gold usmle: Pathology Flashcards
(234 cards)
1
Q
Mobitz I
A
Usually due to inferior MI. Rarely goes into 3rd degree block.
118. Txt w/ Atropine or Isoproterenol.
2
Q
Mobitz II
A
BBB association. Often goes to 3rd degree AV block. Usually due to anterior MI.
3
Q
P wave
A
Atrial depol.
4
Q
a wave
A
LA contraction
5
Q
T wave
A
Vetricular repol.
6
Q
Wavy fibers
A
Eosinophilic bands of necrotic myocytes. Early sign of MI.
7
Q
Janeways lesions
A
Acute bacterial endocarditis.
125. Nontender, erythematous lesions of palms & soles.
8
Q
Oslers nodes
A
Subacute bacterial endocarditis.
127. Tender lesions of fingers & toes.
9
Q
Thiamine defcy
A
Wet Beri Beri heart. Dilated (congested) cardiomyopathy due to chronic alcohol consumption
- Dyr Beri Beri = peripheral neuropathy
- Wernicke-Korsakoff = ataxia; confusion; confabulation; memory loss
10
Q
Fibrinous Pericarditis
A
Associated w/ MI: Dresslers
11
Q
Serous Pericarditis
A
Associated w/ nonbacterial; viral (Coxsackie) infection; immunologic reaction.
12
Q
Friction Rub
A
Pericarditis association
13
Q
Hemorrhagic Pericarditis
A
Associated w/ TB or neoplasm
14
Q
Restrictive Cardiomyopathy
A
Aka infiltrative cardiomyopathy that stiffens the heart
- Due to amyloidosis in the elderly
- Due to , also see schaumann & asteroid bodies in young (
15
Q
PMLs infectious agent
A
JC Virus (Papovavirus = dsDNA, naked icosahedral capsid)
16
Q
Edema
A
↑Pc (more seeps out)
- ↓πc (less reabsorbed)
- ↑ permeability
- Block lymphatic drainage
17
Q
Adult Polycystic Kidney
Disease
A
Commonly see liver cysts & Berry aneurysms along w/ kidney cysts. Hematuria & HTN also present.
144. 3 cysts in ea. Kidney w/ + family history confirms diagnosis
18
Q
Malignant HTN & Kidneys
A
Petehial hemorrhages are seen on kidney surfaces = Flea-Bitten surface = young black men
19
Q
Nephritic signs
A
Hematuria; RBC casts; HTN
20
Q
Nephrotic signs
A
Proteinuria; Hypoalbuminemia; Edema
21
Q
Podocyte Effacement seen
w/
A
Minimal Change (Lipoid nephrosis) disease
22
Q
ASO seen in
A
Acute post-streptococcal GN (due to βHGASrtep)
150. Anti streptolysin O
23
Q
Crescentic GN
A
Rapidly progressive GN nephritic syndrome
152. Associated w/ multi system disease or post-strep/post infectious glomerular nephritis
24
Q
Hereditary Nephritis
A
Alports syndrome. X linked
154. Renal disease w/ deafness & ocualr abnormalities
25
Membranoproliferative GN
Can be secondary to complement deficiency; chronic infections; CLL
156. See tram tracking
26
TypeI Membrano
| Proliferative GN deposits
C3 & IgG deposits
27
TypeII Membrano
| Proliferative GN deposits
Only C3 deposits
| 159. Aka Dense deposit disease
28
Focal segmental
| glomerulosclerosis deposits
IgM & C3 deposits
29
Cold agglutinins
Seen in atypical pneumonia
Mycoplasma pneumoniae
162. It is IgM Ab with specificity for I Ag on adult RBCs
30
Scrofula
TB in the lymph nodes
31
Aspirin-Asthma Triad
Nasal polyps
Rhinitis
bronchoconstriction
32
Ferruginous bodies
Hemosiderin (pigment w/ Fe3-) covered macrophages that have been pahgocytised
33
Pancoasts tumor causes
Ulnar nerve pain & Horners syndrome
34
Fatty degeneration
Made up primarily of triglycerides
168. Most commonly due to alcoholism which commonly leads to hepatic cirrhosis
169. Associated w/ CCl4
-
35
Cloudy swelling
Failure of cellular Na pump
