Thurs Wk 6 Mixed Flashcards

1
Q

__ has recurrent sinopulm infections, cancer, telangectasias, cerebellar atrophy
due to hypersensitivity to __

Fanconi anemia has deficiency of __ repair
generalized chromo instability is __

examples of orgs w low infectious dose include S, C, E, G

HUNTINGTON DISEASE IS __ MUTATION IN Polyglutamine region
thought to cause increased __
leads to high amount of __

think __ poisoning in pt w neuro regression and anemia
children have impaired __ thus lead is neurotoxic
see high zinc __ levels w high ALA levels

defect in __ causes PCT
see chronic __ w high uroporphyrinogen in urine

A

Ataxia telangectasia
ionizing radiation

CROSS LINK
Bloom syndrome

shigella, campylobacter, entamoeba, giardia

GAIN OF FUNCTION
TRANSCRIPTION REPRESSION
histone deacetylation

LEAD
BBB
protoporphyrin

uroporphrinogen decarboxylase
PHOTOSENSITIVTY

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2
Q

Diabetes insipidus leads to low specifc gravity and urine __
partial NDI and primary polydipsia will have urine osmolarity that __ w water deprivation test

Listeria has very narrow __ on blood agar like GBS

HMG CoA reductase increases __ to allow intrahepatic cholesterol levels to remain normal

SMA connected to IMA via anastamoses like __ artery of drummond, and possible mesenteric meandering artery
protects intestines from __

elderly pt w fatigue, weakness, itching due to accumulation of __ toxins in CKD
hyaline material in small ateries/arterioles indiates __ arteriolosclerosis
can be seen w uncontrolled __/__ due to hemodynamic stress and SMC prolif

A

osmolality
RISES

beta hemolysis

receptor recycling

marginal
ischemia

uremic
hyaline
HTN/DM

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3
Q

Malignant HTN has __ necrosis w destrxn of vascular wall w pink, amorphous material in lumen
see concentric __ of walls due to laminated SMC

think __ w obstructing tubular casts

in hypoxic conditions, accumulation of __ inhibits pyruvate dehydro
__ can regenerate the NAD+

pts w severe asthma require __ to control sx
Leukotriene antags, __ are not effective
can use O_ a humanized IgG1 monoclonal antibody against IgE to inhibit the high IgE levels in body

entrapment of __ w orbital floor damage causes impaired upward gaze

A

fibrinoid
narrowing

MULTIPLE MYELOMA

NADH
Lactate

oral corticosteroids
theophylline
omalizumab

inferior rectus

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4
Q

Hematoma over mastoid process indicates __ fracture

MCC of HIV assc esophagitis is //_
Candida has patches of grey/white __ on erythematous mucosa
microscopy shows __
CMV shows large, shallow __
intranuclear & intracytoplasmic __
HSV1 has small __ w punched out ulcers
see eosinophilic __ inclusions w multinucleated squamous cells

M/H anemia w low __ is iron deficiency anemia
pt w VWF have easy bleeding from / sites

isolated thrombocytopenia w episodic mucocutaneous bleeding is __

Protein C binds thrombin w endothelial __

A

basilar skull

Candida, CMV, HSV
pseudomembranes
linear ulcers
inclusions
vesicles
intranuclear

skin/mucosal

FERRITIN
skin/mucosal

ITP

thrombomodulin

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5
Q

OCP also inc __ synthesis by liver, dec free testosterone levels

orbit bound superiorly by _
laterally by __/__
inferirly by __
medially by __/__

antiphospholipid syndrome has __ state due to activation of phosholipid depend coag pathways
see anticardiolipin and anti-beta2-__ 1 antibody

Adiponetic is released by __ drugs to inc number of insulin responsive adipocytes

__ binds to sulfhydryl groups to impair cell respiration by inhibiting pyruvate dehydrogenase
acquired via __ or contaminated water
disrupts __ leading to GARLIC breath, vomiting, watery diarrhea, QTC prolongation (TdP) and __
can cause hypo/hyper_ w neuropathy
tx w __ or DMSA

A

SHBG

frontal bone
zygoma/sphenoid
maxilla
ethmoid/lacrimal

hypercoagulable
glyoprotein

arsenic
insecticides
gluconeogenesis
hypoTN
pigmentation
DIMERCAPROL
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6
Q

Lead poisoning antidote is __ to form salts to inc excretion
use __ to chelate iron for urinary excretion

__ poisoning has cherry red skin color w ab pain, vomiting
tx w __ to inc urinary excretion
__ used for Methemoglobinemia
see skin discoloration, SOB and __ blood

Statins/bile acid resins have __ effect when used togetehr

annular scaling plaque w defined raised borders/central clearing is _
use __ to inhibit squalene epoxidase
drug accumulates in __

hypopotuitarism can be caused by lymphocytic lesion to __
or hypothalamic lesions by / and radiation
__ deficiency has hypoTN, WL and hypoglycemia

