Wed Wk 5 Mixed 2 Flashcards

1
Q

invasive __ develops in immunocompromised pt
forms granulomas, fever, chest pain and has predilection for __ thus spreaing hematogenously
tx w A__
wheezing/migratory pulm infiltrates indicates A__

influenza vaccine produces neutralizing antibodies against __ antigen to prevent entry
activated live viruses can stimulate __ thus generating CD8 t cells to kill infected cells

Neuraminidase claves __ residues allowing for release of influenza
O__ is sialyic acid analogue that competetively inhib neuraminidase

LE of elbow is attachment for ECRB/ED for wrist extension
see angiofibroblastic __ w no true inflammation

A

aspergillosis
blood vessels
amphotericin B
ABPA

hemagluttinin
MHC class 1

sialic acid
oseltamivir

extensor carpi radialis brevis, extensor digitorum

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2
Q

overuse of __/__ leads to De Quervian tenosynovitis

round/polygonal cells w clear cytoplasm is __ from PT epithelial cells
lots of / give clear appearance on path specimen

DS due to inc gene __ effect
mosaicism is due to nondisjunction in __

DJS is AR disorder w defective hepatic __of bilirubin glucuronides due to mutation in MDRP2
develop __ bilirubinemia w black liver due to inc epinephrine metabs

tx Body dysmorphic disorder w __ and CBT

A

APL/APB

RCC
glycogen/lipids

dosage
mitosis

excretion
direct

SSRI

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3
Q

OSA due to relaxation of __ muscle tone
as O2 falls and CO2 rises, __ chemoreceptors trigger arousal
see daytime sleepiness and morning __ w cog impairment

CSA due to dec resp drive from __ disorder
assc w severe underlying __

OHS has chronic inc __ and dec __

HL has painless __ and B sx
LN biopsy shows __ cells w lymphs/histiocytes/eosinophils

__ syndrome is life threatening cx after drug exposure
seen w anticonvulsants C/P, allopurinol, sulfonmides, and antibiotics V, M
due to __ virus reactivation w clonal expansion of t cells
see F, LAN, facial edema and diffuse skin __
may damage L/K/L and labs show E w atypical lymphocytes and inc ALT

A

pharyngeal
carotid body/brain
HA

neuro
illness

PCO2, O2

LAD
RS

DRESS
carbamazepine, phenytoin, vanc, minocycline
Herpes
rash
liver, kidney, lung, eosinophilia
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4
Q

Drug induced ANCA vasculitis seen w P/M and H

chronic AV shunt inc CO due to inc __ stimulation
dec TPR and inc __ due to inc volume
this inc mean __

inc slope of VR/CO indicates __ TPR

proteins go from RER to Golgi via __ coated vesicles
SER fxns as __ in striated muscle
steroid producing cells of A/G/L have well developed SER

Ulnar nerve innervates __ portion of FDP

A

PTU, methimazole, hydralazine

SNS
venous return
systemic pressure

dec

COP2
sarcoplasmic reticulum
adrenals, liver, gonads

medial

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5
Q

__ regulates urea cycle by activating CPS1
OTC deficiency has excess __ and inc urinary orotic acid
pt has hyper_ w vomiting/confusion/tachypnea due to cerebral edema
leads to hyperventilation w resp __
CPS1 def leads to high __ but orotic acid is not inc

HIV pt w seizures/multiple ring enhancing lesions is __
can be transmitted via contaminated __

Aspergillus is assc w __

NADPH generates free rads w direct microbicidal activity and also activate granule __ to destroy pathogens

supine __ syndrome occurs when hypoTN, pallor, sweating occur in supine preg woman
due to uterus obstructing __ w dec preload/CO
preg has expanded plasma __ and inc RBC mass w low __

A
N-acetylglutamate
carbamoyl phosphate
ammonemia
alkalosis
ammonia

toxoplasmosis
food

NEUTROPENIA

proteases

hypoTN
IVC
volume, BP

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6
Q

SCLC stain for __ markers like NCAM/CD56, enolase, chromogranin, synaptophysin
may have neurosecretory __
inferior MI assc w __ due to blocked SA/AV node
can tx w __ to block vagal influence on heart
SE is __ w narrowed anteiror chamber angle/dec outflow of AH
can lead to acute __
will tx U__

use O_ Anticholinergic to tx spastic bladder

__ deletion seen in CF

AGAP MA due to ketoacids that bind and dec serum __
should have compensatory resp __ by hyperventilating, thus CO2 should be low
if higher than expected, must have hypercarbic __