| 171. Seen in Fatty degeneration of the liver and in Hydropic (Vacuolar) degeneration of the liver
36
Hydropic degeneration
Severe form of cloudy swelling
| 173. Seen with hypokalemia induced by vomitting/diarrhea
37
Liquefaction necrosis
Rapid enzymatic break down of lipids
175. Seen commonly in Brain & Spinal cord (CNS) injuries
176. Seen in suppurative infections = pus formation
38
Coagulation necrosis
Result of sudden ischemia
| 178. Seen in organs w/ end arteries limited collateral circulation) = heart, lung, kidney, spleen
39
Caseation necrosis
Combination of both coagulation & liquefaction necrosis
| 180. Seen w/ M. tuberculosis & Histoplasma capsulatum infection
40
Fibrinoid necrosis
Seen in the walls of small arteries
| 182. Associated w/ malignant hypertension, polyarteritis nodosa, immune mediated vasculitis
41
Fat necrosis
Result of lipase actions liberated from pancreatic enzymes
| 184. Seen w/ Acute pancreatitis = saponification results
42
Hemoptysis
Blood in sputum
43
Pulmonary embolism
Most commonly thrombus from lower extremity vein
44
Phlebothrombosis
From a vein of lower extremities, of a pregnant uterus, in Congestive heart failure, bed ridden pt,
188. As a complicaiton in a pt w/ Pancreatic CA due to ↑d blood coagulability
45
Saddle embolus
Embolus lodged in bifurcation of pulmonary trunks
| 190. ↑↑ RV strain = RV & RA dilate = Acute cor Pulmonale
46
Paradoxical embolism
Right to Left shunt allows a venous embolism to enter arterial circulation
192. Patent ovale foramen or Atrial septal defect
47
Tuberculoid granuloma
Collection of macrophages w/o caseation
| 194. Seen w/ Sarcoidosis (non-caseating); Syphilis; Brucellosis and Leprotic infections
48
Cellulitis
Spreading infection due to streptococcus
49
PSA
Prostate Specific Antigen = elevated in prostatic CA
50
↑↑5-HT
In cases of metastatic carcinoid, txt w/ Methysergide (5HT antagonist)
51
↑ αFeto Protein
Hepatocarcinoma
| 199. Neural tube defects
52
CEA
Carcinoembryonic Antigen = elevated in Colon CA
53
Chromosome 13
Retinoblastoma
54
Chromosome 11p
Wilms tumor of the kidney
55
Vinyl Chloride
Associated w/ Angiosarcoma of the liver
56
Agent Orange
Contains dioxin
| 205. Implicated as a cause of Hodgkin;s disease, non-Hodgkins lymphoma & soft tissue sarcomas
57
Parasites & CA
Schistosoma haematobium = Urinary bladder CA
207. S. mansoni = Colon CA
208. Aspergillus flavus = potent hepatocarcinogen
58
Ochronosis
Alkaptonuria
210. Error in tyrosine metabolism due to Homogentisic acid (oxidizes tyrosine)
211. Involving intervertebral disks = Ankylosing Spondilitis = Poker spine
212. See dark urine; dark coloration of sclera, tendons, cartilage
59
Lead poisoning
Acid fast inclusion bodies
214. ↑ urinary coproprophyrin
215. Anemia: microcytic/ hypochromic
216. Stippling of the basophils
217. Gingival line & lead line in bones: x-ray
218. Mental retardation
60
Heroin OD, clinically
Massive pulmonary edema w/ frothy fluid from the nostrils
61
Fetal alcohol syndrome
Small head, small eyes, funnel chest, ASD, mental deficiency, and hirsutism
62
Atypical mycobacterium
M. kanasasii & M. avium intracellulare
63
Cold abscesses
Liquefied TB lesions similar to pyogenic abscesses but lacking acute inflammation
64
Actinomyces isrealli
Farmers infection
