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476 Cards in this Set

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Do active phagocytosis as part of the mononuclear phagocyte system; process and present antigens; participate in wound healing

MACROPHAGES

Process antigens and present them to lymphocytes

DENDRITIC CELLS

Produce antibodies against specific antigens

B LYMPHOCYTES (plasma cells)

Kill tumor cells and virus infected cells

NATURAL KILLER CELLS

Precursor cells for macrophages

MONOCYTES

Do phagocytosis early on inflammation; kill bacteria

NEUTROPHILS

Defend against parasites

EOSINOPHILS

The term hematopoiesis refers to the production of (1) and occurs primarily in the (2) after birth.

1) blood cells


2) bone marrow

Each hemoglobin A molecule consists of how many globin chains and how many hemes?

4 & 4

In order to bind to oxygen, the iron portion of heme must be ...?

Ferrous Fe2+

What hormone regulates absorption of dietary iron?

hepcidin

After absorption, iron circulates attached to (1) And is stored inside cells attached to (2)

1) transferrin


2) ferritin

After absorption, iron circulates attached to (1) And is stored inside cells attached to (2)

1) transferrin


2) ferritin

What do nitric oxide and prostacyclin do to platelet adhesion and aggregation?

Inhibit

What do thromboxane A2, epinephrine, thrombin, and collagens do to platelet adhesion?

Trigger

What are the primary lymphoid organs?

Thymus


Bone marrow

What are the primary lymphoid organs?

Thymus


Bone marrow

What are the secondary lymphoid organs?

Spleen


Lymph nodes


Peter patchhes (gut associated lymphoid tissue)


Tonsils

What stabilizes a platelet plug and what is the source of the stabilizing substance?

Strands of fibrin


Fibrin comes from the action of thrombin on fibrinogen, an inactive precuror that circulates in the blood until the clotting system is activated

How do platelets expel the serum from the platelet plug this increasing its strength?

Platelets have actin and myosin filaments in them that enable them to contract. This contraction of aggregated platelets expels the serum from inside the clot

What is the difference between PLASMA and SERUM?

Plasma: liquid portion of blood with its dissolved substances



Serum: is plasma MINUS the clotting favtors

What is the difference between a MULTIPOTENT STEM CELL and a HEMATOPOIETIC STEM CELL?

Multipotent stem cell can differentiate into many different types of cells



Hematopoietic stem cells can only differentiate into various types of BLOOD cells

What is the difference between FERRITIN and APOFERRITIN?

Ferritin: a protein that binds and stores iron



APOFERRITIN: ferritin that does NOT have iron attached

What is the different between MITOSIS and ENDOMITOSIS?

Mitosis: normal cell division that includes DNA replication, anaphase, and cytokinesis



Endomitosis: type of cell division done by megakaryocyte progenitors in which DNA replication occurs but anaphase And cytokinesis are blocked this producing s cell with s large polyploid nucleus and numerous organelles that fragments into platelets

The most abundant plasma protein is...?

ALBUMIN

The most abundant plasma protein is...?

ALBUMIN

The most abundant leukocytes are the ...?

NEUTROPHILS

What is another name for platelets?

Thrombocytes

What is another name for platelets?

Thrombocytes

Platelets are cytoplasm is fragments of large cells called (1) that are located in the (2)

1) megakaryocytes


2) bone marrow

Erythropoietin stimulates bone marrow to produce more ...?

Erythrocytes

Thrombopoietin stimulates bone marrow to produce more ...?

Platelets

Tissue factor is also called tissue ...?

Thromboplastin

Tissue factor triggers the ... pathway of clotting

Extrinsic

Plasmid is an enzyme that degrades ... polymers.

Fibrin

Plasmid is an enzyme that degrades ... polymers.

Fibrin

The inactive precursor to plasmin is (1) which is produced by the (2).

1) plasminogen


2) liver

What function is inhibited by plasminogen activators?

Fibrin stability

What function is inhibited by thrombomodulin, protein C, and protein S

Clotting cascade

What function is inhibited by tissue factor pathway inhibitor?

Clotting cascade

What function is inhibited by prostacyclin?

Platelet activation and aggregation

What function is inhibited by prostacyclin?

Platelet activation and aggregation

What function is inhibited by antithrombin III?

Clotting cascade

What function is inhibited by prostacyclin?

Platelet activation and aggregation

What function is inhibited by antithrombin III?

Clotting cascade

What function is inhibited by nitric oxide?

Platelet activation and aggregation

Increased blood level of immature erythrocytes

Reticulocytosis

Increased number or volume of circulating erythrocytes

Polycythemia

Increased number or volume of circulating erythrocytes

Polycythemia

Decreased number or volume of circulating erythrocytes

Anemia

Premature death of damaged erythrocytes

Eryptosis

Having erythrocytes of different shapes

Poikilocytosis

Having erythrocytes of different sizes

Anisocytosis

Decreased number of circulating erythrocytes, leukocytes, and platelets

Pancytopenia

When plasma volume increases to compensate for anemia, blood viscosity (1) which causes blood flow to be (2)

1) decreases


2) turbulent

Defective DNA synthesis in bone marrow precursors usually creates erythrocytes that are ... and normochromic

Macrocytic

Lactose Erin released by neutrophils during bacterial infection (1) iron thus contributing to (2)

1) binds


2) anemia of chronic disease

Hemolysis from a mismatched blood transfusion is an example of (1) hemolytic anemia that occurs (2)

1) alloimmune


2) intravascularly

What is the appearance of the erythrocytes in iron deficiency anemia?

Microcytic-hypochromic

What is the appearance of the erythrocytes in aplastic anemia?

Normocytic-normochromic

What is the appearance of the erythrocytes in aplastic anemia?

Normocytic-normochromic

What is the appearance of the erythrocytes in pernicious anemia?

Macrocytic-normochromic

What is the appearance of the erythrocytes in aplastic anemia?

Normocytic-normochromic

What is the appearance of the erythrocytes in pernicious anemia?

Macrocytic-normochromic

What is the appearance of the erythrocytes in posthemorrhagic anemia?

Normocytic-normochromic

What is the appearance of the erythrocytes in thalassemia?

Microcytic-hypochromic

What is the appearance of the erythrocytes in sickle cell anemia?

Normocytic-normochromic

What is the appearance of the erythrocytes in folate deficiency anemia?

