usmle gold: misc Flashcards
Fastest growing tumor
Burkitts
PEs are found in half of all
autopsies
Courvoisiers Law:
tumors that obstruct the common bile duct cause enlarged gallbladders, but obstructing
gallstones do not (too much scarring), so if you can palpate the gallbladder youe probably looking at cancer.
Only DNA virus to replicate in cytoplasm:
Pox
Only RNA virus to replicate in nucleus:
Influenza
Bacillus anthracis has the only
protein capsule
Bordetella pertussis (Whooping Cough) elicits
lymphocytosis rather than granulocytosis
Bronchioalveolar carcinomas grow without destroying
normal architecture of the lung
Cryptococcus neoformans often lacks a
capsule and, when stained with GMS, looks just like Pneumycistis
carinii, except that Cryptococcus lacks the prominent nucleoli.
Weil Felix reaction:
(+)R. rickettssi & (+)Proteus vulgaris & P. mirabilis
Treponema pallidum (Syphilis) tests:
1)VDRL 2)FTA-Abs: most widely used 3)TPI (immobilization test most
expensive but the Gold Standard)
IL 1
Monocytes, macrophages
Stimulates T cell proliferation & IL2 produciton
IL 2
Macrophages, T & NK cells Stim prolif of B, T & NK cell
IL 3
T cells
GF of tissue mast cells & hematopoietic stem cells
IL 4
T cells
↑ growth of B & T cells/ ↑ HLA II Ags
IL 5
T cells
Maturation of B ! plasma cell
IL 6
T cells, monocytes
Maturation of B & T cell/ (-) fibroblasts
IFN α
B cells, macrophages
Antiviral activity
IFN β
Fibroblasts
Antiviral activity
IFN gamma
T & NK cells
Antiviral activity, (+) macrophages, ↑ HLA II Ags
TNF α
Macrophages, T & NK cells
T cell prolif, IL 2 prod, cytotoxicity
TNF β
T cells
T cell prolif, IL 2 prod, cytotoxicity
VHL
3p
Von Hippel Lindau, Renal Cell CA
APC
5p
Familial adenomatous polyposis, Colon CA
WT-1
11p
Wilms tumor
Rb
13q
Retinoblastoma, Osteosarcoma
BRCA-2
13q
Breast CA
p53
17p
Most human Cas
NF-1
17q
Neurofibromatosis type 1
BRCA-1
17q
Breast CA, Ovarian CA
DCC
18q
Colon & Stomach CA
DPC
18q Pancreatic CA
NF-2
22q Neurofibromatosis type 2 = bilateral acoustic neuroma
Resistance in Series:
Add all
Resistance in Parallel:
Invert the answer
Filtration Fraction =
GFR/RPF
GFR:
Glomerular Filtration Rate
RPF:
Renal Plasma Flow
Filtered Load =
GFR x [Conc]
Excretion Rate =
[Urine] x VelUrine
Clearance =
[Urine] x Vel(Urine) / [plasma]
or
Excretion / [Plasma]
Clearance of PAH =
[ERPF]
ERPF:
Eff renal plasma flow
Renal Blood Flow =
ERPF / 1 - Hct
Free Water Clearance =
VelUrine - Urine(osm) x Vel(urine) / P(osm)
CO =
HR x SV
CO =
O2(consumed) / PulmonaryA VO difference
Pulse Pressure =
Systolic Diastolic
MAP =
Diastolic + 1/3 Pulse Pressure
CO =
MAP / TPR
MAP =
TPR x CO
F =
P1− P2 / R
PAO2 =
(760 47) FO2 - (PACO2 / R)
FO2 = [O2] PACO2 = Alv. Press. Of CO2 R = Resp. Exchange Ratio CO2 produced / O2 consumed ≅ .8 or 1
Flow =
O2 consumed / AtoVO difference
Velgas Diffusion =
(Area / thickness) x Gas Diffusion Constant x Difference of Partial Pressure
VentTot =
VentTidal x #of Respirations
VentAlv =
(VentTidal VentDead) x # of Respirations
Compliance =
Vol / Press
P =
Tension / Radius
1.0 =
Va/Q
Diffusing Capacity =
COuptake / PACO2
Resp Doubles:
150mmHg & 40mmHg
New PCO2 =
20
New PO2 =
170