UW Buzzwords Flashcards
Subcutaneous nodules (xanthomas), family history
Familial hypercholesterolemia; decreased LDL receptors
Mid-abdominal pain, waking up during the night, relieved by eating a light meal
Peptic ulcer; urea breath test for urease produced by Helicobacter pylori
Low-pitched, mid-diastolic murmur at the cardiac apex
Mitral stenosis (MS), most commonly caused by Rheumatic fever
Mild abdominal discomfort (GI hamartomatous polyps), pigmented mucocutaneous macules
Peutz-Jeghers syndrome, autosomal dominant
Tender mass, cytoplasmic vacuoles (cytoplasmic lipid), scalloping of the nuclear membrane
Liposarcoma
In autoimmune blistering disease (Pemphigus vulgaris), the autoantibodies react with an antigen at which location?
Epidermis (desmogleins)
An infant dies from shortness of breath and low lung compliance (Neonatal respiratory distress syndrome, NRDS). Which cells are dysfunctional?
Type 2 pneumocytes
Apical bronchogenic carcinoma that invades the brachial plexus (Pancoast tumor) results in eye asymmetry and anisocoria (Horner syndrome)
Sympathetic trunk (superior cervical ganglion) invovled
Method to achieve fertility in a patient with Turner’s syndrome
In vitro fertilization (IVF)
Depressive patient complaints excessive thirst and dry mouth after hospitalization, urine remains dilute following water depreviation
Renal tubular dysfunction caused by lithium; nephrogenic diabetes insipidus (DI)
Infant, bright bleeding per rectum, microscopic evaluation of discharge reveal gastric mucosal cells
Gastric mucosa (Meckel diverticulum)
Chest pain, sudden death of an African American in young age
Hypertrophic cardiomyopathy (HCM); Normal coronary arteries, hypertrophy of the LV myocardium, LV outlet obstruction
Second heart sound (S2)
Closure of the aortic (A2) and pulmonic valves (P2); left ventricular pressure has fallen just below aortic pressure at the onset of isovolumetric left ventricular relaxation.
Best blood donor for a patient with IgA deficiency
A patient with IgA deficiency; due to anti-IgA antibodies in their blood
Replicating DNA strands contains multiple discontinuous fragments of DNA with intervening RNA fragments (RNA primer).
DNA polymerase I inhibited
Most accurate ROC curve in diagnosing a disease
The curve has the largest area under the curve
Elderly female, adnexal mass, abdominal discomfort
Ovarian caner; increased CA 125
Solid organ transplant patient, decling renal function
Cyclosporine nephrotoxicity
Vomiting, Parkinson history, which medication should be avoided?
Metroclopramide; can exacerbate Parkinsonian syndrome
Urine turns dark on standing, homogentisic acid in urine, what is the most prominent long-term consequence?
Debilitating arthritis; due to alkaptonuria, homogentisate 1,2-dioxygenase (HGO) deficiency
Rigidity, tremor that disappears with motion
Parkinsonism, damage to substantia nigra, located in the midbrain
A patient with atrial fibrillation experience foot pain (acute ischemia), which is most likely increased in the extracellular space of the affected region?
Potassium, via reduced functionality of membrane Na-K-ATPase
Darkly stained (protein accumulation) cells adjacent to the renal glomerulus
Juxtaglomerular cells, secrete renin
Amniotic fluid is added to a test well containing ethanol, shaken, stable ring of foam
Test for surfactant
Female athlete, vertebral fracture (osteoporosis), disordered eating, amenorrhea
Estrogen deficiency, due to decreased LH and GnRH
Vision prolem (ectopia lentis), mental retardation, cystathionine synthase deficiency
Homocystinuria; Methionine and Homocysteine accumulate
A round fluid-filled space within pancreas on CT (Pancreatic pseudocyst)
Acute pancreatitis
Complementary DNA sequences run in an antiparallel direction
From 3’ end to 5’ end
Heparin is a safer choice in pregnant woman compared to warfarin because of?
High water solubility; warfarin is a lipophilic molecule that can easily cross the placenta
Urinary infection caused by Gram-negative cocci
Neisseria gonorrhoeae; pili is responsible for infection
Treatment of Eye infection in AIDS (CMV retinitis)
Ganciclovir, blocks DNA chain elongation
Benefits of smoking cessation
Decreases the risk of lung cancer, myocardial infarction, and cerebrovascular accident
Outbreak transmitted from poultry to human (bird flu, avian flu)
antigenic shift, genetic reassortment
Early adulthood, muscle pain on exertion, exercise tolerance
McArdle disease (glycogen storage disease type IV), impaired glycogenolysis
Peaked T-waves on EKG
Hyperkalemia
Bulging eyes, weight loss, palpitation
Graves disease; glycosaminoglycan synthesis by fibroblasts results in the eye symptoms
Palpitations, dyspnea on exertion, an irregular heartbeat and absence of p-waves on EKG
Atrial fibrillation (AF); loss of the a-wave from the jugular venous pressure (JVP) tracing.