Macrocytic-normochromic

What is the appearance of the erythrocytes in anemia of chronic disease?

Normocytic-normochromic

What is the general cause of hereditary spherocytosis?

Increased erythrocyte destruction

What is the general cause of anemia of chronic disease?

Impaired erythrocyte production

What is the general cause of iron deficiency anemia?

Impaired erythrocyte production

What is the general cause of sickle cell anemia?

Increased erythrocyte destruction

What is the general cause of sickle cell anemia?

Increased erythrocyte destruction

What is the general cause of G6PD deficiency?

Increased erythrocyte destruction

What is the general cause of sickle cell anemia?

Increased eryhrocyte destruction

What is the general cause of G6PD deficiency?

Increased erythrocyte destruction

What is the general cause of pernicious anemia?

Impaired erythrocyte production

What is the general cause of aplastic anemia?

Impaired erythrocyte production

What is the general cause of aplastic anemia?

Impaired erythrocyte production

What is the general cause of folate deficiency anemia?

Impaired erythrocyte production

What is the technical term for the appearance of the tongue that has lost papillae and looks fissured?

Glossitis

What is the technical term for concave brittle fingernails?

Koilonychia

Glossitis And koilonychia are characteristic of what type of anemia?

Iron deficiency anemia

What term describes the color and amount of hemoglobin in the erythrocytes of iron deficiency anemia?

Hypochromic

Hereditary hemochromatosis is an autosomal (1) disorder that causes increased absorption of dietary (2)

1) recessive


2) iron

Sideroblstic anemia’s are characterized by defective synthesis of (1) and may be acquired or hereditary, in which case they usually have recessive (2) transmission.

1) heme


2) x linked

Myelodysplastic syndrome involves defects in all lines of hematopoietic (1) cells; some persons with this condition develop acute (2)

1) stem


2) leukemia

Myelodysplastic syndrome involves defects in all lines of hematopoietic (1) cells; some persons with this condition develop acute (2)

1) stem


2) leukemia

What levels are used to evaluate iron elevens when diagnosing anemia?

Serum ferritin levels

Release of (1) during chronic inflammation contributes to the anemia of chronic disease by decreasing the availability of (2) and inhibiting erythrocytes progenitors

1) cytokines


2) iron

Release of (1) during chronic inflammation contributes to the anemia of chronic disease by decreasing the availability of (2) and inhibiting erythrocytes progenitors

1) cytokines


2) iron

Congenital hemolytic anemia’s are caused by (1) defects in erythrocytes but acquired hemolytic anemia’s usually are caused by the (2) system.

1) intrinsic


2) immune

Hemolysis in most inherited hemolytic anemia’s occurs in the (1) by the action if (2).

1) spleen


2) macrophages

Warm autoimmune hemolytic anemia is caused by (1) binding to erythrocytes with subsequent destruction if those erythrocytes in the (2).

1) IgG


2) spleen

Drug-induced hemolytic anemia from antibiotics usually begins when the antibiotic serves as a ... and binds to erythrocyte proteins.

Hapten

Bone marrow can increase erythrocyte production up to ... times it’s normal rate

8

When does jaundice occur as a result of hemolysis?

When heme destruction exceeds the liver’s ability to process and excrete bilirubin

What is the location of the erythrocyte defect in thalassemia?

Hemoglobin synthesis defect

What is the location of the erythrocyte defect in thalassemia?

Hemoglobin synthesis defect

What is the location of the erythrocyte defect in hereditary spherocytosis?

Membrane defect

What is the location of the erythrocyte defect in sickle cell anemia?

Hemoglobin synthesis defect

What is the location of the erythrocyte defect in G6PD deficiency anemia?

Enzyme pathway defect

What is the location of the erythrocyte defect in G6PD deficiency anemia?

Enzyme pathway defect

What is the location of the erythrocyte defect in paroxysmal nocturnal hemoglobinuria?

Membrane defect

What is the difference between leukemia and lymphoma?

Leukemia: cancers of blood-forming cells


Lymphoma: cancers of lymphatic tissue

What is the difference between a lymphocytic and myelogenous leukemia?

Lymphocytic: arises from the lymphoid cellnline that normally produces B and T lymphocytes and natural killer cells



Myelogenous: arises from the myeloid cell line that normally produces granulocytes, monocytes, erythrocytes, And platelets

What is the difference between splenomegaly and hypersplenism?

Splenomegaly: enlargement of the spleen


Hypersplenism: overactivity of the spleen cause by splenomegaly

What is the difference between the composition of arterial thrombi and venous thrombi?

Arterial: composed primarily of platelet aggregates held together by strands of fibrin


Venous: composes primarily of erythrocytes, greater amounts of fibrin and fewer platelets

Enlarged lymph nodes

Lymphadenopathy

Lower than normal neutrophil count in the blood

Neutropenia

Lower than normal blood counts of white blood cells red blood cells and olatekets

Pancytopenia

Lower than normal blood counts of white blood cells red blood cells and platelets

Pancytopenia

Higher than normal WBC count

Leukocytosis

Lower than normal WBC count

Leukopenia

Higher than normal blood counts of neutrophils, eosinophils, and basophils

Granulocytosis

Lower than normal blood counts of neutrophils, eosinophils, basophils

Granulocytopenia

Complete absence of neutrophils, eosinophils, and basophils in the blood

Agranulocytosis

Monocytosis occurs during the (1) phase of inflammation whereas neutrophils occurs during the (2) phase of inflammation

1) late


2) early

All types of leukemia are characterized by uncontrolled (1) of WBC in the (2) that thereby (3) the amount and function of erythrocytes and platelets

1) production


2) bone marrow


3) decreases

What does an activated platelet release in a HIT reaction?

Platelet factor 4

What does an activated platelet release in a HIT reaction?

Platelet factor 4

When a person forms HIT antibodies they react specifically against what?

PF4-heparin complex

In HIT by what mechanism do more platelets become activated causing more clotting?

After HIT antibodies bind the PF4-heparin complex, the Fc (nonspecific) end of the antibodies binds to platelet FC receptors, activating the platelets which release substances that promote clotting

What causes thrombocytopenia in HIT?

