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127 Cards in this Set

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2 main lymphatic disorders

HODGKIN'S LYMPHOMA


NON-HODGKIN'S LYMPHOMA




LYMPHOMAS

MALIGNANT NEOPLASMS INVOLVING LYMPHOCYTE PROLIFERATION IN THE LYMPH NODES
MALIGNANCY INITIALLY INVOLVES A SINGLE LYMPH NODE FREQUENTLY IN THE

NECK AREA

THE ____________ APPEAR TO BE DEFECTIVE AND THE LYMPHOCYTE COUNT IS DECREASED

T LYMPHOCYTES
STAGE 1 HODGKINS

AFFECTING A SINGLE LYMPH NODE OR REGION

STAGE II HODGKIN'S

AFFECTING 2 OR MORE LYMPH NODE REGIONS ON THE SAME SIDE OF THE DIAPHRAGM OR IN A RELATIVELY LOCALIZED AREA
STAGE III HODGKIN'S

INVOLVES NODES ON BOTH SIDES OF DIAPHRAGM AND SPLEEN
STAGE IV HODGKIN'S


REPRESENTS DIFFUSE EXTRA-LYMPHATIC INVOLVEMENT SUCH AS BONE, LUNG OR LIVER


(WIDE SPREAD)

WHAT IS THE FIRST INDICATOR OF HODGKIN'S LYMPHOMA?
PAINLESS, NON TENDER CERVICAL LYMPH NODE
WHAT LYMPHOCYTES ARE INVOLVED IN HODGKIN'S LYMPHOMA?

T LYMPHOCYTES

WHAT LYMPHOCYTES ARE INVOLVED IN NON-HODGKIN'S LYMPHOMA?

B LYMPHOCYTES

HOW ARE THE SIGNS AND SYMPTOMS OF HODGKIN'S AND NON-HODGKIN'S LYMPHOMA DIFFER?


SIGNS AND SYMPTOMS ARE SIMILAR


BARORECPTERS

SENSE CHANGES IN BLOOD PRESSURE AND SEND SIGNALS TO CONTRAL CENTER
SYMPATHETIC RECEPTORS IN HEART RESPOND TO WHAT?
EPINEPHRINE

WHAT IS THE SITE FOR ACTION FOR BETA-BLOCKERS?

SYMPATHETIC RECEPTORS
THESE ARTERIES SUPPLY BLOOD TO THE TISSUES OF THE HEART.

RIGHT AND LEFT CORONARY ARTERIES
WHICH 2 NODES DOES THE RIGHT CORONARY ARTERY SUPPLY BLOOD TO?

SA AND AV NODES

BLOCKAGE OF THE LEFT CORONARY ARTERY, WHICH SUPPLIES LEFT VENTRICLE CAUSES WHAT?

CONGESTIVE HEART FAILURE
A BLOCKAGE IN THE RIGHT CORONARY ARTERY IS MORE LIKELY TO CAUSE WHAT?

ARRHYTHMIAS
CONTRACTION

SYSTOLE

DIASTOLE

RELAXATION
HEART SOUNDS

LUBB DUPP

LUBB


OCCURS DURING VENTRICULAR CONTRACTION


(AV VALVES CLOSING)


DUPP


OCCURS DURING VENTRICULAR RELAXATION


(SEMILUNAR VALVES CLOSING)

MURMUR


ABNORMAL HEART SOUND




DUE TO INCOMPLETE CLOSURE OF HEART VALVES

WHAT 2 MAIN FACTORS INFLUENCE BLOOD VOLUME AND THEREFORE PRESSURE?


CARDIAC OUTPUT




PERIPHERAL RESISTANCE

HOW IS BLOOD PRESSURE REGULATED?

BP = CO X PR
VOLUME OF BLOOD DISCHARGED FROM THE VENTRICLE IN ONE MINUTE

CARDIAC OUTPUT
VOLUME OF BLOOD RELEASED FROM VENTRICLE WITH EACH CONTRACTION

STROKE VOLUME

WHAT DOES CARDIAC OUTPUT DEPEND ON?

STROKE VOLUME AND HEART RATE
NUMBER OF BEATS PER MINUTE

HEART RATE
FRICTION BETWEEN BLOOD AND WALLS OF BLOOD VESSELS

PERIPHERAL RESISTANCE

AS RESISTANCE INCREASES, BLOOD PRESSURE

INCREASES


WHAT ARE THE THREE CORONARY ARTERY DISEASES?