A child squats during cyanotic episodes in order to improve oxygenation
Tetralogy of Fallot, most common cyanotic congenital heart defect
A tumor on the dorsal midbrain (pineal tumor)
Upward gaze palsy, absent pupillary light reflex, failure of convergence and a wide-based gait
Where do gastrointestinal stem cells reside?
Crypts of Lieberkuhn
Chronic alcoholic, frequent falls, tremor
Damage of cerebellum
An agent that increases peripheral vascular resistance, increases systolic blood pressure, decreases pulse pressure, and decreases heart rate
Phenylephrine, a selective _1-adrenergic receptor agonist
TATA and CAAT boxes
Transcription initiators
Hypermobile joints, hyperextensible skin, brusies easily, family history
Ehlers-Danlos syndrome (EDS), an autosomal recessive defect in lysyl hydroxylase; bruising tendency is similar to Vitamin C deficiency
In radioimmunoassay (RIA), if substance Y and substance X had the same epitoes, then
The plot of radioactivity against increasing concentraiton of substance Y would show a proportionate decrease in radioactivity.
A defense mechanism where inappropirate actions are explained using logical reasoning that was not part of the thought process leading to the original action
Rationalization
Liver biopsy shows spherical nodules within the confines of fibrous septae.
Cirrhosis; the regenerative nodules are composed of proliferating hepatocytes.
Increased resistance to passive movement about a joint (cogwheel regidity)
Parkinson disease
Young female evaluated for infertility, normal height and normal progesterone level
Previous pelvic inflammatory disease
Antibiotics that bind to a pocket within the 23S rRNA moiety of the prokaryotic 50S ribosomal subunit, block translocation of the ribosome along mRNA.
Macrolide (e.g., Erythromycin) and clindamycin
A painless, compressible mass above the left clavicle that transilluminate
Cystic hygroma; associated with chromosomal aneuploidy (i.e., Turner syndrome, trisomies)
The neuronal action potential will increase with
Increase in extracellular sodium concentrations or decreases in intracellular sodium concentrations
A linear, erythematous rash that develops shortly after a hiking trip
Plant-induced allergic contact dermatitis (e.g., poison ivy); type IV hypersensitivity (delayed-type hypersensitivity)
Sickle cell patient, sepsis due to encapsulated Gram-positive cocci
Splenic atrophy
Lactose intolerance getting worse with age
Expression of lactase gene declines with age
External radiation therapy to the head and neck during childhood
Increased riks of developing thyroid cancer
Inappropriate sexual behavior, constant food seeking (oral fixation), hyperphagia
Kluver-Bucy syndrome (KBS); damage to amygdala (temporal lobe)
In the urea cycle, which step releases urea
Arginine to ornithine
Mechnical ventilation, blood pH > 7.4, PaCO2 < 40 mmHg
Respiratory alkalosis due to hyperventilation; kidney compensation results in increased urine pH
Mechanism of action for clyclosporine
Inhibiting IL-2 transcription
Lip smaking and tongue protruding (Involuntary movements), psychiatric history
Tardive dyskinesia, upregulation of dopamine receptors, decrease in cholinergic tone in the striatum
Deficiency of dopamine hydroxylase
Orthostatic hypotension (defect in sympathetic nervous system)
P wave in EKG
Atrial depolarization
Exertional dyspnea, poor exercise tolerance, smoking history
COPD, increased residual volume and total lung capacity
When normal cells are cultured in a Petri dish, they reproduce until the medium is covered with a single layer of cells.
Contact inhibition. Malignant cells do not show contact inhibition and will pile up into small mounds.
Advantage of the inactivated polio vaccine over the oral form
Does not revert to a virulent form
Face and neck edema, neck vein engorgement
Superior vena cava (SVC) syndrome. In axial sections, the SVC can be seen in the region of the right heart, just lateral to the ascending aorta.
Midshaft fractures of the humerus
Radial nerve injury; weakness of elbow extension.
Deficiency of carbonic anhydrase in bone cells
Impaired bone modeling (bone demineralization)
dsDNA replication (e.g., adenovirus)
DNA-dependent DNA polymerase
Painful pharyngeal contractures, eosinophilic cytoplasmic inclusions in hippocampal neurons (Negri bodies)
Rabies infection; animal contact
Which will be increased in renal artery stenosis?
Filtration fraction, due to decreased renal blood flow.
Understimulation of which receptor is responsible for orthostatic hypotension?
_1-adrenergic receptor