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46 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Name 7 examples of encapsulated bacteria?
Strep Pneumo
Klebsiella
H. influenza (b)
Pseudomonas aeruginosa
N. meningitidis
Salmonella
E. coli
How can you detect a capsule?
Quellung reaction (capsular swelling)
India ink (capsule appears as clear halo)
What yeast has a capsule?
Cryptococcus neoformans
DOC for anaphylactic shock?
Epinephrine

* What is the effect?
Vasopressor
(α1, α2, β1, β2)
* low dose selective for β1
DOC for cardiogenic shock?
Dobutamine

* What receptor?
β1 (>β2)
DOC for septic shock?
Norepinephrine

* What receptor?
α1 > β1 (no β2 so less heart effects)
Distinguish hyperacute organ rejection
Type II hypersensitivity

* Time frame?
Within minutes
Distinguish acute organ rejection
Cell-mediated attack on MHC

* Time frame?
Weeks to months
Distinguish chronic organ rejection
Antibody-mediated vascular damage

* Time frame?
Months to years
Distinguish graft-vs-host
Type IV hypersensitivity
What antibiotics are used for narrow spectrum anaerobic coverage?
Clindamycin
Metronidazole

* What are the anaerobes?
Bacillus
Clostridium
What portion of the brachial plexus is injured in Erb-Duchene Palsy?
Upper trunk (C5, C6)

* What are the symptoms?
Paralysis of abductors (limbs hang by side)
Paralysis of lateral rotators (medially rotated)
Loss of biceps (pronated)
Epinephrine & NE exert effects on which receptor in vascular smooth muscle?
β1 > α1

* What effects are mediated?
Vasodilation
(increased cAMP in vascular smooth muscle inhibits MLCK & results in less contractile force = relaxation)
Epinephrine & NE exert effects on which receptor in renal vasculature?
D1

* What effects are mediated?
Vasodilation
Epinephrine & NE exert effects on which receptor in the heart?
β1

* What effects are mediated?
↑ HR
↑ Contractility
Epinephrine & NE exert effects on which receptor in the pulmonary bronchioles?
β2

* What effects are mediated?
Bronchodilation
Epinephrine & NE exert effects on which receptor in presynaptic neurons?
α2

* What effects are mediated?
Inhibit Ach release
Epinephrine & NE exert effects on which receptor in the pupillary sphincter?
α1

* What effects are mediated?
Mydriasis (dilation)
Epinephrine & NE exert effects on which receptor in kidney JG cells?
β1

* What effects are mediated?
↑ Renin release
Epinephrine & NE exert effects on which receptor in β cells (pancreas)?
α2

* What effects are mediated?
↓ insulin
Epinephrine & NE exert effects on which receptor in α cells (pancreas)?
β2

* What effect is mediated?
↑ glucagon
Epinephrine & NE exert effects on which receptor in the liver?
β2

* What effect is mediated?
↑ gluconeogenesis
↑ glycogenolysis
HY: elastic skin, joint hypermobility
Ehlers-Danos

* Defect?
Type III collagen
HY: enlarged, hard left supraclavicular lymph node
Virchow's node- gastric cancer
HY: large "bull's eye" rash
Lyme disease
HY: strawberry tongue
Kawasaki disease
Scarlet fever
HY: resting tremor, rigidity
Parkinsons
HY: rash on palms & soles
"CARS"
Coxsackie A
Rickettsia (RMSF)
Secondary Syphillis
What cytokines are secreted by Th1 cells?
IFN-γ
IL-2
What cytokines are secreted by Th2 cells?
IL-10
IL-4
IL-5
What are the 3 different G proteins?
Gs
Gi
Gq

* Effects?
Gs: ↑cAMP, ↑PKA
Gi: ↓cAMP, ↓PKA
Gq: ↑PLC, ↑IP3/DAG, ↑Ca2+, ↑PKC
What receptors use Gs?
β1
β2
D1
H2
V2
What receptors use Gi?
"MAD 2's"
M2
α2
D2
What receptors use Gq?
"HAVe 1 M&M"
H1
α1
V1
M1
M3
Drug category ends in -ane?
Inhaled anesthetics
Drug category ends in -azine?
Anti-emetics
Drug category ends in -tidine?
H2 antagonist
Drug category ends in -tropin?
Pituitary
Drug category ends in -chol?
Cholinergic agonists
Drug category ends in
-bendazole?
Anti-parasites
Drug category ends in -azepam?
Benzos
Drug category ends in -conazole?
Anti-fungals
Drug category ends in -triptyline?
TCAs
Drug category ends in -zosin?
α1 antagonists
Drug category ends in -stigmine?
Anti-muscarinic
Drug category ends in -dipine?
Dihydropyridine Ca2+ blockers