Platelet number decreases because of micro clots, extension of previous clots, or formation of new clots, all of which use up platelets

Autoantibody against plasma membrane components that causes hypercoaguability by binding to platelets and endothelial cells

Antiphospholipid antibody

Autoantibody against plasma membrane components that causes hypercoaguability by binding to platelets and endothelial cells

Antiphospholipid antibody

Abnormal antibody released by malignant plasma cells in multiple myeloma

M protein

Autoantibody against plasma membrane components that causes hypercoaguability by binding to platelets and endothelial cells

Antiphospholipid antibody

Abnormal antibody released by malignant plasma cells in multiple myeloma

M protein

Genetic mutation that causes hypercoagulability by allowing activated clotting factor Va to remain longer in the blood

Factor V Leiden

Mutant tyrosine kinase that derived cell proliferation and survival in some types of leukemia

BCR-ABL1 variant oncoprotein

Genetic translocation between chromosomes 9 and 22 that creates a mutant protein implicated in CML and other types of leukemia

Philadelphia chromosome

Infectious mononucleosis is an acute infection of (1) lymphocytes commonly caused by (2); typical clinical manifestations are pharyngitis, fever, and cervical (3)

1) B


2) Epstein-Barr virus


3) lymphadenopathy

In Africa, (1) lymphoma, a rapidly growing (2) lymphocyte tumor in the (3) And facial bones of children is associated with EBV

1) Burkitt


2) b


3) jaw

AML stands for (1) and CLL stands for (2)

1) acute myelogenous leukemia


2) chronic lymphocytic leukemia

Hypercalcemia And bone lesions are characteristics of (1) because the malignant cells reside in the bone marrow and not in the circulating blood

Multiple myeloma

The term ... disorder indicates that leukemia’s are considered to be the product of a mutated progenitor cell that replicated itself uncontrollably

Clonal

Abnormally precipitated oxidized hemoglobin within an erythrocyte

Heinz body

An endogenous inhibitor of coagulation

Protein S

An endogenous inhibitor of coagulation

Protein S

Presence of immature Buckeyes RBC’s in the blood

Erythroblastosis

Normal enzyme that protects erythrocytes from oxidative damage

G6PD

A child with a G6PD deficiency must not be given (1) because it could trigger a (2) episode

1) aspirin


2) hemolytic

Normally (1) genes control synthesis of the hemoglobin alpha chains and (2) genes control beta chain synthesis, which is crucial to understanding the various forms of (3)

1) 4


2) 2


3) thalassemia

Von Willebrand disease is s genetic (1) condition

Hemorrhagic

What is the difference between the hemoglobin chains of adults and embryonic and fetal hemoglobin?

Adult: composed of 2 alpha and 2 beta polypeptide chains



Embryonic and feral: 2 alpha and 2 gamma polypeptide chains

What is the difference between the frequency of hemolysis in children who have hereditary spherocytosis and G6PD deficiency?

Children who have hereditary spherocytosis experience persistent hemolysis because their erythrocytes have a membrane defect that makes them fragile


Children who have G6PD deficiency do not have hemolysis unless they are exposed to certain drugs or other oxidative stressors that trigger hemolytic crisis

What is difference between the chemical structures of hemoglobin A and hemoglobin S?

A; normal adult hemoglobin with 2 alpha and 3 beta chains



S: associated with sickle cell disease has valine instead of glutamic acid at particular point on the beta chains

What is the genetic difference between sickle cell anemia and sickle cell trait?

Persons with sickle cell anemia have two copies of the mutated gene (homozygous) and produce only hemoglobin S


Persons with sickle cell trait have one mutated gene (heterozygous) and produce a mixture of hemoglobin a and s

What causes hemoglobin and hematocrit levels to be so different between birth and 3 months?

Fetal intrauterine environment is hypoxia which stimulates fetal erythropoietin production and drives erythropoiesis

Why does cord blood have high reticulocyte levels?

Reflect very active erythropoiesis of fetal life

Why does cord blood have high reticulocyte levels?

Reflect very active erythropoiesis of fetal life

What is the difference between the normal WBC count in an infant and school aged child? And why is this important to know?

Normal WBC count is much higher in an infant than in a school aged child


Important to understand so as not to mistake a normally high WBC count as an indication of infection

Before the bone marrow is functional in a fetus production of erythrocytes takes place primarily in the ...?

Liver

A child who has sickle cell anemia and develops a parovirus B19 infection may develop ... crisis?

Aplastic

Acute chest syndrome in sickle cell anemia occurs when sickles erythrocytes cause ... infarction.

Lung

Young children with sickle cell anemia may develop (1) crisis when large amounts of blood oi in the spleen and liver potentially causing death from (2)

1) sequestration


2) cardiovascular collapse

Beta-thalassemia major is also called ...

Cooley anemia

In beta thalassemia the erythrocytes are unstable and prone to hemolysis because they have too many free hemoglobin .... chains.

Alpha

Children with hemophilia experience recurrent episodes of (1) And may develop limited mobility due to damage to (2) from some of these episodes

1) bleeding


2) joints

The most common leukemia in children is ...

Acute lymphocytic leukemia

Fever in acute leukemia is caused by (1) due to decreased neutrophils and by (2) from rapid growth of leukemic cells

1) infection


2) hypermetabolism

Children who have inherited deficiencies of antithrombin III or protein C or S have increased risk for ...

Thrombosis

Hodgkin lymphoma is characterized by (1) enlargement of supraclavicular or cervical lymph nodes and has some association with (2)

1) painless


2) Epstein Barr virus

Childhood non-Hodgkin lymphoma can arise from any (1) tissue and is more similar clinically and histologicslly to acute (2) than it is to adult non-Hodgkin lymphoma

1) lymphoid


2) lymphocytic leukemia

Autosomal recessive factor XI deficiency

Hemophilia C

X-linked recessive factor VIII DEFICIENCY

Hemophilia A

X-linked recessive factor VIII DEFICIENCY

Hemophilia A

X/linked recessive factor IX deficiency

Hemophilia B

What electrical event occurs in the myocardium that generates the P wave on an ECG?

Atrial depolarization

What electrical event occurs in the myocardium that generates the P wave on an ECG?

Atrial depolarization

What do the Syria do in response to depolarization?

Contract

What electrical event occurs in the myocardium that generates the P wave on an ECG?

Atrial depolarization

What do the Syria do in response to depolarization?

Contract

What happens in the ventricles on the ECG from the R to the end of the T wave?

Ventricular systole

What part of the ECG does the mitral valve close?

Q wave

Why is it important for the mitral and tricuspid valves to close at the same time?

