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40 Cards in this Set
- Front
- Back
source of secretin
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S cells in duodenum
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action of secretin
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increases pancreatic HCO3- secretion, decreases gastric acid secretion and decreases bile acid secretion
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regulation of secretin
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secreted when acid or fatty acids in duodenum
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causes of anion gap metabolic acidosis
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MUDPILES
methanol uremia diabetic ketoacidosis paraldehyde/phenformin iron/isoniazid lactic acidosis ethylene glycol salicylates |
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Burkitts genetics
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t(8,14) c-myc to IgG heavy chain
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mantle cell lymphoma genetics
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t(11,14)
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Follicular Lymphoma genetics
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t(14,18)
bcl2 expressed decreasing apoptosis |
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significance of t(15,17)
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M3 type of AMP that responds to all-trans-retinoic acid therapy
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CML genetics
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t(9,22) bcr-abl Philly chromosome
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Ewing Sarcoma genetics
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t(11,22)
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TdT + ?
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marker of pre-B and pre-T cells
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Heparin: MOA, use, labs?
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MOA: cofactor for antithrombic activation to decrease sthrombin and Xa
used for pulmonary embolus anticoagulation, stroke, acute coronary, MI, DVT, anti-coag in PREGNANCY LAB: PTT - intrinsic |
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SE of Heparin use?
Tx? |
bleeding, HIT, osteoperosis
protamine sulfate rapidly reverses |
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Low MW heparin pros? cons?
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pros: longer half life, more action on Xa, better bioavailability, given SQ w/o lab monitoring
con: NOT EASily reversible |
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HIT - MOA, Tx?
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Heparin binds platelets --> AutoAb produced-->destroys and activates platelets
Tx: Protamine sulfate then Lepirudin and bivalirudin to inhibit thrombi |
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thrombolytic MOA
Toxicity Tx? |
aids plasminogen --> plasmin to cleave thrombin and fibrin
Tx OD w/ Aminocarproic acid |
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first line for testicular tumors that complexes iron and produces superoxide to attack DNA bonds
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bleomycin
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enhances tubulin polymerization = arrest in anaphase
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paclitaxel
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major functions of alpha one receptor (3)
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increase contraction of:
vascular smooth muscle pupillary dilator intestinal and bladder sphincter |
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major functions of alpha two receptor (2)
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decreases sympathetic outflow and decreases insulin release
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TdT + ?
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marker of pre-B and pre-T cells
|
|
Heparin: MOA, use, labs?
|
MOA: cofactor for antithrombic activation to decrease sthrombin and Xa
used for pulmonary embolus anticoagulation, stroke, acute coronary, MI, DVT, anti-coag in PREGNANCY LAB: PTT - intrinsic |
|
SE of Heparin use?
Tx? |
bleeding, HIT, osteoperosis
protamine sulfate rapidly reverses |
|
Low MW heparin pros? cons?
|
pros: longer half life, more action on Xa, better bioavailability, given SQ w/o lab monitoring
con: NOT EASily reversible |
|
HIT - MOA, Tx?
|
Heparin binds platelets --> AutoAb produced-->destroys and activates platelets
Tx: Protamine sulfate then Lepirudin and bivalirudin to inhibit thrombi |
|
thrombolytic MOA
Toxicity Tx? |
aids plasminogen --> plasmin to cleave thrombin and fibrin
Tx OD w/ Aminocarproic acid |
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first line for testicular tumors that complexes iron and produces superoxide to attack DNA bonds
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bleomycin
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enhances tubulin polymerization = arrest in anaphase
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paclitaxel
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major functions of alpha one receptor (3)
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increase contraction of:
vascular smooth muscle pupillary dilator intestinal and bladder sphincter |
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major functions of alpha two receptor (2)
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decreases sympathetic outflow and decreases insulin release
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major functions of beta one receptors (4)
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increase HR
increase contractility renin release lipolysis |
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major functions of beta two receptors (7)
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vasodilation, bronchodilation,
increased: HR, contractility, lipolysis and insulin release decreased uterine tone |
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major functions of muscarinic type i receptor (2)
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CNS and enteric nervous system decreases
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major functions of type II muscarinics? (2)
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decrease HR and aortic contractility
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major functions of M3 receptors (6)
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basically responsible for all the non-heart PNS activity
increase: exocrine secretion, gut peristalsis, bladder contraction, bronchoconstriction, pupillary sphincter (miosis), ciliary muscle contraction (accomodation) |
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D1 receptor functions?
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relaxes renal vasculature smooth muscle
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D2 receptor effects?
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modulate transmitter release
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H1 effects (4)
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increase nasal/bronchial mucus
contracts bronchioles increases pruritus increases pain |
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H2 effects
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increases gastric acid
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V1 effect
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increased vascular smooth muscle constriction
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