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PBD Quiz 1
UFCOP
93
Medical
Graduate
09/01/2008

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Term
Idiopathic
Definition
Self-originating or without any known cause.
Term
Etiology
Definition
Study of the cause of any disease or the theory of its origin.
Term
Symptom
Definition
Changes in body function felt by the patient.
Term
Sign
Definition
Changes in body functions observed by others.
Term
Syndrome
Definition
Characteristic group of signs and symptoms that make up a disease.
Term
Morphology
Definition
Refers to the fundamental structure or form of cellular tissues.
Term
Physiology
Definition
Deals with the functions of the body.
Term
Complication
Definition
New or separate process; may arise secondarily to changes produced by the original disease or outcomes resulting from the treatment of the disease.
Term
Pancytopenia
Definition
Condition in which there is a decrease in RBC, WBC, and platelets.
Term
Pathogenesis
Definition
The sequence of events from the time of contact to the expression of a disease; mechanism of development of a disease.
Term
Pathology
Definition
Deals with the study of the structural and functional changes in cells, tissues, and organs of the body that cause or are caused by disease.
Term
Idiopathic
Definition
Self-originating or without any known cause.
Term
Mosaicsm
Definition
Refers to the presence of multiple genotypes within an individual.
Term
Chronotherapeutics
Definition
The synchronization of medications with biological rhythms to opptimize treatment outcomes and minimize side effects.
Term
Sequelae
Definition
Outcome of the disease; lesions or impairments that follow or are actually caused by the disease.
Term
Cystic Fibrosis
Definition
Autosomal recessive gene; most common lethal single gene defect; 1:2500 white births in US; altered electrolyte transport of chloride ion across epithelial cell membrane; defect in CFTR; exocrine disorder
Term
Histology
Definition
The study of the cells and extracellular matrix of tissues.
Term
Polymorphism
Definition
Genes that have more than one normal allele at the same locus.
Term
Iatrogenic
Definition
Adverse condition in a patient induced by treatment.
Term
Thrombocytopenia
Definition
A decrease in the number of circulating platelets to a level less than 100,000/mL.
Term
Negative Feedback
Definition
A feedback system that produces a response in the opposite direction.
Term
Congenital
Definition
Conditions that exist at birth.
Term
Positive Feedback
Definition
A feedback system that produces a response in the same direction.
Term
Phenotype
Definition
The expression of ones genotype.
Term
Familial Hypercholesterolemia
Definition
Autosomal dominant disorder; chromosome 19; most common of all Mendelian disorders; frequency of heterozygotes is 1:500 in general population; lack of LDL surface receptor
Term
Hemizygote
Definition
Condition in which there is no corresponding allele.
Term
Acquired Defects
Definition
Defects caused by events that occur after birth.
Term
Exacerbation
Definition
Increase in the severity of a disease or any of its signs or symptoms.
Term
Risk Factors
Definition
Factors that predispose or contribute to the development of a particular disease.
Term
Aneuploidy
Definition
When a cell contains an abnormal number of chromosomes.
Term
Genotype
Definition
The genetic makeup of an individual.
Term
Pathophysiology
Definition
Deals with the physiology of altered health; study of disordered function.
Term
Klinefelter's Syndrome
Definition
Syndrome characterized by a sex chromosome addition. 1/500-1000 live births. Phenotypical male, sterile, sparse body hair, gynecomastia, tall.
(47,XXY)
Term
Autosomal Recessive Genes
Definition
Inborn errors of metabolism; gene either does not function or produces a crippled form of protein (enzyme)
Term
Down Syndrome
Definition
Trisomy 21 - most common live birth. 1/650-700 births. Over 200 physical abnormalities, mental retardation, short stature, hypottonia, Simian crease, very loving/affectionate. Most commonly occurs due to nondisjunction but translocation (3% of cases) can be inherited.
(47XY+21)
Term
Karyotype
Definition
Identification of individual chromosomes prepared by slides during metaphase.
Term
Monosomy
Definition
1 copy of a chromosome
Term
Turner's Syndrome
Definition
Syndrome caused by deletion of a sex chromosome. Phenotypical female, sterile, short stature, webbed neck. 1/2500 newborn females.
(45,XO)
Term
Fetal Alcohol Syndrome
Definition
Syndrome characterized by carniofacial signs (narrow upper lip, small chin, shortened palpebral fissures, absence of ridges between nose and upper lip); small for gestational age; CNS abnormalities
Term
Lesion
Definition
A pathologic or traumatic discontinuity of a body organ or tissue.
Term
Codon
Definition
Group of 3 nucleotides.
Term
Phenylketonuria
Definition
Autosomal recessive gene; problem at chromosome 12; 1/14,000 births; phenylalanine hydroxylase deficiency which leads to accumulation of phenylalanine.
Term
Homeostasis
Definition
Maintenance of constant conditions in the internal environment.
Term
Teratogenic Disease
Definition
Developmental defects arising during the embryonic period development.
Term
Insidious
Definition
Gradual and subtle development.
Term
Cri du chat
Definition
Deletion of part of the 5th chromosome. Typically characterized by cardiovascular abnormalities (50%) and mental and growth retardation (IQ ~ 20). 1/50,000 live births.
(5p-)
Term
Polygenetic Disease
Definition
Disease caused by multiple genes; multifactorial (cooperation of many genes and environmental risk factors); pattern of disease cannot be predicted.
Term
Pharmacogenomics
Definition
The study of how inherited genetic differences can influence the individual responses to drugs and may help to individualize drug therapy in the future.
Term
Penetrance
Definition
Refers to the percentage of individuals with a specific genotype who also exhibit the expected phenotype.
Term
Petechia
Definition
A tiny, perfectly round, purplish red spot that appears on the skin as a result of minute intradermal or submucous hemorrhage.
Term
Trisomy
Definition
3 copies of a chromosome.
Term
Polycythemia
Definition
An abnormally high total RBC mass with a hematocrit greater than 50%.
Term
Anemia
Definition
An abnormally low number of circulating red blood cells or level of hemoglobin, or both.
Term
The most useful yardstick of health is the ability of an organism to _______ to the external environment to maintain homeostasis.
Definition
Adapt
Term
Name three requirements of a feedback system.
Definition
1. Sensor
2. Integrator
3. Effector System
Term
Name four effector systems.
Definition
1. Sudomotor
2. Vasomotor
3. Metabolic
4. Behavioral
Term
What % of population is considered normal?
Definition
Top 95th percentile; those within 2 SD of a population.
Term
What is considered normal for serum sodium levels?
Definition
135-145 mM
Term
What is considered normal for serum potassium levels?
Definition
3.3-5 mM
Term
What is considered a normal serum level of hemoglobin concentration?
Definition
12-17 g/dL
Term
What are four sources of variation?
Definition
1. Genetics
2. Life History
3. Measurement of variable
4. Biological Rhythm
Term
Strokes and heart attacks occur most frequently in which time period?
Definition
6 AM - 12 PM
Term
Name one function of a B-blocker.
Definition
Blocks sympathetics in the heart to decrease the heart rate.
Term
What is a sub-clinical stage of a disease?
Definition
Stage where the patient appears to function normally even though the disease is established.
Term
What are the five most prominent sets of patterns/changes in disease over the past 100 years?
Definition
1. Decline of infectious disease
2. Rise of degenerative ailments.
3. De Novo diseases (AIDS, SARS)
4. Reemergence of old diseases.
5. Transmuted diseases
Term
What is the typical lifespan of erythrocytes?
Definition
120 days

