Test 70 Flashcards

1
Q

leading cause of cancer mortality in women

A

lung cancer

increased cigarette smoking

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2
Q

IL-2

A

stimulates grwoth of CD4 adn CD8 and B cells

also activates NK cells and monocytes (anti-cancer effect on metastatic melanoma and arenal cell carcinoma)

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3
Q

uniform thickening of the ventricular wall and narrowing of the ventrcicular cavity

A

concentric hypertrophy

seen w/ increased afterload

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4
Q

dilation of ventricle w/ associated increase in chamber size

A

volume overload

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5
Q

thalamic syndrome

A

total sensory loss on CONTRALATERAL side of hte body

*no motor deficits

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6
Q

lesion of internal capsule

A

motor deficit

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7
Q

ischemic event of the pons

A
coma
bilateral paralysis
cerecbrate rigidity
pinpoint pupils
death
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8
Q

small 5 mm cavities in hte basal ganglia, osterior limb of internal capsule, pons aand cerebellum are known as…

A

lacunar infarctions

d/t occlusion of small penetrating arteries in settin gof HTN or DM

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9
Q

small vessel lipohyalinosis and atherosclerosis

A

leads to lacunar infarctions

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10
Q

oligodendrocyte apoptosis

A

occurs in MS> demyelinating disease of CNS

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11
Q

loss of atrail contraction d/t a. fib

A

reduce LV preload and CO and can cause systemic hypotension

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12
Q

meconim ileus

A

specific for CF

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13
Q

accounts for 80% of eventual deaths d/t CF

A

tx resistant infectious pneumonias
bronchiectasis
cor pulmonale

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14
Q

fantasy

A

immature defense mechanism

substitutes imaginary, less distrubing view of world to avoid awareness of painful feelings

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15
Q

denial

A

refuse to acknoweldge a painful reality

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16
Q

Total resistance for vessels in parallel

A

1/ sum of inverse values for resistance

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17
Q
component of normal colonic and urogenital flora
grows in hypertonic saline and bile
gamma hemolytic
catalase negative
Pyrrolidonyl arylamidase positive
A

entercoccs

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18
Q

OPT resistant
bile insoluble

dental caries
SBE after dental work

A

s. viridans

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19
Q

opt sensitive
bile soluble

pneumonia
meningitis
otitis medai

20
Q

PYR +
bac sensitvite

cellulitis
pharyngitis
ersipelas

21
Q

PYR neg
CAMP pos

neonatal sepsis
pneumonia
meningitis
UTI

22
Q

grows in bilea nd 6.5 % na CL
PYR +

IE after GU procedures

A

enteroccoci

23
Q

gows in BILE but nOT NaCL
PYR _

IE assoc w/ CRC

A

strep bovis

24
Q

phenoxybenzamine

A

irreversible A1 and A2 adrenergic antagonist

HIGH conc of NE can overcome effect

25
Acyclovir valacyclovir famciclovir ganciclovir
nucleoside analogues that require both herpes viral and cellular kinases for conversion to active nucleoside triphosphate form
26
cidofovir | tenofovir
nucleoTide monophosphate requires ONLY cellular kinases fora ctivation
27
cell dep nucleosides
zidovudine | lamivudine
28
drug induced lupus
linked to drugs that aremetabolized by N acetylation in the liver (hydralazine, procainamide)
29
nitroprusside
short acting | venousa nd arterial VASODILATOR that decreass both preload and afterload
30
produces eggg shell calcifications of hilar nodes and birefringent particles surrounded by fibrous tissues
silicosis
31
calcified pleural plauqes and FERRUGINOUS bodies
asbestosis
32
non caseating granulomas
berylliosis and hypersensitivitiy pneumonitis
33
perilymphatic accumulations of coal dust laden mphages
coal miners lung
34
pure red cell aplasia
severe hypoplasia of marrow erythroid elements in setting of normal granulopoiesis and thrombopoiesis assoc. w? thymoma lymphocytic leukemias parvo B19
35
coadministartion of SSRIsa nd MAO inhbitors
can produce excessive synaptic 5HT levels secondary to decreased reuptake and decrased degradation> 5HT syndrome
36
cuase of claudication
ahtersclerosis of larger arteries
37
NSAID assoc chronic renal injury
papillary necrosis chronic interstitial nephritis only seen in advanced stages common in pts suffering from chronic pain
38
vit A def
causes night blindness fat soluble vitamin malabsorption (chronic cholestasis from biliary obstruction)
39
decreased exposure to sunlight
vit D def
40
strict vegetarian diet
cobalamin def
41
chronic renal faliure
itching d/t uremia
42
chronic hemolytic anemia (sickle cell)
retinopathy d/t relative ischemia
43
pts bleed coagulation cascade is activated PT and PTT are prlonged low fibrinogen and increased FDP
DIC
44
TTP-HUS
do not bleed only platelts activated normal PT nad PTT normal fibrinogen
45
HFE protein mutaiotns> decreased hepcidin synthesis> increased DMT1 expression by enterocytes> Fe overload
primary hemochromatosis at incrased risk for cirrhosis and hepatocellular carcinoma
46
scabies
highly contagious pruritic rash flexor surfaces dx w/ skin scrapings