| 224. Lumpy jaw (from chewing grain) & PID (IUD), but most common is due to saprophyticus
65
Congenital Syphilis
Saddle nose, Saber shin, Hutchinsons teeth, nerve deafness, interstitial keratitis
66
Warthin-Finkeledy cells
Reticuloendothelial giant cells on tonsils, lymph nodes, spleen
67
Diphyllobothrium latum
Tapeworm infection causing megaloblastic anemia by consuming large amount of vit B12 in the host
68
Subacute Bacterial
| Endocarditis
α Hemolytic Streptococci (S. viridans) = usually in pt w/ pre-existing heart problem
69
Acute Bacterial Endocarditis
Staph aureus, β Hemolytic Streptococci, E. coli
| 231. Common among drug addicts & diabetics
70
Mitral Insufficiency
Ruptured papillary muscle
71
Left Anterior Descending
| branch
Branch of the Left Coronary artery
234. Highest frequency of thrombotic occlusion
235. MI = anterior wall of the LV, especially in apical part of interventricular septum
72
Left Circumflex branch
Branch of the Left Coronary artery
| 237. Occlusion = MI of posterior/lateral wall of the LV
73
Dissecting Aneurysm
False aneurysm: it is splitting of the media of the aorta
239. Usually accompanied w/ long history of severe hypertension, also seen w/ familial hyperlipidemia,
atherosclerotic disease, Marfans Collagen disease
240. Zones of medial necrosis +/- slitlike cysts = Medial Cystic Necrosis of Erdheim
74
Cor Pulmonale
Right ventricular strain, associated w/ right ventricular hypertrophy
75
Acute Cor Pulmonale
Sudden right ventricular strain due to a massive pulmonary embolism
76
Bronchopneumonia
Lobular (rather than lobar)
244. Due to Staph aureus; Pseudomonas aeruginosa; Klebsiella; E. coli
245. Abscess formation is common
77
Lobar pneumonia
Due to Strep. Pneumoniae infection (5% due to Klebsiella)
247. Red Hepatization: days 1-3 of the pneumonia
248. Gray Hepatization: days 3-8 of untreated pneumonia
249. Complicaitons: pleural effusion; atelectasia; fibrinous pleuritis; empyema; fibrinous pericarditis; otitis
media
78
Bronchiectasis
Permanent dilatation of the bronchi predisposed by chronic sinusitis and post nasal drip
251. Supparation associated
252. Lower lobe > than upper lobe involvement
79
Panlobular Emphysema
α1 antitrypsin deficiency, causing elastase ↑ = ↑ compliance in the lung
80
Bulla
Associated w/ Emphysema = Bleb = outpouching - If it ruptures causes Pneumothorax
81
Farmers Lung
Due to Micropolyspora faeni (thermophilic actinomycetes)
82
Bagassosis
Due to M. vulgaris (actinomycetes)
| 258. Inhalation of sugar cane dust
83
Silo-Fillers Lung
Due to Nitrogen dioxide from nitrates in corn
84
G6PDH Deficiency
Sex-linked chronic hemolytic anemia w/o challenge or after eating fava beans
261. Heinz Bodies appear in RBCs
85
HbF ↑↑
Sickle Cell Anemia
86
Multiple Myeloma
Lytic lesions of flat bones (salt & pepper lesions) = vertebrae, ribs, skull; Hypercalcemia; Bence-Jones
protein casts
87
Hodgkins Disease
Malignant neoplasm of the lymph nodes causing pruritis; fever = looks like an acute infection
265. Reed Sternberg cells
88
Polyarteritis Nodosa
Immune complex disease of Ag-Ab complexes on blood vessel wall
267. Half of the immune complexes have Hepatitis B Ag
268. Can see fever; abd.pain; ↓ wt; HTN; muscle aches
89
Sprue
Celiac disease due to a gluten-induced enteropathy = small intestine villi are blunted
