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55 Cards in this Set

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DOC for chloroquine resistant P flaciparum
atovaquone-proguanil
DOC for chloqruine resistant strains of malaria
mefloquine
DOC for strongloides and oonchocerciasis
ivermectin
mebendazole vs. praziquental
mebendazole for round worms (pinworm)

paziquantal- fluckes, shistozomes
melarsoprol is for
east african sleeping sickenss, melarsoprol
stibgluconate
DOC for cutaenous leismaniasis, causes severe phleobotoxicit and increased risk for thromvbosis and pancreatitis
suramin
east african sleeping sicknes (early), priuritis and fever
Aminoglytcsides
ototoxic and nephrotoxic, gram neg aerobes, amicacin, gentamycin, stretomycin tobramycin
Erytromycins
ause QT prolongation, especially with dugs lile antihistamies, erytromycin causes exeessicve GI prbsm stimulates motilin receptors in GI
FQs
floxixaN, 1st gen non-pseudomonas UTIs, second generation does that too, 3rd fen ads fran +, and mycoplasma, 4th gen used for pbeumococcus, floxicans
isoniazid
used for TB, rifampin, pyrazinimade and ethambutol for treatment of active 2ndarey TBm ysed as a nibitheray, can cause hepatotox, and peripheral pneuropathy, w/o Vit B6
pyriazinimade
used as multi drug therapy for TB ADRs hepatotox, and hyperuriciemia
rifampin and rifabutin
Rifabutin0 mycobateruum avium complex, not for kids, liver tox thrombocytomeina, discolration of stuff, rigampin too
NSAIDs
ASA, diclofenax, etodolac, flurniprogen, chronic used assoicated with renal prbobs, worsening of CHF and GI bleeds
NSAID for severe acute pain
ketorolac, serious GI prnbs and renal effects
Enzyme that requires an N-acetylglutamate cofactor
carbamoyl phsophate synthetase, reactes ammonia with ATP, without the carbamoyl phsosphat4e casues elevated orthinite low citrulline and no arginosuccinate or arginine
Amino acid groups
csteine and methinonine contain sulfur

-henylalainine, methionine and ysteine are hydrophobic,

aspartate nad glutamate are negatively charged, arginine is postive
peptide bonds are formed by
amino group to carboxyl group of amino acids to form a chain
2,3 BPG
byproduct of glycolysis, when levels are high then decreased oxygen binding of Hb, delivery to tissues doing lots of glycolysis
Collagen synthesis
requires Vit C to make hydroxylysine/proline from glycine and proline (two main components of collagen)
Enzymes and competitive inhibitors
competitive inhibtors increase Km (sustrate neded to reach1/2 Vmax) without affecting Vmax (maximum reaction velocity)

noncompetitive inhibitros bind another site decreasing Vmax but no impact on Km
GLUT transporters
transport glucose across emmbranes

GLUT1- RBCs
Glut 2- hepatocytes, pancreatic beta islet cells and renal cells, insulin dependnat
Glut 4- insulin sensitive on skleetal muscle and adipose tissue
Fates of pyruvate
end product of glycolysis

1. celss without mitochndria or have no O2 converted to lactic acid by LDH
2. pyruvate dehydrogenase converts to Acetyl Coa for Krebs
3. converted to oxaloacetate by pyruvate carboxylase for gluconeogensis
4. in microorgansisms can reduce pyruvate to ethanol
TCA cycle
fuled by acetyl CoA, arsenic inhbits pruvate dehydrogenase inhibits TCA cycle

yields 11 ATPs from NADs and FADH
How many pyruvates from 1 glucose?
2
gluconenogenic molecules
glycolysis and TCA cycle intermediates, glycerol, tyrosine, trytopahan, isoleucine

pyruvate converted to phospheolpyruvate via PEP carboxykinase (RLS) and pyruvate carboxylae
2 major glycogen storage sites
liver and skeletal msucle
hormone control of pancreatic release of enzymes
by enzyme CCK produced by intesintes in response to lipis

