Wrong Answers Flashcards
folate deficiency in dividing cells causes what
dna breaks and apoptosis due to imparied thymidine synthesis see page 79 FA SUPPLEMENT THYMIDINE
what to supplement in folate deficient dividing cells
thymidine
fibrillin 1 deficiency leads to
marfan synfrome. it acts as scaffold for elastin and abudant in zonular fibres of the lens periosteum and aortic media. cause of death mosly CVS like aortic rupture
malignant tumors of parotid fland cause
ipsilateral facial droop by involving facial nerve. it exits stylomastoid foramen and inn muscles of expression.
intracranial hemorrhage in new born due to
vit k deficiency clotting factOrs gamma carboxylation if vit k given im then maybe due to trauma or abuse.
where does class switching of IG by B cells happens and how
germinal center of lymph nodes. initiall all igm later igg. cd40 b cell with cd40l of t cell. see page 195 and notes on B cell
how do osteocytes connect to each other
long intracanalicular processes via GAP JUNCTION see note attached to pag 438
which aortic arch does carotid artery come from
3rd see page 569
how does strep pneumoniae become virulent
TRANSFORMATION. picks up Dna after cell lysis and acquires capsule to become encapsulated and virulent. same with shine bact
K channels in pancreatic b cells inactivated by
Atp
increasing maternal age resuLTS in which chr. abnormality
NONDISJUNCTION downs 21 edward 18 patau 13
anti histone and anti nuclear antibodies seen in
Drug induced lupus due to SHIPP drugs. mostly hydralazine and procainamide. anti histone specific, anti dsdna with sle.
rash on cheeks followed by lacy reticular rash on whole body. which blood cell is attacked
erythrocyte precursor cells of bone marrow. parvovirus b19. erythema infectiosum. attach to blood group P antigen called globoside.
obesity, menstrual irregularities and hirsutism with infertility
PCOS diff from CS pg 591
clinical features of acute salicylate intoxication
fever tinnitus tachypnea
ABG in salicylate intox
mixed resp alkalosis met acidosis. PH n range as both processes opp. Paco2 is lower than expected compensation value d/t resp alk and hco3 is low d/t met alk
neurokinin 1 receptor clinically useful how
present in area postrema 4th ventricle (CTZ) and NTS in medulla resp for vomiting. used when ondasetron 5ht3 and D2 antagonists like Metoclopramide are innefective. Drug is Aprepitant which blocks these NK1 receptors and prevents substance P release see notes
rat poison toxicity rx
contains superwarfarin treat with FFP plus Vit K to reverse anticoagulant activity leading to GI bleed and ecchymoses
Rash on leg tt with Antibiotics 3 weeks back followed by eDema proteinuria hematuria
PSGN with deposition of immune complxes on epithelial side on BM as humps. lumpy bumpy and starry sky app. conplexes are igg igm and c3.
Hepatocytes With epinephrine metabolites
DUBIN JOHNSON syndrome due to defect in canalicular.transport leads to BLACK LIVER
bee sting followed by central pallor and peripheral erythema
wheal abd flare type 1 HSN due to histamine protease and leukotrienes
Hyperammonemia with elevated urinary orotic acid
Ornithine Trans Carbamoylase deficiency. diff from UMP synthase deficiency where there is no Hyperammonemia But megaloblastic anemia
types of dissociative disordera
dissociative identity disorder, depersonalization derealization disorder and dissociative amnesia
pulmonary embolism in pt taking warfarin
may be due to cyp450 inducers like pheny phenobarb and rifampin
bleeding in pt taking warfarin due to atrial fibrillation
may be due to amiodarone as its a cyp450 inhibitor which increases warfarin and causes bleeding. also cimetidine and tmp smx by same mech and aspirin and indomethacin as they are antiplatelet
renal blood flow calculation
Rpf is urine PAH x urine Flow rate / plasma PAH and RBF us RPF / 1 - HCT
abcense of sertoli cells in genetic male
male external genitalia and both female and male internal genitalia page 571. female parts develop frol.mullerian duct
right numbness paraesthesia leading to generalized tonic clonic siezure
left prinary somatosensory cortex aka left post central gyrus affected by stroke? leading to focal siezure which eventually spreads and becomes GTCS
recent bacteremia followed by back pain fever neurological signs
vertebral osteomyelitis do mri spine and blood culture. porbably staph aureus or CONS due to intravascular catheter etc.
hormone which is mahorly activated by gastric acid and only serves to neutralize it and decrease it
Secretin released by S cells of SI releases HCO3 rich fuild from pancreas and decreases gastric H+ . No effect on acinar cells which are under CCK even that increases pancreatic enzymes and hco3
Dapsone use and adverse effect
Used for.leprosy and pneumocystis prophylaxis in HIV when Cd4 below 200 and pt allergic to TMP SMX. Adverse effect is G6PD def. so pt should be screened prior to starting.
bug causing meningitis and Cephalosporin reistant
Listeria. Others are atypicals like chlamydia and Mycoplasma, MRSA and enterobacter. Causes Neonatal Meningtis as can spread through placenta and vagina. use ampicillin to treat
Fluid retention wt gain edema CHF due to which antidiabetic drug
GLITAZONES. PPAR intracellular nuckear receptor binders which influence transcription to increase insulin sensitivity and adiponectin which inceeases fatty acid oxidation
if mother comes from population where carrier freq is x and father is 4m pop where its y what are chances that son will suffer from AR dis
1/4 xy
wc antifungal binds to squalene epoxidase
terbinafine used for dermatophytoses esp onchomycoses. prevents lanosterol synthesis
umbillical hernia with clear fluid from umbilicus and erythema around it
patent urachus which is remnant of allantois which connects fetal bladder to umbillicus. urachus obliterates at birth.
Turner Syndrome Ovaries
OVarian dysgenesis. streak ovaries. primary amenorrhea.
serum sickness caused by which drugs
protein drugs like MAB infliximba rituximab and antitoxins or non protein drugs like penicillin cefaclor tmp smx
Type 3 HSN Serum sickness M/E
small vessel vasculitis with fibrinoid necrosis due to immune complex deposition and neutrophil deposition
Type 3 HSN serum sickness blood picture
hypocomplementemia decreased c3 and neutropenia
branch of external illiac which goes upwards
inf epigastric artery which supplies lower abd wall along with deep.circumflex artery. this is before inguinal ligament as after inguinal ligament ext iliac continues as femoral artery. also inf epigastric forms border of hasselbach triangle.
Anemia caused by Isoniazid
Sideroblastic anemia also due to b6 def alcohol copper def inherited lead poisoning. see ring sideroblasts which stain with Prussian blue on pbf. inhibition of ala synthase.
tt of panic disorder
immediate By bzd long term by SSRI SNRI. avoid bzd in pt with history of substance use.
fetal hypoglycemia of diabetic mother due to
B cell hyperplasia in fetal pancreas in response to high glucose from mothers blood which leads to high fetal insulin causing hypoglycemia macrosomia and hypertrophic cardiomyopathy
Metformin side effect
lactic acidosis wirh increased risk in renal ds old pt CHF pt and Alcoholics. metformin inhibits ETC comPlex 1 to Decrease glyconeogenesis and increase glucose uptake for glycolysis which leads to increased lactic acid.
Aspergillus appearance on M/E
thick septa and branch at acute angles forming V shaped Hyphae
Waterhouse Freidrichson Syndrome due to
N. Meningitidis causing meningococcimea sepsis presents as bilateral adrenal hemorrhage and insufficiency fever DIC and shock