270. High titers of anti-gliadin Abs & ↑ IgA levels
90
Regional Enteritis
Crohns Disease
| 272. Association w/ Arthritis; Uveitis; Erythema Nodosum
91
Whipples Disease
Intestinal Lipodystrophy = malabsorption syndrome
92
Kulchitsky cells
Neural cest cells from which carcinoids arise = of the Bronchi; GIT; Pancreas
93
Ulcerative Colitis
Inflammatory disease of the colon w/ ↑ colon CA incidence
276. Crypt abscess in the crypts of Lieberkuhn
277. Pseudopolyps when ulcers are deep
278. Not transmural involvement
94
Vaginal Adenosis
Women exposed to DES (Diethylstilbesterol) in utero before the 18th week of pregnancy
280. Some develop clear cell adenocarcinoma of the vagina & cervix
95
Hofbauer Cells
Lipid laden macrophages seen in villi of Erythroblastosis Fetalis
96
Retinopathy of Prematurity
Retrolental Fibroplasia = cause of bindness in premies due to high O2 concentrations
97
IgA deficiency
Pt has recurrent infections & diarrhea w/ ↑ respiratory tract allergy & autoimmune diseases
285. If given blood w/ IgA = develop severe, fatal anaphylaxis reaction
98
Priamry Sjorgens
Dry eyes & dry mouth, arthritis. ↑ risk for B cell lymphoma. HLA-DR3 frequent. Autoimmune disease.
99
Secondary Sjorgens
Rheumatoid arthritis, SLE, or systemic sclerosis association
| 288. RA association shows HLA-DR4
100
LDH1 & LDH2
Myocardium. LDH1 higher than LDH2 = Myocardial Infarction
101
LDH4 & LDH5
Liver cells
102
Keratomalacia
Severe Vit A deficiency. See Bitots spots in the eyes = gray plaques = thickened, keratinized ET
103
Metabisfite Test
Suspending RBCs in a low O2 content solution
| 294. Can detect Hemoglobin S, which sickles in low O2
104
Microangiopathic Hemolytic
| Anemia
Can be due to Hemolyitc Uremic Syndrome & Thrombotic Thrombocytopenic Purpura (TTP)
296. See Helmet cells
105
Wrights stain
Stain for Burkitts lymphoma
106
Mononucleosis
Due to EBV infeciton
| 299. If Mono is treated w/ Ampicillin, thinking that it is a strep pharyngitis, a rash will occur.
107
T(8;14)
Burkitts lymphoma = c-myc oncogene overexpression
108
T(9;22)
CML = c-abl/bcr gene formation = Philadelphia translocation
109
Langerhan Cell Histiocytosis
Letter Siwe syndrome; Hand Schuller Christian Disease; Eosinophilic Granuloma
303. Birbeck granules are present = tennis racket shape
110
Myeloid Metaplasia
Alkaline phosphatase ↑/normal compare to CML = low to absent
| 305. Anemia; splenomegaly; platelets > 1 million = extensive extra-medullary hematopoiesis
111
Multiple Myeloma
Weakness; wt. loss; recurrent infection; proteinuria; anemia; ↑ proliferation of plasma cells in BM =
plasma cell dx
307. Serum M protein spike most often of IgG or IgA
308. Hypercalcemia (↑ bone destruction)
112
T(14;18)
NH Lymphoma = bcl2 proto-oncogene overexpression seen w/ Small Cleaved Cell (Follicualr) Lymphoma
113
Focal Segmental GN exs
IgA Focal GN = Bergers disease; SLE; PAN; Schonlein-Henoch purpura (anaphylactoid purpura)
114
Nephrotic Syndrome exs
Focal (Segmental) GN; Membranous GN; Lipoid (Minimal Change) GN; Membranoproliferative GN; Hep B;
Syphilis; Penicillamine
115
Schistosoma Haematobium
Infection is assocaited w/ Squamous cell CA of the Bladder (most common Bladder CA is transitional
cell type)
313. Associated w/ portal HTN due to intrahepatic obstruction
116
Penicillin Resistant PID