apo B48 combines with lpids to form chylomicron which enters lyphatic to reach blood
precursosrs of fatty acid syntehsis
occurs in lvier, acetyl CoA RLS is acetyl CoA carboxylase, activated by insulin, end producet is palmitoyl CoA
Fatty acid degradation
occurs in teh mictochonridon, enters via carnitine palmitoyltransferases, Beta oxidation to form acetyl CoA
Functions of cholesterol
stabilizes plasma membranes, precurosr for steroid hromones, synthesis of bile acids

controlled by HMG CoA reductase, activatede by insulin
removal of no longer useful proteins
ubiqutiin proteosome, lysomsomal systems
amino groups get transferred to...
glutamic acid, catalyzed by aminotransferases ALT and AST requires Vit B6

deaminattion of glutamte in lvier by glutamate dehydrogenase yields ammonia
carbbamoyl phosphate synthestase
RLS of the urea cycle joins orthinine to from citrulline which combines with aspartate toform arginosuccinate later cleaved back to ornithine, yields urea

kidney prolems abd liver to get hyperammnemia
Essential AAs
methioneine, threonine, valine, isoleucine, leucine, lysine, tryptophan, phenylalanine
gluconeogenic aas
alanine, trytophan, serine, glycine and cysteine yield pyruvate, isolecine yields acetyl CoA, acetoacetate from lecuine, lysine phenylalaine, tryptophan and yrosine, succinly CoA from sisoleucine, methoionine, theronine and valine, fumarate from phenylalaline and tyrosine

tyrto, phenyl adn tyro ans isol are all ketogenic too
White vs. gray rami communicantes
White contains myelinated neurons from anterior nerve root, synpases in the chain and then returns to spinal nerve in the grey rami
Clofibrate decreases TGs by...
increasing liprotein lipase activity
Commited step in pyrimidine synthesis
controlled by carbomoyl phsopahte synthetase II, catalyzes from glutamine and CO2 generates carbamoyl phopshate

in purine syhtensis is phsoporibosyl pyrophophate amidotransferase
1st 10-18 hours after a fast
onl gluconeogenesis as a source for glucose by third week brain uses exclusively ketone bodies as fuel
polymerase delta
repairs DNA and catalyzes DNA synthesis, elongation of laaging strand epsilon does leading strand

ply gamma proofreeds, alpha acts a primase
Histone arrangement
8 histones in euchroitin, 2 H2A, H2B, H3 and H4s, connected bia nucleosome linking DNA
steps of protein synthesis
initiation factors are important, 5' cap used to correty position mRNAamino acids brought over by tRNA
Stop codons
UAG, UAA, UGA
ELISA
enzyme linke d immunosorbent assay used to detrect certain protens used for screenng in HIV
Testicular feminization syndrome
male XY, but nonfiunctional testosterone receptors lead to undescended testes, vagina and externally apperaing female
hypognaodtropic hypogonaism
Kallman syndrome, tumors, sarcoid of hypothalaums, anoerexia, proff atheletes, weight loss and high stress
Adenomyosis
gorwth of endometrial glands and stoma into uteirne muscullature, causes dysmennorhea, menorrhagia, diffusely large uterus that is soft, MRI, analgesis then hystrerectoy to tx
Neoplastic ovarian cysts
serous cystadenocarcinma, mucinous cystadeninocarcinoma
theca lutein cyst
filled with serous fluid within cysts of theca cels, high beta hCG, stimulation from molar pregnancy or cloiphenetherapy, pelvic discomfort
faiure of fusion of paramesonephric ducts
bicornate uterus possibly with double cervix
Mayer-Rotinaskly- Kuster-Hasuer syndrome
vaginal and or uterine ageneis, d/t mullerian agenesis
straddle injury
occur as a result of sudden fall on groin, intense pain, hematuria, srotal welling (urine getting into scrotum) tx is surgery
Neoplastic testicular masses
marble sized hard, nontender, non malignant ones tend to not e as hard
epidiyidmitis
inflammation of the epididymis, gradual onset, intense pain, pyuria, if younger or older due to anatomic abnromalities, otherwise gonorrhea or chlaymdia