Wed Wk 6 Mixed 1 Flashcards

1
Q

__ is common comp of SS
due to inc __ deposition in tissues w high monoclonal T cells secreting cytokines
earliest damage occurs in small __/__
eventually patient develops __

familial __ due to B globin gene mutation w dec binding of 23BPG
binding pocket contains __ charged AA (H/L) to bind negative 23BPG

HbH and Hb Barts have __ O2 affinity

\_\_ is cause of bacterial diarrhea that can go from domestic/farm animal to humans
moves in \_\_ fashion
also acquired via undercooked \_\_
look for diarrhea w T and leuks in stool
pain may mimic \_\_
A

PAH
collagen
arterioles/capillaries
cor pulmonale

erythrocytosis
positive

extremely high

Campylobactr
corkscrew
food
tenesmus
appendicitis
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2
Q

__ can be transmitted FO by dirty hands/uncooked food or fomites

FHH has __/__ PTH but urinary calcium will be __
hyperthyroid may cause __ thus inc serum ca

w local back pain and FEVER, recent BACTEREMIA, must think __
usually spreads __ in adults due to bone w rich vascular marrow, corkscrew vessels
dx w blood cultures and __
only use invasive CT myelogram for pt who cannot use __

diuretics induce __ which should inc renin levels w use
ACEI/ARB should also inc _
thus if it stays low, pt __ has occurred
Measures plasma renin activity w amount of __ formed per unit time

PV bullae spread __ w pressure due to Ashboe-Hansen sign
antibodies against _ 1/3
see intraepithelial __ w detached keratinocytes, retained along BM w __ infiltrate
unaffected skin shows epidermal __/__ deposits

A

shigella

normal/high
low

VERTEBRAL OSTEOMYELITIS
hematogenosly
MRI
mri machiens

hypovolemia
RENIN
noncompliance

angiotensin 1

laterally
desmoglein
cleavage
eosinophilic
IgG/C3
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3
Q

bullae in BP are __ and Nikolsky sign is neg

__ is released by duodenal S cells in response to low duodenal pH
releases __ fluid from pancreas to neutralize acid
__ released by I cells of SI
__ released by D cells of pancreas/gut mucosa
__ inc insulin release and dec gastric acid release
released by __ cells of SI
__ released by M cells of SI

perform femoral nerve block at __ near lateral aspect of femoral artery
anesthestizes anterior T/F/K and saphenous nerve
runs bw / muscles

__ nerve runs in addctor hiatus of adductor magnus
FEMORAL CANAL ONLY CONTAINS __/__

serum Cl is __ in BN

A

tense

secretin
bicarb rich
CCK
SS
G1P
K cells
motilin

inguinal canal
thigh, femur, knee
psoas/iliacus

saphenous
lymphatics/LN

Low

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4
Q

__ binds warfarin in intestines to dec absorption
avoid __ w warfarin as it inc bleeding risk, and displaces warfarin from albumin
_ can interfere w VK metabolism/inhibit p450

p450 inhibitors A/N, A/A, A, C, C/G, vitamin E, O, __ hormone and S
p450 stimulators C, P, G, S, O, P, R

pol mutations in HIV cause resistance to __ as well as RTI
due to high __ rate of HIV
structure glycoproteins encoded by __ gene, and may evade the humoral immune response

Mycoplasma attaches to resp epithelium via __ that is also on PM of RBC
__ aggultination as they bind at low temperatures

A

Cholestyramine
NSAIDs
Acetominopen

aceto/NSAIDs, antibiotics/fungals, amiodarone, cimetidine, cranberry juice/ginseng, omeprazole, thyroid hormone, SSRI
carb/phenytoin, ginseng, St john wort, OCP, phenobarbitol, rifampin

protease inhibs
mutation
env

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5
Q

initiator caspases are number /
executioner caspases are _
w constant stumulation of __, T cells can undergo activation induced cell death
if mutation occurs w no apoptosis, inc autoreactive t cells leads to __ diseases

SCD has __/__ hemolysis
__ is common in young pt w SCD as bones contain hematopoeitc marrow
can be __ w pain crises or ulcerations

__ complex is primary infection into lower lobes and hilar LN
survives due to __ to inhibit alveolar macros
w fibrosis/calfcification, becomes __ compex

A

8/10
3/6
self antigens
AUTOIMMUNE

intra/extravascular
dactylitis
occlusive

Gohn complex
cord factor
Ranke

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6
Q

__ is nonselective B agonist
A1 receptors innervate __ to cause mydriasis
B2 receptors innvervate __ to cause tocolysis

pt w renovascular HTN needs __ to constrict EA and raise GFR
thus, avoid __ in pt w bilateral RAS
be careful w __ disease or decomp HF
normal creatinine can rise by __ over 2-5 days w ACEI

