Wed Wk 6 Mixed 3 Flashcards

1
Q

SCHIZOID prefers to be __/__/__
schizotypal has odd __/__
no delusions/hallucinations like __
also have social __

Familial __ is deficiency of LPL/ApoC2
elevated __ w acute panc/lipema retinalis and eruptive xanthomas
Familial __ has defect in LDL receptor/ApoB100
elevated LDL w premature __ and xanthelasma
Familial dysbetalipoproteinemia due to defect in __
cannot bind hepatic __ thus cannot remove constituents
/ accumulate
see Premature CAD and __
Familial __ has inc VLDL
assc w C/P/O

ApoA1/LCAT def leads to high _ and low HDL as esterification is not possible

A

alone, detached, nonemotional
perceptions/beliefs
schizophrenia
anxiety

chylomicronemia
chylomicrons
Hypercholesterolemia
CAD
apoE
receptors
chylomicrons/VLDL
xanthomas
hyperTG
CAD, pancreatitis, obesity

cholesterol

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2
Q

metyrapone stimulation test blocks _ synthesis by inhibiting 11Bhydroxylase in ZF
__ accumulates and is converted to 17OH corticosteroids
these levels should __ w intact HPA axis

Lunate is more __ articulation w radius
__ is found above scaphoid
_ is found below the hamate

pt w significant renal dysfxn has accumulation of __ toxins
this is a __ platelet disorder that impairs aggregation
bleeding time is __ but all other coagulopathy studies are __

TCR gene rearrangement of T cells rearranges __ chain genes
this leads to both / being expressed
then __ chain is rearranged w positive/negative selection
mature T cells then lose _ of antigens

macrophages cannot present to __ t cells

A

cortisol
11deoxycortisol
rise

medial
trapezium
triquetrum

UREMIC
QUALITATIVE
HIGH
NORMAL

Beta
CD4/CD8
alpha
1

naive

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3
Q

in MG, there is a dec nmber of fxnal __ receptors
thus, THRESHOLD POTENTIAL is NOT __ as less cation channels can open
this reduces __ of muscle contraction
muscle cells then do not __
tx w __ a cholinesterase inhib
use selective muscarinic antags G, H, P to reduce SE in GI tract
do not affect __ which uses nicotinic receptors

M/T are other drugs that can cause DILE
no / comps, no malar rash

A

Acetylcholine
REACHED
amplitude
depolarize

pyridostigmine
glycopyrrolate, hyoscyamine, propantheline
skeletal muscle

minocycline, TNF a inhibitors
CNS/renal

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4
Q

astrocytes regulate NT by taking up __ to prevent excess excitation
converted w ammonia to __ which released and taken up by neurons
converted back to __ for use as NT
w inc ammonia, __ prodxn is high
this inc astrocyte swelling and impairs __ releas
hyperammonemia then depletes amount of __ available for conversion to glutamate, thus dec __ NT

precipitation of Hepatic enceph
Drugs like N/S
hypovolemia D
electrolyte \_\_
inc nitrogen from \_\_
infections and shunts
sx include A/A/A
tx by dec \_\_
A
glutamate
glutamine
glutamate
glutamine
glutamine
glutamine, excitatory
narcotics, sedatives
diarrhea
deficiencies
gi bleed
AMS, ataxia, asterixis
ammonia levels
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5
Q

__ is tumor of PNS from schwann cells
biphasic high cell areas are __ pattern
intermixed w myxoid low cellularity areas __ pattern
spindle cells form palisading patterns around nuclear free zone aka __ body
always stains __ positive
can occur at any CN except __ as it is covered in oligodendrocytes
most common location is _

__ tumor has bizarre glial cells w mitotic figures, pseudopalisading necrosis, neovasc and hemorrhage
found in __ matter

brain mets form along _ jxn
central necrosis w surrounding __
masses are __ circumscribed

A
schwannoma
antoni a
antoni b 
verocay
S100
CN2
cerebellopontine angle

glioblastoma
white

G/W
glial scar
well

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6
Q

use __ to model linear relationship w dependent variable and independent variable

HCV varies at __ genomic regions
no __ proofreading activity

Courvoisier sign indicates adenocarcinoma at __ of pancreas
can obstruct __ w obstructive jaundice/pale stools
RF include A/S/D/C

Identify __ syndrome as cells cultured in folate deficient medium will have no growth on X chromo

B globin genes on chromo _

A

linear regression

hypervariable
3’-5’

HEAD
bile ducts
age, smoking, diabetes, chronic pancreatitis

Fragile X syndrome

11

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7
Q

acute hep b may lead to __ like syndrome w joint pain and urticaria

can use rapid __ to quickly diagnose active H pylori infection
due to __ which converts gastric urea to ammonia w alkalinization of test
__ is reagent that is used

for purified RNA to induce viral protein synthesis in cell, it must act as __
must be __ to have enzymes extracted

trypsin can activate __ or other zymogens
thus, __ is secreted by panc acinar cells to be inhibitor
trypsin also cleaves __ to make it inactive

hereditary pancreatitis due to mutation in Trypsinogen or __ gene
trypsin is not __ to inactivation