A

CaNa2EDTA
deferoxamine

cyanide
hydroxycobalamin
Methylene blue
chocolate colored

synergistic

TINEA CORPORIS
terbiafine
skin

AP
sarcoid/histiocytosis X
ACTH

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7
Q

pt w panhypopituitarism, failed lactation, central hypothyroid and adrenal insufficency has __
pituitary enlarges during pregnancy w __ induced hyperplasia of lactotrophs
__ does not change, thus becomes susceptible to hypoTN from peripartum hemorrhage and ischemia

normal bone marrow has 1:1 ratio of __ to hematopoeitc elements
__ is absent due to lack of hematopoeitic precursors/extramedullary hematopoeisis
may be caused by B/C/V

__ syndrome has hypercellular BM w abnormally differentiated cells

pleural plaques of __ usually found in parietal pleura

__ is toxic product of combustion that puts workers at risk

A

SHEEHAN SYNDROME
estrogen
blood supply

fat
HSM
benzene, carbamazepine, virus

myelodysplastic

asbesotis

NO2

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8
Q

CD can also lead to __/__ of perianal region

__ most common cause of malignant acanthosis nigricans in middle age/elderly pt

dec breath sounds, hemithorax opacification, deviation of trachea toward involved side indicate __
usually occurs in __ w atelectasis
loss of air and shifting of __ leads to complete hemithorax opacification

PE can have area of lucency w dec __
or __ shaped opacity adjacent to the pleura

pleural effusion/PTX has trachea deviate __

A

skin tags/fissures

complete obstruction of bronchus
mainstem bronchus
organs

perfusion
wedge

opposite

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9
Q

Cardiac/smooth myocyte depolarization activates __in PM to cause EC calcium to influx
activates __ to release Ca from SR (Ca induced Ca release)
in skeletal muscle, L type Ca channel bind __
this releases calcium from _
due to mechanical __ or receptors that does not require EC CALCIUM
Verapamil affects __ in cardiac/smooth muscle
does not affect __ as it does not depend on EC Ca influx

__ is hypo/hyperpigmented patches on body
due to __ YEAST
infection is in __ of skin in hot/humid climates after tanning
skin scraping shows spores/hyphae w __ appearnace
tx w topical __ or selenium shampoo

necrotizing, abscess forming PNA due to S/K/E/P

A
L tyep Ca channels
Ryanodine receptors
Ryanodine Ca channels directly
SR
coupling
L type calcium channel
skeletal muscle

pityriasis VERSICOLOR
MALASSEZIA
spaghetti/meatball
antifungals

staph, klebsiella, e coli, pseudomonas

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10
Q

total O2 content in blood determined by __ and SaO2
changes in __ is more influential on O2 content of blood
if PaO2/SaO2 are normal, dec O2 content must be due to low __
w cyanide poisoning, arterial //_ are NORMAL
venous O2 __ as OP is inhibited by binding of __ in cytochrome c oxidase
RtL sends __ to left heart, thus PaO2/SaO2 in periphery is low

CO poisoning leads to __ PaO2, dec __ and __

use __ benzo like lorazapem w rapid onset of action

A
Hb
SaO2
HEMOGLOBIN
PaO2/SaO2/O2 content
is higher
Ferric Fe3+
deoxygenated blood

normal, SaO2/O2 content

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11
Q

prsynaptic voltage gated __ promote vesicle fusion and NT release
can be blocked w __ to dec excitatory NT release

generalized, red breast tissue that is itchy is __ rash
skin is firm, coarse w breast __
this is __ cancer
due to cancer cells obstructing __ and spread to dermal lymph spaces
lack of fever differentiates it from __

DCIS has central __ confined to ducts/lobules
__ is eczematous nipple lesion
extension of __ to ducts
these are __ cancers

invasive
__ has nests/cords of cells
__ has small cells in single file w mammary stroma invasion

A

Ca
Gabapentin

peau d orange
edema
INFLAMMATORY BREAST
lymphatic flow
mastitis

necrosis
Paget dz of breast
DCIS

noninvasive

ductal carcinoma
lobular carcinoma

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12
Q

asthma is bronchial __ to trigger
could be __ cockroaches, pet dander, mold/pollen
due to allergens interacting w __ bound to mast cells w release of eosinophils
other triggers include S/P/I/B/E/G

/ can inhibit COX1 to precipitate asthma
NOT __ as it weakly inhibits COX

inhalational exposure to thermophilic actinomycetes is __
after expsure to __/__

A

hyperresponsiveness
dust mites
IgE
smoke, perfume, infection, bb, exercise, GERD

ASPIRIN/NSAIDs
ACETAMINOPHEN

hypersensitivity pneumo

hay/compost

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