PID is usually due to N. Gonorrhoeae, but if unresponsive to penicillin think of Bacteroides species
117
Duret Hemorrhages
We learned associated with transtentorial hemorrhages, they say:
Severe ↑ in ICP w/ downward diplacement of cerebellar tonsils into Foramen Magnum causing a
compression on the brainstem w/ hemorrhaging into the pons & midbrain
316. Nearly always associated w/ death due to damage to the vital centers in these areas
118
Hypertensive Hemorrhage
Predilection for lenticulostriate arteries = putamen & internal capsule hemorrhages
119
Cerebral Embolism from
MI w/ Mural Thrombi; Atrial Fib Thrombi = Marantic thrombi; L-sided Bacterial Endocarditis;
Paradoxical Embolism of septal defect
120
Neurosyphilis
Tabes Dorsalis = ↓ joint position sensation, ↓ pain sensation, ataxia, Argyl Robertson pupils
320. Syphilitic meningitis
321. Paretic neurosyphilis
121
5p-
Cri di Chat: mental retardation; small head; wide set eyes; low set ears; cat-like cry
122
Trisomy 13
Pataus: small head & eyes; cleft lip & palate; many fingers
123
Acute Cold Agglutinaiton
Abs to I blood group Ag. Mediated by IgM Abs
| 325. Complication of EBV or Mycoplasma pneumoniae infections
124
Chronic Cold Agglutinaiton
Associated w/lymphoid neoplasms. See agglutination & hemolysis in tissue exposed to cold. IgM Abs
125
RBC Osmotic Fragility
Hereditary Spherocytosis
126
Non-Hodgkins Lymphomas
Small Lymphocytic: low grade B cell lymphoma of the elderly. Related to CLL.
329. Small Cleaved cell (Follicualr): low grade B cell lymphoma of the elderly. T(14;18) bcl-2 oncogene
330. Large Cell
331. Lymphoblastic: high grade T cell lymphoma of kids progressing to T-ALL
332. Small Non Cleaved = Burkitts: high grade B cell lymphoma. EBV infection. Starry sky histo appearance.
T(8;14) c-myc proto-oncogene. Related to B-ALL
127
Singers Nodules
Benign laryngeal polyps associated w/ smoking & overuse of the voice
128
Paraseptal emphysema
Associated w/ blebs (large subpleural bullae) that can rupture and cause pneumothorax
129
Superior Vena Cava Syndrome
Obstructed due to bronchogenic carcinoma. Causing swollen face & cyanosis.
130
Betel nuts
Associated to oral cancer.
131
Fundal (Type A) Gastritis
Antibodies to parietal cells; pernicious anemia; autoimmune diseases
132
Antral (Type B) Gastritis
338. Associated w/ Helicobacter (Campylobacter) pylori infection. 90% of duodenal ulcer
133
Primary Biliary Cirrhosis
Autoimmune origin; middle aged women; anti-mitochondrial Abs
| 340. Jaundice; itching; hypercholesterolemia (can see cutaneous xanthomas)
134
Acute Pancreatitis
↑ pancreatic enzymes = fat necrosis; sapponification = hypocalcemia; ↑ serum amylase
342. Severe epigastric ab pain; prostration; radiation to the back
135
Radiating Back Pain
Chronic pancreatitis
136
Complete Hydatidiform Mole
No embryo. Paternal derivation only. 46XX
137
Partial Hydatidiform Mole
Embryo. 2 or more sprems fertilized 1 ovum: triploidy/tetraploidy occurs
138
Cold Nodules
Hypoplastic Goiter nodules that do not take up radio active iodine. [Opposite: hot & do take up iodine]
139
Acidophils
Mammotrophs = Prolactin
| 348. Somatotrophs = GH
140
Basophils
Thyrotrophs = TSH
350. Gonadotrophs = LH
351. Corticotrophs = ACTH & FSH
141
Lacunar Strokes
Small/focal aa occlusions. Purely motor or sensory.