Prevents backward flow of blood into the Atria as the ventricles contract

What is the difference between the endocardium and the epicardium?

Endocardium is the innermost later of the heart



The epicardium is the outermost layer of the heart

What is the difference between angiogenesis and arteriogenesis?

Angiogenesis is the growth of new capillaries



Arteriogenesis is a new artery branching off from a preexisting artery

What is the difference between exercise hyperemia and reactive hyperemia?

Exercise: locally increased blood flow caused by vasodilation in an exercising muscle



Reactive: locally increased blood flow caused by vasodilation after a period of tissue ischemia

What is the difference between laminar flow and turbulent flow?

Laminar flow has concentric layers of molecules that move parallel to the vessel wall



Turbulent flow has eddy currents that move in whorls creating more resistance to flow and a less beneficial effect on the endothelium

Provides one way flow of blood from the right atrium into the right venteicle

Tricuspid valve

Anchors the heart valve cusps to the papillary muscles to prevent valve prolapse

Chordae tendonae

The RIGHT atrioventricular valve has (1) cusps And is called the (2) valve

1) 3


2) tricuspid

The RIGHT atrioventricular valve has (1) cusps And is called the (2) valve

1) 3


2) tricuspid

The LEFT atrioventricular valve has (1) cusps and is called the (2) valve...

1) two


2) mitral

Binding of ATP to myosin requires (1) to enable myocardial contraction; excitation-contraction coupling requires (2).

1) magnesium


2) calcium

Which causes a faster heart rate: sympathetic nerve firing or parasympathetic nerve firing?

Sympathetic

Which causes a faster heart rate: stimulation of cardiac B1 receptors or cardiac B2 receptors?

B1

The aortic and pulmonary valves are the (1) valves and they each have (2) cusps.

1) semilunar


2) three

Another name for the epicardium is the ... pericardium.

Visceral

Two important branches of the left coronary artery are the left (1) and the (2) artery.

1) anterior descending


2) circumflex

Parasympathetic nerves to the heart release the neurotransmitter (1) which binds to (2) receptors.

1) acetylcholine


2) cholinergic

Sympathetic nerves to the heart release the neurotransmitter (1) which binds to (2) receptors.

1) norepinephrine


2) adrenergic

The process of ... enables an organ to regulate its blood flow by altering the resistance in its arterioles.

Auto regulation

The right lymphatic duct and the (1) duct drain lymph into the (2) veins.

1) thoracic


2) subclavian

SPECT uses a radiotracer that is administered ...

Intravenously

Within limits, a greater end-diastolic volume will produce a greater contractile force during systole

Frank-Starling law of the heart

The amount of tension generated in a cardiac chamber or vessel to produce a given internal pressure varies directly with the radius and inversely with the wall thickness

Laplace’s law

The amount of tension generated in a cardiac chamber or vessel to produce a given internal pressure varies directly with the radius and inversely with the wall thickness

Laplace’s law

Blood flow is inversely related to resistance; resistance to blood flow is directly related to vessel length and blood viscosity and inversely related to the vessel radius to the fourth power

Poiseuille’s law

What is the difference between primary and secondary hypertension?

Primary: has no known cause


Secondary: caused by another disease process such as renal disease

What is the difference between myocardial hibernation and myocardial stunning?

Hibernation: involved persistently ischemic myocardium that undergoes metabolic adaptation to survive until perfusion is restored



Stunning: involves temporary loss of contractile ability after perfusion has been restored

What is the difference between dilated and restrictive cardiomyopathy?

Dilated: cardiac chambers are enlarged (have increased diastolic volume), and the myocardium has decreased contractility



Restrictive: cardiac chambers have decreased diastolic volume because the myocardium is rigid and non compliant

What is the difference between dilated and restrictive cardiomyopathy?

Dilated: cardiac chambers are enlarged (have increased diastolic volume), and the myocardium has decreased contractility



Restrictive: cardiac chambers have decreased diastolic volume because the myocardium is rigid and non compliant

What is the difference between valvular stenosis and valvular regurgitation?

Stenosis: narrowing of s valve which impedes the forward flow of blood



Regurgitation: incomplete closure of a valve which allows blood to leak backward through the valve

Distended and tortuous superficial veins in which blood has pooled because of damaged valves

Varicose veins

Sustained inadequate venous return due to valvular damage

Chronic venous insufficiency

Sustained inadequate venous return due to valvular damage

Chronic venous insufficiency

Ischemic pain in the lower extremities that occurs while walking but disappears when resting

Intermittent claudication

Sustained inadequate venous return due to valvular damage

Chronic venous insufficiency

Ischemic pain in the lower extremities that occurs while walking but disappears when resting

Intermittent claudication

Inflammatory disease of peripheral arteries that usually is associated with smoking

Thromboangiitis obliterans

Vasospastic disease of peripheral arteries in which episodes of ischemia and pallor are followed by rubies and parathesias

Raynaud disease

Inflammation of the membranous sac that surrounds the heart

Pericarditis

Inflammation of the membranous sac that surrounds the heart

Pericarditis

Compression of the heart by pericardial fluid

Tamponade

The term dissecting aneurysm means that blood enters an artery walk and ....

Runs between the layers of the wall

Risk for myocardial infarction increases with low blood levels of (1) and high blood levels of (2).

1) HDL


2) LDL

Cardiac valve damage in rheumatic fever is caused by what?

An abnormal immune response

Cardiac valve damage in infective endocarditis is caused by what?

Streptococci or other organisms

Constructive pericarditis is a (1) condition that can (2) the heart.

1) chronic


2) compress

Orthopnea, dyspnea, decreases urine output, coughing frothy pink sputum, and crackles on auscultation are signs of what sided heart failure?

LEFT

Orthopnea, dyspnea, decreases urine output, coughing frothy pink sputum, and crackles on auscultation are signs of what sided heart failure?

LEFT

Ankle edema, jugular venous distension, hepatomegaly are signs of what sided heart failure?

RIGHT

Low dietary intake of what electrolytes is a risk factor foR HTN?

Potassium


Magnesium

Substance released by the kidneys that contributed to some cases of hyoertension

Renin

Substance released by the kidneys that contributed to some cases of hyoertension

Renin

A clot in a blood vessel that breaks loose and circulated is called ...

Thromboembolus

Sustained hypertension causes left ventricular (1) and coronary atherosclerosis, this increasing the risk for (2).

