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35 Cards in this Set

  • Front
  • Back

PPARg2

Adipose



Heparin MOA

Activates AT III


LMWH/fondaparinux targets Factor Xa instead of ATIII

Most likely cause of pseudotumor in well-positioned THA?

Fretting and corrosion form the taper

Gait pattern most likely associated with knee OA progression

Increased adductor moment

Major controlling molecule for tendon collagen fiber size

Decorin: regulates assembly of collagen fibrils

Marfan's results from deficiency in what gene, associated protein?

FBN1/fibrillin

Cause of age-related increased cartilage brittleness

Increase in advanced glycation end products


(water content increases with OA, decreases with age-related brittleness; proteoglycan is hydrophilic and follows suit)

Which molecule most responsible for hydration of intervertebral disk

Aggrecan

Collagen for annulus fibrosis

type I

Collagen for nucleus pulposus

type II

MOA of denosumab

RANKL inhibitor

What does osteoprotegrin (OPG) do?

Competitively binds to RANKL preventing binding to RANK on osteoclasts (produced by osteoblasts, binds and sequesters RANKL)

Synonym for NF-kB?

RANK

Cellular action of PTH

Stimulates adenylyl cyclase, stimulates RANKL formation

PGE2 cellular action

Activates adenylyl cyclase

What is the function of sclerostin in adult bone homeostasis?

Decreases bone formation by inhibiting osteoblastogenesis; created by osteocyte, antagonizes Wnt

Within how many days of surgery is it considered a surgical site infection? How does arthroplasty affect this?

30 days; 365 for arthroplasty

Duchenne and Becker muscular dystrophy genetics

XL recessive

What is the genetic inheritance of hypophosphatemic rickets?

X-linked dominant

Autosomal dominant diseases (at least 4)

Achondroplasia, HME, Marfan's syndrome, osteopetrosis

Protein deficiency in Duchenne's MD

Dystrophin

What factor is most commonly used to stimulate cartilage regeneration in vitro

TGF-beta

Which immune cell type is involved in metal allergy associated with orthopaedic implants?

T-lymphocytes, type IV response (delayed)

Which ion and ion channel responsible for generation of a nerve action responsible?

Sodium voltage gated

Cell type affected in Paget's

osteoclast (remember elevated ALP and urinary hydroxyproline; microscopically osteoblasts and osteoclasts on both sides of bone)

What happens to the size and cellularity of the nucleus pulposus proportional to the intervertebral disk after birth?

Decrease in size and cellularity (notochord cells dying)

Most common fiber type of ACL

Collagen type I

WHO Definition of osteopenia

T score between 1 and 2.5 below norm

List diseases based on transposition:


11:22


X:18


12:16


12:22


9:22

11:22 - Ewing


X:18 - Synovial sarcoma (SYT-SXX1)


12:16 - Myxoid or round cell liposarcoma


12:22 - clear cell sarcoma


9:22 CML, myxoid chondrosarcoma

What sarcomas metastasize to lymph nodes (mnemonic)

ESARC


Epithelial


Synovial


Angio


Rhabdomyo


Clear cell

Synthesizing mRNA from DNA is known as

Transcription

Which inflammatory marker associated with osteolysis associated with hardware?

IL-6

What is the mutation for type II vitamin D-dependent rickets?

Inactivating mutation of 1,25-hydroxyvitamin vitamin D receptor

What is the cause of:

Vitamin D resistant rickets


Type I vitamin D dependent


Type II vitamind D dependent

Renal tubular issue


25 hydroxylase


receptor

Increasing myelin sheath thickness does what?

Increases the speed of wave propagation