4/5 - UW 46 Flashcards

1
Q

What is heteroplasmy?

A

Presence of different ORGANELLE genomes in a single cell

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2
Q

Aside from mediating symptoms of septic shock, what other syndrome does TNF-a mediate?

A

Cachexia (anorexia, malaise, anemia, weight loss, general wasting)

TNF-a is also called CACHECTIN

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3
Q

How does Flutamide treat prostate cancer?

A

Competitive antagonist of testosterone and DHT

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4
Q

What are the “-relin” drugs? MOA? What other drug is in this class?

A

GnRH agonists (goserelin, nafarelin, histrelin, also leuprolide)

Binds to GnRH-R, inhibit LH and FSH synthesis from AP

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5
Q

What coag factor is inactivated by protein C?

A

Factor V (Leiden mutation renders it resistant, causes HYPERcoagulability)

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6
Q

MSUD causes defective breakdown of what AAs?

A

Branched chains! Leucine, isoleucine, valine

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7
Q

For what use is LIVER heme synthesis?

A

P450 enzyme system (as opposed to BONE heme synthesis for hgb)

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8
Q

What are 3 drugs that prevent reduction of folic acid to tetrahydrofolate? What do they inhibit?

A

TriMETHOprim, METHOtrexate, and pyriMETHamine all inhibit dihydrofolate reductase

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9
Q

How does Sulfamethoxazole synergize with Trimethoprim?

A

While TMP inhibits dihydrofolate reductase, SMX is a PABA analog that inhibits dihydrofolic acid synthesis

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10
Q

How does metronidazole work?

A

It binds to DNA, unraveling it and breaking its strands

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11
Q

How does Cilastatin help increase Imipenem effectiveness?

A

Cilastatin decreases the renal metabolism of Imipenem (which binds to PBPs, inhibiting peptidoglycan synthesis)

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12
Q

What aspect of cell walls does Bacitracin inhibit?

A

Prevents mucopeptide transfer into a GROWING cell wall, so only works for GROWING bacterial populations

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13
Q

Which nerves innervate the CAROTID sinus baroreceptors? What about the AORTIC arch?

A

Carotid sinus: Hering’s nerve off the Glossopharyngeal (CN IX)

Aortic: Vagus (CN X)

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14
Q

Where do afferent nerves of the baroreceptors terminate?

A

Solitary nucleus of the medulla

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15
Q

What disorder is described as “superficial blanching nests of distended capillaries”?

A

Telangiectasias

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16
Q

The genetic defect in Ataxia-telangiectasia affects what?

A

ATM (ataxia telangiectasia mutated) gene is responsible for DNA break repair, making them hypersensitive to Xrays

17
Q

What disease has defective sphingolipid degradation?

A

Niemann Pick (AR disease leading to death in early childhood)

18
Q

Cherry red spot on the macula? (2 diseases)

A

Niemann Pick

Tay Sachs

19
Q

What artery runs with the radial nerve?

A

Deep brachial

20
Q

What roots give rise to the phrenic nerve?

A

C3-5

21
Q

What causes hypercalcemia in granulomatous disorders (sarcoidosis, Hodgkins lymphoma)?

A

Extrarenal production of 1,25(OH)2 vit D (calcidiol) by macrophages, activated by IFNy from Th2

22
Q

What organ can the tip of the 12th rib lacerate?

A

L kidney

23
Q

Which ribs overlie the spleen?

A

9, 10, 11

24
Q

What are 4 sequelae of asbestos exposure?

A
  1. Pleural plaques (dense collagen/calcifications in lower lungs)
  2. Asbestosis (diffuse pulm fibrosis and asbestos bodies)
  3. Bronchogenic carcinoma (most common malignancy)
  4. Malignant mesothelioma (rare, only caused by asbestos)
25
Q

Cancer type associated with dietary nitrates?

A

Gastric

26
Q

Cancer type associated with Aflatoxin and hemochromatosis?

A

Liver

27
Q

Cancer type associated with charred or fried foods?

A

Colorectal

28
Q

Cancer type associated with occupational exposures (rubber, amines dyes, textiles, leather)?

A

Bladder (transitional cell carcinoma)

29
Q

Hemorrhagic cystitis is a concerning ADR of what drugs?

A

Cyclophosphamide and Ifosfamide (from ACROLEIN, a metabolite)

30
Q

What genetic mutation is associated with Li-Fraumeni?

A

AD, p53 mutation