Our Clues 7 Flashcards

(50 cards)

1
Q

t(9;22)

A

CML

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2
Q

t(8;14)

A

Burkitt’s lymphoma

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3
Q

t(14;18)

A

Follicular lymphoma

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4
Q

t(11;22)

A

Ewing’s sarcoma

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5
Q

t(15;17)

A

AML

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6
Q

Cancer associated with myasthenia gravis

A

Thymoma

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7
Q

Cancer associated with aflatoxin

A

Hepatocellular carcinoma

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8
Q

Cancer associated with schistosoma haematobium

A

Squamous cell carcinoma of the bladder

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9
Q

Cancer associated with EBV

A

B cell lymphoma
Nasopharyngeal carcinoma

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10
Q

Cancer associated with HPV

A

Squamous cell carcinoma of the cervix

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11
Q

Erythropoietin
- Made by:
- Stimulus:
- Inhibition:
- What it does:
- Where it goes:
- 2nd messenger:
- Assoc. syndromes:

A
  • Made by: renal parenchymal cells
  • Stimulus: hypoxia
  • Inhibition: increased O2
  • What it does: stimulate erythropoiesis
  • Where it goes: bone marrow
  • 2nd messenger: tyrosine kinase
  • Assoc. syndromes:
    Gaisbock -> elderly
    Stress & spurious polycythemia
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12
Q

Aldosterone:
- Made by:
- Stimulus:
- Inhibition:
- What it does:
- Where it goes:
- 2nd messenger:

A
  • Made by: zona glomerulosa
  • Stimulus:
    1) hyperkalemia
    2) hypovolemia
    3) hyponatremia
  • Inhibition: hypervolemia
  • What it does: stimulate Na/K pumps & increase activity
    1) Na in with 3x H2O
    2) K out
    3) H out
  • Where it goes: late DCT, early CD, ascending colon
  • 2nd messenger: none
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13
Q

Cortisol
- Made by:
- Stimulus:
- Inhibition:
- What it does:
- Where it goes:
- 2nd messenger:
- Assoc. syndromes:

A
  • Made by: zona fasciculata
  • Stimulus: stress/hypoglycemia
  • Inhibition: hyperglycemia
  • What it does: upregulates ALL receptor during stress
  • Where it goes: everywhere
  • 2nd messenger: none
  • Assoc. syndromes:
    Adrenal insufficiency - too little
    Cushing syndrome - too much
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14
Q

Physiological actions of cortisol

A

1) proteolysis: turning proteins into glucose (catabolic action)
2) gluconeogenesis
3) upregulates all receptors (permissive in stress)

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15
Q

Testosterone
- Made by:
- Stimulus:
- What it does:
- Where it goes:
- 2nd messenger:
- Assoc. syndromes:

A
  • Made by: zona reticularis & testes (Leydig cells)
  • Stimulus: ACTH, GnRH -> LH -> testosterone
  • What it does:
    1) controls male external genitalia in utero
    2) incr appetite, aggression, violence
    3) incr libido
    4) incr RBC count
  • Where it goes: testes, bone, muscle
  • 2nd messenger: none
  • Assoc. syndromes:
    Adrenal insufficiency - too little
    Hirsutism - too much
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16
Q

Immunosuppressive actions of cortisol (5)

A

1) Kills T cells and eosinophils
2) inhibits phospholipids A
3) inhibits macrophage migration so body cannot process antigens
4) stabilizes endothelium, macrophages cannot enter tissues
5) stabilizes mast cells, so they cannot degranulate

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17
Q

What vitamin would you want to put polycythemia patients on?

A

Folate
(B/c they are making rapidly dividing cells)

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18
Q

Dx of scaphoid abdomen and no bowel sounds on the left

A

Diaphragmatic hernia
(Will hear bowel sounds on chest exam)

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19
Q

What drug could take place of aldosterone?

A

Fludrocortisone

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20
Q

What drug could take the place of cortisol?

A

Hydrocortisone

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21
Q

What sensory information does not cross through the thalamus?

A

Olfactory nerve

22
Q

What neurotransmitter controls hallucinations?

23
Q

What neurotransmitter causes hallucinations?

24
Q

DOC for male patterned baldness
What is MOA?

A

Finasteride
MOA: blocks 5-alpha reductase

25
In the thalamus, all information labeled “lateral” controls what?
Arms
26
Changes d/t chronic hypoxia (3) (Think about why athletes train at high altitude)
1) mitochondrial density increases in muscles 2) angiogenesis 3) erythropoiesis
27
Common causes of renal cell carcinoma
1) VHL 2) Tuberous sclerosis 3) Li Fraumeni
28
In the thalamus, all information labeled “medial” controls what?
Legs
29
Broad category of drugs that cause vertical or rotary nystagmus What is their MOA?
Amphetamines MOA: - Taken up presynaptically causing release of catecholamines - increase neurotransmitters specifically NE and DA
30
DOC for temporal lobe seizures
Carbamazepine (Na channel blocker) -> hallucinations precede seizures
31
What brain region should you suspect if deficiencies in hearing and balance?
Temporal lobe (CNVII & CNVIII are found running through here)
32
What brain changes are seen in schizophrenia?
Frontal Lobe changes - loss of symmetry = asymmetry seen - enlargement in ventricles
33
What is stress jaundice? What is seen: unconjugated levels or conjugated levels?
Gilbert syndrome Decreased conjugation => elevated unconjugated bilirubin
34
Dx of cracked corneal lacerations (Linear, branched)
Herpes Keratitis Avoid steroids Dendrites
35
What cancer can present with depression?
Pancreatic
36
Most common causes of sinusitis (5)
1) Allergies 2) Virus 3) S pneumo 4) H influenzae 5) N catarrhalis DM -> Mucor, Rizor
37
DOC for prostate cancer What is the MOA?
Flutamide MOA: blocks DHT receptors
38
What is the main form of testosterone in women?
DHEA-S (Dehydroepiandrosterone-sulfate)
39
What controls the development of male genitalia? - inner half - outer half
Inner half -> Müllerian Inhibiting Factor Outer half -> Testosterone
40
What is the PR segment of EKG?
AV nodal pause or Sustained atrial contraction
41
What is the PR interval?
Atrial conduction time
42
Only antibiotic that covers staph epidermidis
Vancomycin
43
What are the top 3 bacteria for babies?
1) Group B strep 2) E. coli 3) Listeria
44
What are the top antibiotics for babies?
1) Ampicillin/Gentamicin 2) Ampicillin/Ceftriaxone
45
DX (MCC) of paroxysmal supraventricular tachycardia in teenagers
Wolff-Parkinson-White EKG finding = delta wave d/t accessory pathway around the AV node Drug contraindicated = Digitalis - stimulates vagus -> slowing SA/AV conduction
46
EKG findings for atrial depolarization - what part? - what phase of action potential? - what ion is moving and where?
- P wave - phase 0 - calcium moving in
47
EKG findings for ventricular depolarization - what part of EKG? - specifically: Q? R? S? - What phase of action potential? - What ion is moving and where?
- QRS complex Q -> septum R -> Anterior wall S -> Posterior wall - phase 0 - sodium moving in
48
EKG findings for ventricular contraction - what part of EKG? - what phase of action potential? - what ion is moving and where?
- ST segment - phase 2 - Calcium moving in
49
EKG findings for ventricular repolarization - what phase of EKG? - what phase of action potential? - what ion is moving and where?
- T wave - phase 3 - potassium is moving out of
50
What is the U wave on an EKG? - what phase of action potential? - what ion is moving and where?
- automaticity - phase 4 - Na/Ca exchange