(CAD)


ARTERIOSCLEROSIS AND ATHEROSCLEROSIS




ANGINA PECTORIS




MYOCARIDAL INFARCTION

VASCULAR DISORDERS

ARTERIAL DISEASES




VENOUS DISORDERS

ARTERIAL DISEASES


HYPERTENSION




AORTIC ANEURYSMS


VENOUS DISORDER

VARICOSE VEINS
DIAGNOSTIC TEST FOR HEART DISORDERS


EXERCISE STRESS TEST


CHEST X RAY


NUCLEAR IMAGING


CARDIAC CATHETERIZATION


ANGIOGRAPHY


DOPPLER STUDIES


BLOOD TESTS


BLOOD GASES

GENERAL TREATMENTS FOR HEART DISORDERS


LOWER LIPIDS


STOP SMOKING


DRUG THERAPIES


VASODIALATORS


BETA BLOCKERS


CA CHANNEL BLOCKERS


DIGOXIN


ANTI HYPERTENSIVES


DIURETICS

ANTICOAGULANTS

REDUCE CLOTTING (CAD), ASPIRIN, COUMADIN

LIPID LOWERING

LOWER LDL AND CHOLESTEROL BY BLOCKING SYNTHESIS IN THE LIVER
WHAT ARE STATINS?


ZOCOR, LIPITOR




(LIPID LOWERING DRUGS)

WHAT ESSENTIAL ELEMENTS ARE SYNTHESIZED IN THE LIVER?

CHOLESTEROL AND TRIGLYCERIDES

WHICH TYPE OF CHOLESTEROL TRANSPORTS CHOLESTEROL FROM THE LIVER TO THE CELLS?

LDL


WHICH TYPE OF CHOLESTEROL TRANSPORTS CHOLESTEROL AWAY FROM CELLS TO LIVER WHERE IT IS CATABOLIZED AND EXCRETED

HDL
WHAT IS THE MAJOR FACTOR FOR ATHEROMA FORMATION?

BAD CHOLESTEROL (LDL)
HIGH CRP INDICATES WHAT?

INFLAMMATION
WHAT IS TREATMENT FOR ATHEROSCLEROSIS?

ANGIOPLASTY (BALLOON, LASER, DRUG COATED STENTS)




WHAT CONDITION OCCURS DUE TO LACK OF OXYGEN IN HEART MUSCLE, USUALLY WHEN DEMAND IS SUDDEN?

ANGINA PECTORIS


(CHEST PAIN)

HOW DOES THE HEART USUALLY ADAPT TO OXYGEN NEEDED BY VASODILATION OF CORONARY ARTERIES?

AUTOREGULATION
WHAT TRIGGERS ANGINA PECTORIS?

EXERTION / STRESS


WHAT CONDITION CAUSES A REDUCTION IN OXYGEN TRANSPORT DUE TO


DECREASED HGB


DECREASED RBC'S


ANEMIAS
WHAT ARE THE GENERAL SIGNS OF ANEMIA?


FATIGUE


PALLOR


DYSPNEA


TACHYCARDIA


WHAT CAUSES ANGINA OR CHF?

DECREASED O2 SUPPLY TO HEART
IRON DEFICIENCY ANEMIA RESULTS IN WHAT?

MICROCYTIC (SMALL) AND HYPOCHOMIC (LESS COLOR) RBC's
WHAT ARE LAB TEST ARE DONE FOR IRON DEFICIENCY ANEMIA?


IRON


FERR


TRANSFERRIN


HH

WHAT IS PERNICIOUS ANEMIA ALSO KNOW AS?
VIT B12 DEFICIENCY

WHAT TYPE OF ANEMIA IS PERNICIOUS ANEMIA?

MEGALOBLASTIC ANEMIA
MALABSORPTION OF VIT B12 CAN BE DUE TO LACK OF WHAT?

INTRINSIC FACTOR
SICKLE CELL ANEMIA IS WHAT TYPE OF ANEMIA?

HEMOLYTIC ANEMIA


EXCESSIVE DESTRUCTION OF RBC's


WHAT CONDITION CAUSES A PRODUCTION OF RBC's BY BONE MARROW, AND IS NEOPLASTIC?

PRIMARY POLYCYTHEMIA

SECONDARY POLYCYTHEMIA IS ALSO KNOW AS?

ERYTHROCYTOSIS




WHAT CONDITION CAUSES AN INCREASE IN RBC's THAT OCCUR IN RESPONSE TO PROLONGED HYPOXIA & INCREASED ERYTHROPOIETIN SECRETION?

