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27 Cards in this Set

  • Front
  • Back

Infections that cause heart block

Legionella


Lyme disease


Chagas‘ disease


Diphtheria


Typhoid fever

Effects of IL-1

Fever


Non-specific symptoms


Recruits T-helper cells

Most immunogenic bacteria

Shigella


(Only 8 to 10 bacteria required for a full infection)

DiGeorge Syndrome

3rd Pharyngeal pouch missing


Chromosome 22 problem


Inferior parathyroid glands missing


The only immunodeficiency with hypocalcaemia

Anti-inflammatory Action of steroids

Kills T-cells and eosinophils


Inhibits macrophage migration


Stabilises mast cell membranes


Stabilises endothelium


Inhibits phospholipase A

Physiologic Action of steroids

Proteolysis


Gluconeogenesis


Up-regulates all receptors during stress

Severe Combined Immunodeficiency

Adenosine deaminase deficiency


DNA Synthesis disrupted


Affects B and T- cells


BM transplant is standard of care

Wiskott-Aldridge Syndrome

X-linked recessive


Involved T-cell interaction with B-cells


Fair-skinned


Eczema


Thrombocytopenia


Normal IgA and IgE levels


Increased incidence of lymphoma

Bruton‘s Agammaglobulinaemia

X-linked recessive


Cell signaling is defective


B-cell count is normal but function is lacking


Early onset

Gram -ve encapsulated organisms

Salmonella


Klebsiella


H. Influenza B


Pseudomonas


Neisseria


Citrobacter



(Some Killers Have Pretty Nice Capsules)

Gram + encapsulated organism

Streptococcus pneumoniae

Job‘s syndrome

Cell signaling defect


Increased IgE


Fair-skinned


Red-haired female

Myeloperoxidase deficiency

Recurrent gram +ve infections

Chronic granulomatous disease

X-linked recessive


NADPH-oxidase deficiency


Negative NBT(nitrozene Blue Tetrazolium) test (detects NADPH oxidase)

X-linked recessive enzymes

HGPRT


G6PD


NADPH oxidase


Alpha galactosidase


Fabry‘s

Chediak-Higashi Syndrome

Lysosomes are slow in fusing with ingested pathogens


Lysosomal inclusions


Albinism

Perinaud‘s Syndrome

Supranuclear paralysis of eye elevation


Defect in convergence Retraction nystagmus


Light-near dissociation


Lid retraction


Skew deviation of the eyes


Lesion located in the dorsal midbrain


Classically seen with pineal tumours compressing the quadrigeminal plate


Can occur from midbrain infarcts

Strongest risk factors for osteoporotic fractures?

Increasing age


History of previous fracture


Low BMD on DEXA Scan

Trastuzumab (Herceptin)

Acts on HER2/neu receptor


Blocks signal transduction


Antibody dependent cell mediated cytotoxicity


Adverse effects: cardiotoxicity (esp when anthracyclines have also been Used),


Flu-like symptoms

Bevacizumab

Monoclonal antibody that inhibits VEGFR

Bevacizumab

Monoclonal antibody that inhibits VEGFR

Cetuximab

Monoclonal antibody that blocks HER1 a.k.a EGFR


Mutations in EGFR are associated with colorectal and squamous cell cancers

Bevacizumab

Monoclonal antibody that inhibits VEGFR

Cetuximab

Monoclonal antibody that blocks HER1 a.k.a EGFR


Mutations in EGFR are associated with colorectal and squamous cell cancers

FoxP3

Marker for regulatory T-cells

Craniopharyngioma

Embryonic remnants of Rathke‘s pouch


Supra or intrasellar


Cystic- Lipid rich fluid


Calcification


Intracranial tumours (1% adults, 10% children)


Peak incidence first decade

Causes of pulsus paradoxus

Pericardial tamponade


Acute asthma


Massive pulmonary embolism


Constrictive pericarditis


Hypovolaemia (esp during positive pressure ventilation)