Thurs Wk 6 Mixed 3 Flashcards
always think __ in male pt w UTI after cystoscopy
typical conduit of HAV from food is __
it pt w 1 testis, mass of __ cells is significantly reduced
thus __ is high due low inhibin
however, __ prodxn is normal despite dec Leydig
Cardiac tamponade collapses the __ w ventricular expansion
pulsus alternans seen in severe __ dysfxn
electrical alternans is __ w varied QRS complex amplitude due to swinging of heart
some panic attacks must be __
worry about __ attacks
Enterococcus
shellfish
Sertoli
FSH
testosterone
RA
LV systolic
Pericardial tamponade
spontaneous
future
dystonic rxns to AP are __
due to __ of NS pathway
leads to excess __ activity, extrapyramidal SE develop
thus, tx w B or H1 antag D
G6PD fxns in __ path of PPP
NADPH useful in __ stress
or __ biosynthesis of FA, cholesterol, steroids, p450
phagocytic cells w __
M and M can also cause MHA
this is not __ in etiology
PSGN is due to __ HS rxn w immune complex deposition
inspissated dehydrated mass at distal ileum is __ dx
very specfic for __
death occurs due to _. _. _ in these pts
squirt sign is __
Hirschprung dz has obstruction at __ colon
squirt sign is __
pts die from __ w diarrhea, ab pain, fever
ACUTE
D2 antagonism
M1 cholingergic
Benztropine, diphenhydramine
OXIDATIVE
oxidative, reductive
respiratory burst
Malignant HTN, metastatic carcinoma
Autoimmune
type 3
Meconium ileus
Cystic fibrosis
PNA, bronchiectasis, Cor pulmonale
negative
rectosigmoid
positive
enterocolitis
Anatomic snuff box bounded by __ on top
__ and __ on bottom
scaphoid and __ form floor
dorsal _ branch of radial artery supplies bone, which is at high risk for _ and nonunion
Fracture of lunate may lead to __
FN calculation
Strep pneumo meningitis usually occurs following __
common causes of meningitis in babies: S, E, L
BPH has hyperplasia in P/T zones
pt has __ w probs voiding/storing urine
later, incomplete __ occurs w overflow incontinence
Hydrostatic force must rise, leading to __ of bladder wall musculature
proximal segments __ w pressure atrophy/CKD
EPL EPB, APL trapezium scaphoid avascular necrosis
CTS
1-sensitivity X number w the disease
infection
GBS, e coli, listeria
periurethral, transitional BOO emptying hypertrophy dilate
viral tropism depends on ability of viral __ to bind host cell surface receptor glycoprotein
W enveloped viruses, __ protein is prevented from cel contact
influenza has __ to cleave short primers for viral RNA polymerase called cap snatching
AT2 is formed in small __ vessels by ACE
thus levels are highest in __
if central volume is __, ADH is higher
duration of __ indicates AR severity
worse causes a __ murmur w mild only causing early diastolic murmur
due to aortic __ or BAV
HCM assc w __ murmur
use P__ if pt is on drug that inhibits p450 as it is not metabolized by this enzyme
surface glycoprotein
nucleocapsid
endonuclease
pulmonary
PULM VEINS
low
murmur
holodiastolic
root dilation
MR
PRAVASTATIN
HIV protease inhibs are __ of p450
along w I/E
Lobar PNA
__ day 0-2 w PMN releasing cytokines to inc permeability
immune cells migrate and __ accumulate w proteinaceos fluid in alveoli
lobe appears heavy and _
_ hepatization day 2-4
fluid forms __ strands w PMN/RBC
lobe looks __ like and is firm
_ hepatization occurs by 7 days
red cells __ w inc leuks make lung look red
__ replace PMN and start repair
Resolution as macros secrete __ that liquefy fibrinous exudate to be taken up by macros
__ is PNA in term bronchioles w patchy consolidation
__ is infection of interstitial tissue
inhibitors
isonizid/Erythromycin
congestion RBC red red hepatization fibrin liver gray disintegrate macros digestive enzymes
bronchopneumonia
interstitial PNA
__ is homodimeric Ca binding protein like calmodulin
marker of __ derivation as well as Langerhans/Dendritic cells
VSD usually heard __ birth as PVR falls and LtR shunting occurs
ToF sx depend on __