1)hypertrophy


2) MI

Sustained hypertension causes left ventricular (1) and coronary atherosclerosis, this increasing the risk for (2).

1)hypertrophy


2) MI

Rapidly progressive hypertension with a diastolic pressure above 140 is called (1) hypertension and can damage the (2).

1) malignant


2) brain

Postural hypotension or (1) is a systolic BP decrease of at least (2) and a diastolic BP decrease of st least (3)

1) orthostatic


2) 20


3) 10

Clot formation at the site of rupture of an atherosclerotic plaque causes tissue (1) which leads to (2) if blood flow is not restored.

1) ischemia


2) infarction

People who are obese have decreased levels of ... an antiatherogenic adipokine

Adiponectin

Acute rheumatic fever is characterized by carditis, acute migratory (1), chorea, And (2) marginatum, which occur 1-5 weeks after streptococci infection of the (3).

1) polyarthritis


2) erythema


3) pharynx

Acute rheumatic fever is characterized by carditis, acute migratory (1), chorea, And (2) marginatum, which occur 1-5 weeks after streptococci infection of the (3).

1) polyarthritis


2) erythema


3) pharynx

Right atrial and right ventricular dilation And hypertrophy

Tricuspid regurgitation

Acute rheumatic fever is characterized by carditis, acute migratory (1), chorea, And (2) marginatum, which occur 1-5 weeks after streptococci infection of the (3).

1) polyarthritis


2) erythema


3) pharynx

Right atrial and right ventricular dilation And hypertrophy

Tricuspid regurgitation

Left atrial hypertrophy and dilation

Mitral stenosis

Acute rheumatic fever is characterized by carditis, acute migratory (1), chorea, And (2) marginatum, which occur 1-5 weeks after streptococci infection of the (3).

1) polyarthritis


2) erythema


3) pharynx

Right atrial and right ventricular dilation And hypertrophy

Tricuspid regurgitation

Left atrial hypertrophy and dilation

Mitral stenosis

Left ventricular hypertrophy and dilation

Aortic stenosis

Acute rheumatic fever is characterized by carditis, acute migratory (1), chorea, And (2) marginatum, which occur 1-5 weeks after streptococci infection of the (3).

1) polyarthritis


2) erythema


3) pharynx

Right atrial and right ventricular dilation And hypertrophy

Tricuspid regurgitation

Left atrial hypertrophy and dilation

Mitral stenosis

Left ventricular hypertrophy and dilation

Aortic stenosis

Left atrial and left ventricular dilation and hypertrophy

Mitral regurgitation

Tetralogy of Fallot


Right to left shunt

Front (Term)

Aortic stenosis


No shunt

Front (Term)

Atrial septal defect


Left to right shunt

Front (Term)

Atrial septal defect


Left to right shunt

Front (Term)

Coarctation of the aorta


No shunt

Front (Term)

Tricuspid atresia


Right to left

Front (Term)

Patent ductus arteriosus


Left to right shunt

Front (Term)

Ventricular septal defect


Left to right shunt

Front (Term)

Ventricular septal defect


Left to right shunt

Front (Term)

Pulmonic stenosis


No shunt

Fetal oxygenation occurs in the ...

Placenta

Fetal oxygenation occurs in the ...

Placenta

Pulmonary overcirculation caused by an uncorrected congenital heart defect causes the smooth muscle layer in the pulmonary arterial tree to (1) and the lumens to (2).

1) thicken


2) narrow

Fetal oxygenation occurs in the ...

Placenta

Pulmonary overcirculation caused by an uncorrected congenital heart defect causes the smooth muscle layer in the pulmonary arterial tree to (1) and the lumens to (2).

1) thicken


2) narrow

Failure of the endocardi cushions to fuse during fetal life causes an (1) canal defect and frequently occurs in children who have (2) syndrome

1) atrioventricular


2) down

Underdevelopment of the left heart is termed ... left heart syndrome

Hypoplastic

Underdevelopment of the left heart is termed ... left heart syndrome

Hypoplastic

With transposition of the great arteries, the aorta arises from the (1) ventricle and the pulmonary artery arises from the (2) ventricle; unless additional defects are present this defect is incompatible with (3) life

1) right


2) left


3) extrauterine

The condition in which the pulmonary artery and the aorta are a single blood vessel is called ....

Truncus arteriosus

The condition in which the pulmonary artery and the aorta are a single blood vessel is called ....

Truncus arteriosus

Young children who develop (1) disease have vasculitis of unknown cause and often develop aneurysms of their (2) arteries that may regress as the condition resolves.

1) Kawasaki


2) coronary

Sustained hypertension in children often is associated with underlying ... disease

Renal

What is the difference between the direction of blood flow through the ductus arteriosus in fetal life and after birth if the ductus arteriosus does not close? Why does this difference occur?

Back (Definition)

What is the difference between the direction of blood flow through the ductus arteriosus in fetal life and after birth if the ductus arteriosus does not close? Why does this difference occur?

Back (Definition)

What is the difference between the clinical manifestations of s congenital heart defect that causes a moderate right to left blood shunt and one that causes a moderate left to right blood shunt? Why does this difference occur?

Back (Definition)

Prevent airway collpse

Cartilage rings

Prevent airway collpse

Cartilage rings

Filter and humidify air

Nasopharynx

Prevent lung collapse at end-exhalation

Surfactant

Prevent lung collapse at end-exhalation

Surfactant

Allow pressure to equalize between adjacent alveoli

Pores of Kohn

The pulmonary circulation has ... pressure and resistance than the systemic circulation

Lower

What is the most effective measurement of of the adequacy of alveolar ventilation?

PaCO2

Parasympathetic stimulation causes airways to (1); sympathetic stimulation causes airways to (2).

1) constrict


2) dilate

Parasympathetic stimulation causes airways to (1); sympathetic stimulation causes airways to (2).

1) constrict


2) dilate

What intercostal muscles are active during vigorous inspiration?

External

A person at sea level breathing through the nose the gas that reaches the lungs if ... Saturated with water vapor

Fully

The shift in the oxyhemoglobin dissociation curve caused by alterations in pH and PaCO2 is called the ... effect

Bohr

What is the difference between a terminal bronchioles and a respiratory bronchioles?

