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NMSKA
Test 1 Review
115
Medical
Graduate
10/07/2013

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Term
A person comes in with pain in a muscle. Is this articular or nonarticular?
Definition
Non articular
Term
A person comes in with pain in the synovium. Is this articular or nonarticular?
Definition
Articular
Term
What type of tissue conducts electrical impulses?
Definition
Neural
Term
What type of tissue is responsible for muscle action
Definition
Muscle tissue
Term
The ability to respond to stimulation is the specific muscle property known as
Definition
Excitability
Term
The ability to respond to continue to contract over a long period of over a range of lenghts is the muscle property known as
Definition
Extensability
Term
Cells are long, cylndrical, and multinucleated. What type of muscle fiber is this?
Definition
Skeletal muscle
Term
Cells are short, striated, and have intercalcated discs. What type of muscle fiber is this?
Definition
Cardiac muscle
Term
What system can you most assuredly find smooth muscle tissue
Definition
Digestive system
Term
Explain the process that is occuring at the neuromuscular junction
Definition
Action potential occurs, Calcium enters the presynaptic area, AcH releases and attaches to the motor end plate via receptor, entrance of these allow depolarization occur which Na to enter and cause the depolarizatin of the motor plate which in turn will stimulate action potential of muscle
Term
When action potential travesl through the presynaptic area it goes down to the DHP receptor, what receptor is activated which allows Ca to open through
Definition
Ranodine receptor
Term
what binds to tripomyocin preventing actin and myosin binding
Definition
Troponin
Term
how do we get the cocked position of myosin
Definition
Hydrolysis of ATP
Term
What is tetanus
Definition
Continuous twitch
Term
Which twitch fibers have more myoglobin, more oxygen
Definition
Type I, slow twitch fibers
Term
Soleus has more what type of twitch fibers
Definition
Type I
Term
What is the action of hemicholinium
Definition
blocking choline uptake
Term
What is the action of nicotine
Definition
mimicks AcH
Term
What is the action of botulinum?
Definition
stops AcH release
Term
What chain fibers are sensitive to length
Definition
group II afferents
Term
If I lengthen my muscle what muscle fibers will I use to contract the muscle?
Definition
IA muscle
Term
If I am seeking to do a golgi reflex tendon. what fiber is sought to be inhibited
Definition
alpha motorneuron
Term
Why does anerobic metabolism need lactate
Definition
we need the NAD+
Term
What does aerobic metabolism begin with
Definition
Acetyl CoA
Term
What are the features of cancer
Definition
cell imortality, invasion, loss of heterozygosity of tumor supressor gene,
Term
Patient comes in with an abscess. Upon lab examination, it is found to be gram +, coagulase +, protein A virulence, what type of organism is this?
Definition
Staphylcoccus Aureus.
Term
Idiot comes in with a swollen hand. Reports got in a fight a few days ago. The organism is found to be gram negative and rod shape. What organism is this?
Definition
Eikenella corrodens
Term
Patient comes in with symptoms of poyveridin and pyocyanin, he smells like grapes, was foudn to be a gram negative organism and rod shaped. What toxin blocks E2-F from this organism
Definition
Exotoxin A
Term
Patient comes in not feeling well. A sulfur granule is found to be upon needle aspiration and observation. What type of organism is this?
Definition
Actinomycosis
Term
What virus is highly associated with Burkett's Lymphoma
Definition
Epstein Bar virus
Term
What virus is highly associated with cervical carcinoma
Definition
HPV
Term
What pathway is found to be utilized in dermamyositis
Definition
Complement pathway activation of C3convertase method
Term
Polymyositis will release _____ and ____
Definition
Perforins, cytokines
Term
how are autoimmune disease initated
Definition
Failure of self tolerance
Term
Where do the T cells mature?
Definition
in the thymus
Term
10 year old child comes in with complaint of pain. Tumor on the femur is found. Brown lesions are founnd microscopally. what is the pathology
Definition
Non ossifying fibroma
Term
Patient has anulus fibrosis. What type of pathway is responsible for back pain
Definition
Fibroskeletal structure pain
Term
Fibroskeletal structures are innervated by the.....
Definition
posterior ramus
Term
Patient has anulus fibrosis. What type of pathway is responsible for back pain
Definition
Fibroskeletal structure pain
Term
Fibroskeletal structures are innervated by the.....
Definition
posterior ramus
Term
Is tylenol an NSAID
Definition
NO
Term
What type of toxicity are we concerned with for those taking Celebrix?
Definition
Cardiac toxicity. It is a type II COX Inhibitor
Term
Lipoxogenase pathway produces what?
Definition
Leukotrienes
Term
Vascular homeostasis, kidney function, platelett aggregation, and gastic cytoprotection, are all characteristics of what enzyme?
Definition
COX-1
Term
What type of NSAID would we prefer to use for people with a headache, a fever, and also have had a possible heart condition? (Hint we would inhibit platelett aggregation with this).
Definition
Aspirin
Term
What is the major side effect for Cox-I inhibition?
Definition
GI Irritation
Term
A partial tear of a muscle is considered
Definition
A strain
Term
Patient comes in after a severe collision from playing football. Limitation of range of motion, hematoma is present, disruption of the muscle fibers have occured. What is the pathology?
