Thurs Wk 4 Mixed 3 Flashcards

1
Q

cerebrovascular event in pt w known VTE should indicate __ embolism
originates in __ venous circ and enters arterial circ
requires a __, even transiently

at 6w gestation, midgut herniates through __ to grow
rotates 90 counterclockwise, and rotates further before __
incomplete rotation leads to midgut __
cecum is fixed to __
Ladds bands connect retroperitoneum to right __
leads to intestinal obs and __ emesis
can lead to twisting of SMA known as midgut __ compromising perfusion
appears as __ stomach on xray

A

paradoxical
systemic
shunt

umbilical
returning
malrotation
RUQ
colon
bilious
volvulus
corkscrew
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2
Q

TN= specificity times __
False positive is 1- specificity x ___

Purulent arthritis, oligoarticular joint pain, vesiculopustular lesions on extremities must be __
may have T as well

major risk of hyperthyroid pt is cardiac comps like __
may lead to rapid v__ response
also see high __/__ and O2 demand
may dec __ and DBO

pt w cardiomegaly, hypotonia, macroglossia, hepatomegaly has __ dz type 2 GSD
def in Acid A__
blood glucose levels will be normal bc it spares __ but affects skeletal/cardiac muscle
look for glycoge`n in __

A
# of pt w out dz
# of pt w out dz

A fib
ventricular
SV/CO
SVR

Pompe
glucosidase
liver
lysosomes

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3
Q

tx ADHD w A/M that prevent NE/Dopa __ and inc release

Apixaban/Rivaroxaban inhibit __
direct thrombin inhibs include A, D, B

Clasp knife rigidity seen w __ lesion
usually involves the __ motor systems, like __ tract of SC, medulla, pons, midbrain, IC or __ gyrus
if IC has stroke, pt will have pure __ weakness of contralateral arm, leg, face
other signs of S, H and babinski are present

P__ is part of basal ganglia
important to I__ movement

A

amphetamine, Methylphenidate
breakdown

factor Xa
Argatroban, Dabigatran, bivalirudin

UMN
pyramidal
corticospinal
precentral
motor
spasticity, hyperreflexia

putamen
initiate

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4
Q

continuous admin of drug metabolized by 1st order kinetics reaches Css in __ half lives

G3P dehydrogenase requires __ as cofactor in glycolysis to convert G3P to 13BPG
normally NAD+ is regenerated in __ and via lactate dehydrogenase

visceral ab pain is caused by __ of muscle
carried by general __ afferent fibers of ANS
appendix, colon, visceral peritoneum cross through superior __ plexus and enter SC at T10 level for vague pain

__ nerve passes through supinator canal to become posterior interosseus nerve innervating muscles in finger/thumn extension

A

4-5

NAD+
ETC

distension
visceral
mesenteric

radial

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5
Q

N men quadrivalent conjugate vaccine is directed against __ polysaccharide antigens A, C, Y, W
fused to __ toxin to produce T cell dependent process
Serogroup B vaccine is similar to human neural cell __ molecules
used specifically for __ pops

use macrolide F__ in C diff
inhibits __ subunit of RNA poly and is bacteriocidal
poorly absorbed in GI tract, thus high conc in __
minimal effect on __ as compared to Metro/Vancomycin

Multiple osteolytic lesions of bone is __ dysplasia
along w Endocrine abnorms and cafe au lait spots, think __ as dx
mutation in _ w GPCR overactivation
leads to H__ overprodxn

pt presents w __ puberty
inc IL6 upregulats __ for FD

A

Capsular
diptheria
adhesion
high risk

Fidaxomicin
sigma
feces
colonic flora

Fibrous
Mccune Albright
GNAS
hormone

precocious, osteoclasts

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6
Q

PAH is actively __ into BS
none is __ so conc is lowest in BS

Inulin has no _/__
thus, amount excreted is amount filtered

__ endometrium is present in an ectopic preg
dilated, coiled endometrial __ and vascularized edematous stoma
due to release of __ in luteal phase

straight, short glands and compact stroma is __ phase due to estrogen

A

secreted
reabsorbed

secretion/reabsorption

decidualized
glands
progesterone

proliferative

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7
Q

anti-Jo1 aka anti H__ tRNA synthetasse

Loop diuretics can cause problems w __ gradient
thus, pt cannot concentrate urine and lose both Na/Water
Thiazide diuretics have a normal gradient, thus pt will retain __ w resulting hypoNa

both can stimulate __ over time, leading to hypoKalemia and metabolic alkalosis

Legionella leads to Fever and relative __ w HA/confusion and watery diarrhea
labs show hypo__ and best seen on silver stain
culture on B__ w L cysteine and iron

A

histidyl

CCM concentration
water

RAAS

bradycardia
natremia
buffered charcoal yeast extract

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8
Q

N__ is balanced arterial/venous vasodilator

factor Va is cofactor for activation of __, leading to inc prodxn

L__ is used in depressed phases of BPD as mood stabilizer

palpable thyroid nodule in setting of hyperthyroidism suggests toxic __ due to GoF mutation in TSH receptor
lid lag caused by stimulation of superior __ muscle w inc tone/retraction of eyelid

A

nitroprusside

thrombin

lamontrigine

adenoma
tarsal

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9
Q

Preg termination w retained products of conception may have __ abortion
use gram neg or ___
fever, chills, lower ab pain and __/__ vaginal discharge
uterus is boggy and __

tx w __ and surgical removal of products

US may show inc __ and inc echogenicity w thick endometrial stripe

comps are adhesions and __ syndrome

A

septic
E COLI
bloody/purulent
tender

broad spectrum antibiotics

vascularity

Asherman

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