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Kindergarten
10/04/2012

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Term
a 30 year old patient presenting with a history of spondylitis and degererative joint disease, slight blackish color to his ears. Lab findings are significant for urine that turns black upon standing. Enzyme deficiency
Definition
Homogentisic acid oxidase
Term
The cause of Homogentisic acid oxidase
Definition
autosomal recessive trait inherited from both parents
Term
Child comes into the office with his parents because his teacher suspect mental retardation. Physical exam reveals enamel hypoplasia, growth retardation, microcephaly, there is an unpleasant odor that remains. Diagnosis?
Definition
Phynylketonuria
Term
Is caused by a gene defect causing the inability to not break down BCAA's
Definition
Maple Syrup Urine Disease
Term
BCAA's leading to MSUD
Definition
leucine, isoleucine, and valine
Term
Enzyme deficiency in PKU
Definition
phenylalanine hydroxylase
Term
Simvastatin lowers serum cholesterol by inhibition of what enzyme?
Definition
HMG-CoA reducatase
Term
how man kilocals are in 1 g of carbohydrate
Definition
4 kcal
Term
Lead poisoning what enzyme is getting blocked
Definition
ferrochelatase
Term
Someone with bilateral cataracts. Which of the following enzymes catalyzes the production of sorbitol from blood glucose?
Definition
aldose reductase
Term
6 month old has hypotonia, hyperacusis, and no organomegaly. Bright red coloration of the central macula with surrounding retinal pallor. Accumulation of GM2 ganglioside. Diagnosis?
Definition
Tay Sachs disease
Term
Boy is brought to the clinic with hepatomegaly, severe hypoglycemia, hyperlipidemia, and hyperuricemia. He is diagnosed having a glycogen storage disease type 1a (von Gierke). What enzyme deficiency
Definition
Glucose 6 phosphate
Term
Elder patient showing, global demineralization on radiograph and is diagnosed with osteoporosis. Which of the following supplements has been shown to help maintain bone density with aging?
Definition
Vitamin D
Term
ATP binds to what in muscle
Definition
Myosin
Term
ATP binding to myosin does?
Definition
causes the dissociation of myosin from actin and low energy conformation
Term
What does Factor 13 do?
Definition
strengthens clotting by cross linking newly formed fibrin threads
Term
What factors are part of the extrinsic pathway?
Definition
1,2,5,7,10
Term
Vitamin K dependent coagulants?
Definition
10,9,7,2
Term
PTT factors
Definition
1,2,5,10,8,9,11,12
Term
PT
Definition
1,2,5,10
Term
When tissue factor is exposed what factor is activated?
Definition
7
Term
What valve closes at S1?
Definition
Mitral
Term
What valve closes at S2?
Definition
Aortic
Term
When both valves are closed, no blood is going anywhere? what is this called
Definition
Isovolumic can be during early systole (isovolumic contraction) or diastole (isovolumic relaxation)
Term
What does depleted 2,3 DPG do to the hemoglobin oxygen dissociation curve
Definition
Shifts to the left, increasing the affinity
Term
What causes shifts to the right on the hemolglobin ozygen dissociation curve
Definition
C02
altitude/acid
DPG
Exercise
Temperature
Term
Carbon monoxide poisoning will cause oxygen dissociation curve to move to the.....
Definition
left
Term
Loading of O2 is facilitated when dissociation curve shifts...
Definition
left
Term
unloading of O2 is facilitated when dissociation curve shifts...
Definition
right
Term
Hemoglobin has 240x more affinity to........than oxygen
Definition
CO
Term
For someone experiencing a heart attack. A 50% occlusion of the left main coronary atery will do what to the blood flow in that artery?
Definition
1/16
Term
Poiseuille's Law equation
Definition
8nl/pie (r^4) = resistance
n=viscosity
Term
Laplaces law of alveoli states that what sized alveoli will have larger collapsing pressures
Definition
Smaller alveoli
Term
Laplaces law in alveoli equation
Definition
P=T/r
Term
Why do smaller alveoli not collapse into bigger ones?
Definition
Surfactant decreases surface tension and works better with smaller alveoli
Term
What is surfactant produced by
Definition
Type 2 pneumocytes
Term
An infant has difficulty swallowing while breastfeeding. The cranial somatic dysfunction is at what?
Definition
Occiput
Term
Foramen ovale: nerve
Definition
V3
Term
Foramen rotundum: nerve
Definition
V2
Term
SOF: nerve
Definition
3, 4, V1, 6
Term
IAM: nerve
Definition
7, 8
Term
Jugular Foramen: nerve
Definition
9,10,11
Term
Hypoglossal canal: nerve
Definition
13
Term
Following a bar fight, a patient suffers fracture of the occipital bone extending superiorly from the foramen magnum compromising what nerve
Definition
11
Term
Sensation of the tongue is what nerves
Definition
9,5
Term
Taste of the tongue is from:
Definition
chorda tympani nerve from CN 7
Term
severe nausea and vomiting following 4 contrast medium probably stimulated a chemoreceptive trigger zone located in
Definition
area postrema of floor of 4th ventricle
Term
What causes weakness of the serratus anterior muscle causing winged scapula.
Definition
long thoracic nerve
Term
Lat dorsi muscle problems following surgery to remove lymph nodes. Compromised what nerve
Definition
throacodorsal nerve
Term
Poorly fit crutches affect what nerve causing wrist drop
Definition
Radial
Term
During delivery, a baby's neck suffers a violent stretching of the brachial plexus during shoulder dystocia. What part of the Brachial plexus is injured?
Definition
Superior trunk
Term
What nerve can be damaged during thyroid surgery, lung cancers (pancoast), aortic arch aneurysms, enlarged lymph nodes
Definition
Laryngeal damage
Term
Falling on oustretched hand can produce what fracture of the wrist?
Definition
colles
Term
A fracture found in a child only on one side of the cortex
Definition
Greenstick
Term
enzyme deficiency in MSUD
Definition
a - ketoacid dehydrogenase
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