yh Flashcards
What is Multiple Sclerosis?
Neurodegenerative disorder where oligodendrocytes which are the cells which produce myelin in the CNS are lost.
What innervates the Anterior and Posterior bellies of the Digastric muscle?
Anterior: Mylohyoid nerve Posterior: Facial nerve
What is the effect of Alpha-1 antitrypsin on the alveoli?
Enzyme that inhibits Trypsin
Trypsin = enzyme that breaks down neutrophil elastase
Elastase = enzyme that breaks down alveoli elastin
Alpha-1 antitrypsin inhibits trypsin –> trypsin can’t break down elastase –> elastase WILL break down alveoli elastin
What do neural crest cells give rise to?
- PNS neurons 2. Schwann cells
Which apolipoprotein do macrophages recognise in order to uptake lipids?
ApoB100
What receptor to MAC use to uptake LDL to make foam cells?
Scavenger cells
What is polycythaemia?
High RBC conc in blood
How does COPD cause high Hb?
Chronic hypoxia –> polycythaemia (high RBC) –> High Hb
How does pericarditis appear on an ECG?
Saddle-shaped ST elevation across all leads
What is the difference between Superior and Inferior MI?
Superior MI: ST elevation in V1, V2, V3
Inferior MI: ST elevation in leads II, III, and aVF
What is the most common brain tumour in children?
Astrocytoma
What are the most common primary liver tumours? (2 things)
- Hepatocellular carcinoma
- Cholangeocarcinoma
How is Hepatocellular Carcinoma diagnosed? (2 things)
- CT / MRI
- α-FP is high (alpha fetoprotein)
Biopsy NOT done because can seed the tumour
Where do tumours arise in Cholangiocarcinoma?
Bile ducts
Why can gram positive bacteria colonise but gram negative can’t?
Gram positive is tolerant to salt, urea and FA
Gram negative isn’t
What is unique to the structure of a gram-positive microorganism?
Teichoic acid in cell wall
What part of the brain is required for converting short term memory into long term memory?
Hippocampus
What are the roots of the femoral nerve?
L2, L3, L4
What does the femoral nerve supply?
(don’t) M I S V Q Scan for PE
- *M** edial cutaneous nerve of the thigh
- *I** ntermediate cutaneous nerve of the thigh
- *S** aphenous nerve
- *V** astus
- *Q** uadriceps femoris
- *S** artorius
PE ctineus
What is the triad of symptoms for nephritic syndrome?
- Haematuria
- Oliguria
- Hypertension
What is the commonest cause of glomerulonephritis?
iGA nephropathy (aka Berger’s disease)
What does iGA nephropathy (aka Berger’s disease) present with?
Haematuria following Upper Resp Tract infection
What does Labrynthitis present with? (2 things)
- Vertigo
- Nystagmus (invol eye movements)
What nerve is the external anal sphincter supplied by?
Inferior Rectal Branch of the Pudendal Nerve
How do the lateral ventricles communicate with the 3rd ventricle?
Interventricular foramina
How do the 3rd and 4th ventricles communicate?
Cerebral aqueduct
Where is the lesion in Wernicke’s aphasia?
Superior temporal gyrus
What connects the Brocas area to the Wernickes area?
arcuate fasciculus
Where is the lesion in Brocas aphasia?
inferior frontal gyrus
Speech is non-fluent, comprehension intact
Which type of aphasia?
Broca’s aphasia
(Broken speech)
Speech is non-fluent, comprehension impaired
Which type of aphasia?
Global aphasia
Speech is fluent, comprehension intact
Which type of aphasia?
Conduction aphasia
Speech is fluent, comprehension impaired
Which type of aphasia?
Wernickes aphasia
What term is used in genetics to describe conditions with a normal phenotype despite an abnormal genotype?
Low penetrance
What is the management of GAD? (4 things)
- SSRI anti-depressants
- beta-blockers
- benzodiazepines: use longer acting preparations e.g. diazepam, clonazepam
- cognitive behaviour therapy
What artery is compromised in a scaphoid fracture?
Dorsal carpal branch of radial artery
What causes a scaphoid fracture?
FOOSH
What are the side effects of Isoniazid?
Hand / feet numbness
Enzyme inhibitor
What are the side effects of Pyrazinamide?
Muscle / bone pain
Gout
What can Ethambutol be subsituted for in TB treatment?
streptomycin
What is the side effects of Ethambutol?
optic neuritis
visual defects innit
How does ELISA work?