353. Sensory: lesion of thalamus
354. Motor: lesion of internal capsule
142
CSF of Bacterial Meningitis
↓ Glucose; ↑ Protein; ↑ Neutrophils; ↑ Pressure
143
CSF of Viral Meningitis
Normal Glucose; +/-↑ Protein; ↑ Lymphocytes
144
Marble Bone Disease
Osteoporosis: Albers-Schonberd Disease = inspite of ↑d bone density, many fractures = ↓ osteoclasts
145
C5a
Involved in Chemotaxis (for Neutrophils)
146
C3b
Involved in Opsonization (& IgG)
147
Anaphylotoxins
C3a & C5a (mediate Histamine release from Basophils & Mast cells)
148
Vasoactive Mediators
Vasoconstriction: TxA2; LTC4; LTD4; LTE4; PAF
362. Vasodilation: PGI2; PGD2; PGE2; PGF2α; Bradykinin; PAF
363. ↑d Vascular Permeability: Hist.; 5HT; PGD2; PGE2; PGF2α; LTC4; LTD4; LTE4; Bradykinin; PAF
149
Platelet Aggregation
ADP; Thrombin; TxA2; collagen; Epinephrine; PAF
150
Platelet Antagonist
Prostacyclin (PGI2)
151
Intrinsic Pathway
F XII (Hagman): APTT
152
Extrinsic Pathway
F VII: PT
153
Lines of Zahn
Aterial thrombi = pale red colored (dark red is venous thrombi)
154
Currant Jelly appearance
Post mortem clots
155
Emigration: Chemotaxis
Margination
371. Pavementing
372. Adhesion
373. Chemotaxis
374. Phagocytosis
375. Intracellular microbial killing
156
Transudate
Specific gravity
157
Exudate
Specific gravity > 1.020 high protein
158
Hurlers
Lysosomal storage disease α L Iduronidase Heparan/Dermatan Sulfate accumulation
159
Galactosemia
Deficiency of Galactose 1 Phosphate Uridyl Transferase. ↑ Galactose 1 Phosphate
160
Phenylketonuria
Deficiency: Phenylalanine Hydroxylase. ↑ Phenyalanine & degradation products
381. Mousy body odor
161
Autosomal Dominant Diseases
Adult Poly Cystic Kidney Disease
383. Familial Hypercholestrolemia Disease
384. Hereditary Hemorrhagic Telengectasia (Osler-Weber-Rendu)
385. Hereditary Spherocytosis
386. Huntingtons Disease (chromosome 4p)
387. Marfans Syndrome
388. Neurofibromatosis (von Recklinghausens)
389. Tuberous Sclerosis
390. Von Hippel Lindau Disease
162
Autosomal Recessive
| Diseases
```
Tay-Sachs
392. Gauchers
Page 25
393. Niemann-Pick
394. Hurlers
395. Von Gierkes
396. Pompes
397. Coris
398. McArdles
399. Galactosemia
400. PKU
401. Alcaptonuria
```
163
X Linked Recessive Diseases
Hunters Syndrome (L-Iduronosulfate Sulfatase deficincy, ↑ Heparan/Dermatan Sulfate)
403. Fabrys Disease (α Galactosidase A deficiency, ↑ Ceremide Trihexoside)
404. Classic Hemophilia A (Factor VIII deficiency, F8 Gene on X chromosome is bad, ↑ Ceremide Trihexoside)
405. Lisch-Nyhan Syndrome (HGPRT deficiency, ↑ Uric acid)
406. G6Phosphatase deficiency (G6PDH deficiency, ↑ Ceremide trihexoside)
407. Duchennes Muscular Dystrophy (Dystrophin deficinecy, ↑ Ceremide Trihexoside)
164
Hypersensitivity Reactions
| ACID
Type I (Anaphylactic): IgE mediated. Exs: Hay Fever; Allergic asthma; Hives
409. Type II (Cytotoxic): Warm Ab autoimmune hemolytic anemia; hemolytic transfusion reactions;
Erythroblastosis Fetalis; Graves Disease; Goodpastures
410. Type III (Immune Complex): Insoluble complement bound aggregates of Ag-Ab complexes. Exs: Serum
sickness; Arthus Reaction; Polyarteritis Nodosa; SLE; Immune Complex Mediated Glomerular Disease
411. Type IV (Delayed = Cell mediated immunity): Delayed hypersensitivity. Involves memory cells. Exs:
Tuberculin reaction; Contact dermatitis; Tumor cell killing; Virally infected cell killing
165
Transplant Rejections
Hyperacute Rejection = occurs w/in minutes of transplant. Ab mediated.
