Thurs Wk 5 Mixed Flashcards

1
Q

NNRTI do not require __ like NRTI
NRTI SE include L__ and lipodystrophy, HS rxn w __, pancreatitis w __ and bone marrow suppression w Z
NNRTI Se include __ like SJS, hepatotoxicity
Efavirenz is __
PI cause __ complications

oxidative injury to resp bronchioles activates alveolar __ to recruit PMNs
these release __ that overwhelm antiproteases
destroys __ and dilates airways in emphysema

__ is most common valvular disease predisposing to IE in developed countries
esp w __
leads to microscopic deposits of __ and fibrin w turbulent blood flow

can use D for AF rate control as opposed to BB/CCB
useful to inc __ tone to AV node
inhibits Na/K ATPase in vagal __ fibers to sensitize arterial baroreceptors
also enhances __ ganglion transmission to inc vagal output

A
phosphorylation
lactic acidosis, abacavir, didanosine, ziduvidine
rash
teratogenic
metabolic

macrophages
protesases
acinar wall

MVP
mitral regurgitation
platelets

digoxin
PNS
affarent
PNS

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2
Q

slowing AV node conduction still allows atria to __ but allows ventricles to contract normally

EF is AR deficiency in __
Fructose is __ sugar detected via copper reduction test
Aldolase B def is __ intolerance
prevents __/__

pineal gland mass has obstructive __ and parinaud syndrome
pupils will look __ w eyelid retration and near light dissociation
usually a G__ or midline

cerebellar tumor in kids is M__
see ATAXIA, TREMOR and ___

A

fibrillate

fructokinase
reducing
Fructose
glycogenolysis/gluconeogenesis

hydrocephalus
down
germinoma

medulloblastoma
nystagmus

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3
Q

LMS has ipsilateral paralysis of CN __///_
MMS has flaccid paralysis of __ w loss vibration/proprioception

SAH usually does not have __
may be assc w __ syndrome

Automaticity of SA node comes from inward slow __ Na channels (aka funny current)

T loop contains R, P, C to interact w ribosome
D loop of tRNA contains D__ to interact w tRNA
this, along w __ stem and anticodon facilitate correct tRNA recognition

net renal excretion is total __ rate minus total __ rate
TFR is equal to __ x plasma conc of substance

earliest sign of ESRD from diabetes is __ thickening and mesangial expansion
GBM has neg charge __ moities
DM causes release of __ to permit albumin leakage

A

5, 9, 10, 11
tongue

focal neuro signs
EDS

depolarizing

ribothymidine, pseudouridine, cytidine
dihydrouridine
acceptor

filtration, reabsorption
GFR

GBM
heparan sulfate
heparanase

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4
Q

initially in DM, hyper__ occurs w glomerular hypertrophy and inc GFR
then __ and HTN develops as GFR begins to fall
w __ nodules and proteinuria, nephrotic syndrome forms w very low GFR
WAXY CASTS MEANS __

subacute combined deg affects __ column, __/__ tracts
Poliomyelitis and WH assc damage to __

spinal cord hemisection is __ syndrome
see __ damage w flaccid paralysis at level of lesion
__ tract w spastic paralysis below lesion
__ column damage below
_ tract w loss pain/temp 1-2 levels below lesion

as move rostral in SC, white matter __ and section becomes oval
lower __ and lumbar areas have prominent __ horns for motor to extremities
look for __ horns of symp pregang neurons in THORACIC levels
CUNEATE FASCICULUS is only found above __

A

filtration
microalbuminuria
KW

CKD

dorsal, lateral ST, spinocerebellar
anterior horn cells

inc
cervical, anterior
lateral
T7

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5
Q

w aging, chest wall compliance __ due to stiffening of ribs
Lung compliance inc due to loss of elastic __
this is __
pt has __ RV due to lost recoil
TLC is __ as dec chest wall compliance balances inc lung complaince
FVC __ as RV inc
FEV1 and DLCO are __

CD31 found on __ cells and fxn in leuk migration (PECAM1)
ARSENIC, PVC, THOROTRAST leads to __

first ECG sign of MI is peaked _, followed by ST elevation and __ waves

ulcerated atherosclerotic plaque can produce __ MI
Transmural __ can be seen in Prizmental angina

large PDA can __ at anytime, leading to PHTN w sx of HF and Eisenmenger syndrome
see differential __/___ as O2 blood is delivered past LSCA
Pulses/BP will be ___

