Test 68 Flashcards

1
Q

Difficulty swallowing
blurred vision sudden onset
decreased compound muscle AP

A

c. Botulinum

3Ds:
diplopia
dysphagia
dysphonia

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2
Q

progressive neurodegeneration
cherry red macular spot
NO heptaosplenomeglay

A

Tay sachs

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3
Q

Tay sachs enzyme def

A
def in B hexosaminidase A>
GM2 ganglioside accumulation
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4
Q

Angiokeratomas
cardiac and renal involvement
painful neuropathy

A

ceramide trihexosidase

alpha galactosidase (SAUCERS)

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5
Q

Mphages that look like crumped tissue paper
hepatsplenomegaly
pancytopenia
severe bone and joint pain

A

glucocerebroside

B glucocerebrosidase

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6
Q

Gargoylism
corneal clouding
hepatpslenomegaly

A

Dermatan and heparin sulfate

AL iduronidase

Hurler syndrome

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7
Q

Huler + NO cornelal clouding

A

iduronate sulfatase

HUNTER

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8
Q

Hepatosplenomegaly
cherry red spot on macula
foam cells

A

Sphingomyelin

sphingomyelinase

NP Disease

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9
Q

progressive neruodegeneration and optic atrophy

galactocerebroside accumulation

A

Krabbe

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10
Q

muscle wasting
dementia
ataxia

cerebroside sulfatide accumulation

A

Metachromatic leukodystrophy

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11
Q

cerebellar ataxia
loss of position/vibration sensation
kyphoscoliosis
hypertorphic cardiomyopathy

A

Friedrich ataxia

chrom 9= frataxin> needed for normal mito fxn

degeneration of SPINOCEREBELLAR TRACTS

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12
Q

Cerebral cortex atrophy

A

alzheimers

Pick dsiease

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13
Q

loss of neruons in AH of spinal cord

A

poliomyelitis

ALS

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14
Q

clusters of GRam + cocci

A

S. Aureus

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15
Q

VF that forms part of OUTER peptidoglycan layer of S. aureus and BINDS Fc portion of IgG Abs at complement binding site to prevent complement activation

A

Protein A

decreased opsonization and phagocytosis

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16
Q

hemolysin

A

secreted by S. aureus

causes hemolysis and destruction of neutrophils, mphages, platelets

17
Q

IgA proteases

A

S. pneumoniae
N. gonorrhea

cleave IgA Abs> prevent them from interfering w/ bacterial adhesion to mucous membranes

18
Q

how does low estrogen lead to lower bone mass

A

hypoestrogenic states>
over expression of RANK rkeceptors>
increase osteoCLAST activity>
increased bone resorption

19
Q

why do smaller spherules collpase before larger ones?

A

law of laplace

as radius of sphere w/ constant ST decreases, the distending pressure decreases

surfactant counteracts alveolar collapse by DECREASING ST as alveolar radius decreases

P=2T/r (smaller radius> higher P)

20
Q

develops on chronically sun ezposed areas on skin

sandpaper liek texture

potential to progress to Sq CC

A

ACtinic Keratosis

21
Q

actue atopic dermatitis

A

infants and children

ghihly pruritic erythematouc papules and plaques (spongiosis> edema of epidermis)

22
Q

xmas tree pattern

solitary pink/brown sclay plaque w/ cnetral clearing (herald patch)

A

pityriasis rosea

23
Q

well circumscribed raised papules and plaques covered w/ a thick sivery sclae on EXTENSOR areas

24
Q

antiretroviral agents that bind to HIV gp41

A

FUSION inhibitors

EnFURVITIDE

25
gp120
HIV ATTACHMENT to target cells
26
APKD> berry aneurysm> | Used to prevent cerebral vascular SPASM following subarachnoid hemorrhage
CCB (Nimodipine) decrease morbidity and mortality d/t cerebral vasospasm
27
Amphotericin B
Binds ERGOSTEROL of fungal cell membrane....but it also binds CHOLESTEROL to some degree> toxicity in human tissues (nephrotoxicity, hypokalemia, hypomagnesemia) Nystatin does this too but it's too toxic for human use
28
inhibit cyt p450
Fluconazole | Itraconazole
29
Chlorpromazine | Thioridazine
LOW potency antipsychotics sedation anticholinergic orthostatic hypotn
30
Haloperidol | fluphenazine
HIGH potency antipsychoitc extrapyramidal sxs (dystonia, akathisisa, perkinsonism)
31
marked intrahepatic bile duct prolifeartion portal tract edema nad fibrosis parenchymal cholestasis
Extrahepatic biliary atresia
32
priamry histologic finding in pts w/ eczematous dermatitis (contact dermatitis)
spongiosis
33
LATEARL to inferior epigastric vessels continue into scrotum felt by deep palpation of external ring
INDIRECT
34
MEDIAL to inf epi vessels | do NOT protrude into scortum
DIRECT