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25 Cards in this Set

  • Front
  • Back
A Shunt is _____ perfusion with ______ ventilation
high perfusion, low ventilation
a "Left Shift" in the oxygen binding curve indicates a _______ in affinity, such as caused by a _______ in BPG or a _______ in CO
increase

decrease in BPG
increase in CO
which defect, ventilation or perfusion, resolves with with administration of O2?
ventilation
normally, iron in hemoblogin is in the _____ state, but in methemoglobin it is in the ______ state.

_________ are are risk for methemoglobin
Ferrous 2+

Ferric 3+ (oxidized)

newborns (lack of b5 reductase)
administration of methylene blue treats ____________
methemoglobinemia (chocolate colored blood, cyanosis)
in Carbon Monoxide poisoning, the _____ is decreased, but hte ________ is normal
saturation

arterial oxygen pressure
at altitude, the oxygen binding curve is initially shifted ______, but then eventually shifts _______ due to ________
left (due to respiratory alkalosis)
right
due to production of 2,3BPG
Cyanide Poisoning involves an ______ in venous oxygen saturation and content
increase (tissues can't extract)
what is the treatment for cyanide poisoning?
amyl nitrite ---> then thiosulfate
thermogenin, dinitrophenol, alcohol, and salicylates all cause a __________ in the synthesis of ATP
decrease (uncouplers = hyperthermia)
what is the ECG change seen in subendocardial ischemia?
ST-segment depression
release of _________ into the cytosol activates apoptosis
cytochrome c
the final product of NADPH oxidase is _________, which is formed via the action of what enzyme?
HCl (hypochlorous acid)
myeloperoxidase
the action of catalase is to degrade ________ into __________
peroxide

O2 and H2O
Smokers have reduced levels of which antioxidant of hydroxyl free-radicals?
Vitamin C
what is the treatment of acetaminophen toxicity?
N-acetylcysteine (to increase glutathione synthesis for reduction)
what are CYP450 inducers?
alcohol
barbituates
phenytoin
what are CYP450 inhibitors?
PPIs
Macrolide antibiontics
Histamine blockers
Primary Lysosomes are formed from the ______________
Golgi apparatus
what is the cause of I-cell disease?
a defect in the post-translational modification of lysosomal enzymes (due to a deficiency in Phopsphotransferase)
what are the symptoms/signs of I-cell disease?
cytosolic inclusions of undigested substrates
psychomotor retardation
early death
Chediak Higashi syndrome is a defect in ____________ function, which results in ___________ lysosomes and impaired __________
microtubules
giant
chemotaxis of neutrophils
Chediak Higasi syndrome causes increased susceptibility to what org?
Staph aureus
Mallory bodies are seen in the _______ while Lewy bodies are seen in the __________
liver (ubiquinated cytokeratin in alcoholics)

brain (Parkinsons)
Kernicterus is caused by excessive ________ that damages the ___________
bilirubin

basal ganglia