A
dec
recoil
homogenous
inc
normal
dec
dec

endothelial
hepatic angiosarcoma

T, Q

subendocardial
ISCHEMIA

reverse
cyanosis/clubbing
EQUAL

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6
Q

E coli genome has regulatory gene _, promoter _, operon _ and Z for __ and Y for __
this is __ mRNA which produces more than 1 protein

first line for RA is __
SE include oral/GI __ and alopecia, P__ and hepatotoxicity w PF

Bacteroides is gram __ anaerobe
use Azithromycin for C, M, H, M
LEGIONELLA is __ rod

__ is not effective in RA
DMARDs may take __ for effect in RA, thus tx w __/__ in short term

ToF caused by abnormal __ migration w anterior/cephalad DEVIATION OF INFUNDIBULAR SEPTUM
harsh murmur due to __ thus need inc SVR to force pulm blood flow

A

I, P, O, beta galactosidase, permease
polycistronic

MTX
ulcers, pancytopenia

neg
chlymidia, mycoplasma, Hib, moraxella
GRAM NEGATIVE

colchicine
weeks, NSAID/GC

NCC
RVOT

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7
Q

TAPVR has both pulm/systemic veins emptying into __
Coarctation is located J__
failed fusion of superior/inferior endocardial cushions is __ defect

in pt w coronary atheroscloerosis, concern for __ in kidneys
this releases __ and AT2, which constricts EA to maintain GFR
if pt is given __/__, EA dilates and GFR falls

VEGF stimulates __ in tissues w endothelial cell motitily and prolif
__ 2 is produced by cells involved in endothelial prolif, migration/differentiation
can help stimulate A__ prodxn
thus, important in E, H, and wound repair
__ in BM prevents new blood vessel formation

proinflam cytokines __/__ may cause indirect VEGF expression

A

right atrium
juxtaductal
atrioventricular septum

RAS
renin
ACEI/ARB

angiogenesis
FGF
angioblast
embryonic development, hematopoeisis
laminin

IL1, IFNG

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8
Q

MR causes inc left atrial __ and early/large v wave as LV ejects
can lead to __ and HF over time

loss dicrotic notch w rapid decline of aortic pressure in diastole and inc LV/aortic pressure indicates __
__ shown w very high LV pressure compared to aortic pressure

__ has high mitral pressures, that peak w kick just before valve closes
TR has early/large __ wave on RA pressure tracing

RH cath A wave is _ contraction (not present in AFIB)
C wave is __ contraction w closed TC valve
X is downward displacement of closed __ during ventricular eject (ABSENT IN TR)
V wave is RA __ against closed TC valve
Y- ventricular __ (prominent in constrictive pericarditis)

A

pressure
atrial fibrillation

AR
AS

MS
V

atrial contraction
RV contraction
TC vlave
filling
filling
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9
Q

Dx crypto w __ stain
or __ of CSF and culture on sabourad agar
is a __ form, thus no sporangia/mold is found

salmonella capsule has __ antigen
w vasoocclusive crisis causing __, salmonella can establish infection
adhesion to collagen allows for __ osteomyelitis

think __ in aspiration PNA w branching filaments/sulfur granules due to calcified mycelial fragments
appear yellow grossly, but __ on H&E
lower lobe consolidation w __ is present
tx w __

WK has oculomotor dysfxn w damage to CN / and vestibular nuclei
see horizontal nystagmus w bilateral __
ataxia due to damage to __
Memory/learning probs will __ due to damage to anterior/dorsomedial thalamus

A

India ink
latex agglutination
YEAST

Vi
bone necrosis
STAPH AUREUS

Actinomyces
basophilic
air bronchograms
PENICILLIN

3, 6
abducens palsy
cerebellum
persist

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10
Q

can reduce any MR w __ which dec afterload
Fxnal MR occurs w inc __ such as w acute hemodynamic changes

WBC casts in urine is always __
formed in tubules and precipitate w __ proteins

A

arterial vasodilators
preload

PYELONEPHRITIS
Tamm horstfall

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