Heroin/pamidronate can lead to __
S/M/A/T can precipitate in renal tubules to cause failure
chronic interstital nephritis from L/C
drug induced tubular necrosis due to A/R/C/A/F

A

isopreterenol
pupillary dilator
uterus

AT2
ACEI
coronary atherosclerotic
30%

FSG
sulfonamides, MTX, acyclovir, triamterene
lithium/cyclosporine
aminoglycosides, radiocontrast, cisplatin, amphotericin B, foscarnt

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7
Q

intestinal ganglioneuromas in MEN2B present w __
performing __ can be life saving in MEN2B

NF2 has acoustic neuromas, brain __ and __ of dorsal root

CN V1, CN3/4/6 and superior opthalmic vein enter __
CN V2, infraorbital vessels, sphenopalantine ganglion enter __
CN V2 goes from FR to enter __ fossa to course into IOF

unstable angina is either , or inc in // or at rest

A

constipation
thyroidectomy

meningiomas, schwannomas

superior orbital fissure
inferior OF
pterygopalatine

new, freq, duration, intensity

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8
Q

inflam vasc sheating w hemorrhage in eye of HIV pt is always __
full thickness necrosis/edema replaced by atrophic __
due to __ spread to eye
greatest risk is __

use P_ as another tx for pneumocystis PNA
can use _ for prophylaxis

mesothelial cells line __ like pleural/peritoneal/pericardial
look for _ pleural effusion w thickening
histo shows long slender __ w TONOFILAMENTS
immune markers include __

sheets of uniform cells w salt/pepper pattern is __
__ in origin

ecological study analyses __
ecological fallacy is that it cannot make __ only assc
think esp __ design

nested case control studies participants who are followed to develop __ and become case

A

CMV retinitis
scar tissues
heme
retinal detachment

pentamide
Dapsone

body cavities
hemorrhagic
microvilli
pancytokeratin

carcinoids
NEUROENDOCRINE

population data
conclusions
MULTI COUNTRY

outcome

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9
Q

Classical condition has __ that causes pt to feel a certain way __ response
when paired w the __ stimulus, subsequent exposure can lead to __ response

in operant conditioning, positive actions __ punishment/reward
negative actions __ reward/punishment

pt w chron dz gets gallstones due to __ wasting
BA released by liver to enter __ w bile and emulsify fat droplets to aid in panc lipase breakdown
pass to __ and contact gut epithelium and aid in absorption of FA/glyceride/choelsterol
w damage to __ in CD, bile acids are lost in feces
get kidney stones due to inc __ absorption

A

unconditioned stimulus, unconditioned
conditioned, conditioned response

GIVE
REMOVE

bile acid
duodenum
jejunum
terminal ileum
OXALATE
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10
Q

AF due to aberrant electrical impulses w heightened atrial __ such as in pulm veins
can remodel __ w shortened refractory periods
AF has atria in chronic, continuous __
ventricular response depends on __ thus refractory period minimizes periods of contraction

Liver biosynthetic activity determined by /
transport/metabolic capacity by __
hepatocllular injury by /
cholestasis by /
cirrhosis can have thrombocytopenia/HSM due to __ of platelets

__ of inhaled anesthetic is minimum conc req to achieve anesthesia
partial pressure in __ equals pressure in other compartments
MAC is percentage of anestheic in __ that renders 50% unresponsive to stimuli
potency is _ proportional to MAC
MAC only depends on / as it is intrinsic to drug

A

excitability
AV node
depolarizations
Atrial conduction

PT/hypoalbuminemia
bilirubin
AST/ALT
ALP/GGT
splenic sequestration
potency
brain
inhaled gas
INVERSELY
age/body temperature
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11
Q

high AV conc gradient of inhaled anesthetic means more drug is taken up by __
thus has __ onset of action

BGPC corresponds to __
higher levels absorbed more by __ thus onset of action is higher

first dose __ occurs w ACEI as it cause hypoTN due to dec AT2
alongside __ volume depletion, renin is high to maintain AT2
thus, start dose __

PCWP should be similar to LA and __ pressures

Cardiac tamponade equalizes pressures in __ of ventricles/pulm artery

restrictive cardiomyopathy is __ dysfxn

A

peripheral tissues
sloweer
SOLUBILITY
blood

hypoTN
diuretic
low

LVED

diastole

diastolic

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12
Q

__ has intermediate sized lymphocytes w vacuolated basophilic cytoplasm
high number of __ that phagocytose debris
high /
cMYC is __ activator for cell prolif, differentiation and apoptosis

normal BP __ during inspiration less than 10 mmHg

hemothorax has __ to percussion

A

Burkitt lymphoma
macros
mitotic index/cell death
transcription

FALLS

dullness

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