SECONDARY POLYCYTHEMIA



ELEVATED BLOOD PRESSURE


HEART ENLARGES


SPLEEN AND LIVER ENLARGE DUE TO CONGESTION

CAUSES OF PRIMARY POLYCYTHEMIA


WHAT IS THE MOST COMMON INHERITED CLOTTING DISORDER?



HEMOPHILIA A
WHAT CLOTTING FACTOR IS MISSING IN HEMOPHILIA A PATIENTS?

CLOTTING FACTOR VIII (8)



WHAT CONDITION IS CAUSED BY A DEFICIT OF CLOTTING FACTOR IX (9)?

HEMOPHILIA B





WHAT CLOTTING DISORDER IS A MILDER FORM RESULTING FROM DECREASED FACTOR XI (11)

HEMOPHILIA C
FREQUENT NOSE BLEEDS

EPISTAXIS

SIGNS AND SYMPTOMS OF WHAT CONDITION?


PROLONGED OR SEVERE HEMORRHAGE OCCURS FOLLOWING MINOR TISSUE TRAUMA


(HEMATOMA, ECCHYMOSIS, HEMARTHROSIS)



HEMOPHILIA
TREATMENT FOR SICKLE CELL ANEMIA


DRUGS TO REDUCE SICKLING





WHAT IS A GROUP OF NEOPLASTIC DISORDERS INVOLVING WBC'S?

LEUKEMIAS
LEUKEMIA CAN BE CLASSIFIED AS?

ACUTE OR CHRONIC
ACUTE LEUKEMIA

ABRUPT ONSET, WITH MARKED SIGNS




INSIDIOUS ONSET, MILD SIGNS AND BETTER PROGNOSIS



CHRONIC LEUKEMIA
WHAT LYMPHOCYTES ARE INVOLVED IN ACUTE LYMPHOCYTIC LEUKEMIA (ALL) WHAT AGE GROUP?

B LYMPHOCYTES (YOUNG CHILDREN)

WHICH WBC'S ARE INVOLVED IN ACUTE MYELOGENOUS LEUKEMIA (AML) WHAT AGE GROUP?

GRANULOCYTES (ADULTS)

WHAT WBC IS INVOLVED IN ACUTE MONOCYTIC LEUKEMIA?


MONOCYTES (ADULTS)
WHAT WBC IS INVOLVED IN CHRONIC LYMPHOCYTIC LEUKEMIA (CLL)?

B LYMPHOCYTES

WHAT WBC IS INVOLVED IN CHRONIC MYELOGENOUS LEUKEMIA (CML)?

GRANULOCYTES (ADULTS 30-50)
PROLIFERATION OF BONE MARROW SUPPRESSES NORMAL CELL DEVELOPMENT CAN LEAD TO WHAT?

ANEMIAS AND THROMBOCYTOPENIA
WHAT ARE SIGNS AND SYMPTOMS OF LEUKEMIA?


MULITPLE INFECTIONS


BONE PAIN


FEVER

WHAT ARE BLOOD TEST FOR LEUKEMIA?


CBC


HIGH % OF WBC'S ARE IMMATURE AND APPEAR ABNORMAL


NUMBER OF RBC AND PLT ARE DECREASED

WHAT IS THE PRIMARY CAUSE OF DEATH IN AMERICAN MEN AND WOMEN?

MYOCARDIAL INFARCTION

MI OR HEART ATTACT OCCURS WHEN THERE IS PROLONGED ___________ TO HEART MUSCLE WHICH LEADS TO CELL DEATH OR ___________.

ISCHEMIA, INFARCTION
HOW DOES AN INFARCTION DEVELOPMENT?


THROMBUS


VASOSPASM


EMBOLISM

WHAT CAN REDUCE SIZE AND IMPACT OF INFARCT?

COLLATERAL CIRCULATION
WHAT ARE THE WARNING SIGNS OF MI?


PRESSURE IN CHEST


SHORTNESS OF BREATH


NAUSEA


ANXIETY

NECROTIC CELLS RELEASE WHAT?



SERUM ENZYMES


LDH


AST


CKMB




IN TERMS OF SHOCK, LOW BLOOD VOLUME AND HYPOXIA?

CARDIOGENIC SHOCK



WHAT CONDITION OCCURS WHEN THE HEART IS UNABLE TO PUMP BLOOD IN SUFFICIENT QUANTITIES TO MEET METABOLIC NEEDS?

