wrong/pass Flashcards
what is the most common combination for molar prego
46XX(two of dad’s sperm NO MATERNAL)
what is the most common cause of HTN
low volume
what neurotansmitter control autonomic nervous system
NE
what stage implants
BLASTULA
what 3 other hormones hv the same @chains as BHCG
FSH, TSH, LH
increase in TBG during prego helps kp euthyroid how
by binding to t3, t4.
what happens to heart rate when ur hypovolimic
increase
SV?
EDV-ESV
CO?
SVXHR
CPP?
MAP-ICP
EF?
SV/EDV
if you want to decrease ESV what can you do
increase CONTRACTILITY, decrease TPR
how do you increase SV
increase EDV & decrease ESV
how do you maintain CO(5L/min)
raise SV but decrease HR (athlete w/low HR but more contractility)
what is MAP
pressure coming from below(LV) going up to brain
what is ICP
pressure from above (gravity)going to ur brain
CPP?
pressure circulating thru the brain(kps brain perfused)
if you increase MAP what happens to CPP
goes up ( how HTN causes headache)
what happens to CPP when you increase ICP
CPP decrease(less perfusion in the brain) y you pass out after seisure, meningitis etc
Large cap mushrooms(amanita) posoning produce what toxin and what polymerase does it effect
a-amanitin RNA poly II
which part of hepatocyte is increase for ischemic
ZONE 3 pericentral vein (CENTRILOBULAR )
what zone effects Hepatitis
I periportal zone (BEST O2)
what does Osler-weber Rendu hv an increase of having
artriovenous malformations(high output heart failure)
mode of inheritance and issue for Osler Weber
AD abnormal vascular development in mucous membrane (GI, lungs, skin brain etc) present w/nosebleed
what does von-Hippel lindau pts hv
pheo, renal cell caarcinoma, hemangioblastoma of retina, pancreatic cyst
what nerve is responsble for somatic(sensory) erection
pudendal
what nerve is responsible for motor(efferent) of erection
pelvic splanchnic
what is preserved in Syringomyelia
vibration & proprioception
Syringomelia is ass w/ with which Chiari?
Type 1 (cerebellar tonsil thru foramen magnum) TypeII is worse
where do you find the murmur for HOCM
harsh crescendo-decrescendo systolic murmur LFT STERNAL border. S4 sound
what does CNIII does
CONSTRICTION can be effected in uncal herniation
CN II is responsible?
DETECTING LIGHT on retina
what CN effect Ptosis/diabetic
CN III causes drooping of eyelids cuz of levator palpebrae superiooris
MOA BorteZOMib
proteosome inhib
what’s an enzyme that only liver & kidney has & not adipose tissue
Glycerol Kinase
wedge shape prism stone is>
Ca+ PHOSPHATE
1st line for juvenile absence epilepsy seisure
valproate
Acute graft rejection is what type of MHC
MHCII also type II/IV hypersensitivity
what MHC plays a role in graft vs host(bone marrow)
MHCI
what valve when rotate to the lft decubitus position(axilla) gives a murmur
Mitral
Systolic ejection refers to what
HOCM/PS/AS(if says crecendo decrecendo pick AS)
where is the AORTA
LFT SIDE
Pulmonary is located?
RT SIDE
what can increase TPR
squat, mk a fist, lean fwd
when is the murmur louder in HOCM
when standing increase TPR
brachiocephallic syndrome is due to & presentation
pancoat tumor(non-sml cell lung cancer) unilateral facial swelling due to jugular venous congestion
what does gp120 do
attachment of HIV virus to host cell
SE methimazole(blks THYROID peroxidase)
AGRANULOCYTOSIS/aplastic cutis
SE of Amphotericin B
nephro, acidosis, hyperchloremic, hypokalemia( infusion related naseau , vomiting chills, fever headache
DOC for oral candidiasis
fluconazole (p450 inhib/ergesterol) can cause increase lvls of theophylline
Diastolic decrescendo blowing murmur
AR/PR
crackles in the lungs means what in the heart
lft sided failure fluid bk up in the lungs
what type of heart has a systolic problem
dialated heart has problem w/contractility
what does restrictive cardiomyopathy means
Something is in there way prvntg contraction (vasculitis which causes fibrinoid)
what does constrictive cardiomyopathy means
something outside of the heart is constricting it from filling(tension pneumo/tamponade
what side of the heart/lventricle mostly injured in stabbing
rt/RV(most anterior)
what is kusmaul sign
increase JVD on inspiration(volume should go bk down but can’t cuz there’s too much fluid around the heart(tamponade) or + pressure in thoracic cavity(tension pneumo)
too much hydrostatic pressure in the vessel will cause what
heart failure, renal, hypo, or not enough protein(menetire, kwashikor)
what is pleura effusion
fluid build up around lungs(heart failure) causes tracheal deviation AWAY from effected lung
Tension Pneumo causes tracheal deviation where?
AWAY from the effected lung
bronchial obstruction can be caused by what
Central lung tumors in smokers(trachea deviation twrds effected lung
what is lobar considalation
alveolar filled w/ pus (exudate) increase breath sounds & tactile fremitus
tactile fremitus?
transmission of vibration from vocalized sound(99)
Vasculitis is what type of effusion
EXUDATE( it increase vascular membrane permeability)
Ascites is caused by what
increase intraabdominal hydrostatic pressure(transudate) decrease protein due to cirrhoris
pleural effusion on physical exam
PLEURA D’s
Decrease breath sounds, Decrease tactiile, Decrease Dullness
what type of wave do you see in wolf-parkinson
Delta wave
what is Wolf-parkinson
PSVT in a young person bypass AV & goes straight to bundle of kent then ventricles
emphysema is what type of problem
DIFUSSION decrease DLCO
failure to form triple helix causes what
osteogenis imperfecta(I) occurs intracellular
cleavage of procollagen C-N- terminals causes what diz
erlers(III heart) regular(V)
this occurs extracellular
what CD is a premarker in B cells that’s involve in ALL
CD10
what drug do you give for LONG TERM pts w/aFIB
Warfarin
what DOC for coronary,stent pts
ADP antagonist (clopidogrel prasugrel
what can decrease ur ca+oxalate stones
increase citrate excretion
what’s the reticulocyte count lvl in a hemolytic crisis
increase (vs aplastic crisis B19)
uncal herniation effect what CN
III(will hv controlateral HH(from PCA)
TonsilAR herniation SS
cardioresperitory depression
subfalcine herniation SS
ACA effected, hydrocephalus(ressing foramen monro. MC herniation
central transtrional herniation SS
extensor posturing, pupilary abnormalities herniation of diencephalon(thalamus/hypo) & midbrain(cerebral aqueduct Mesocephalon)
