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22 Cards in this Set

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  • Back
A-189. Briefly describe the transmission of malaria.
Masquitoe w/ sporozoite -> sporozoite to human blood -> goes to liver and becomes merozoite -> goes to RBCs and lysis them -> cycle repeats w/ gametocytes being made sometimes which are picked back up by masquitoes and made in to sporozoites
A-189. "Black Water Fever" is caused by what?
Plasmodium falciparum

Lysis all kinds of RBCs -> ton of hemoglobinurea that look black
A-189. This creates alveolar cysts, frothy exudates, and spreads to liver, nodes, spleen and BM of AIDs pts.
Pneumocystitis jiroveci - tissue protazoa
A-189. This is a type of fluke (flatworm) found in crab meat that penetrates the intestine and ends up in the lung.
Paragonimus
A-189. Pt ate some shitty pork while on vacation in south america. What tapeworn does he most likely have?
Taenia solium
A-189. What "fish tapeworm" can cause B12 deficiency?
Diphyllobothrium latum
A-189. This is th emost common tape worm in the US and most common in the southwest. No animal carrier.
Hymenolepsis
A-189. What roundworm (nematode) is known as the pinworm and dx via the scotch tape test?
Enterobius vermicularis
A-189. Your pt is from the southwest US and has Fe-deficiency anemia caused by some round worm. What is it?
Nector americanus
A-189. Pt ate some undercooked bear and is in a world of hurt, edema, and cardiac issues. What roundworm did he eat?
Trichinella spiralis
A-189. What central american roundworn causes lizard skin and river blindness and who carries it?
Onchocerca volvulus

Blackfly
A-189. This worm literally crawls under your skin...
Dranunculus medinenis
A-189. Get this round worm from raw seafood, mainly in the US from sushi...
Anisakis simplex
A-201. This combines with ATP to form cAMP, whcih via protein kinase A, activates hormone sensitive lipase.
Adenylyl cyclase
A-201. Excess acetyl CoA in the cytoplasm is metabolized into this via acetyl CoA carboxylase.
Malonyl CoA
A-201. Why do T1DM pts have such thin bodies?
Lack of insulin = decreased acetyl CoA carboxylase, which leads to few TGs being produced
A-201. What two things have to occur metabolically for DKA to occur?
1.) Excess hormone sensitive lipase from lack of insulin

2.) Increase epi release (e.g. times of stress)
A-201. Where does arachodonic acid come from (unsat. fatty acid)?
Eicosanoid

AA broken down to prostaglandins and leukotrienes (potent bronchoconstriction)
A-201. What is the rate limiting step in cholesterol synthesis. What drugs act here?
HMG-CoA Reductase

Statins
A-201. What are the two main glycolipids and there general structure?
Cerebroside - ceremide + 1 sugar

Ganglioside - ceremide plus 3 sugars
A-189. What is the structure of a sphingolipid?
Ceramide + a phosforlyated head
A-189. Name the associated clinical feature to the correct sphingolipidoses.

1.) Cherry red macula

2.) Angiokeratomos w/ hrt/kid fail

3.) Severe MR

4.) Progressive paralysis

5.) Erosion of long bones
1.) Niemann-Pick & Tay-Sachs

2.) Fabry's

3.) Krabbe's

4.) Metachromatic dystrophy

5.) Gaucher's