Definition
Muscle contusion
Term
Is tylenol an NSAID
Definition
NO
Term
What type of toxicity are we concerned with for those taking Celebrix?
Definition
Cardiac toxicity. It is a type II COX Inhibitor
Term
Lipoxogenase pathway produces what?
Definition
Leukotrienes
Term
Vascular homeostasis, kidney function, platelett aggregation, and gastic cytoprotection, are all characteristics of what enzyme?
Definition
COX-1
Term
What type of NSAID would we prefer to use for people with a headache, a fever, and also have had a possible heart condition? (Hint we would inhibit platelett aggregation with this).
Definition
Aspirin
Term
What is the major side effect for Cox-I inhibition?
Definition
GI Irritation
Term
A partial tear of a muscle is considered
Definition
A strain
Term
Patient comes in after a severe collision from playing football. Limitation of range of motion, hematoma is present, disruption of the muscle fibers have occured. What is the pathology?
Definition
Muscle contusion
Term
A 24 year old male comes in after being hit with a baseball hat to the head. He comes in 1 month later. there is a large legion that has occured on the side of the head where he has hit. What type of pathology could this most likely be?
Definition
If it's a reactive lesion from trauma, nodular fascitis
Term
A patient comes in with a lesion. It is large, white, and whorlish in appearance. Histologically there are interdigitating fascicles of benign spindle cells. What is the most likely pathology?
Definition
Fibromatosis
Term
What are 3 types of fibromatosis?
Definition
Palmar fibromatosis, plantar fibromatosis, and penile fibromatosis
Term
Patient comes in with pain to the thigh just around the knee area. Patient has had a history of cancer previously. Histologically, the tumor around the knee area is sharply demarcated, necrosis and hemmorage is observed microscopically. What is the likely pathology?
Definition
Fibrosarcoma
Term
50 year oldPatient comes in with a soft tissue lump. Reports recently just finished radiation therapy.What is the likely pathology
Definition
Malignant fibrous histiocytoma
Term
This is the most common type of soft tissue tumor.
Definition
Lipoma
Term
12 year old child comes in with history of cancer. From a microscopic standpoint. the tumor is well differentiated, rhabdomyoblast is present and large cells with eosonophic cytoplasm striations are observed. WHat is the likely pathology?
Definition
Embryonoal rhabdosarcoma
Term
A 16 year old comes in with joint pain. Upon inspection there is a noted tumor that has metastized within the joint capsule. There is a biphasic pattern histologically and surrounded by a partial pseudocapsule What is the most likely pathology?
Definition
Synovial sarcoma
Term
What is the likely pathology if there is a cancer of the uterus?
Definition
Leiosarcoma
Term
What is also another name for a birthmark for a newborn?
Definition
Juvenile hemangioma
Term
Patient comes in with skin issue. Pale, gray fleshly mass without capsule, necrosis and hemmorage is observed histologically. What is the most likely pathology?
Definition
Angiosarcoma
Term
What is a malignant tumor of endothelial cells that have an association with HIV?
Definition
Karpa's sarcoma
Term
If I am describing a well marginated radiolucent bone lesion which is suseptible to pathologic fractures, and it is lined by fibrous tissue, giant cells, and even hemoseridid laden macrophages. What is the most likely pathology?
Definition
Solitary bone cyst
Term
If I am describing an uncommon, expansile, hyperemic, lesion arising within a bone or on its surface that most frequently occurs in bone formation. What is the likely pathology?
Definition
Anyuersymal bone cyst
Term
Patient comes in with a "sunburst" triangle radiialogical pathology. What is the most likely pathology?
Definition
Osteosarcoma
Term
A patient comes in complaining of pelvic pain. Necrosis is detected, hemorrage is detected, specifically in the medullary cavity. Zones of calcification are noted What is the likely pathology?
Definition
Chondrosarcoma
Term
A 50 year old patient comes in with complaint of leg pain. Upon histological examination. Blue cells are observed. What is the most likely pathology?
Definition
Ewing sarcoma
Term
What is the most specific area prone to risk for avascular necrosis
Definition
the head of the femur
Term
If I were to describe a disease that affects multipl arteries, mostly in whites and in men, an area of fibrinoid necrosis what is the most likely pathology?
Definition
Polyartertis nordosa
Term
This pathology has a mutation on the beta hemaglobin from glutamic acid to valine, at a heterozygotic form it is effective against malaria, 'hand foot syndrome, what is it?
Definition
Sickle cell anemia
Term
For people with sickle cell anemia what organism will play a role in
Definition
Salmonella typhuriam
Term
What are the 4 types of Osteogenesis Imperfecta:
Definition
Type-I
Type-II
Type-III
Type-IV
Term
A patient comes in with leg pain. Upon X ray, it is observed that the bones are marble shaped and in appearance. The metaphysis and diaphysis are widened giving an erlenmeyer flask appearance as well. Disorganization of bone trabeculae and absence of bone marrow are evident. What is the pathology?
