5/21 Flashcards

1
Q

17 alpha hydroxylase def symptoms

A

hypertension, hypokalemia (high MR)

low cortisol

feminized if male, lack 2 characteristics if female

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2
Q

21 hydroxylase def symptoms

A

low BP, hyperkalemia (low MR)

low cortisol

masculinization if female

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3
Q

11 beta hydroxylase def symptoms

A

high BP, hypokalemia (low aldosterone BUT high 11-deoxycorticosterone)

low cortisol

masculinization if female

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4
Q

glucagonoma symptoms

A
Dermatitis
Diabetes
DVT
Declining weight
Depression
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5
Q

somatostatinoma symptoms

A

diabetes/glucose intolerance
steatorrhea
gallstones

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6
Q

genes associated with pheochromocytomas

A

RET, VHL, NF1

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7
Q

tyrosinase deficiency

A

causes albinism- melanin made by tyrosine in melanocytes

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8
Q

tetrahydrobiopterin deficiency

A

cofactor for dihydrobiopterine reductase deficiency (converts Phe–>Tyr and Tyr–>DOPA)

PKU (hyperphenylalanine) and low dopamine –> high prolactin

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9
Q

silicosis on imaging

A

eggshell calcification of hilar nodes and bifringent silica particles

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10
Q

asbestos on imaging

A

interstitial patter on lower zone

pleural plaques

ferruginous bodies

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11
Q

berryliosis on imaging and histo

A

nodular or irregular opacities on x-ray

histo: noncaseating granulomas

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12
Q

inhale organic dust on imaging

A

diffuse nodular interstital infiltrates

noncaseating granulomas

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13
Q

trazodone rare side effect

A

prolonged boner

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14
Q

methotexate adverse effects

A
panctyopenia
stomatitis 
hepatotoxicity
pulm fibrosis
alopecia
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15
Q

receptors that stimulate insulin release

A

Gq (M3, glucagon)

Gs (glucagon, beta2, GLP-1)

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16
Q

receptors that decrease insulin release

A

Gi (alpha 2, somatostatin)

17
Q

beta 1 type of receptor

18
Q

daptomycin MOA

A

causes depolarization of cell membrane by creating trasmembrane channels that cause intracellular ion leakage

inhibits DNA, RNA, protein synthesis

19
Q

what do the superficial inguinal lymph nodes drain

A

external genitalia

anus up to pectinate line

20
Q

what do deep inguinal lymph nodes drain

A

glans penis, clit

superficial inguinal nodes

21
Q

what do para-aortic lymph nodes drain

22
Q

what do the inferior mesenteric nodes drain

A

descending and sigmoid colon

upper rectum

23
Q

infants born to hepatits B mothers

A

mostly always get hep B
are generally asymptomatic
higher risk of HCC and cirrhosis if chronically infected

24
Q

whats most common cause of death in people with DM

A

coronary heart disease (MI)

25
aging --> changes in pulm function
decreased compliance increased RV decreased FVC normal TLC
26
most common cancer in women and nonsmokers
adenocarcinoma
27
ezetimibe MOA
inhibit niemann-pick C1 like 1 --> decrease intestinal absorption of cholesterol
28
what type of receptor is calcium sensing receptors
GPCR
29
mesothelioma on imaging and histo
imaging: pleural thickening histo: long slender microvilli, many tonofilaments
30
flutamide MOA and rx
competitive inhibitor of testosterone receptors combo therapy for prostate cancer
31
post partum blues duration
peak at 5 days resolve typically 10-14 days (no suicide ideation)
32
post partum depression duration
within 4 weeks
33
what can minors consent to without parents
prenatal care, drug rehab, STD treatment, contraception not abortions tho...
34
are people with calcium kidney stones hypercalcemic?
nope, just hypercalciuric
35
which med reverses both muscarinic and nicotinic effects of organophosphate poisoning?
pralidoxime
36
cholesteatomas
collections of squamous cell debris that form pearly masses behind tympanic membrane in middle ear can cause hearing loss (erode ossicles)
37
zenker diverticulum
false diverticulum in oropharynx criocopharyngeal motor dys --> spasm--> oropharnygeal dysplasia--> increased pressure --> halitosis, aspiration,
38
what is anterior vs posterior pituitary derived from
anterior- surface ectoderm posterior- neural tube
39
which genetic mutation helps intestinal polyp adenoma growth and which one helps transform adenoma to carcinoma
growth- KRAS transform- p53