Dohle bodies are basophilic peripheral granules in __
occurs in __ rxn w infection/hemorrhage, tumor, hemolysis
can inc marrow PMN __ like myelocytes
may also seen PMN w toxic _ or cytoplasmic vacuoles
MAJORITY OF WATER/SOLUTES IS REABSORBED IN __
S100
NCC
after
degree of RVOT
neutrophils
LEUKEMOID RXN w high leuk ALP
PRECURSORS
granules
PROXIMAL CONVULETED TUBULE
Cholinesterase inhibs Tertiary amines include P, G, D, R
these cross BBB for / sx
Quaternary amines N, E, P do not cross BBB
Anticholinergic tox
Hot due to lack of __ and heat dissipation
dry due to dec glandular __ and smooth muscle contractin
flushed due to superficial _
blind w paralysis of /
penetrates BBB to affect __
urinary retention due to dec intestinal __ contraction
dec / contraction
fast due to dec _ tone at SA node
ischemic myocardium has __ than normal membrane potential, thus slower recovery of Na channels
thus use Class 1B antiarrhythmics for __ ventricular arrhythmias
physostigmine, donezepil, galantamine, rivastigmine
Central/peripheral
Neostigmine, Edrophonium, pyridostigmine
sweating secretions VD ciliary body/iris sphincter CNS smooth muscle detrusor/IUS vagal
higher
ischemia induced
Wilson dz has reduced formtion of __ thus dec secretion of copper
causes damage via __
look for damage to __ and psych abnorms
__ releases EPO to stimulate receptors in the bone marrow
most gastric ulcers form on \_\_ parietal cells secrete \_\_ in body glands in antrum secrete _ at the transition \_\_ colonizes can erode _/_ arteries
maintenance stage of ATN leads to high __ volume w edema and pulm congest
__ that can lead to peaked T waves/arrhythmia
retention of H/anions leads to __
dec Na/Ca/phos/Mg w high urinary __ and FeNa
in recoery stage, large volume __ urine is released
leads to _ K, Mg, Ca
ceruloplasmin
Free radicals
BASAL GANGLIA
EPO
lesser curvature HCl gastrin H pylori right/left gastric
Extracellular fluid
hyperkalemia
AGAP MA
Na
hypotonic
low
Pt w Fragile X syndrome has facial abnorms and __
meiosis in oocytes can cause __ w DNA hypermethylation
this __ FMR1, stopping prodxn of FMR protein that inhibits neural development
hemolytic anemia, hypercoag, and Pancytopenia is __
mutation in __ cannot attach GPI to CD59/CD55
these proteins __ complement and prevent overactivity
leads to __ hemolysis at night due to low pH
thromboses due to release of T/P factors
dec maximal effect w two drugs indicates __ inhibitor
example is NE and P__ that is irreversible antag at A1/A2 receptors
P_ is competitive inhibitor
graph would show inc __ but normal effiacy
Labetalol is __ antag of A1/B receptors
NEUROPSYCH SX
trinucleotide expansion
downregulates
PNH PIGA inactivate complement mediated thrombin, procoag
NONCOMPETITIVE
PHENOXYBENZAMINE
PHENTOLAMINE
Km
competitive
HCL due to __ infiltrate bone marrow w fibrosis and pancytopenia
see dry tap w massive __
look for positive __ on flow cytometry
AML DOES NOT CAUSE __
ringed sideroblasts can be seen in __ syndrome
EBV is most common cause of general __
think __ w epigastric calcifications and hx of alcohol
due to proteinaceous secretions from __ that plug pancreas
see __ insuffiency w malabsorption
DIC due to intravascular __ w compensatory thrombolysis and consumptive coagulopathy
ITP smear has isolated __
B cell
SPLENOMEGALY
TRAP
splenomegaly
myelodysplastic
LAD
chronic pancreatitis
alcohol
EXOCRINE
thrombosis
THROMBOCYTOPENIA
IgG warm AIHA due to / or alphamethyldopa
nitroprusside overdose/kidney failure leads to __ toxicity
inhibits _ to stop OP
see seizure, AMS, LA and __ blood
Cyanide normally metabolized by __ to transfer sulfur molecule to form thiocyante
becomes __ if overwhelmed
use __ as antidote to provide sulfur group for rhodanse
H__ directly binds cyanide
S__ induces Methemogobinemia formation
SLE, CLL
cyanide cytochrome C bright red venous rhodanse toxic
sodium Thiosulfate
hydroxycobalamin
Sodium nitrate