*Includes reticulocytes (immature RBC's)
Term
What is the typical lifespan of leukocytes?
Definition
Several hours to 1 day
Term
What is the typical lifespan of platelets?
Definition
8-10 days
Term
What is a normal hematocrit for a male and female?
Definition
Male: 42-52%
Female: 37-48%
Term
There are over _____ genetic diseases known today.
Definition
8000
Term
Aneuploidy is a result of ______.
Definition
Nondisjunction
Term
Single gene defects are __-__% of all live births.
Definition
1-3%
Term
Familial hypercholesterolemia heterozygotes have typical serum cholesterol levels of _____.
Definition
300-400 mg/dL
Term
Familial hypercholesterolemia homozygotes have typical serum cholesterol levels of _____.
Definition
600-1200 mg/dL
Term
Hemophilia, color blindness, fragile X syndrome, and some forms of muscular dystrophy are all ______.
Definition
X-linked defects
Term
Organogenesis occurs during the __-__ weeks after conception.
Definition
2-8 weeks
Term
What does TORCH stand for?
Definition
toxoplasmosis, other, rubella, cytomegalovirus, herpes
Term
What is the mode of action for Thalidomide?
Definition
Inhibition of TNF-alpha.
Term
What is the proper daily dosage of folic acid to take for women?
Definition
400 micrograms
Term
Name three clinical signs/syndromes associated with fetal alcohol syndrome.
Definition
1. Craniofacial
2. Short (height, weight)
3. CNS abnormalities
Term
What are the two most common disorders that can be detected during pregnancy?
Definition
Down Syndrome and NTD (neural tube defects)
Term
Name four sources of folic acid.
Definition
1. Dark green, leafy vegetables
2. Whole wheat bread
3. Oranges/Grapefruits
4. Lightly cooked beans/peas
Term
What is an indication of a neural tube defect?
Definition
a-FP 4-5 standard deviations above mean
Term
What is a triple screen test and when is it performed?
Definition
Performed 16-20 weeks after gestation.

Tests for a-FP, HCG, and unconjugated estriol
Term
When does a-FP peak in maternal blood?
Definition
32 weeks (14-16 weeks in fetus)
Term
What does high and low levels of a-FP typically indicate?
Definition
High: neural tube defects
Low: Trisomy 21
Term
What does low unconjugated estriol typically indicate?
Definition
Trisomy 21
Term
What does high HCG levels typically indicate in a triple screen?
Definition
Trisomy 21
Term
When is amniocentesis performed?
Definition
~16th week of pregnancy
Term
Name 5 indications for amniocentesis.
Definition
1. >35 years old
2. Previous child has a cytogenic, CTD
3. Abnormal ultrasound
4. X-linked carrier
5. Heterozygote parent of autosomal recessive disorder
Term
Name 4 things that an amniocentesis can detect.
Definition
1. Cytogenic disorders
2. X-linked disorders
3. NTD (measurement of a-FP)
4. Inborn errors of metabolism
Term
When should PUBS (percutaneous umbilical blood sampling be conducted)?
Definition
~16th week
Term
When should CVS (chorionic villi sampling) be performed?
Definition
~8-12th week (1st trimester only)
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