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35 Cards in this Set

  • Front
  • Back

Type of MI that causes ST segment depression, and T wave inversion.




Damage occurs to myocardium directly beneath the endocardium.

Non-STEMI

Unstable Angina and MI are the two diseases that are collectively known as what syndrome?

Acute Coronary Syndrome

Type of MI that causes ST segment elevation. Damage occurs from all the way through endocardium to epicardium.




Far more serious. Trans-mural MI.

STEMI

What is MONA used for, and what does it mean?

For immediate MI treatment as O2 demand is greater than O2 supple




M - morphine


O - oxygen


N - nitroglycerine


A - aspirin




also give a thrombolytic if within 4-6 hrs

Lifestyle changes to reduce ___________:




lower LDL, alcohol, smoking


increase exercise


control glucose & hypertension

atherosclerosis

Lifestyle changes to promote ___________:




lower smoking, caffeine, weight


manage stress


increase exercise

O2 balance

Three major complications with MI

Cardiogenic shock


Dysrhythmias


CHF

A.Fib vs V.fib: one is more fatal, which one and why?

V.Fib. It is essential for ejection of blood into the systemic circulation.




Atrial contraction isn't actually necessary, it can happen passively.

Left sided heart failure often results in what?

CHF

Right sided heart failure often results in what?

peripheral edema

Sites of clonal selection

Lymph nodes and spleen

CD4: _____ cells, macrophages
- glial cells in brain


- GI cells


- some skin cells




CD8:_____ cells

Th cells




Tc cells

A two fold increase in Ab titre of IgG over ______ days suggests recent infectoin

10-14

Ig_ presence suggests recent infeciton

IgM

Hypersensitivity Type ___:

IgE mediated (usually HI): No C'

Type I: Allergies

Hypersensitivity Type ___:




IgM or IgG: C' involved


Mast cells involved

Type II: Tissue-specific but Ab mediated




target is tissue Ag



Hypersensitivity Type ___:




IgM or IgG: C' involved

Immune-complex precipitates also involved causing more tissue/organ damage.


Basophils involved.

Type III: Immune Complex




target is Ag in circulation

Hypersensitivity Type ___:




Tc; delayed type hypersensitivity


No Ab or C' involved

Type IV: Delayed



What is the determining factor in whether a reaction is an allergy or anaphylaxis?

The amount of H1 released by

Transfusion hypersensitivity reactions are Type ______ reactions.

II & III

What's the chain of infection

Reservoir
portal of exit
transmission
portal of entry
susceptible host

Rhinovirus & influenza are spread through:

Droplets

Measles, Chickenpox, TB, smallpox spread through:

Airborne

Differential results:


High neutrophils =


High lymphocytes =


High basophils =


Atypical lymphocytes =

Bacterial


Viral


Protazoa/works


Infectious mononucleosis

Hepatitis B only affects cells of the ______

liver

Incubation period for Hep B

45 - 120 days

Pre-icteric phase of Hep B infection lasts _______ and causes what 4 symptoms?

1 week

low fever
malaise
anorexia
nausea

Icteric phase (jaundice) of Hep B infection lasts _______ and causes an enlarged and tender ______

1-2 months




liver

Immunosuppression is when your CD4 count is below _____

500

You're risking opportunistic infections when CD4 count is below _____

200

Pleomorphic

abnormal shape and sized cells

anaplasia

loss of differentiation; loss of function

Three phases of shock

Compensatory: early


Progressive: intermediate


Irreversible: late

What does cold shock mean, and what are the two types?

Cold due to HPA compensation mechanism of vasoconstriction in early shock.




Hypovolemic


Cardiogenic

What does warm shock mean, and what are the three types?

Warm due to vasodilation before compensation mechanisms begin.




High PNS = relaxed vascular smooth muscle.




Neurogenic


Anaphylactic


Septic