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26 Cards in this Set
- Front
- Back
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Which ENZYME would be decreased in DM Type I?
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Lipoprotein Lipase
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Which condition would have decreased branched-chain alpha-ketoacid dehydrogenase?
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Maple Sugar Urine Disease
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Which ENZYME would be increased in DM Type I?
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Hormone sensitive lipase (breaks down stored glycerol)
Phosphoenolpyruvate-carboxykinase (gluconeogenic enzyme) |
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What two enzymes begin the glycolysis pathway (and which tissues specificaly)?
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Hexokinase: Liver & muscle
Glucokinase: Liver only |
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Name the enzyme and its location which converts Glucose-6-Phosphate to Glycogen?
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Glycogen Synthase
Located in the liver |
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Which enzyme is the rate limiting enzyme in the formation of ketones?
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3-hydroxy-3-methylglutaryl CoA (HMG CoA) Synthase
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Subclavian Steal Syndrome?
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Compromised Subclavian A.
Reversed blood flow, >>> decreased blood supply to upper extremity Reduced BP by >20 mmHg More common in the R arm |
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Which of the following is associated w/ Toxic Megacolon?
Crohn's Disease Meckel Diverticulum Ulcerative Colitis |
Ulcerative Colitis
Also increased risk of CRC |
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List 3 treatment techniques for hyperkalemia
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Stabilize the myocardial membrane (administer Ca2+)
Force ECF K+ into ICF (Beta agonists, Insulin/Glucose, NaHCO3 (only if acidotic)) Remove K+ from the body (loop diuretic (furosemide, torsemide)) |
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What is V. Cholera's MOA?
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Stimulates adenylate cyclase by ADP-ribosylation of GTP binding protein
Activates CFTR channel |
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What is Marfan syndrome's inheritance pattern?
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Autosomal DOMINANT
"Marshans dominate the Earth" |
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Name the 3 muscles that Help Close the Jaw
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"MUNCH"
Masseter Medial pterygoid TeMporalis |
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Name the muscle associated with TMJ Syndrome
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Lateral Pterygoid
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If a Patient has an Elevated Temp >102. What OMT treatments cannot be used.
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Any lymphatic treatments
Thoracic Inlet Mandibular Drainage Stroking cervical Lymph nodes Galbreath manuver |
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What type of lung lesion would you expect to see in a patient with Rheumatoid Arthritis?
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Multiple Nodules due to an Autoimmune disorder caused by RA. Also called Rheumatoid Lung
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What are some of the common side effects of immunosuppressants?
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Wound dehiscence
Hyperglycemia Growth inhibition Muscle wasting Osteoporosis Salt retention Increased libido Psychosis |
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What is the best predictor of a child having bedwetting problems?
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Same sex parent who also had bedwetting problems
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What is the drug of choice for bipolar disorder?
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Lithium
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What is an alternative drug to treat bipolar disorder that is used to avoid the hypothyroid side effects of Lithium?
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Valproic Acid
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Which of the following is the prefered method of destroying anthrax:
Bake w/ dry heat Autoclave w/ steam Irradiate w/ UV light Soak in Chlorox bleach Soak in ethyl alcohol |
Autoclave
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How does Morphine cause constipation?
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Morphine is an Opiate drug which causes "Tonic, nonpropulsive contractions."
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Which of the following is located within the RETROPERITONEUM:
Pancreatic Tail Stomach Descending Colon Jejunum Transverse Colon |
Descending Colon
Pancreatic Tail is located in lineorenal ligament Pancreatic Head is located in the RETROPERITONEUM |
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Patient presents w/ difficulty swallowing solids AND liquids, what is the most likely diagnosis?
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Achalasia
Difficulty swallowing solids AND liquids is usually a neuromuscular problem |
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What type of dysphagia would you expect w/ esophageal cancer, stricture or ring?
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Dysphagia of solids but NOT liquids
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Diabetic pt. who is on chronic hemodyalisis presents w/ colicky abdominal pain, bloody diarrhea & R sided tenderness. Arteriogram was normal. What is the diagnosis?
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Ischemic colitis
R sided ischemic colitis is favored in chronic hemodyalsis and will present w/ a normal arteriogram because the pt. has small vessel disease |
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Which patient population would normally develop pseudocysts and in which time frame would you expect this to occur?
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Alcoholics are at greater risk of developing pseudocysts
Pseudocysts arise 4-5 weeks after acute pancreatitis and are identified as a lg. epigastric mass on palpation w/ NORMAL amylase levels |