413. Acute Rejection = occurs w/in days to months of transplant. Lymphocytes & macrophages. Only
rejection type that can be treated w/ therapy.
414. Chronic Rejection = occurs months to years of transplant. Ab mediates vascular damage.
166
Blood Metastasis
Sarcoma, exception renal cell CA: early venous invasion
167
Lymph Metastasis
Carcinoma, exception renal cell CA: early venous invasion
168
Aflatoxin
Seen w/ Aspergillus. ↑ risk for Hepatocellular CA
169
Cleft Lip
Incomplete fusion of maxillary prominence w/ median nasal prominence
170
Cleft Palate
Incomplete fusion of lateral palatine process w/ each other & median nasal prominence & medial
palatine prominence
171
Craniopharyngioma
Pituitary tumor - usually calcified
172
Lateral Geniculate Nucleus
Inolved in Vision relay
173
Medial Geniculate Body
Involved in Hearing relay
174
Lung Development
Glandular: 5-17 fetal weeks
Canalicular 13-25 fetal weeks
Terminal Sac 24 weeks to birth
Alveolar period birth-8yoa
175
Hearts 1st Beat
21-22 days
176
Foregut
Mouth -> Common Bile Duct - supplied by Celiac Artery
177
Midgut
Duodenum, just below Common Bile Duct ! Splenic flexure of the Colon supplied by Superior Mesenteric
artery
178
Hindgut
Splenic Flexure ! Butt crack ! supplied by Inferior Mesenteric Artery
179
Hypnagogic Hallucinaitons
Narcolepsy
180
Type I Error
α: Convicting the innocent accepting experimental hypothesis/rejecting null hypothesis
181
Subdural Hematoma
Ruptured cerebral bridging veins
182
Epidural Hematoma
Ruptured middle meningeal artery intervals of lucidness, 2ry to Temporal bone fracture
183
Type II Error
β: Setting the guilty free fail to reject the null hypotesis when it was false
184
Power
1 - β
185
Sensitivity
TP/TP + FN
186
Specificity
TN/TN + FP
187
Positive Predictive Value
TP/TP + FP
188
Negative Predictive Value
TN/TN + FN
189
Odds Ratio
ad/bc
190
d-Dimers
DIC
191
Delusion
Disorder of thought content
192
Loose Association
Skip from topic to topic
193
5 Stages of Death
Denial Anger Bargaining Depression Acceptance
194
1st Branchial Arch
Meckels cartillage gives rise to incus/malleus bones of ear
195
2nd Branchial Arch
Reicherts cartillage gives rise to stapes bone of ear
196
Median nerve lesion
No pronation
197
Radial nerve lesion
Wrist drop seen w/ humerus fracture
198
Common peroneal lesion
Foot drop. No dorsiflexion or eversion of the foot
199
Diract inguinal hernia
Goes through superficial inguinal ring.
Medial to inferior epigastric artery
Seen in older men
200
Indirect inguinal hernia
Goes through deep & superficial inguinal ring
Lateral to inferior epigastric artery
Seen in young boys processus vaginalis did not close
201
@ Diaphragm T8, T10, T12
```
T8 = Inferior vena cava
T10 = Esophagus/ Vagus
T12 = Aorta/ Thoracic duct/ Azygous vein
```
202
Hemiballismus
Wild flailing of 1 arm. Lesion of the sub thalamic nucleus
203
O Linked Oligosaccharide
In the Golgi
204
N Linked Oligosaccharide
In the RER
205
MLF Syndrome
Internuclear Ophthalmoplegia: medial rectus palsy on lateral gaze; Nystagmus on abducting eye.
