mon 24 Flashcards

(38 cards)

1
Q

membranous nephropathy may be caused by antibodies to which substance?

A

phospholipase A2 receptor (expressed on podocytes)

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2
Q

what is the immunofluorescence pattern seen in membranous nephropathy?

A

granular due to immune complex deposition

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3
Q

what is the EM pattern seen on membranous nephropathy?

A

spike and dome

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4
Q

what causes the mesangial expainsion in diabetic glomerulonephropathy?

A

nonenzymatic glycation of tissue proteins

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5
Q

diffuse proliferative glomerulonephritis is often due to which disease?

A

SLE

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6
Q

what will b seen on LM or diffuse proliferative glomerulonephritis?

A

wire looping

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7
Q

inheritance of alport syndrome?

A

x linked

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8
Q

type II membranoproliferative glomerulonephritis will have which igG autoantibody?

A

C3 nephritic factor - stabilizes C3 convertase

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9
Q

why does imatinib help treat GIST?

A

it ALSO blocks c-kit tyrosine kinase

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10
Q

what does erlotinib block?

A

EGFR

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11
Q

erlotinib A/E?

A

diarrhea and acneiform rash

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12
Q

what do sunitinib and sorafenib inhibit?

A

VEGFR overexpresison

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13
Q

what does vemurafenib inhibit?

A

B-raf (BRAF)

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14
Q

what cancer commonly has a V600E BRAF mutation?

A

malignant melanoma

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15
Q

what does bevacuzimab target?

A

VEGF

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16
Q

what kind of drugs are carmustine and lomustine?

17
Q

how does valproic acid affect weight?

18
Q

how does topiramate affect weight?

19
Q

side effects of lamotrigine?

A

diplopia, SJS

20
Q

which antiseizure drug is associated with gingival hypertrophy?

21
Q

which antiseizure drug is associated with hirsutism?

22
Q

which antiseizure drug is associated with SIADH?

A

carbamazepine

23
Q

gabapentin MOA?

A

blocks Ca channels

24
Q

MOA of ethosuxamide?

A

blocks T type Ca channels in thalamus

25
which seizure drug may cause acute closed angle glaucoma?
topiramate
26
carbamazepine MOA?
increases Na channel inactivation
27
A/E of carbemapazine?
- SIADH - agranulocytosis - DRESS syndrome - SJS
28
phenytoin MOA?
increases Na channel inactivation
29
effects of phenytoin and carbamazepine on CYP 450s?
inducers
30
gabapentin MOA
blocks voltage gated Ca channels
31
what is primidone?
barbituate
32
effects of V1 activation?
vasoconstrictino
33
what type of receptor is V1?
Gq
34
what type of receptor is V2?
Gs
35
where are V2 receptors found?
the collecting duct
36
how does administering desmopressin help treat esophageal varicies?
it causes vasoconstriction -> reduced bleeding
37
MOA of the 'vaptan' drugs?
BLOCK V2 receptors- treat SIADH
38
demeclocycline use?
treats SIADH