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Review of conditions and meds
Review of conditions and meds
29
Medical
Graduate
08/22/2010

Additional Medical Flashcards

 


 

Cards

Term
Prions Dz
Definition
Prion proteins are located on the surface of neurons and are high in a-helixes and low in B-sheets. When a-helixes are converted to B-sheets prions are converted to an infectious, neurotoxin form.
Term
Flurescein-labeled annex V
Definition
Binds with phosphatidylserine (normally on inner leaflet), indicating an apoptotic cell
Term
Lidocaine
Definition
Blocks Na channels; cell is not able to depolarize; no APs
Term
dihydropyridines
Definition
Block voltage gated Ca channels; help correct cardiac arrhythmias and BP
Term
Amiloride
Definition
Diuretic; blocks ENaC
Term
Glycosides (digoxin or ouabain)
Definition
Block Na/K ATPase
Term
GLUT 1 deficiency syndrome
Definition

Cause: mutation in GLUT 1

 

Sx: early onset encephalopathy; seizures; development delay; hypotonia; complex movement disorder; hypoglycorrhachia - low BS in cerebrospinal fluid

 

Tx: High ketogenic diet

Term
sulfonylureas (glyburide)
Definition
blocks sulfonylurea receptors which block K channels; beta cell remains depolarized so exocytosis of insulin increases
Term
Familial Persistent Hyperinsulinemic Hypoglycemia of Infancy
Definition
Mutation of sulfonylurea receptor; beta cell remains depolarized so exocytosis of insulin increases
Term
Hartnup Dz
Definition

Cause: defect in intestinal and renal absorption of neutral AA

 

Sx: increased excretion of neutral AA; niacin deficiency (industrialized and non industrialized); neuro problems (nonindustrialized)

Term
Cystinuria
Definition

Cause: defect in intestinal and renal absorption of cationic AA and cystine

 

Sx: increased excretion of cationic AA; cystine stones and kidney damage

 

Tx: Alkalinization of urine; increase urine production; penicillamine increases the solubility of cystine

Term
Cystinosis
Definition

Cause: defect in efflux of cystine from lysosomes due to mutation in cystine transporter (in all tissues)

 

Sx: Damage to tissues due to cystine crystallization which ruptures lysosomes which release lysosome enzymes; kidney damage leads to polyuria, severe dehydration, glucosuria, and generalized AA aciduria; neuro damage

 

Tx: penicillamine

Term
Progeria
Definition

"before old age" - premature aging

 

Cause: Defect in Lamin A

Term
Lesch-Nyhan syndrome and Kelley-Seegmiller syndrome
Definition

Cause: HPRT deficiency

 

Sx: hyperuricemia; gout; nephrolithiasis; renal damage; severe mental retardation; and self mutilation (not in KSS)

 

Tx: Allopurinol to reduce uric acid

Term
APRT deficiency
Definition
kidney stones due to adenine converted to 2,8 - dihydroxyadenine (similar to uric acid) by XO 
Term
ADA deficiency and SCID (Severe combined immonodeficiency)
Definition

ADA also acts on dATP, so levels of dATP go up; dATP is an inhibitor of ribonucleotide reductase, inhibiting synthesis of DNA, interfering with proliferation of immunity cells

 

50% of pts with SCID have ADA deficiency; SCID is associated with impairment of immunity - low levels of antibodies = nonpalpable lymph nodes; bubble boys

Term
6-Mercaptopurine
Definition
Used in tx of leukemia; HPRT and PRPP (salvage pathway) convert it to 6-mercaptopurine ribonucleoside monophosphate which inhibits amido PRT, and it inhibits conversion of IMP to AMP and GMP. Allopurinol enhances half-life
Term
Hereditary orotic aciduria
Definition

Cause: defective de novo synthesis of pyrimidines - mutations in UMP synthase

 

Sx: severe anemia, growth retardation, and high urinary orotic acid

 

Tx: Exogenous uridine is converted to UMP which is converted to UDP and UTP, inhibiting CPS II

Term
5-fluorouracil
Definition
used in tx of colon CA and other CAs; is converted ot FUTP and FdUMP; FUTP interferes with pre-mRNA processing; FdUMP inhibits thymidylate synthetase
Term
Methotrexate
Definition
Used in CA tx; Inhibits DHF reductase which is necessary for thymidylate synthetase
Term
Rifampicin
Definition
Tx for TB; binds to RNA Polymerase beta subunit -> transcriptional paralysis after 2 nt
Term
Actinomyocin D
Definition
Tx for CA; intercalates DNA, distorting template for RNA synthesis -> stops transcription
Term
alpha-amanitin
Definition
hepatotoxin; liver mRNAs are degraded and not replaced; inhibits largest subunit of RNAP II
Term
Ricin
Definition
neuronal toxin; affects 28S subunit; A is depurinated by ricin which is susceptible to hydrolysis. Cleaved subunit loses ribozyme activity and translation stops
Term
Polio
Definition
Degrades a protein in eIF-4, so that eIF-4 can no longer bind to mRNA cap, but eIF-4 can still bind to polio internal ribosome entry site, so viral mRNA is favored
Term
Corynebacterium diptheria
Definition

Sx: tonsil infx with bluish white membrane on tonsils

 

Cause: exotoxin inactivates eEF-2

Term
Puromyocin
Definition
Structural analogue of aminoacyl-tRNAtyr, which leads to chain termination during translation; broad spectrum abx
Term
Tunicamyocin
Definition
Structural analogue of UDP-GlcNAc which blocks formation of GlcNAcPP with dolicol; mainly used for research
Term
Mucolipidosis
Definition
Genetic dz's where lysosomal enzymes are absent from the lysosome. Instead, lyposomal enzymes in blood and urine. Mis-targeting due to absence of mannose-6-phosphate tag, not defect in the genes coding for enzymes. Lysosomal storage dz, due to garbage accumulating in the lysosomes.
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