L/A are panc enzymes that are not zymogens

A

serum sickness like

urease
urease
Phenol red

mRNA
naked

itself
SPINK1
itself

SPINK1
susceptible

lipase, amylase

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8
Q

Iron is absorbed in /
thus, must be replaced in _
w antrum removed, less __ released and diminishes iron absorption

lack of __ in pregnancy impairs fetal kidney development
can also impair cranial __ and lead to hypocalvaria
use / for HTN in pregnancy instead

avoid __ in pregnancy as it might close the DA

dec lung __ promotes compression of airways in pt w COPD
w exercise, inc air trapped in lungs reduces TV, and pt has __ hyperinflation causing SOB

alcohol binds and enhances _ activity
over time, dec GABA \_\_ leads to tolerance
alcohol withdrawal occurs w/in \_\_ 
see I/T/A/A
seizures begin w/in \_\_ hrs
delirium tremens/agitation occur \_\_
use \_\_ benzos for withdrawal as it self tapers
use \_\_ in pt w liver dz
A

duodenum, proximal jejunum
gastric acid

AT2
vascularization
Amethyldopa, Labetalol

NSAIDs

elasticity
dynamic

GABA
sensitivity
12hrs
insomnia, tremulousness, anxiety, autonomic hyperreactivity
48
next

long acting
lorazepam, oxazepam, temazepam

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9
Q

CCl4 is converted to CCl3 via __ system
Free rads form/release __ and cause lipid peroxidation
eventually, this leads to inc __ of cell membranes

tumor cells detach from surrounding cells by DOWNREGULATING __
then adhere to BM via __
invade via secretion of proteolytic enzymes like __
this distinguishes __ tumor from CIS

Essential/fmailial tremor inherited __
worsens when maintaining _
sx improve w __
tx w __

Osteonecrosis due to \_\_ occlusion like SCD/decomp
\_\_ or alcohol abuse
traumatic fracture or V\_\_
see pain on \_\_ and dec range of motion
\_\_ shaped zone of necrosis
articular cartilage may be _/_
dead bony trabeculae w empty \_\_
see \_\_ of adipocytes
all due to impaired \_\_ to bone, usually femoral head
A

p450
H2O2
PERMEABILITY

E cadherins
LAMININS
MMP
invasive

AD
posture
alcohol intake
propanolol

thrombotic
GC
vasculitis
weight bearing
wedge
distorted/detached
lacunae
necrosis
blood supply
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10
Q

long glands w villi like projections is __ adenoma
often __ and sessile w cauliflower like proection
__ adenomas have dysplastic mucosal cells w tube shaped glands
__ is most likely to undergo malignant transformation
can also secrete __ w secretory diarrhea, hypovolemia and electrolyte probs

__ polyps have mucosal glands, smooth muscle, CT
seen in /
_ polpys are well differentiated and are asx

all heart chambers except __ lie medial to MCL
lung mediastinal surface has __ to accomodate heart

in exercise, SNS discharge inc contraction of __
this rises __ to drive blood to skeletal muscle
this leads to dec __ as arteriolar vasodilation facilitates blood flow to skeletal muscle

A
VILLOUS
LARGE
tubular
VILLOUS ADENOMA
watery mucus

hamartomous
PJS, juvenile polyposis

hyperplastic

LV
cardiac impression

arterioles
SBP
dec SVR

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11
Q

Babesiosis due to __
Ixodes tick vector in __ US
flu like sx, can lead to much more __ manifestations w asplenia
see hemolytic anemia, T and inc __
wright giemsa stain shows _ such as maltese cross/rings
granulocyes w morula in cytoplasm has __ due to Ixodes tick

hepatic centrilobular necrosis causes death of hepatocytes around terminal __
periportal hepatic fibrosis indicates __

w ischemia, cardiac myocytes must use __ glycolysis
cannot keep up, thus / accumulates inside cells
these inc conc attract __ w cell swelling

A
Babesia microti
NE
severe
thrombocytopenia, LFTs
intraerythrocytic parasites
anaplasmosis

portal vein
chronic hepatitis

anaerobic
Na/Ca
water

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12
Q

__ is malabsorptive cx in pt w SB resection/CD
loss of __ leads to dec intestinal transit time
thus, postprandial voluminous __ w WL and malabsorption ensues

_ syndrome occurs after gastric bypass surgery/damage to pyloric sphincter
hyperosmolar __ enters SI and causes rapid shift of fluids
results in GI sx and /

HHV6 is one of MCC of __ seizure
rash after 3-5 days of high fever starts on __ and spreads to face

Forcheimer spots on soft palate indicate __

A

short bowel syndrome
absorptive surface
diarrhea

dumping
chyme
diaphoresis, flushing

febrile
trunk

RUBELLA

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