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38 Cards in this Set

  • Front
  • Back
Effect of altitude on heart
RVH
Primary pulmonary hypertension - due to...
Inactivating mutation in the BMPR2 gene (normally functions to inhibit smooth muscle proliferation)
How does maternal diabetes predispose to neonatal RDS?
Inc insulin --> dec surfactant synthesis
Why does CN- intoxication cause an increase in O2 sat in venous blood?
CN- intox --> inhibit cytochrome c oxidase --> inhibit e- transport chain and aerobic metabolism --> fail to unload O2
Changes in arterial/venous O2/CO2 content with exercise
- No change PaO2, PaCO2
- Inc venous CO2 content
Most common mets to lung
Breast
Colon
Prostate
Bladder
Asbestosis leads to .... on the pleura
"Ivory-white" fibrocalcific pleural plaques
Epiglottitis is caused by...
H. influenza B (almost exclusively)
H. influenza capsule is made of...
Polyribosyl-ribitol-phosphate (PRP)
- vaccine
Most common cause of osteomyelitis
S. aureus
Give Hib vaccine at...
2 months old
Prevent Group B strep in newborn...
Screen mom at 35-37 weeks
--> intrapartum penicillin prophylaxis if positive
Into where do the bronchial veins drain?
Pumonary vein (bypasses the RV)
What kind of signalling pathway:
calcitonin
cAMP
Signaling pathway: GHRH
cAMP
Signalling pathway: hCG
cAMP
Signaling pathway: MSH
cAMP
Signalling pathway: GnRH
IP3
Signaling pathway: Oxytosin
IP3
Signaling pathway: ADH
V2 - cAMP
V1 - IP3
Signaling pathway:
- TSH
- TRH
- TH
- TSH: cAMP
- TRH: IP3
- TH: nuclear steroid receptor
Signalling pathway: prolactin
Receptor-associated tyrosine kinase (JAK/STAT)
Furosemide: Toxicity
OH DANG

Ototoxicity
Hypokalemia
Dehydration
Allergy (sulfa)
Nephritis (interstitial)
Gout
K+ sparing diuretics: toxicity
Hyperkalemia
Gynecomastia
Multiple myeloma: why get constipation
hypercalcemia
Why is carbon monoxide poisoning difficult to detect
Cherry red pigment masks the dec in O2
First symptom of CO poisoning
headache
Why is alkalosis dangerous to tissues
Left shifts the O2 curve --> ischemia
Which direction does HbF shift the curve?
Left
Why are alcoholics succeptible to heat stroke?
uncoupling agent --> hyperthermia
Why might you get hot in a wood house?
Dinitrophenol (used to preserve wood) is an uncoupling agent
Small cell carcinoma: arises from...
primitive cells of basal layer of bronchial epithelium
Large & small cell carcinoma: which is responsive to chemotherapy
Small cell

Large cell --> remove surgically
Mets of lung cancer
adrenals
brain (epilepsy)
Bone
Liver (jaundice, hepatomegaly)
Ectopic ACTH or ADH: cancer
smal cell carcinoma
Ectopic PRHrP: cancer
Squamous cell carcinomc
Seminoma/Embryonal testiclar:
painless? painful?
Seminoma - painless
Embryonal - painful
Most common malignant germ cell tumor or testis in kids
Yolk sac (endodermal sinus) tumor