahve a 3’OH group making 3-5’ phosphodiester bond impossible
wide PP
aortic regurge
obliterative intimal thickening
tubular atrophay
interstitial fibrosis
chronic renal allograft rejection
mos to years after transplantation and presents w/ worsening HTN and a slow progressive rise in Cr
minutes to hours
PREFORMED abs against graft in recipients circulation
Hyperacute
arterial fibrinoid necrosis and capillary thrombotic occlusion
Acute
Humoral
Cellular: lymphocytic interestial infiltrate
months to yrs
chronic, low grade IR refractory to IS
chronic
vascular wall thickening and luminal narrowing
interstitial fibrosisis and parenchyma atrophy