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5-3-12
1 test
25
Health Care
8th Grade
05/03/2012

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Cards

Term
Most common relative concentrations of calcium in serum & urine in idiopathic kidney stones?
Definition
Hypercalciuric, normocalcemia (50% of cases)
OR
Normocalciuric, normocalcemia
Term
What cell mediates Type I hypersensitivity reaction by producing histamindase & arylsulfatase?
Definition
Eosinophils

Also bind Fc of IgE when killing parasites
Term
Where does the AA attach on the tRNA?
Definition
3' end
Term
Which pneumoconiosis:
1) has increased risk for TB
2) Looks like sarcoidosis (noncaseating granulomas in lungs, hilar nodes, & tissues)
3) Eggshell calcifications & birefringent particles in fibrotic nodules
4) increased risk for lung cancer but not mesothelioma
5) ferruginous bodies
6) increased risk for lung cancer > mesothelioma
Definition
1) Silicosis
2) Berylliosis
3) Silicosis
4) Berylliosis
5) Asbestosis
6) Asbestosis
Term
Name enzyme:
1) Accumulation of glycogen in vesicles & cardiomegaly
2) painful muscle cramps & myoglobinuria w/ exercise. Lots of glycogen in muscle.
3) Severe fasting hypoglycemia w/ increased liver glycogen & lactic acidosis at a very young age
4) Milder form of VonGierke's
Definition
1) Acid maltase (alpha1,4-glucosidase); Pompe's disease
2) SM glycogen phosphorylase; McArdle's
3) Glucose6phosphatse; VonGierke's
4) Debranching enzyme (alpha1,6-glucosidase); Cori's disease
Term
1) What do you need to convert Oxaloacetate to PEP?

2) What step in the Kreb cycle do you get this factor?
Definition
1) GTP
2) Succinyl CoA -> Succinate
Term
What routes of administration obviate significant first-pass metabolism?
Definition
IV, Sublingual, Rectal
Term
How do you differentiate the different staph?
Definition
All are catalase+
S.aureus is coagulase+
S.epi & S.sapro are coagulase-
S.sapro is novobiocin resistant
Term
What/which bacteria:
1) Has same type of toxin as Diphteria?
2) Toxin inactivates Gi?
3) Toxin depolymerizes actin -> cell death
Definition
1) Pseudomonas
2) Pertussis
3) C.diff (death of colonic mucosa -> pseudomembrane)
Term
Name uterine structure:
1) goes to labia majora
2) Contains uterine artery
3) Contains ovarian vessels
4) Passes over ureter
5) connects ovary to uterus
Definition
1) Round ligament
2) Cardinal ligament
3) Suspensory ligament
4) Uterine artery
5) Ovarian ligament
Term
baby born w/ overlapping fingers
Definition
Trisomy18 (edwards)

Remember that Trisomy13 (patau) has cleft lip/palate, polydactyly and omphalocele. both conditions have rocker-bottom feet

micrognathia, eye defects, low set ears, microcephaly, NTDs, retardation, clenched hands, overlapping fingers, rocker-bottom feet, meckel's diverticulum, malrotation
Term
MOA of GABA-a and GABA-b receptors
Definition
GABA-a = Cl- channel (Cl influx -> depoloarization)

GABA-b = GPCR -> increase K+ efflux and decrease Ca++ influx. This channel is targeted by baclofen (used in "spasticity")
Term
Point tenderness in many places including spine of scapula, lateral epichondial, medal fat pad of knee. Pain with exercise. Morning stiffness
Definition
Fibromyalgia

ASIDE: polymyalgia rheumatica is characterized by morning stiffness of muscles in neck, shoulder, and girdle. Weight loss & elevated ESR are characteristic. It has an association w/ temporal arteritis
Term
Milrinone MOA? How does it work in heart & smooth muscle?
Definition
PDE3 inhibitor -> increases cAMP

HEART: PKA -> phosphorylate L-type Ca2+ channels & phospholambin -> increase intracellular Ca2+
(ASIDE: phospholambin inhibits SERCA)

Smooth Muscle: PKA -> phosphorylates MLCK (inactivates it)
(ASIDE: PKG -> phosphatase ->dephosphorylates myosin light chain -> relaxation
Term
Name what type of vessel each drug dilates best:
1) Nitroglycerin
2) Alpha1 blockers
Definition
1) Veins
2) small arteries & arterioles

NOTE: precapillary sphincters are controlled by local CO2, O2, and epinephrine levels
Term
Say which benzos are short, medium, or long-acting:
Diazepam, lorazepam, Triazolam, Oxazepam, Midazolam, Chlordiazepoxide, Alprazolam
Definition
Ultra short acting: Midazolam (used for surgical induction)

Short (<6 hrs): Triazolam, oxazepam (used for sleep)

Medium (6-24hrs): Lorazepam, Alprazolam

Long (>24hrs): Chlordiazepoxide, Diazepam

note: oxazepam, temazepam, lorazepam are not liver metabolized

Remember, flumazenil for overdose
Term
describe micturation reflex
Definition
http://highered.mcgraw-hill.com/sites/0072495855/student_view0/chapter27/animation__micturition_reflex.html
Term
H.pylori infecting antrum

H.pylori infecting body/fundus
Definition
Antrum: increased acid & duodenal ulcers

Body/fundus: decreased acid production, atrophic gastritis/gastric ulcers, intestinal metaplasia, increased risk for gastric adenocarcinoma

Both, however, are associated with MALTomas
Term
Lung cancer presenting as pneumonia-like consolidation. Many mucus-secreting columnar cells that grow along preexisting bronchioles. Not associated w/ smoking.
Definition
Bronchoalveolar carcinoma

I got this question wrong b.c. I said it was a "benign" neoplasm. It is malignant, but doesn't invade vasculature or stroma.
Term
Fick principle
Definition
Cardiac output = (O2 consumption)/(AV O2 difference)
Term
Most common cause of asthma?
Definition
extrinsic inhaled allergens (e.g. pet dander)

Exercise & cold-induced types are less common
Term
Intermittent respiratory Sx in a pt w/ normal CXR, occasional sputum eosinophils, and reduced FEV1
Definition
Asthma
Term
ANP & BNP

Where are they secreted?
Can the ventricles secrete ANP?
Definition
ANP is secreted by the atria
BNP is secreted by the ventricles

ANP can be secreted by the ventricles when there is pathological hypertrophy or volume overload
Term
Drug for male-pattern baldness & BPH
Definition
Finasteride
Term
Paranasal sinus involvment causing headache & nasal stuffiness in diabetics in DKA or immunosuppressed
Definition
Rhizopus, Mucor and Absidia spp.

they only exist in mold form. Form broad, nonseptate hyphae that branch @ wide (often 90 degree) angles

Treated w/ amphoB
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