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48 Cards in this Set

  • Front
  • Back
The most common primary immune deficiency?
selective IgA deficiency
secretory IgA deficiency +transfused blood products cause a...?
fatal anaphylactic response
Associated w/ a C1 compliment component deficiency?
SLE
delayed separation of the umbilical cord+recurrent cutaneous infections w/o pus?
leukocyte adhesion deficiency
The MCC of ELEVATED alpha fetoprotein levels?
dating error or underestimation of gestational age
Associated with DECREASED alpha fetoprotein?
down's syndrome
hypogonadism+small firm testicles+elongated limbs+gynecomastia
klinefelter syndrome
Genotype in pts with klinefelter syndrome?
47XXY
Produce testosterone in the male when stimulated by LH?
leydig cells
Seminiferous tubules are damaged and the interstitial leydig cells are unharmed in this condition?
cryptorchidism
Both the seminiferous tubules and the leydig cells are damaged in this condition?
klinefelter syndrome
cells that make sperm when stimulated by FSH?
seminiferous tubules
organ transplant recipient think...?
immunocompromised
What is the mode of transmission in adult listeria meningitis?
contaminated food
unique features of listeria?
(1) can grow in cold temps
(2) tumbling motility
First line rx for GAD whose onset of action takes several weeks?
buspirone
MOA of buspirone used in GAD?
agonist at 5HT1A receptors
result of a deletion or insertion of a single nucleotide?
frameshift mutation
Formula for filtration fraction?
FF=GFR/RPF

note RPF=renal plasma flow
What does constriction of the efferent arteriole do to GFR and filtration fraction?
increases GRF and FF=GFR/RPF
Should be administered to all minor children?
emergent life saving therapy
What proces of collagen formation is inhibited during vit c deficiency?
collagen crosslinking
Vit C is neccessary for the hydroxylation of proline and lysine residues in what molecule?
procollagen
The median nerve runs between what two muscles before entering the wrist and hand within the carpal tunnel?
(1) flexor digitorium superficialis
(2) flexor digitorium profundus
Injury to this nerve leads to "Claw Hand" deformity due to paralysis of the intrinsic muscles of the hand?
ulnar nerve
This disease is associated with niacin deficiency due to loss of dietary tryptophan?
hartnup disease
What is thr rx for Hartnup disease where there is a decrease in intestinal & renal absorption of tryptophan?
niacin-B3
Which is catalase positive....steptococcus or staphylococcus?
staph
Which organism causes impetigo and has late sequelae of rheumatic fever and APSGN?
step pyrogenes (Beta hemolytic Group A strep)
This org is alpha hemolytic and is optochin sensitive?
strep pneumoniae
This bug is beta hemolytic and bacitracin sensitive?
strep pyrogenes (group A)
Two functions of type two pneumocytes?
(1) secrete surfactant
(2) regenerate alveolar epithelium following injury
Associated with a diminished first heart sound with a apical holosystolic murmur radiating to the axilla?
mitral regurgitaton
Decreases regurgitant stroke volume(RSV) and increases forward stroke volume (FSV) in a pt with mitral regurg?
decrease LV afterload w/ vasodilators
The only gram+ bug that produces endotoxin?
listeria
This is when naked bacterial DNA fragments are uptaken and incorporated into another bacteria's genome?
transformation
Process where a bacteriophage carries a piece of DNA from one bacterium to another?
transduction
Bacterial DNA is transferred directly by cell to cell contact?
conjugation
Virulence factor of group A beta hemolytic strep that inhibits the activation of compliment and protects the bug from phagocytosis?
M protein
Enzyme responsible for step pyrogenes beta hemolytic activity?
streptolysin O
Group B streptococcus
strep agalactiae
3 MC pathogens associated with bacterial meningitis in infants< 3 months of age?
(1) strep agalactiae (group B)
(2) Listeria monocytogenes
(3) E coli
These bugs grow well in bile and 6.5% NaCL?
enterococcus
This bug is the MCC of bacterial meningitis and pneumonia in adults....& otitis media in children?
strep pneumoniae (pneumococcus)
enzyme that breaks down hydrogen peroxide?
catalase
Of the three staph species...staph aureus, epidermidis, and saprophyticus...which one is coagulase positive?
stap aureus
Coagulase + gram + cocci in clusters?
staph aureus
This enzyme of staph aureus activates prothrombin causing clots?
coagulase