CONGESTIVE HEART FAILURE



DECREASED CARDIAC OUTPUT OR STROKE VOLUME PRODUCES WHAT EFFECT?

FORWARD EFFECT
WHAT EFFECT IS CAUSED BY CONGESTION BEHIND THE AFFECTED VENTRICLE?

BACK UP EFFECT


LEFT SIDED CHF'S BACK UP EFFECT IS?

PULMONARY CONGESTION

RIGHT SIDED CHF'S BACKUP EFFECT IS CONGESTION IN WHAT?

SYSTEMIC CIRCULATION

WHAT CAUSES SECONDARY HYPERTENSION?

RENAL OR ENDOCRINE DISEASE
HOW IS CELL GROWTH AND REPRODUCTION REGULATED?

SPECIFIC REGULATOR GENES IN DNA WHICH CAN VARY BASED ON CELL TYPE
WHAT IS THE STUDY OF TUMORS OR MASSES?
ONCOLOGY

WHEN A MASS IS USUALLY NOT LIFE THREATENING?

BENIGN




WHEN A MASS IS LIFE THREATENING?


METASTASIZE


INFILTRATES



MALIGNANT




WHAT CONDITION OCCURS WHEN NORMAL CELL ORGANIZATION, CELL CONTACTS AND COMMUNICATIONS ARE LOST?

CANCER
GROWTH OF TUMOR COMPRESSES TISSUE RESULTING IN?


ISCHEMIA


NECROSIS AND INFLAMMATION

_____________ OF TUMORS IS BASED ON THE DEGREE OF CELL DIFFERENTIATION

GRADING


WELL DIFFERENTIATED, SIMILAR TO NORMAL

GRADE 1 TUMORS



HIGHLY UNDIFFERENTIATED CELLS THAT VARY IN SIZE AND SHAPE "ANAPLASIA"

GRADE 4 TUMORS
LOCAL EFFECTS OF TUMOR


PAIN


OBSTRUCTION


INFECTION



TUMOR MARKERS

PRODUCED BY TUMOR AND CIRCULATING IN BLOOD

WHAT ARE THE 5 TYPES OF TUMOR MARKERS?


ENZYMES


TISSUE RECEPTORS


ANTIGENS


ONCOGENES


HORMONES

ENZYMES
-ASE



AFP


CEA


CA125


CA19-9


PSA

ANTIGENS




GENES THAT ARE ACTIVE IN FETAL DEVELOPMENT AND TRIGGER THE GROWTH OF TUMORS WHEN THEY ARE ACTIVATED IN MATURE CELLS ARE?

ONCOGENES
HORMONES


-INS





WHAT TUMORS ARE LOCATED IN THE SITE OF PATHOGENESIS?



PRIMARY TUMORS




WHAT TUMORS SPREAD TO ANOTHER AREA OR REGION?

SECONDARY TUMORS
INVASION

LOCAL SPREAD


WHEN CELLS SPREAD TO DISTANT SITES BY BLOOD OR LYMPHATIC CHANNELS?

METASTASIS



SPREAD OF CANCER CELLS IN THE BODY FLUIDS OR ALONG MEMBRANES IS KNOWN AS WHAT?


SEEDING



WHAT STAGE OF CANCER THAT IS SMALL, LOCALIZED, EASY TO TREAT AND A GOOD PROGNOSIS?

STAGE I CANCER



WHAT STAGE OF CANCER IS WELL ADVANCED, MULTIPLE SITES, DIFFICULT TO TREAT WITH A POOR PROGNOSIS?

STAGE IV


WHAT IS THE PROCESS WHERE NORMAL CELLS ARE TRANSFORMED TO CANCER CELLS?

CARCINOGENS



WHAT CAUSES DNA MUTATION THAT IS IRREVERSIBLE?

INITIATING FACTORS



WHAT DOES IT MEAN WHEN REPEATED EXPOSURE FURTHER CHANGE OCCURS IN THE GENE STRUCTURE?

PROMOTING FACTORS


WHAT TYPE OF EFFECTS ARE NUMEROUS WITH CHEMOTHERAPY AND RADIATION?

ADVERSE EFFECTS
DEFINED IN TERMS OF 5 YEAR SURVIVAL WITHOUT RECURRENCE AFTER TREATMENT
CURE
WHAT TYPE OF SHOCK RESULTS FROM LOSS OF BLOOD OR LOSS OF PLASMA?
HYPOVOLEMIC SHOCK