Definition
Osteopetrosis
Term
What is defective disorder where there is low activity of bone and low alkine phosphotase
Definition
Defective Mineralization Hypophosphotasia
Term
What are some clinical features of Rickets?
Definition
Rachitic Rosary, Pectus caritanum, Bowing of Legs,
Term
List the characteristics of Paget Disease
Definition
localize usually to the axial skeleton, bones are thickened,burned out phase-abnormal range of lamellar bone, mosiac pattern, lytic lesions,leontasis ossea
Term
The diaphysis is known as the
Definition
shaft of the long bone
Term
This _____ cartilage is a thin layer of hyaline cartiage that covers the epiphysis wher ethe bone forms a joint with another bone
Definition
Articular
Term
What are the two layers of the priosteum
Definition
outer fibrous layer: which is composed of cnnective tissue containing blood vessels, lymphatics, and nerves. Inner osteogenic layer: contains elastic fibers, and osteoblasts
Term
The endosteum and medullary cavity are portions of the bone tha tmake up the
Definition
Long bone
Term
What are components of compact bone?
Definition
It's just the pathology stupid. ;) no seriously, it contains volkman's canals, haversion canals, lamellae
Term
Where are osteocytes found?
Definition
lacunae
Term
What are the general characteristics of ligaments
Definition
dense bands of fibrous connective tissue which reinforce joint capsules and help keep the bones in a correct alignment, higher % of proteoglycn
Term
List 4 functions at minimal of skeletal function
Definition
Support, protection, movement, acid-base balance, blood formation, electrolyte balance
Term
What are the two methods of bone formation
Definition
Intramembranous ossificaiton-which springs from aerolar connective tissue precursor

Endochondral ossificationi-cartilage to modify
Term
What type o f cells help with bone formation
Definition
Osteoblst
Term
What is the process of intramembranous osiffication
Definition
Ossification center appears in fibrous connective tissue membrane, Bone matrix is secreted within membrane, Woven bone and periosteum form, red marrow appears and bone collar of compact bone forms
Term
BMP re important cytokines known as
Definition
bone morphogenic proteins that are important for for many cancers
Term
What o osteoclasts secrete to destroy type I collagen fibers
Definition
cathepsins
Term
A patitn comes in with muscle spasm of hand and feet. There is a sign of latent tetany. and induced troussae What type of pathology is this person experiencing?
Definition
Carpopedal spasm
Term
This protein is produced by the thyroid that promotes minierlization and lowers Ca in children
Definition
Calcitonin
Term
What metal can we use that could bond to bone
Definition
Titanium
Term
This process is a type of enzymatic linking of sugars to protein to serve as recognition or linkage site of other proteins. What is this process
Definition
Glycosylation
Term
Procollagen forms inside the endoplasmic reticulum. What occurs after it is exported from the cell?
Definition
The N terminal and C terminal propetide are cleaved. Tropocolagen molecules are packed ina staggered pattern. Form in 67 cm band
Term
What is collagen formed from
Definition
Glycine, proline, and hydroxyproline
Term
Why is vitamin C important in the formation of collagen biosynthesis
Definition
it helps build the formatino of hydroxyproline
Term
The tropocollagen brickes are stabilied within collagen fibrils by what mechanisms?
Definition
covalent crosslinks and hydroxyapetite mortar
Term
Osteogenesis imperfecta is usually caused by a mutation that affects which amino acid in collagen?
Definition
Glycine
Term
What does penicillin specifically target?
Definition
It targets transpeptidase thus preventing the cell wall to be formed
Term
What is a drug choice for MSSA?
Definition
Methicillin, Oxacillin, Nafcillin
Term
Penicillin G and Penicillin V are a drug of choice for What type of organism? and what is their preferred method of delivery?
Definition
Strep A. Penicillin G(IV,IM), Penicillin V(oral)
Term
How might we reactivate a Beta lactam penicillin?
Definition
Have a beta-lactamse inhibitor in with it(example: piptazo it)
Term
Explain the differences classication of physeal fractures
Definition
SALTER(talk about them)
Term
This type of fracture is when there are only 2 pieces of fragments
Definition
Simple
Term
This is a type of fracture that occurs when there is a repeitive overloading or usage of that bone
Definition
Stress
Term
Youn child comes in with painful lymph node by the ear. Patient denies fall or any traumatic injury. Patient did state was playing with a kitten. Upon microscopic examination the organism is found to be gram negative and rod shaped.Pt remembers it they were scratched What is the organism?
Definition
Bartonella henselae
Term
A dairy farmer comes in with flu like symptoms. an undullent fever is present. Upn microscopic examination the organism is found to be gram negative coccobacillus. What organism is this and what type of agar wuld we need?
Definition
Brucella, and it is needing a blood agar
Term
Patient comes in with pain. gas gangrene is noted under microscopic infection. Double zone hemolysis is present. alpha toxin is present. hemolysin is present. What is the type of organism we should be concerned with?
Definition
Clostridium perfringes
Term
What are the virulence factors of streptococcus pyogenes?
Definition
think acronkyme SMASHED(strpolysin S,O, M protein, Against C5A, Streptokinase, hylaurondiase, Exotoxin B, DNase
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