Terminal: a conducting airway



Respiratory: a gas-exchange airway

What is the difference between type I️ and type IIalveolar cells

Type I️ provide the structure of alveoli



Type II SECRETE SURFACTANT

What is the difference between the visceral pleura and the parietal pleura?

Visceral: covers the lungs



Parietal: lines the thoracic cavity

What is the difference between the visceral pleura and the parietal pleura?

Visceral: covers the lungs



Parietal: lines the thoracic cavity

What is the difference between PaO2 and PAO2?

PaO2 is the parietal pressure of oxygen in the arterial blood



PAO2 is the partial pressure of oxygen in the alveoli

The mononuclear phagocytic cells in the lungs are called alveolar ...

Macrophages

Gas exchange occurs across the ... membrane

Alveolocapillary

Receptors in The conducting airways that initiate the cough reflex in response to inhaled dust are called ... receptors.

Irritant

The V/Q ratio of s normal upright lung is ...

0.8

The V/Q ratio of s normal upright lung is ...

0.8

A normal V/Q ratio indicates that ventilation is ... than perfusion

Less

Perfusion is greater than ventilation because pulmonary arterial and venous pressures are greater than alveolar pressure

Zone III

Perfusion is greater than ventilation because pulmonary arterial and venous pressures are greater than alveolar pressure

Zone III

Perfusion happening but is not maximum because pulmonary arterial and venous pressures are opposed by alveolar pressure

Zone II

Perfusion is greater than ventilation because pulmonary arterial and venous pressures are greater than alveolar pressure

Zone III

Perfusion happening but is not maximum because pulmonary arterial and venous pressures are opposed by alveolar pressure

Zone II

No perfusion occurs because alveolar pressure is greater than pulmonary arterial and venous pressures

Zone I

Hemoglobin molecules that have bound oxygen

Oxyhemoglobin

Hemoglobin molecules that have bound oxygen

Oxyhemoglobin

The conducting airways of the lungs

Bronchi

Hemoglobin molecules that have bound oxygen

Oxyhemoglobin

The conducting airways of the lungs

Bronchi

What goblet cells in the bronchi secrete

Mucus

Hemoglobin molecules that have bound oxygen

Oxyhemoglobin

The conducting airways of the lungs

Bronchi

What goblet cells in the bronchi secrete

Mucus

Space between the lungs that contains the heart, great vessels, and esophagus

Mediastinum

Where the trachea divides into the two main bronchi

Carina

Fibers that give lung tissue it’s elasticity

Elastin

Structure that connects the larynx to the bronchi

Trachea

Structure that connects the upper and lower airways

Larynx

Where the bronchi and pulmonary vessels enter the lungs

Hila

The structures that participate in gas exchange

Acines

Presence of pus in the pleural cavity

Empyema

Presence of pus in the pleural cavity

Empyema

Collapse of alveoli

Atelectasis

Presence of pus in the pleural cavity

Empyema

Collapse of alveoli

Atelectasis

Bluish discoloration is the skin caused by desaturation of hemoglobin

Cyanosis

Presence of pus in the pleural cavity

Empyema

Collapse of alveoli

Atelectasis

Bluish discoloration is the skin caused by desaturation of hemoglobin

Cyanosis

PaO2 below normal

Hypoxemia

Presence of pus in the pleural cavity

Empyema

Collapse of alveoli

Atelectasis

Bluish discoloration is the skin caused by desaturation of hemoglobin

Cyanosis

PaO2 below normal

Hypoxemia

Coughing up blood mucus

Hemoptysis

Presence of pus in the pleural cavity

Empyema

Collapse of alveoli

Atelectasis

Bluish discoloration is the skin caused by desaturation of hemoglobin

Cyanosis

PaO2 below normal

Hypoxemia

Coughing up blood mucus

Hemoptysis

Passage of fluid and:or solid particles into the lungs

Aspiration

Processes that increase capillary permeability can cause (1) pleural effusion, but processes that increase capillary hydrostatic pressure can cause (2) pleural effusion

1) exudative


2) transudative

Clinical manifestations of bronchiolitis include tachyons, (1) cough, use of accessory muscles, (2) fever, and hypoxemia.

1) nonproductive


2) low-grade

Clinical manifestations of bronchiolitis include tachyons, (1) cough, use of accessory muscles, (2) fever, and hypoxemia.

1) nonproductive


2) low-grade

What type of ventilation is caused by head injury, anxiety, and response to severe hypoxemia?

HypERventilation

Clinical manifestations of bronchiolitis include tachyons, (1) cough, use of accessory muscles, (2) fever, and hypoxemia.

1) nonproductive


2) low-grade

What type of ventilation is caused by head injury, anxiety, and response to severe hypoxemia?

HypERventilation

What type of ventilation is caused by airway obstruction, reduces firing of neurons to respiratory muscles, respiratory muscle weakness, and reduced compliance of chest wall?

HypOventilation

What is the difference between dyspnea and orthopnea?

Dyspnea: feeling of breathlessness



Orthopnea: feeling of breathlessness while lying down

What is the difference between stridor and wheezing?

Stridor: high-pitched sounds made during inspiration



Wheezing: whistling sounds on expiration

What is the difference between absorption atelectasis and compression atelectasis?

Absorption: alveolar collapse caused by gases being absorbed from alveoli that are obstructed



Compression: alveolar collapse caused by external pressure on the alveoli

What is the difference between communicating and tension pneumothorax?

Communicating: the pressure of the air in the pleural space is the same as barometric pressure because the air drawn into the pleural space during inspiration is forced back out during expiration



Tension: the pressure of air In The pleural space exceeds barometric pressure because air enters during inspiration but cannot exit during expiration

Alternating periods of deep and shallow breathing with apnea episodes

Cheyne-Stokes

Alternating periods of deep and shallow breathing with apnea episodes

Cheyne-Stokes

What breathing pattern exhibits: Increased ventilator rate, small tidal volume

Restricted

Alternating periods of deep and shallow breathing with apnea episodes

Cheyne-Stokes

What breathing pattern exhibits: Increased ventilator rate, small tidal volume

Restricted

What breathing pattern exhibits: rhythmic and effortless with normal tidal volume

Eupnea

Alternating periods of deep and shallow breathing with apnea episodes

Cheyne-Stokes

What breathing pattern exhibits: Increased ventilator rate, small tidal volume

Restricted

What breathing pattern exhibits: rhythmic and effortless with normal tidal volume

Eupnea

What breathing pattern exhibits: irregular quick inspirations with an exploratory pause

Gasping

Alternating periods of deep and shallow breathing with apnea episodes

Cheyne-Stokes

What breathing pattern exhibits: Increased ventilator rate, small tidal volume

Restricted

What breathing pattern exhibits: rhythmic and effortless with normal tidal volume

Eupnea

What breathing pattern exhibits: irregular quick inspirations with an exploratory pause

Gasping

What breathing pattern exhibits: increased ventilator rate, small tidal volume, increased effort, prolonged expiration, and wheezing

Obstructed

What breathing pattern exhibits: increased ventilator rate, very large tidal


Volume, and no expiration pause

Kussmaul

Waking up with dyspnea during the night and needing to sit upright or stand to breathe is called ...

