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4-25-12
1 test
27
Law
5th Grade
04/25/2012

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Term
STEMI --> Anticoagulation is administered (Streptokinase)

What is the most common SE of streptokinase administration?
Definition
Hemorrhage

(ASIDE: streptokinase is a bacterial product, thus has the potential to cause hypersensitivity reactions, just like many antibiotics, notably penicillins)
Term
Triad of pre-eclampsia?

Eclampsia?

HELLP syndrome?
Definition
- HTN, Proteinuria, Edema

- Pre-eclampsia + seizures

- Hemolysis, Elevated liver enzymes, Low platelets (may develop from pre-eclampsia
Term
Akathisia def
Definition
inability to be still. Common SE of antipsychotics
Term
IL causeing IgE class switching?
IgA?
Definition
IL4

IL5 (IL5 is also chemotactic & pro-growth for eosinophils)
Term
Deletion of this gene protects against HIV?

What is the function of nef gene?
Definition
CCR5

nef downregulates MHC-I receptors
Term
parotid gland is innervated by what nerve?
Definition
IX (through otic ganglion --> auriculotemporal branch of CN-V2)
Term
wide fixed S2

can this lead to eisenmenger syndrome?
Definition
ASD

Yes, if the defect is hemodynamically significant (remember that ASDs are the most common congenital heart defect, present in as high as 30% of the population)
Term
Treatment for high cholesterol is begun. W/in 3mo of initiation, person comes in with decreased appetite & malaise.

What was the drug?
What is it's side effect that is causing the sx?
Definition
Statins

Hepatotoxicity (get liver enzymes to confirm)

NOTE: fibrates also cause hepatotoxicity.

Statins also cause myopathy
Term
G+, rod-shaped bacteria with subterminal spore
Definition
Clostridium (an anaerobe)
Term
name signal transduction for alpha1 receptors
Definition
GPCR --> phospholipaseC --> IP3 & DAG released

IP3 --> increase Ca release from ER/SR --> Ca activates PKC

DAG --> directly activates PKC
Term
Crampy abdominal colic, constipation, discoloration between teeth & gingivae, neurologic signs

Basophilic stippling on peripheral smear
Definition
Lead poisoning

Kids eating paint chips, adults w/ occupational exposer (e.g. battery manufacturing, industrial workers)
Term
What part of the peptidoglycan amino-acid sequence is cross-linked?
Definition
D-ala D-ala

the NH2 group from adjacent L-lys group attaches to D-ala group
Term
[image]
Definition
Term
Tx for TCA-induced cardiac arrhythmias (QRS & QT prolongations)
Definition
NaHCO3-
Term
treatment for suspected aspirational pneumonia (alcoholic w/ poor dentition & foul-smelling sputum)
Definition
Clindamycin (covers anaerobes)

oral flora causing anaerobic pneumonia: bacteroides, prevotella, fusobacterium, peptostreptococcus
Term
2 antiepileptics that are "mood-stabilizers", and thus can be used for bipolar
Definition
Valproic acid & carbamazepine
Term
morphology of mucor/rhizopus
Definition
broad, non-septate hyphae that branch @ right angles & have sporangium

remember: diabetic patient w/ paranasal infection & black discharge
Term
Neutropenic patient (esp leukemic pt) w/ signs of extrapulmonary involvement (e.g. sinus) of a fungus branching @ 45 degree angles
Definition
Aspergillus
Term
Haloperidol, Fluphenizine, Pimozine, Chlorpromazine, Thioridazine

Which ones are high & which ones are low potency?
Definition
High: Haloperidol, Fluphenazine, Pimozine

Low: Chlorpromazine, Thioridazine

NOTE: atypicals include Clozapine, Risperidone, Olanzapine, Quetiapine (fewer 'negative' symptoms)
Term
Which DNA polymerase removes RNA primers in Okazaki fragments (via 5'->3' exonuclease activity)?

Which DNA pol carries out normal replication?
Definition
- DNA pol I removes RNA fragments & lays down DNA

- DNA pol III is responsible for majority of DNA synthesis during replication
Term
Where is wernickes area located? What artery supplies it?
Definition
Posterosuperior temporal lobe. Middle cerebral (also supplies Broca's area in the inferior frontal gyrus of the frontal lobe)
Term
Atopic dermatitis (or eczema in general) is associated w/ other atopic diseases. name 2?

Hint:
one is in the nose
one is in the lungs
Definition
Allergic rhinitis (chronic will give you polyps)

Asthma

all of these things are typeI hypersensitivity reactions
Term
Alcohol, Barbiturates & hypoxia will cause an increase in what step of heme synthesis?
Definition
ALA synthase (takes place in mitochondria)
Term
Peripheral lung tumor: columnar cells joined by desmosomes w/ abundant tonofilaments and studded, long microvilli
Definition
mesothelioma
Term
Elevated AlkPhos & antimitochondrial antibodies
Definition
Primary biliary cirrhosis

granulomatous intrahepatic bile-duct destruction & heavy lymphocyte-predominant portal tract infiltrate (looks very similar to graft-vs-host disease)
Term
If a male has cryptorchidism. What part of the hypothalamic->pituitary->testes signaling access is downregulated?
Definition
inhibin

seminiferous tubules are obliterated, and sertoli cells are not present to secrete inhibit. In contrast, testosterone-secreting Leydig cells are not temperature sensitive and have no problems
Term
2 Growth factors that promote angiogenesis (e.g. in granulation tissue)
Definition
FGF & VEGF
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