Enzyme Linked Immunosorbent Assay
Used to detect antigens and antibodies
Uses a colour changing enzyme:
- Enzyme attached to the antibody if looking for an antigen
- or
- to antigen if looking for an antibody
Sample changes colour if the antigen or antibody is detected
e.g HIV test
What are blotting molecular biological techniques used for?
Southern Blotting - detects specific DNA sequence in large DNA complexes
Northern Blotting - detects specific RNA sequence in large RNA complexes
Western blotting - detects protein (uses gel electrophoresis)
SNOW (South - NOrth - West)
DROP (DNA - RNA - Protein)
What is the most common kidney stone type?
Calcium oxolate
If the person has kidney stones and also has gout, what are the stones made of?
Uric acid
NOT calcium oxolate
What can prolonged use of broad-spectrum antibiotics cause?
vit K deficiency
What does Vitamin K deficiency present with? (3 things)
- prolonged PT
- prolonged aPTT
- normal platelet count
What are the vit K dependant clotting factors?
2, 7, 9, 10
widad remembers it like 2+7=9, and den 10
wt a spastic
What is used to detect mutated oncogenes?
PCR
What is Courvoisier’s sign? (2 things)
what does it suggest?
- Painless jaundice
- Palpable gall bladder
Cholgangiocarcinoma
(NOT gall stones / cholangitis bc they are painFUL)
What artery is Wernickes area supplied by?
INFERIOR division of the Left Middle Cerebral Artery
What artery is Brocas area supplied by?
SUPERIOR division of the Left Middle Cerebral Artery
Where is ADH secreted from?
Posterior pituitary
How does HypERthyroidism present?
S - weating
W - eight Loss
E - xtra Anxiety
A - ppetite increased
T - remor / Tachycardia (bc of AF)
I - ntolerance to heat / Irreg menstruation
N - ervousness
G - aloot (diarrhoea)
HypER so everything is up, (weight loss bc met is UP)
Interferon Gamma (in the IFN test for TB) is a cytokine released by which cell type?
Th1 cells
What is the difference between TRALI and TACO?
Transfusion Related Acute Lung Injury
Transfusion Associated Circulatory Overload
TRALI is hypotensive
TACO is hypertensive
Overload so hypER tension innit
What is Duchennes Muscle dystrophy caused by?
What is its symptoms? 2 things
Mutation in gene coding for dystrophin
Symptoms:
- Progressive proximal muscle weakness from 5 years
- Gower’s sign: child uses arms to stand up from a squatted position
What is the site of insertion of the long and short head of biceps femoris?
Head of fibula
What is the origin and insertion site of the Sartorius?
Origin: Anterior superior iliac spine
Insertion: Medial surface of proximal tibia
What is the origin and insertion site of the Rectus Femoris?
Origin: Anterior inferior iliac spine
Insertion: Tibial tuberosity
What is the origin and insertion site of the Long head of Biceps femoris?
Origin: Ischial tuberosity
Insertion: Fibular head
What is the origin and insertion site of the Short head of Biceps femoris?
Origin: lateral supracondylar ridge of femur
Insertion: fibular head
What is the origin and insertion site of the Semimembranosus?
Origin: Ischial tuberosity
Insertion: Medial tibial condyle
What is the origin and insertion site of the Pectineus?
Origin: Pectineal line along superior ramus of pubis
Insertion: Lesser trochanter
Where does foetal implantation typically occur in the uterus?
anterior or superior uterine walls
When is the bilaminar disc formed?
week 2
bi 2
What happens in week 3 of embryology
Primitive streak formed
Notochord formed
Gastrulation (forming 3 germ layers)
What week do limb buds form?
week 4
4 limbs allie
what week does the neural tube close?
week 4
when does the foetal heart start to beat?
weak 4
4 bars allie
Is E coli gram negative or gram positive?
nEgative
What are plantar warts caused by?
HPV
They are self limiting
What is Ramsay Hunt syndrome?
What nerve does it affect?
What are the features? (2 things)
What is the treatment?
herpes zoster oticus
geniculate ganglion of CN 7
Features:
- Auricular pain + vertigo + tinnitus
- Facial nerve palsy
Treatment: acicolovir + corticosteroids
Which cell secretes the majority of tumour necrosis factor (TNF)?
MAC
What is the function of tumour necrosis factor (TNF) in the immune system?
- activates MAC and neut
- helps with T cell activation
What is diaphoresis?
Sweating
What does compression of the anterior interosseous nerve present with?
Inability to make an ‘OK’ symbol with thumb and finger
anterior interosseous nerve is a branch of the median nerve