Test 58: All Flashcards

(50 cards)

1
Q

Role of T tubules

A
  • transmit depolarization signals to sarcoplasmic reticulum
  • trigger release of calcium
  • ensure coordinated contraction of all myofibrils
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2
Q

How can Aspergillus present in the lung

A

“fungus ball”

Colonizes pre-existing lung cavities

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3
Q

Allergic bronchopulmonary aspergillosis is seen in who

A

asthma and cystic fibrosis patients

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4
Q

type of bias: investigator’s decision is affected by pro knowledge of exposure status

A

observer bias

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5
Q

Type of bias: subjects are selected for a study or from selective losses during follow-up

A

selection bias

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6
Q

type of bias: inaccurate patient recall of past exposure

A

Recall bias

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7
Q

type of bias: apparent prolongation of survival in patients who underwent a screening test that allowed for earlier diagnosis but did not improve prognosis

A

lead-time bias

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8
Q

what is confounding

A

at least part of the exposure-disease relationship can be explained by another variable

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9
Q

What is cohort study?

A

determine risk factor and then follow patient over time to see if they develop the disease

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10
Q

study designed by selecting patients with a particular disease and without the disease and then determine their previous exposure status

A

case-control study

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11
Q

Fixed splitting of S2 is found in what defect

A

atrial septal defect

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12
Q

Physical findings for Eisenmenger syndrome

A

clubbing and polycythemia

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13
Q

What is an irreversible change that occurs in Eisenmenger syndrome

A

pulmonary vessels

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14
Q

what pharmacologic receptor antagonists help clear asthma

A
  1. acetylcholine antagnost

2. Leukotirenes ( LTC4, LTD4, LTE4)

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15
Q

Name 2 leukotriene D4 receptor antagonists used in asthma

A
  1. Zafirlukast

2. Montelukast

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16
Q

Name an antimuscarinic agent that blocks M3 receptors in airway smooth muscle and submucosal glands

A

Ipratropium

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17
Q

MOA of Milrinone

A

phosphodiesterase (PDE)-3 enzyme inhibitor

- increase cAMP

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18
Q

placed a chest tube through the skin and subcutaneous fat into 4th or 5th intercostal space in anterior axillary or midaxillary line goes through that muscle for drainage of pleural effusion

A
  • serratus anterior
  • intercostal muscles
  • parietal pleura
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19
Q

Pernicious anemia ( vitamin B12 Deficiency) is caused by what autoimmune problem

A
  • destruction of parietal cells ( chronic atrophic gastritis)
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20
Q

what do parietal cells secrete

A
  • HCl

- intrinsic factor

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21
Q

in the stomach layers what does the upper glandular layer and the deeper aspect of gastric glands secrete

A

upper: parietal cells
deeper: pepsinogen, chief cells

22
Q

what phase are primary oocytes in females still in womb

A

prophase of meiosis I

23
Q

prior to fertilization, secondary oocytes are arrested in what phase

A

metaphase of meiosis II

24
Q

What is the most common cause of lung abscesses

A

anaerobic bacteria from gingivodental sulcus

25
A significent mismatched defect on ventilation-perfusion scan is a specific finding for
pulmonary embolism
26
Gold standard for pulmonary embolism
pulmonary angiography | - costly and treatment delay
27
When body mounts a response against mycoplasma it also attacks what
RBCs leading to anemia causing cold agglutinins
28
2 pyruvate deficiencies that cause anemia
1. glucose-6-phosphate | 2. pyruvate kinase deficiency
29
BH4 tetrahydrobiopterin is an important cofactor for what
1. phenylalanine hydroxylase | 2. tyrosine hydroxylase
30
1 day old child has hyperphenylalaemia and elevated prolactin what what
deficiency of dihydrobiopterin reductase BH4
31
Tyrosinase deficiency causes
albinism
32
Of the 5 major transmembrane glucose transport proteins ( GLUTs), which one is responsive to insulin
GLUT 4
33
Where is GLUT-4 predominantly expressed
1. skeletal muscle cells | 2. adipocytes
34
Name bacteria's that produce IgA protease
1. S. pneumoniae 2. H. influenza 3. Neisseria
35
Clinical feature of disseminated gonorrheal infecton
1. arthritis 2. dermtitis 3. tenosynovitis
36
The patient should be advised to expect what during the first month following a vasectomy
viable sperm remain in portion of vas deferent distal to ligation.
37
Limited Scleroderma is associated with what syndrome
CREST syndrome
38
What is CREST syndrome
``` Caclinosis Raynaud phenomenon Esophageal dysmotility Sclerodactyly Telangiectasia ```
39
CREST syndrome is associated with what antibody
anit-centromere antibody
40
What antibody is specific for systemic sclerosis
anti-DNA topoisomerase
41
Anti-histone antibodies are specific for
drug induced lupus
42
anti-dsDNA antibodies specific for
systemic lupus erythematosus
43
Anti-Ro-/SSA and Anti-La/SSB are specific for
Sjogren syndrome
44
Definition of Menopause
permanent cessation of menses for 12 months
45
What hormone is increased in menopause
FSH
46
What is Meckel Diverticulum
remnant of omphalomesenteric ( vitelline) duct
47
What may the Meckel diverticulum contain
- ectopic acid-secreting gastric mucosa | - pancreatic tissue
48
role of ferritin
cellular iron storage protein
49
role of transferrin
- transport iron through the plasma
50
during states of iron deficiency are what levels of transferrin in a female with irregular menses
high