Thurs Wk 4 Mixed Flashcards
IC pt w fever, HA, resp sx w pulm cavity/nodules and gram pos branching rod has N__
catalse __ beaded filaments
common presentation is __ abscess
tx w __
A__ is more likely to be cervical/abdominal dz w sulfur granules
Aspergillus appears like septate H__ hyphae
Acquired QT prolongation due to class __/__ antiarrhymics, antibiotics like M/F, methadone and H__
Digoxin __ AP duration w QT interval shortening
nocardia
positive
CNS
TMP-SMX
actinomyces
hyaline
1A, 3
macrolides, fluoroquinolones, haloperidol
dec
polyhydramnios can lead to uterine __ OoP to gestational age
inc risk of preterm __ and placental abruption
caused by dec fetal __ such as GI obs or anencephaly
or inc fetal urination like __
dx PCD w low nasal __
IUS is under ___ control to constrict/prevent uterine leakage
EUS is innvervated by __ nerve
uterosacral ligaments hold uterus/vaginal apex to __
weakening results in P__
obese, pregnant, pelvic surgery women at risk for __ injury
normally holds bladder/uretrhra in place, so damage results in __ and stress incontinence
enlargement
labor
swallowing
high output cardiac failure
NO
SNS
pudendal
sacrum
prolapse
pelvic floor
hypermobility
pt w previous __ dz (subclinical or acute self limited illness) may have aversion to smoking
VB12 is needed for __ mutase to convert MMCoa to Succinyl CoA
and Methionine synthase to convert __/FA to methionine
elevated levels of MMA disrupt __ synthesis w subacute combined degen affecting dorsal column and __ CS tract
Glutathione reductase req _ and _ as cofactors to reduce disulfide bonds
HAV
MMCoa
homocysteine
myelin
lateral
FAD, NADPH
MCC of bloody nipple discharge is intraductal __
no assc M__ or skin findings
seen w proliferation of __ cells w fibrovascular core
twisting of stalk in duct leads to __
diffuse small breast cysts and cyclic breast pain w/out discharge is __ change
localized breast trauma w irregular breast mass and no discharge is __ necrosis
see hemorrhage and __ necrosis
F__ are proliferation of breast stroma compressing ducts to slits
papilloma
mass
papillary
bloody discharge
fibrocystic
fat
liquefactive
fibroadenoma
HCV variability due to mutations in __ genomic regions of envelope glycoproteins
HPV strains __ lead to verruca vulgaris
Eye findings then __ and finally confusion/encephalopathy in WK syndrome
VIPoma causes inc __/__ sec and binding to intestinal epithelial cells
inhibits __ secretion
AC is activated, resulting in __ watery diarrhea
tx w Somatostatin like O__
CCK inc sec of __ enzymes and gallbladder contraction
dec gastric __
produced by __ of proximal small bowel w fat/AA
hypervariable
1-4
ataxia
Cl, HCO3
GA
secretory
octreotide
panc
emptying
I cells
ANP dilates \_\_ to inc GFR limits \_\_ reabsorption and dec renin dec release of \_\_ by adrenal gland inc capillary \_\_ and relaxes vascular \_\_ Neprilysin inhib S
communicating hydrocele occurs when processes vaginalis is __
__ sperm fascia overlies spermatic cord
derived from __ fascia
Cremasteric fascia comes from __ muscle
External spermatic fascia comes from __ muscle
AA Na aldosterone permeability, smooth muscle sacubitril
patent internal transversalis internal oblique external oblique
D__ is opioid antidiarrheal that binds to mu receptor to slow motility
can produce euphoria in high doses, so given alongside __ to combat
simiar to L__ in tx watery diarrhea
damage to throwing arm is __ dislocation of glenohumeral joint
flattens __ promience, protrudes __, w anterior axillary fullness
HA, impaired conc, Cushing triad of H__, B__ and B__ has inc IC pressure involving temporal lobe
can lead to transtentorial herniation of uncus and compress CN _
may impair __ reflex
leads to De__ posturing then decerebrate
Nystagmus occurs w damage to P, M, C
diphenoxylate
atropine
loperamide
anterior
deltoid, acromion
HTN, bradycardia, bradypnea
3
vestibuloocular
corticate
pons, medulla, cerebellum
Hematogenous osteomyelitis affects the __ of long bones (children)
due to _ flowing sinusoid blood flow
seeding event in boney space inc pressure compromising blood flow and forcing bacteria into __ channels
can lead to suppurative osteomyeltis and create a __ bone
aldose reductase converts glucose to _
or galactose to __
reactive arthritis damage is caused by I__
blood pumped forward/backward in MR is due to __ of each pathway
dec __ inc forward ejection, so use N__ as tx
METAPHYSIS
slow
vascular
necrotic
sorbitol
galactitol
immune complexes
resistance
SVR
nitroprusside
influenza attacks TB epithelium to cause loss of __
also cleaves sialic acid of __ resulting in free sugar in RT for bacterial ___
B cells migrate to LN __ to form germinal center for prolifeation
some become __ cells and remain dormant in LN until next antigen encounter
or form antibody secreting __
primary site of __ switching, mediated by CD40/CD40L interaction and prodxn of _
Central tolerance occurs w __ selection
Peripheral tolerance occurs w T cell __
VDJ/VJ recomb occurs in __ during maturation
affinity maturation occurs in __ via somatic hypermutation
cilia
glycoproteins
colonization
cortex memory plasma cells isotype cytokines
negative
anergy
bone marrow
germinal centers
hydroxyurea INC SYNTHESIS of
Ca dependent __ K channel transports water/K in RBC membrane
when blocked, water is retained, and dehydration is PREVENTED from causing sickling
Neprilysin cleaves __ peptides, G, O, B
pt w CAD, HF, and HTN needs B__
Polymixin binds and interferes w __ of cytoplasmic membrane
HbF
GARDOS
polymerization
natriuretic, glucagon, oxytocin, bradykinin
BB
permeability
21 hydroxylase def
Classic salt wasting
boys- at 1-2 wks have __ and FtT w dehydration
Girls have __ genitalia
classic, nonsalt wasting
Girls have __ genitalia
Boys present at 2-4 w early __
nonclassic delayed
Girls have A, H, and menstrual probs
Boys have premautre __
tx w exogenous __ to stop ACTH release
this leads to dec __prodxn by adrenal cortex
hyperkalemia, hypoTN
ambig
ambig
virilization
acne, hirsutism
puberty
GC
androgen
SE of CA inhibs S, P and urine alkaliniztion
met __ and dehydration
meconium ileus and distal ileal obs is seen in __
biliary c__ is also a comp
may lead to osteopenia and K__
recurrent PNA in same site w extra tissue outside the lungs is bronchopulmonary S__
nodular lymphoid hyperplasia of intestine is seen in __
somnolence, paresthesias
acidosis
CF
cirrhosis
kyphoscoliosis
sequestration
CVID