Paroxysmal nocturnal dyspnea

Waking up with dyspnea during the night and needing to sit upright or stand to breathe is called ...

Paroxysmal nocturnal dyspnea

A person who has (1) has persistent abnormal filations if the bronchi and a chronic cough that produces large amount of purulent (2).

1) bronchiectasis


2) sputum

Pulmonary fibrosis is an excessive amount of (1) tissue in the lungs and causes (2) lung compliance

1) fibrotic


2) decreased

In asthma, long term airway damage that is irreversible is known as airway ...

Remodeling

Genetic deficiency of (1) causes early-onset emphysema because this enzyme normally inhibits the action of (2) that can destroy lung tissue.

1) A1 anti-trypsin


2) protolytic enzymes

The two disorders known as COPD are emphysema and ...

Chronic bronchitis

The two disorders known as COPD are emphysema and ...

Chronic bronchitis

Chronic bronchitis is characterized by persistent hypersecretion if (1) and chronic (2) cough

1) mucus


2) productive

Clinical manifestations of emphysema include (1) chest and (2) on exertion and eventually at rest.

1) barrel


2) dyspnea

Cot pulmonary is (1) ventricular enlargement caused by chronic pulmonary (2)

1) RIGHT


2) HTN

Cot pulmonary is (1) ventricular enlargement caused by chronic pulmonary (2)

1) RIGHT


2) HTN

Primary lung cancer arising from cells that line the airways is called ...

Bronchogenic carcinoma

Small cell carcinoma in the lung often produces tumor-derived ...

Hormones

Infection and inflammation in the terminal airways and alveoli

Pneumonia

Congenital lack of patency of the nasal cavity within the nasopharynx

Choanal atresia

Congenital lack of patency of the nasal cavity within the nasopharynx

Choanal atresia

Harsh vibratory sound with variable pitch caused by turbulent air flow through a partially obstructed upper airway

Stridor

Localized swelling involving the deep subcutaneous tissue

Angioedema

Compared with older children, a 2-week-old neonate has a blunted ventilatory response to ...

Hypoxia

Acute epiglottitis usually is a (1) infection and tends to occur in children aged (2) years.

1) bacterial


2) 2-6

Peritonsillar abcess usually is (1) And is a complication of (2).

1) unilateral


2) tonsillitis

Pneumonia in young children is usually a ... infection.

Viral

Pneumonia caused by mycoplasma is known as (1) pneumonia and usually is (2) severe.

1) atypical


2) not

ARDS (1) ALI and is characterized by (2) respiratory distress and severe (3) that is poorly responsive to supplemental oxygen.

1) follow


2) progressive


3) hypoxemia

Acute laryngotracheobronchitis is another name for ...

Croup

Croup is usually caused by a (1) that causes (2) edema.

1) virus


2) subglottal

The most common predisposing factor for childhood OSA is ... hypertrophy.

Adenotonsillar

RDS of the newborn is caused by (1) deficiency; fibrin deposits in the alveoli create the appearance of (2) membranes.

1) surfactant


2) hyaline

Chronic lung disease of prematurity , also called (1), is associated with arrested lung (2).

1) bronchopulmonary dysplasia


2) development

Bronchiolitis is most commonly caused by ...

Respiratory synctial virus

Bronchiolitis is most commonly caused by ...

Respiratory synctial virus

RSV symptoms include (1), cough, and (2) respiratory rate.

1) rhinorrhea


2) increased

Meconium aspiration causes pneumonitis because the ... in meconium causes inflammation

Bile salts

The ... hypothesis attempts to explain the Hugh prevalence of asthma in westernized cultures.

Hygiene

What is the difference between principal cells and the intercalated cells in the collecting duct?

Principal cells: secrete potassium and reabsorb sodium and water



Intercalated cells: reabsorb potassium and secrete hydrogen ions

What is the difference between principal cells and the intercalated cells in the collecting duct?

Principal cells: secrete potassium and reabsorb sodium and water



Intercalated cells: reabsorb potassium and secrete hydrogen ions

What is the difference between tubular secretion and tubular reabsorption?

Secretion: moves substances from the peritubular capillaries into the renal tubular lumen



Reabsorption: moves them from the renal tubular lumen into the peritubular capillaries

The area of the bladder between the openings of the ureters and the urethra

Trigone

The bladder wall muscle

Detrusor

Precipitated material in urine that increase as urine cools

Crystals

Precipitated material in urine that increase as urine cools

Crystals

All the glomeruli are located in the renal ...

Cortex

Precipitated material in urine that increase as urine cools

Crystals

All the glomeruli are located in the renal ...

Cortex

Small openings in the glomerular endothelium called (1) are maintained by vascular endothelial growth factor secreted by the (2).

1) fenestrae


2) podocytes

Natriuretic peptides ... renal excretion of sodium and water

Increases

Natriuretic peptides ... renal excretion of sodium and water

Increases

ADH (1) renal excretion of water which (2) urine specific gravity.

1) decreases


2) increases

Tamm-Horsfall protein, also known as (1), is produced in the (2) nephron segments and protects against (3).

1) uromedulin


2) distal


3) bacteria

The concentration gradient of the renal interstitium (1) from the cortex to the tip of the medulla; the gradient is necessary in order to (2) the urine.

1) increases


2) concentrate

The concentration gradient of the renal interstitium (1) from the cortex to the tip of the medulla; the gradient is necessary in order to (2) the urine.

1) increases


2) concentrate

The countercurrent exchange system is composed of the (1) and its function requires that the fluid within move (2).

1) vasa recta


2) slowly

The kidneys (1) vitamin D, a process that is stimulated by (2).

