Misc Flashcards

(60 cards)

1
Q

acute dystonia is caused by… MOA… tx…

A
  • typical antipsychotics
  • dopamine blockade leads to extrapyramidal symptoms due to unopposed cholinergic
  • anticholinergic like benztropine
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2
Q

two drugs that act on leukotrienes in asthma

A
  • montelukast… receptor antagonist

- zileuton… inhibitor of 5-lipoxegenase (inhibits production)

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3
Q

neuroleptic malignant syndrome

A

-adverse reaction associated with typical antipsychotics

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4
Q

mebendazole is used for…

A

-pinworms

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5
Q

college kid with fuzzy infiltrates on X-ray, tx with ceftriaxone, no improvement, switch to… because he has

A
  • macrolide

- atypical pnuemonia due to mycoplasma

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6
Q

flu-like prodrome, ALT>AST, can reach over 10,000, jaundice, icterus etc…. unusual transmission/

A
  • HepA

- fecal/oral

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7
Q

poliovirus mode of transmission

A

-fecal/oral

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8
Q

mallory bodies look like … on path

A

-twisted rope

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9
Q

healthy, normal weight person with OSA? think about…

A
  • acromegaly, increased GH after fusion of growth plates

- macroglossia is commonly seen

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10
Q

cardiolipan… is normal in which tissue, is used for dx in which disease?

A
  • inner mitochondrial membrane

- syphilis

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11
Q

abnormally high arch– pes cavus, is seen in… which is due to… (genetics)

A
  • friedrich’s ataxia

- unstable repeats, expansion, dysfunctional protein synthesis (frataxin)

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12
Q

procarbazine is a ….(class) which makes you worry about…

A
  • MAOI

- HTN crisis

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13
Q

positively charged amino acids (3)

A

-arginine, lysine, histidine

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14
Q

scalded skin syndrome affects what part of skin cells

A

-desmosomes (or macula adherens)

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15
Q

initial screen for HIV is through… which is confirmed by…

A
  • ELIZA (antigen-antibody)

- western blot

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16
Q

urea cycle begins in… the rest of the steps take place in..

A
  • mitochondrial matrix

- cytoplasm

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17
Q

bonds between… and a… (DNA) are more difficult to break (require more heat to denature) because they have 3 hydrogen bonds

A

-G and C

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18
Q

Hyper IgM is due to deficiency of

A

-CD40 on CD4 cells, can’t covert IgM to new Ig types

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19
Q

give… with imipenem, because …

A
  • cilastatin

- it inhibits renal metabolism and nephrotox by dehydropeptidase-I

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20
Q

toxoplasmosis is found in…

A

-raw meat and cat feces

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21
Q

northern blot detects … using … probe

A
  • RNA

- DNA

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22
Q

southern blot detects … using … probe

A
  • DNA

- DNA

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23
Q

SCID, due to defect in…

A

-adenosine deaminase

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24
Q

HIV prophylaxis for childbirth is… bad SE is …

A
  • zidovudine

- megaloblastic anemia

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25
cyanide MOA...
-prevents the final stage of oxidative phosphyrlation (oxygen as the ultimate electron acceptor), preventing energy production
26
a/B tubulin vs gamma-tubulin
- a/B make microtubule spindle fibers | - gamma makes centrioles
27
slapped cheeks rash...
- parvovirus, B19 - fifth disease - self-limited
28
milky blood draw....
-lipoprotein lipase deficiency
29
essentail AA's lacking in plant based diet (2)... (kwashiorkor)
- tryptophan | - lysine
30
interferon gamma is released by... and acts to ....
- T-helper 1 cells | - activate macrophages
31
wiskott-aldrich (3 features) also genetics
- exzema, thrombocytopenia and increased infections | - recessive defect in WASP gene
32
passive immunization... (To Be Healed Rapidly)
-Tetanus, Botulinum, Hepatitis B, Rabies
33
anaphylaxis is triggered by what cellular mechanisms... (complement and effector cells)
- C3a and C5a bind IgE on mast cells and basophils | - Histamine release
34
what is a hapten? give a (commonly tested) example.
- a molecule that on its own is not immunogenic, but when bound to protein will cause immune response - penicillin bound to RBC's causing drug-induced autoimmune hemolytic anemia
35
to treat MS, you can use a recombinant cytokine....
-B-interferon
36
HLA-DR2 is associated with...(3)
- MS - goodpastures - SLE
37
HLA-DR4 is associated with... (2)
- T1DM | - RA
38
name the glucose transporter for: | pancreatic b islet cells, hepatocytes, myocytes, adipocytes, enterocytes, RBCs
- pancreatic beta cells: GLUT2 - hepatocytes: GLUT2 - myocytes: GLUT4 - adipocytes: GLUT4 - enterocytes: SGLT - RBCs: GLUT1
39
pertussis is cultured on... (2) (one of which is referred to as a type of tuber)
- bordet-gengou (potato agar) | - regan-lowe
40
what cell secretes IL-12? what does IL-12 do?
- macrophages | - converts naive T-cells into Th1 cells
41
brutons agammaglobulinemia... defect in... resulting in... | T cells?
- tyrosine kinase needed for maturation of B-lymphocytes - low levels of all b-cell types - T-cells are normal - Tx: IVIG
42
HIV med assoc w/bone marrow suppression and megaloblastic anemia
-zidovudine
43
vaccine to avoid with sz disorder?
-DPT
44
most common inherited bleeding disorder? what lab values are important? (2)
- Von Willebrands | - PTT and bleeding time
45
Neurofibromatoma type I vs type II`
- type I: cafe au lait, spine abnormalities, cutaneous nodules (von Recklinghausen), chromosome 17, AD - type II: aucoustic schwanommas, ependymomas, miningiomas, juveniele cataracts, chromosome 22, AD
46
leukocyte adhesion deficiency (LAD), surface receptor is missing?
-CD 18
47
cherry red and eye exam... think about (2)
- neimann pick | - tay sachs
48
1st and 2nd line for status epilepticus... (bonus points for MOA)
- benzo... increased frequency of Cl channel opening | - barbituate... increased duration of opening
49
hernia... MD's don't Lie! also, reducibility?
- medial direct (easily reducible) | - lateral indirect (difficult to reduce, more common congenitally)
50
anti-IgG is also known as...
-rheumatoid factor
51
Gq coupled protein receptors are found with.....
-histamine1, muscarinic 1 and 3, alpha 1
52
homogenistic acid deficiency... clinical presentation
- black urine - hyperpigmented cartilage - joint pain - nephrolithiasis
53
smooth endoplasmic reticulum
- steroid synthesis - membrane synthesis and repair - detoxification
54
drugs that follow zero-order elimination (decrease linearly with time) (3)
- PEA | - phenytoin, ethanol, aspirin (high dose)
55
PKU results in build up of.... and deficiency of...
- phenylalanine | - tyrosine
56
lesch neyan can cause what blood abnormality
-b12 deficiency and megaloblastic anemia
57
amantidine is used in two conditions, name them, and the MOA in each
- flu... binds to M2 protein, inhibiting pump, preventing viral uncaoting - parkinsons... stimulates release of endogenous DA
58
infections with both staph and strep, and some albinism...
-chédiak-higashi
59
maple syrup urine dz has.... urinary glucose levels
- low | - hypoglycemic
60
basophilic stippling, associated with...
-lead poisoning