Tues Wk 6 Mixed 2 Flashcards

1
Q
trachea develops from primitive \_\_
separates to form \_\_ and esophagus
failure to separate leads to _
look for P, C/C/C
confirm dx w xray showing NG tube in \_\_ 
also see stomach \_\_ as air flows rom trachea to esophagus

__ is inspiratory stridor ue to collapse of supraglottic structures
worse when __

PT __ and vacuole degen in pt w ARF is ATN
w ethylene glycol poisioning, pt presents like normal __ pt
later gets __ w high AGAP
UA shows tubular casts and __ crystals

A
foregut
respiratory tract
TEF
polhydramnios, coughing/choking and crying
atretic esophagus
bubble

laryngeomalacia
supine

ballooning
alcoholic
ARF
Ca oxalate

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2
Q

Uric acid precipitates in __, usually DT/CD
prevent accumulation of //_ in TLS via prophylactic allopurinol along w hydration/alkalinization

PD1 expressed on __ of T cell
binds to PDL1 to dec IS response by inhibiting __
thus, antibody can prevent __ to block T cell inhibition and promoting apoptosis
similar to __ that binds B7 to inhibit t cells

excess __ in PCOS results in anovulatory cycles w dec progesterone sec
thus pt at inc risk of __

persistence of glandular columnar epi in vagina is precursor for __
due to __ exposure

A

acidic environment
K/Phos/UA

surface
cytotixic t cells
binding
CTLA4

androgens
endometrial carcinoma

vaginal adenosis
DES

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3
Q

MAOI degrade MAO __
thus, takes 2 wk before new enzyme is __
pt must have _ period to prevent SS upon switching to SSRI

NT receptors __ in response to chronic high levels of hormone normally

__ allows elasticity in skin/BV/pulm alveoli
many __ amino acids that are NOT hydroxylated
after __ is formed, secreted to EC space to interact w fibrillin
lysyl __ deaminates lysine residues, thus forming desmosine cross links for rubbery nature

estrogen stimulates __ of stratum functionale
non branching, non budding uniform __ thoughout stroma
in mid phase, glands are __ and lined w PS, mitotically active cells
stroma is non__ and spiral arteries are in deep layers
at ovulation, endometrium has coiled __ w cytoplasmic vacuoles

A

irreversibly
synthesized
washout

downregulate

elastin
nonpolar
tropoelastin
oxidase

proliferation
glands
narrow/elongated
edematous
arteries
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4
Q

secretory phase has __ to develop endometrium
glands become __ and more coiled
see large __ w glycogen rich mucus
stroma is highly __ w prominent spiral arteries

H/I/P are highly linked to DILE
due to slow __
look for presence of / antibodies to differentiate w SLE

__ is MCC of tubal factor infertility

Congenital absence of vas deferens seen w low sperm __ and acidic pH

_ plexus lies in fascia of prostate from inferior hypogastric plexus
lesser/greater __ nerves arise and innervate CC/urethra
carry postgang __ fibers for penile erection
thus, injury to prostatic plexus leads to __

__ nerve innervates external U/A sphincter, sensory to genitalia

A

progesterone
large
vacuolization
edematous

hydralazine, isoniazid, procainamide
acetylation
anti-histone, anti-dsDNA

PID

volume

prostatic
cavernous
PNS
ERECTILE DYSFXN

pudendal

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5
Q

__ fascia is floor of Hesselbach triangle
thus, weakness can cause __
only pass through __ inguinal ring
thus only covered in __ where all 3 layers found w IIH
femoral hernia are medial to __ and lateral to lacunar lig

Right subclavian vein/IJ vein drain into __ vein
EJ vein empties into __ v
brachiocephalic vein also drains __ from right upper body
can become obstructed to produce / swelling
blockage of subclavian vein would lead to unilateral __
blockage of IVJ would lead to __
SVC ONLY OCCURS WHEN __ sides of body affected

A
TRANSVERSALIS
DIRECT INGUINAL HERNIA
SUPERFICIAL
EXTERNAL
femoral sheath
brachiocephalic
subclavian
lymph
FACE/ARM
arm swelling
face swelling
BOTH
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6
Q

MAIN TOXIN OF C PERFRINGENS IS __
leads to necrotic/__ effect by splitting phospholipids
prodxn of gas comes from metabolism of __

S aureus _ is superantigen in GI tract

use __ for Lyme dz in pregnant women
Doxy binds to / in teeth to cause staining
Aminoglycosides can damage CN __ in utero

parvoB19 in fetus interrupts __ w profound anemia/CHF
leads to __ and death

Fetal varicella syndrome is __ hypoplasia, microcephaly, and __

BLUEBERRY MUFFIN RASH IS __

deafness, periventricular Ca, jaundice/HSM, chorioretinitis is __

A

LECITHINASE
gas gangrene
carbohydrates

ENTEROTOXIN

amoxicillin
enamel/dentin
8

limb, chorioretinitis

RUBELLA

CMV

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7
Q

Goodpasture dz is autoantibodies against __ chain of type 4 collagen
see linear __/_ on GBM
Hb in alveoli leads to inc O2 __ and inc DLCO

