UWORLD random 3/19a Flashcards
polyhydramnios cause
impaired fetal swallowing
- GI obstruction, anencephaly
increased fetal urination
- high cardiac output (anemia, parvovirus, hemorrhage)
prenatal anti-epileptic use
++ fetal neural tube defects like anencephaly
acute rheumatic fever
sydenham chorea
pancarditis (mitral regurg)
migratory arthritis
mitral stenosis
___ supplementation bypasses folate deficiency
thymidine
sickle cell mutation
glu –> val at position 6
GAA–>GTA
GAG–> GTG
PKU inheritance
AR
pentose phosphate pathway
oxidative vs nonoxidative
reversible
ribulose 5 phosphate
non-reversible
NRTI inhibits ___ in viral genome replication
3’-5’ phosphodiester bond formation
refractory severe asthma tx
anti-IgE antibodies
omalizumab
highest urine osmolarity in setting of low ADH - where in nephron?
bottom of loop of henle
___ down regulate gastric acid secretion
intestinal influences
after a meal
nitroprusside infusion ADR
cyanide toxicity = confusion, lethargy, altered mental status, seizures, CV collapse, lactice acidosis, bright red venous blood
cyanide tox tx
direct binding of cyanide ions (hydroxocobalamin), induce methemoglobinemia (sodium nitrite), dexotifying sulfur donors (sodium thiosulfate)
immunoflorescence of PSGN
granular
deposits of IgG, IgM, C3
starry sky
EM of PSGN
subepi humps = antigen-antibody complexes
RANK-L
stimulate mature multinucleated osteoclasts
increase osteoclast activity
blocked by osteoprotegerin (via estrogen)
ADHD tx
increase release of NE/dopa, block NE/dopa reuptake
internal hemorrhoids blood supply
mid/superior rectal veins
internal iliac and inferior mesenteric veins
external hemorrhoids blood supply
inferior rectal vein
internal pudendal
internal iliac
bite cells
G6PD
cancer tx + oliguria
tumor lysis syndrome
uric acid crystals in kidneys
precipitates in acidic environment
distal tubules, collecting ducts = low pH
thrombotic thrombocytopenic purpura sx
neuro sx (sensory loss due to lacunar stroke), anemia with schistocytes, thrombocytopenia, AKI
TTP cause
deficiency of ADAMTS13 (vWF cleaving protease)
diffuse microvascular thrombosis