5/2 Flashcards

(43 cards)

1
Q

highest osmolarity in renal tubules is…

A

bottom of loop of henle

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2
Q

which enzyme converts heme to biliverdin

A

heme oxygenase

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3
Q

lab findings in down syndrome in 2nd trimester

A

low AFP and unconjugated estradiol

high HCG and inhibin A

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4
Q

which artery supplies proximal ureter?

A

renal artery

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5
Q

what are IL-2’s effects that help with antitumor effect?

A

increases activity of T cells and NK cells

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6
Q

which mediator stimulates neutrophil migration to inflammatory site?

A

leukotriene B

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7
Q

developmental field defect

A

where embryonic disturbance leads to multiple malformations by disrupting adjacent tissues

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8
Q

holoprosencephaly

A

type of developmental field defect

incomplete division of forebrain into 2 hemispheres (tele and diencephalon cleavage)

cleft lip, single midline eye, proboscis, etc.

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9
Q

superior mesenteric artery syndrome

A

when transverse part of duodenum is trapped between SMA and aorta–> partial intestinal obstruction

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10
Q

first line therapy for acute gouty attack

A

NSAIDS

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11
Q

dihydroergotamine

A

ergot alkaloid therapy for migraines

may induce vasospastic angina- constricts smooth muscle via alpha-adrnergic and serotonergic receptors

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12
Q

where is heme made

A

partly in mitochondria and partly in cytoplasm of erythrocytes

mostly in erythrocyte precursor cells in bm and hepatocytes, but any organ

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13
Q

exposure odds ratio

A

calculated in case control studies (people with disease and without, and looking back at their exposure to something)

odds of exposure of people with disease/odds of exposure of people without disease

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14
Q

which cells stimulates fibrous cap in atheromas?

A

vascular smooth muscle cells

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15
Q

fat embolism syndrome

A

history: bone injury/trauma

acute onset neurological disturbance, hypoxemia, petechial rash

fat globules can lodge in pulm arteries

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16
Q

burr cell RBCs causes

A
  • uremia
  • pyruvate kinase def
  • microangiopathic hemolytic anemia
  • mechanical damage (from prosthetic valve)
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17
Q

cromolyn MOA and RX

A

for asthma:

inhibit mast cell degranulation - prevent release of preformed mediators

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18
Q

treat maple syrup urine disease

A
replenish branched chain alpha ketoglutarate dehydrogenase with 5 cofactors:
-Thiamine
-Lipoate
-Coenzyme A
-FAD
-NAD
(TLC For Nancy)
19
Q

enzymes that can metabolize fructose

A

fructokinase and hexokinase

and then aldolase B converts fructose-1-P

20
Q

which cell can have glycoloysis without making any net ATP?

A

RBCs because…

  • no mitochondria- no TCA
  • can bypass a step that usually makes ATP by converting 1,3BPG to 2,3BPG
21
Q

name of enzyme that is RLS in bile acid synthesis and if inhibited, will lead to risk of cholesterol gallstones

A

cholesterol 7 alpha hydroxylase

22
Q

Southwestern blot

A

detects DNA binding proteins, like transcription factor`s, histones, nucleases

ex. c-jun

23
Q

order of base excision repair mechanism

A
  1. glycosylase- remove defective base
  2. endonuclease- cleaves 5’
  3. lyase- cleaves 3’
  4. DNA polymerase
  5. ligase
24
Q

lead toxicity

A

impoverished + anemia —–> neurotoxicity

inhibits ferrochelatase and delta aminolevulinic acid dehydratase

leads to elevated zinc protoporphyrin and ALA levels

25
holosystolic murmur
mitral valve regurgitation
26
interstitial myocardial granulomas (aschoff bodies) found in...
acute rheumatic fever
27
where does lymph drain to distal to dentate line in rectum?
inguinal lymph nodes `
28
musculoskeletal nerve innervates...
biceps brachii, brachialis, coracobrachialis sensory to lateral forearm
29
porphyria cutanea tarda
most common disorder of heme synthesis uroporphyrinogen decarboxylase deficiency photosensitivity- blistering rash
30
how does MI affect CO and VR?
CO decreases VR same
31
odds ratio equation
A/C / B/D
32
what do integrins adhere to?
fibronectins, collagen, laminin
33
POMC precursors
ACTH, MSH, beta-endorphin stress and opioids are related!
34
what is a complication of cardiac catheritization of the common femoral artery below the inguinal ligament?
retroperitoneal bleeding
35
what causes coronary sinus dilatation?
**pulmonary hypertension or persistent left superior vena cava return and total anamalous pulmonary venous return
36
how does inflammatory breast cancer lead to itchy rash (peau d'orange)
lymphatic drainage obstruction
37
mitochondrial myopathy
transmitted by mitochondria- maternal findings: myopathy, NS dysfunction, lactic acidosis, ragged red fibers on biopsy
38
eczematous dermatitis- acute allergic contact dermatitis
delayed type IV hypersensitivity erythematous papulovesicular weeping lesion spongiosis- edema
39
what happens when you add ACEI to diuretics (or HF) in hypertensive patient?
first dose hypotension due to abrupt removal of angiotensin II's vasoconstrictive effects
40
ACEI effect on GFR
decrease GFR- dilate efferent arteriole cause acute renal failure
41
foreign bodies in skin can elicit what type of response?
granulomas
42
major mediators of sepsis
TNF alpha, IL-1, IL-6
43
factor V Leiden carriers
resist activated protein C --> hypercoagulable state --> DVT --> pulmonary emboli