1) activate


2) parathyroid hormone

Creatinine clearance is used to estimate ...

GFR

Creatinine clearance is used to estimate ...

GFR

Para-aminohiopuric acid clearance is used to estimate ...

Renal blood flow

The glomeruli, most of the proximal tubules, glomerular capillaries, renal corpuscles, interlobular arteries, and affirmed arterioles are located where in the kidney?

Cortex

The collecting ducts, most of the distal tubules, pyramids, and most of the vasa recta are located where in the kidney?

Medulla

What portion of the nephron: reabsorption of large amounts of sodium, water, glucose, amino acids; net reabsorption of bicarbonate; secretion if H+, organic acids, and many medications

Proximal tubule

What part of the nephron is responsible for: Reabsorption of sodium, chloride, and potassium but not much water

Thick ascending limb of loop of henle

What part of the nephron is responsible for: Reabsorption of sodium, chloride, and potassium but not much water

Thick ascending limb of loop of henle

What part of the nephron is responsible for: secretion of potassium, ammonia, and H+; site of action of aldosterone and ADH

Distal tubule and collecting duct

What part of the nephron is responsible for: Reabsorption of sodium, chloride, and potassium but not much water

Thick ascending limb of loop of henle

What part of the nephron is responsible for: secretion of potassium, ammonia, and H+; site of action of aldosterone and ADH

Distal tubule and collecting duct

What part of the nephron is responsible for: ultrafiltration

Glomerulus

What part of the nephron is responsible for: Reabsorption of sodium, chloride, and potassium but not much water

Thick ascending limb of loop of henle

What part of the nephron is responsible for: secretion of potassium, ammonia, and H+; site of action of aldosterone and ADH

Distal tubule and collecting duct

What part of the nephron is responsible for: ultrafiltration

Glomerulus

What part of the nephron is responsible for: reabsorption of water

Descending limb of loop of henle

A process that regulates sodium and water balance by reabsorption of a constant fraction of the sodium load filtered at the glomerulus

Glomerulotubular balance

A process that regulates sodium and water balance by reabsorption of a constant fraction of the sodium load filtered at the glomerulus

Glomerulotubular balance

42-

Myogenic mechanism

A process that regulates sodium and water balance by reabsorption of a constant fraction of the sodium load filtered at the glomerulus

Glomerulotubular balance

42-

Myogenic mechanism

43-

Tubuloglomerular feedback

The location where the renal blood vessels, nerves, lymphatics, and ureter enter and exit the kidney is called the ...

Hilum

The epithelial cells of the proximal convoluted tubule are the only renal tubular cells that have ...

Microvilli

The epithelial cells of the proximal convoluted tubule are the only renal tubular cells that have ...

Microvilli

The (1) is the functional unit of the kidney; the (2) ones are highly important for concentrating urine.

1) nephron


2) juxtamedullary (as in nephrons)

Glomerular capillary blood flow is regulated in part by the contractile ... cells and by vasoactive substances secreted by the endothelium.

Mesangial

The filtration fraction is the ratio of the glomerular filtration rate to ...

Renal plasma flow

Renal arterioles are inner ages by (1) nerves; increased firing causes the arterioles to (2).

1) sympathetic


2) constrict

The renal hormone ... degrades catecholamines

Renalase

The term ... refers to how much of a substance can be removed from the blood by the kidneys per a unit of time.

Clearance

Plasma creatinine concentration takes 7-10 days to stabilize and is best for monitoring ... renal disease

Chronic

Plasma creatinine concentration takes 7-10 days to stabilize and is best for monitoring ... renal disease

Chronic

BUN (1) when GFR decreases, but can also vary with dehydration, protein intake, and protein (2), which can make it unreliable for monitoring renal function.

1) increases


2) catabolism

What is the difference between hypospadias and epispadias in males?

Hypospadias: urethral meatus is located on the central side of the penis



Epispadias: meatus located on the dorsal side of the penis

What is the difference between a hypoplastic and dysplastic kidney?

Hypoplastic: small but otherwise normal



Dysplastic: contains abnormal tissue

What is the difference between a hypoplastic and dysplastic kidney?

Hypoplastic: small but otherwise normal



Dysplastic: contains abnormal tissue

What is the difference between primary and secondary incontinence?

Primary: occurs when a child has not developed bladder control beyond the age at which it is usually achieved



Secondary: occurs in a child who has been dry for at least 6 months and then becomes incontinent again

When kidneys fuse in the midline as they ascend during development, the U-shaped kidney is called a ... kidney.

Horseshoe

When kidneys fuse in the midline as they ascend during development, the U-shaped kidney is called a ... kidney.

Horseshoe

Failure of the abdominal muscles and anterior bladder to fuse in the midline with subsequent exposure of the posterior bladder mucosa is called ... of the bladder.

Extrophy

Blockage of the tapered point where the renal pelvis transitions into the ureter is called (1) instruction and causes (2) in neonates.

1) ureteropelvic junction


2) hydronephrosis

Blockage of the tapered point where the renal pelvis transitions into the ureter is called (1) instruction and causes (2) in neonates.

1) ureteropelvic junction


2) hydronephrosis

When a kidney contains both renal and nonrenal tissues the condition is called renal ...

Dysplasia

Blockage of the tapered point where the renal pelvis transitions into the ureter is called (1) instruction and causes (2) in neonates.

1) ureteropelvic junction


2) hydronephrosis

When a kidney contains both renal and nonrenal tissues the condition is called renal ...

Dysplasia

Autosomal dominant polycystic kidney disease arises from mutations of a gene that produces ...

Polycystins

Another name for a Wilms rumor is (1), a rumor if the (2) that usually presents as an enlarging, firm, nontender smooth mass on one side of the (3).

1) nephroblastoma


2) kidney


3) abdomen

Nephrotic syndrome is characterized by proteinuria, (1), hyperlipidemia, And (2), which is often (3) in the morning and more evident in the abdomen and lower extremities in the day.

1) hypoalbuminemia


2) edema


3) periorbitAl

Nephrotic syndrome is characterized by proteinuria, (1), hyperlipidemia, And (2), which is often (3) in the morning and more evident in the abdomen and lower extremities in the day.

1) hypoalbuminemia


2) edema


3) periorbitAl

The most common histopathology pattern of nephrotic syndrome in children is ...

Minimal change nephropathy