TEst 89 Flashcards Preview

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Flashcards in TEst 89 Deck (38):
1

Hysterectomy>
unintentional ureteral ligation>
distension of renal pelvis and kidney>
flank pain that radiates to the groin and a palpable mass (the kidney) on deep abdominal palpation

watch out for hysterectomys

2

asymptomatic course of proggressivley worsening uremia

APCKD

3

painless hematuria, flank pain, palbable mass

Renal cell carcinoma

NOT likely to occur folowing a pelvic procedure

4

displacement

from person to object

5

sublimation

unacceptable drives redirected toward acceptable target

6

reaction formation

unacceptable feelings ignored and redirected twaords opposite

7

contralateral superior quandrantopia

Pie in the sky

Temporal
Meyers lobe

8

nontypable H influenza strains

strains of h inlufenza that DO NOT form an antiphagocytic capcsukle



...Part of the NORMAL flora of URT that can cause otitis media, sinusitis and bronchitis


Hib vaccine only gives you immunity to capsular strains

9

MC causes of frequent acute otits medai

h influenza
s. pneumonia

10

BRAF

Protein kinase involved in activation of signaling pathways for MELANOCYTE proliferation

BRAF V600E mut seen in 40-60% of pts w/ melanoma

11

MCC of esophagitis

GERD

12

mechanism responsible for GERD

GE jxn incompetence

repeated exposure of esophageal mucosa to acidic gastric contents> chemical injurya nd inflammatory reaction

13

basal zone hyperplasia
elongation of LP and inflammatory cells (eosinophils, neutrophils, lymphocytes)

GERD

14

FF

GFR/RPF

RPF= RBF x (1-Hematocrit)

15

zolpidem

SHORT acting hypnotic med UNRELATED to benzos

same action as benszos but lower risk of tolerance and dependence

16

TEmazEPAM
estraZOLAM

BENZOS hypnotics w/ med duration

HIGHER risk of addiction/tolerance

17

Triazolam

SHORT acting hypnotic belonging to BENZO class

MORE physical dep b/c of short t/12

18

Flurazepam

long acting benzo used for tx of insomnia

19

Neutrophil chemotaxis

Leuk B4
5HETE
C5a
kallikrein

20

anemia in woman of childbearing age

IDA secondary to menstrual blood loss

21

Estrogens affects on HMGCoA reductase

increases biosynthesis of cholesterol by increaseing HMG-CoA reductase activity

22

Medication that suppresses cholesteral 7a hydroxylase activity and reduces convesrion of cholesterol to bile acids> excess cholesterol secretion in bile

Fibrates


(reduced conversion of choleslterol into bile acids> increased concentration of cholesterol in the bile)

23

B6 def caused by isoniazid

isoniazid is structurally similar to B6>
increases hte urinary excretion of B6 and competes for bit B6 binding sites>
defective syntehsis of NT like GABA

24

Metalloproteinases

Zn containing enzymes that DEGRADE extracellular matrix

participate in normal tissue remodeling and in tumor INVASION through the BM and CT

25

Detachment of tumor cells

down regulation of E cadherins

26

Detached tumors cells ahve increased ability to adhere to BM

increased expression of laminin and other adhesion molecules

27

Invasion of BM by tumors

metalloproteinases and cathepsin D protesase

28

Acute RF cause of death

heart failure d/t myocarditis

29

MTX

antimetabolite that is structurally similar to FOLIC ACID

INHIBITS DHFR> decreased THF

30

marked one sided kidney atrophy

renal artery stensosis

atherosclerotic changes in elderly

fibromuscular dysplasia in woman of childbearing years

31

used to tx focal dystonias, achalasias and spasms

c. botulinum

gram + spore forming anaerobic rod

32

poly most liikely to progress to adenocarcinoma

villous

33

mitochondrial vacuolization

signn of irreversible injury

mitochondria are permanently unable to genrate ATP

34

disaggregation of grnaular and fibrilar elements of the nuculeus

glycogen loss

myofibril relaxation

disaggregation of polysomes

reversible injury

35

paraoxysmal berathlessnessa nd wheezing in a young patient

extrinsic allergic ashma

36

sputum of asthmatic

eosinophils and charcot leden crystals (crystalloid mass)

activated by IL5 secreted by TH2

37

Cardio SE of carcinoid syndrome

Right sided endocardial fibrosis> pulmonic stenosis/restrictive cardiomyoipathy


severoity relates to levels of 5HAA

38

omalizumab

inhibits IgE binding to mast cells