Deck 11 Flashcards

1
Q

Equation for flow (Q) in relation to pressure and radius?

A

Q = P1-P2/R

R = viscosity of blood x length of blood vessel/ r^4

Short-hand is Flow = r^4

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2
Q

What blood disorder results in high MCHC?

A

spherocytosis

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3
Q

Which cytokine is associated with giant cell arteritis?

A

IL-6 (acute phase inflammatory cytokine)

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4
Q

What is medical tx for GCA?

A

Tocilizumab (IL 6 monoclonal antibody)

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5
Q

What substance is the “central regulator of iron homeostasis?”

A

Hepcidin- acute phase reactant

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6
Q

What is action of hepcidin?

A

Interacts with a transmembrane protein in enterocyte called ferroportin, and inhibits iron absorption in enterocytes
Also inhibits release of iron by macrophages

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7
Q

What raises hepcidin? What lowers it?

A

Inflammation and high iron levels increase it

Hypoxia and erythropoeisis decrease it

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8
Q

Which cells secrete hepcidin?

A

Hepatic parenchymal cells

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9
Q

What type of drugs are preferentially metabolized by the liver?

A

Lipophilic drugs with high Vd

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10
Q

What are SE of first-generation antihistamines?

A

Anticholinergic symptoms from acting as antagonist to muscarinic acetylcholine receptors. Flushed cheeks and dilated pupils (heat dissaption)

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11
Q

What are clotting labs and seromarkeres for anti-phospholipid antibody syndrome?

A
Prolonged aPTT
False + RPR and VDRL
Anticardiolipin Antibody
Anti-beta2-glycoprotein-I-atibody
\+ lupus anticoagulation
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12
Q

How do beta blockers help treat hyperthyroidism?

A

Cardiac effects

Inhibited conversion of T4 to T3 by inhibiting 5’ monodeiodinase in peripheral tissues

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13
Q

Which drugs inhibit conversion of T4 to T3?

A

Propylthiouracil
B blockers
Ipodate

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14
Q

How do propylthiouracil and methimazole work?

A

Inhibit thyroid peroxidase

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15
Q

Man with infertility, long lower extremities, gynecomastia, and small testes. What does he have?

A

XXY kienfelters

Decreased testosterone, zero sperm count

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16
Q

What is new murmur following revascularizaton after MI caused by?

A

Ischemia of papillary muscle

Hypokinesis and Papillary muscle outward displacement, causing MR

17
Q

What do you give children with severe diarrhea?

A

Sodium-glucose drinks

18
Q

Which nerve is commonly injured due to stretching during childbirth?

A

Pudendal nerve- near ischial spine

Loss of anal and urethral sphincter tone, incontinence