S, Adrenocortical, F, and L also express LDL receptor

severity of MS is time bw __ and opening snap
due to tensing of _ as MV reaches maximal diameter
as LA pressures rise, OS occurs __
__ accentuation is also importnat, as it disappears when MS becomes more severe

bacterial __ components cause massive inflam response in CNS
can use __ to reduce inflam cytokines
not as useful w __ as the thinner cell wall (no teichoic acid) releases less cytokines

use therapeutic __ after hypoxic/ischemic CNS injury
dec __ activity w dec strain

A

alpha 3
IgG/C3
uptake

smooth muscle, fibroblasts, lymphocytes

A2
chordae tendinae
earlier
presystolic

subcapsular
dexamethasone
gram negatives

hypothermia
metabolic

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8
Q

Inflammation in meningitis loosens __ thus allowing antibiotic penetration

__ incompetence is primary pathophys mech for GERD
look for basal __, elongation of __, scattered eosinophils
due to relaxation of __

think __ w atrophy of esophagus
PPI does not improve __ esophagitis
think Pill induced esophagitis w T/KCl and B

Paracoccidioides brasilensis is __ fungus
found in C/S America w mucocutaneous/cutaneous _
biopsy shows cells w budding __

spaghetti and meatball short hyphae w spores indicates __

A

BBB

GE jxn
hyperplasia, lamina propria
LES

systemic sclerosis
eosinophilic
tetracyclines, bisphosphonates

dimorphic
ulcers
blastoconidia

Malassezia

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9
Q

M__ is PROG ANTAG
results in apoptosis/necrosis of uterine __ to term preg
use w M_ a PGE1 analog to soften cervix and inc uterine contractions

_ is CCB w Indomethacin to stop preterm labor
low __ stops myosin kinase phosphorylation w myometrial relaxation
indomethacin stops __ thus dec uterine contractions

use __ to stop troph division w dec trophoblast survival
this encourages __ to tx ectopic pregnancy
may use w __ to terminate

renal vasoconstriction dec renal __
results in release of __ to constrict EA to try and maintain GFR
thus, dec in __ is less pronounced, and FF is inc

A

MIFEPRISTONE
DECIDUALIS
misoprostal

nifedipine
Ca
prostagland prodxn

MTX
expulsion
misoprostol

plasma flow
AT2
GFR

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10
Q

S3 is forceful, rapid __ exceeding capacity of ventricle

S4 is atria contracting against __ ventricle

M3 receptors are present n _ surface
stimulation releases __ w cGMP inc
activates myosin light chain __ w dephosphorylate myosin and smooth muscle RELAXATION
promotes __ which can lead to somnolence w dec cerebral perfusion

M2 receptors in heart stimulated to dec __
opens __ channels to slow depolarization w dec inotropy/chronotropy

block of M3 in skin leads to __ due to dec sweating

adenosine activates K channels to cause membrane __ to slow sinus rate
Class 1B antiarrhythmics have weak __ block activity
also shorten __ to dec AP duration

A

FILLING

noncompliant

endothelial
NO
phosphatase
hypoTN

contraction
K

Fever

hyperpolarization
na channel
repolarization

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11
Q

RNA __ is mech w noncoding RNA inducing posttrxn gene silencing
includes miRNA and __
miRNA is processed to form __ precursor and taken to cytoplasm
precursor is cleaved to short RNA helix via __
individual strands incorporated into __ complex that binds complementary RNA sequences
matches can __ mRNA or cause trxn repression
this is POSTTRXN __

Proteosomes degrade N/C proteins
Lysosomes degrade cell organelles and __ proteins

haptoglobin __ when Hb is released in circulation

A
interference
siRNA
double stranded
dicer
RISC
destroy
SILENCING

nuclear, cytoplasmic
extracellular

increases

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12
Q

PDGF is released by / and endothelial cells
this stimulates __ from media to enter intima and proliferate and form a atheroma

NF2 codes for __ on chromo 22
p53 is on chromo __ and is assc w B/S/B/L/A tumors

H1 is __ that aids in packaging of nucleosomes

Tabes dorsalis damages dorsal __/__ w sensory ataxia/absent DTR
__ sharp, shooting pains
can see neurogenic __ and Argyll Robertson pupil
may have __ pleocytosis in CSF

A

platelets/macros
smooth muscle cells

merlin
17, brain/breast/sarcoma/adrenocortical, leukemia

linker

column/roots
lancinating
urinary incont
lymphocytic

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13
Q

chronic HTN leads to arteriolar __ w fibrinoid necrosis and weaking of walls

AE of nitrates include __ w flushing and __/lightheadedness
may have reflex __
avoid in __ due to outflow obstruction
or __ infarct due to dec output

A

hyalinization

HA, hypoTN
tacchycardia
HCM
RV

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