A

neuroendocrine
granules

bradycardia
atropine
myrdiasis
glaucoma
uveitis

oxybutinin

phenylalanine

HCO3
alkalosis
RF

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7
Q

Met acidosis comp- pCO2= 1.5 (serum bicarb) + __ +/-2
Met alk- pCO2 should rise__ for every 1 dec in HCO3

low Estrogen inc release of __/__ cytokines and RANKL, which leads to osteoporosis

antags are reversible w __ bond and irreversible w __ bond
in noncompetitive antags, ED50 is __ but efficacy is reduced

regular insulin forms __ due to H bonds bw C termini of B chains and hexamers w __ ions

O2 blood from placenta enters fetus via __
__ is remnant in adult
then goes to liver and bypasses via __ into IVC
goes to heart, and delivered to __/__ circs
into aorta, blood is passed to _ and deoxy blood goes to placenta via umbilical __
SVC drains only __ blood from head/UE

A

8
.7

IL1/TNFA

ionic, covalent
inc

dimers
Zn

umbilical vein
ligamentum teres
DV
pulm/systemic
tissues
artery
deoxygenated
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8
Q

CN 9 is motor to __ muscle in elevating larynx while swallowing
PNS through __ nucleus to CN9 and otic ganglion/auriculotemporal nerve for __ gland sec
Sensory to __ and eustachian tube, tonsils, upper __ and carotid body/sinus

superior salivatory nucleus of __ nerve causes secretion by submandibular/sublingual glands via submandibular ganglion

Naloxone is antag of __ opioid receptors
reverses analgesia, sedation hypotn and __
completely inactivated by __ so must be given parentarally

mu receptor for dependence, euphoria, __/__ depression, dec GI __ w sedation
Kappa for __ and sedation
delta has __ effects

A

stylopharyngeus
inferior salivatory
parotid
TM, pharynx

Facial nerve

mu
RD
liver

resp/cardiac
motility
miosis
antidepressant

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9
Q

__ participate in CNS tissue repair and compensate for lost neuron volume
originate in N__ w round, nuclei, small bodies, contain glial fibrils w __
aid in repair, structural __ and BBB and __ properties

O_ come from neuroectoderm
small nuceli w pale __
produce __

M__ are monocytes in BM
fxn in __

Fibroblast migration aids in injury repair of __

ketone bodies in DKA result in __ serum bicarb
plasma osmolarity is __
insulin causes __ shift of bicarb

Nmen penetrates CNS at cerebral capillary __ surface

A

astrocytes
neuroectoderm
GFAP
support, metabolic

oligodendrocytes
halo
myelin

microglial cells
phagocytosis

PNS

inc
high
intracellular

endothelial

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10
Q

aneurysm of Acom can cause bilateral __
unilateral homonyous hemianopia due to occlusion of __ artery in optic tract
or occulusion of MCA/posterior limb of __

hemorrhage into pituitary is __ dx
due to preexisting __
severe HA, bitemporal __ and opthalmoplegia
tx w __ first to prevent hypoTN
leads to __ due to adrenocortical insufficiency

click of MVP due to tensing __
due to malaligned __
w inc preload/afterload, normal arrangement is seen and dec __ is heard
Primary is due to __ degen of CT of MV/CT
may have proliferated __ of valve, fragmented elastin, inc __ and type 3 collagen

A

hemianopsia
anterior choroidal
internal capsule

pituitary apoplexy
adenoma
hemianopsia
GC
cardiovascular collapse
chordae tendinae
valves
murmur
myxomatous
spongiosa, mucopolysaccharides
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11
Q

Sacral micturation center located at __
responsible for bladder __
PNS fibers from ventral white matter stimulate __ receptors on bladder wall
Pontine micturation center found in __
helps to relax __ w bladder contraction upon voiding
Cerebral cortex __ SMC

In NPH, expanded ventricles block __ and cannot communicate bw cortexSMC
thus pt has __ incontinence

A
S2-S4
contraction
cholinergic
reticular formation
EUS
inhibits

corona radiata
urge

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12
Q

Osteo__ have single nucleus and come from mesenchymal stem cells
Osteoclasts originate from __ and have multinucleated mature cells
need __ and RANKL for differentiation

OPG is __ receptor to prevent RANKL/RANK interaction
loss of OPG fxn leads to __ PDB

IGF1 inc __ replication/collagen synthesis and dec collagen degredation by dec __

A

blasts
monocytes
MCSF

decoy
juvenile

osteoblast
MMP

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