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24 Cards in this Set

  • Front
  • Back

angiogenesis growth factors

FGF and VEGF

N atoms in urea are derived from?

ammonia and aspartate (the carbon from CO2)

unusual feature of chlamydia

lacks peptidoglycan within cell wall (thus B lactams are ineffective)

pulsatile vs nonpulsatile GnRH

pulsatile= causes stimulation of LH/FSH (used in infertility treatment)




continuous: causes downregulation of GnRH receptors, thus decreasing LH/FSH levels (eg used for endometriosis, precocious puberty)

acetyl CoA carboxylase vs dehydrogenase

acetyl CoA carboxylase for FA synth




acetyl CoA dehydrogenase for ketone production





meds w/ antimuscarinic fx

atropine


TCAs


H1 antagonists


neuroleptics


parkinson drugs

support vs empathy

support: "you are angry right now. Many people in your situation feel angry"




empathy: conveys physician understanding, eg "I can see why you feel angry"

altruism


sublimation


reaction formation

altruism: helping others to alleviate feelings of guilt and low self esteem (eg mafia boss makes donation to charity)



sublimation: channeling unacceptable impulses into productive activity (eg aggression towards father is channeled into sports)



reaction formation: excessive opposite reaction (woman w/ excessive sexual desires enters nunnery ) (emphasis on opposite, vs. sublimation which is same impulse but appropriately channeled. eg maybe the woman becomes a sex therapist)

Rett disorder? gene assoc?

X linked. Boys die so just seen in female young children: regression, ataxia, hand-wringing


MECP2 gene

dissociative identity disorder vs depersonalization/derealization disorder

dissociative identity disorder


multiple personalities. often assoc. w/ sexual abuse or PTSD. Usually unconscious of it.




depersonalization/derealization disorder. "feels like an alien abduction." person usually conscious of it.

manic episode vs hypomanic

DIGFAST requires hospitalization or >3 of these lasting >1wk




distractible


indiscretion


grandiosity


flight of ideas


agitation


decreased Sleep


talkative




hypomanic has minimal impairment in functioning and lasts greater than 4 days

Bipolar I vs II

I is defined by >1 manic episode ("one thing for I") with or w/o hypomania or depression. So, if there is mania then it is bipolar I.




II is defined by hypomanic episode and a depressive episode. ("2 things for II")




antidepressants can cause increased mania!

cyclothymic disorder vs dysthymia

dysthymia (persistent depressive disorder): mild depression >2yrs, no physical symptoms




cyclothymic disorder: dysthymia and hypomania >2yrs

sleep changes in depression

increased REM


decreased slow wave sleep


increased awakenings

antidote for arsenic

dimercaprol (narrow therapeutic index: can cause nephrotox and hyperten)

pentazocine

weak opioid agonist/antagonist at mu receptors that can cause withdrawl in opioid dependent patients

cofactor for dALA synthase

PLP (vit B6)

receptor tyrosine kinase


vs


receptor tyrosine kinase ASSOCIATED

tyrosine kinase: cytoplasmic domain has enzymatic activity, signaling is via MAP kinase Ras pathway. examples are growth factors and insulin




tyrosine kinase associated receptor does NOT have enzymatic activity, and used JAK-STAT pathway. examples are cytokines (eg IL2), growth hormone, and prolactin

most common cause of death in TCA overdose

cardiac arrythmias due to Na channel antagonism. Tmt w/ saline and sodium bicarb.

1st gen antihistamines vs 2nd gen

hydroxizine, promethazine, diphenhydramine, chlorpheniramine (more drowsiness and antimuscarinic fx)




2nd gens end in -dine like loratadine and fexofenadine

short acting benzo

triazolam ("someone who works in the ER triaging doesn't want daytime sleepyness so they use a short acting")

keratin


vimentin


desmin


gfap


neurofilament

intermediate filaments


keratin: epithelium (carcinoma)


vimentin: mesenchyme (sarcoma)


desmin: muscle


gfap: neuroglia


neurofilament: neurons

chromogranin

neuroendocrine cells (eg carcinoid tumor, small cell lung CA)

s100

neural crest (eg. melanoma, schwannoma)


Langerhans cells