tues 18 Flashcards

1
Q

start codon code?

A

AUG

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2
Q

how is tetanus prevented in neonates?

A

-pregnant women and women of childbearing age should be vaccinated -IgG will be transferred transplacentally

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3
Q

where is the occlusion in budd-chiari syndrome?

A

hepatic vein

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4
Q

what will liver biopsy show in budd chiari syndrome?

A

centrilobular congestion and fibrosis

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5
Q

what causes the decreased Ach in alzeimers disease?

A

-deficiency of choline acetyltransferase most notably in the nucleus basalis of meynert

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6
Q

angiomatous brain lesions are seen in which disaese?

A

von hippel-lindau

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7
Q

where do the CNS hemangioblastomas occur in VHL?

A

cerebellum and retina

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8
Q

what kind of CNS lesions occur in tuberous sclerosis?

A

hamartomas

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9
Q

where do the CNS hamartomas occur in tuberous sclerosis?

A

cortical and subependymal regions

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10
Q

how does the arteriovenous concentration gradient of an anesthetic effect its onset of action?

A

greater ratio = slower onset of action

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11
Q

why does a greater arteriovenous concentration gradient of an anesthetic mean a slower onset of duration?

A

if it has a greater gradient, this means that a lot of the anesthetic has gone from the aterioles system into the tissues. The blood therefor needs further saturation and it will have a slower onset of action

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12
Q

how doe the arteriovenous concentration gradient of an anesthetic effect the potency?

A

it doesnt- NOT related

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13
Q

what mutation is commonly found in melanoma?

A

BRAF V600E -> increased melanocyte growth

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14
Q

vemurafenib MOA?

A

inhibits mutated BRAF

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15
Q

explain the pathophys of why edema may occur hours after a stroke?

A

-this is called cytotoxic (ionic) edema. Its due to decreased ATP - ATP dependent ion pumps fail and along with the release of excitatory amino acids, there is accumulation of Na and water in the neural glial cells

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16
Q

which type of edema occurs hours after a stroke?

A

cytotoxic (ionic) edema - from decreased ATP

17
Q

which type of edema occurs 24-48 hours after a stroke?

A

vasogenic edema - from inflammation

18
Q

when does a true aneurysm after an MI occur?

A

as a late complication (>1 month later)

19
Q

where does the arthritis caused by hemachromatosis occur?

A

Most commonly in the 2nd and 3rd MCP joints

20
Q

if someone is having an acute MI and dies suddenly what is the likely cause?

A

Vfib

21
Q

what causes changes in vision (blurry vision, scotoma, etc.) in someone with preeclampsia?

A

retinal artery vasospasm

22
Q

how do levels of procalcitonin change with a bacterial infection?

A

they rise

23
Q

how do levels of procalcitonin change with a viral infection?

A

they fall