Seen w/ MS
206
ADA Deficiency
SCID
207
Raphe Nucleus
Initiation of sleep via 5HT predominance
208
β waves
Alert; Awake; Active mind also seen in REM, therefore we say paradoxical sleep
209
Irreversible Glycolysis
| Enzymes
Hexokinase
PhosphoFructo Kinase = Rate Limiting Step
Pyruvate Kinase
Pyruvate Dehydrogenase
210
Irreversible Gluconeogenesis
| Enzymes
```
PyruvateCarboxy Kinase
PEPCarboxyKinase
Fructose 1,6 BiPhosphatase
Glucose 6 Phosphatase
**muscle dose not take part in Gluconeogenesis, only takes place in the liver, kidney & GI epithelium
```
211
Pellagra
```
Diarrhea, Dermatitis, Dementia
Niacin Deficiency (Vit B3 deficiency)
Hartnups Disease
Malignant Carcinoid Syndrome
INH use
```
212
TLCFN
Needed as co-factor for Pyruvate DH complex & α Ketoglutarate DH complex
213
LCAT or PCAT
Esterification of cholesterol: lecithin cholesterol acetyltransferase
Lecithin = Phosphatidylcholine, therefore phosphotidylcholine acetyltransferase
214
HMGCoA Reductase
Rate limiting step in cholesterol synthesis
Changes HMGCoA ! Mevalonate
(-) by Lovastatin
215
Ketogenic amino acids
Leucine & Lysine
216
Glucogenic amino acids
Methionine, Threonine, Valine, Arginine, Histadine
217
Keto & Gluco amino acids
Phenylalanine, Trytophan, Isoleucine
218
Carnitine Shuttle
Feeds FA into the mitochondria for their consumption
219
Cori Cycle
Keeps muscles working anaerobically.
| Transfers lactate to the liver to make glucose which is sent back into the muscles for energy use
220
(-) Na+ Pump (ATPase)
Ouabain [(-) K+ pump]
Vanadate [(-) phosphorylation]
Digoxin [↑ heart contractility]
221
TCA Cycle Products
Citric Acid Is Krebs Starting Substrate For Mitochondrial Oxidation
Citrate ! Aconitate ! Isocitrate ! α Ketoglutarate ! Succinyl ! Succinate ! Fumarate ! Malate !OAA
222
Cones
Color vision. Contain Iodopsin = Red-Blue-Green specific pigment. For acuity.
223
Rods
Contain Rhodopsin pigment. High sensitivity. Concentrated in the fovea. Night vision.
224
Gastrula
Seen @ 3rd week: Ecto, Meso & Endo
225
Epiblast
@ 2nd week: forms the primitive streak, from which Meso & Endo come from. Directly gives rise to Ecto.
226
Sydenhams Chorea
Post streptococcal infection. Necrotizing arteritis of the caudate, putamen, thalamus
227
(+) Frei Test
Chlamydia trachomatis types L1, L2, L3 = Lymphogranuloma venereum
228
Sabourauds Agar
Culture for all Fungi ie
Culture Cryptococcus neofromans which is found in pigeon droppings
229
FMR1 Gene Defect
Fragile X Syndrome: macro-orchidism; long face; large jaw; large everted ears; autism, mental retardation
230
Barr Body
Barr Body
231
Aortic Insufficiency Signs
Traube Sign = Pistol shot sound over the femoral vessels
| Corrigan pulse = water hammer pulse over coratid artery = aortic regurgitation
232
Scleroderma :CREST
Calcinosis; Raynauds; Esophageal; Sclerodactyl; Telangiectasis
233
Cretinism
Sporadic: bad T4 phosphorylation or developmental failure of thyroid formation
Endemic: no Iodine in diet: protruding belly & belly button
234
Hemochromatosis Triad
Micronodular pigment cirrhosis; Bronze Diabetes; Skin pigmentation = due to ↑ Fe3+ deposition
