Académique Documents
Professionnel Documents
Culture Documents
Noninflammatory discharge, fishy odor (positive whiff test), and clue cells on microscopy
A man presents with easy bruising and ecchymoses. You found that he has defective crosslinking of tropocollagen. What disease does he have?
Ehlers-Danlos syndrome
In what population are glitazones/thiazolidinediones prescribed? What are the main side
effects of these drugs?
Type 2 diabetes mellitus (as monotherapy or in combination with other agents); weight gain,
edema, hepatotoxicity, heart failure
Which two cardiac structures are ultimately created by neural crest cell migration?
Ascending aorta and pulmonary trunk, which are created from the truncus arteriosus
What is the advantage of a fluorescence in situ hybridization analysis over a karyotype?
It allows researchers to localize anomalies at a molecular level, including deletions that are
too small to be seen on a karyotype
What are the most common uses for chloramphenicol?
Meningitis (Haemophilus influenzae, Neisseria meningitidis, and Streptococcus pneumoniae)
& Rocky Mountain spotted fever
A patient has a deficiency of vitamin B6. Will his body's processing of glutamate be changed?
Will any reactions be unaffected?
Yes, the conversion of glutamate to GABA requires vitamin B6; yes, the conversion of
glutamate to glutathione is unaffected
N. meningitidis and N. gonorrhoeae both ferment what type of sugar and produce which
type of immunoglobulin protease?
Both ferment glucose and produce IgA protease
How do you treat Trypanosoma cruzi infection?
Nifurtimox
A patient's infection becomes resistant to the macrolide antibiotic he is taking. By what
mechanism did this occur?
Methylation of the macrolide 23S ribosomal RNA binding site
In the embryonic heart, the smooth part of ventricles arise from the ____, and the
trabeculated part from the ____.
Bulbus cordis; primitive ventricle
Toxicities of the antifungal ____ include IV phlebitis, anemia, cardiac ____, nephrotoxicity, ____
BP, ____/____ (shake and bake).
Amphotericin B; arrhythmias; low blood pressure; fevers/chills (amphoterrible)
Mixed connective tissue disease can be associated with which autoantibodies?
Anti-U1 RNP (ribonucleoprotein)
Which oncogenic virus is associated with penile/anal carcinoma? Where else can it cause
cancer?
Human papillomavirus (especially types 16 and 18); can cause head & neck or throat
cancers
CAMP factor made by Streptococcus agalactiae (CAMP stands for the authors of the test, not
cyclic AMP)
A 68-year-old man with chronic hypertension recently had a cardiac stent placement. Why is
hydralazine contraindicated in this patient?
Hydralazine is contraindicated in angina and coronary artery disease, because it causes a
drop in BP that induces compensatory tachycardia
Which hematologic disorder can cause both dilated cardiomyopathy and
restrictive/obliterative cardiomyopathy?
Hemochromatosis
Km is defined as concentration of substrate at 1/2 V max
Postpartum blues often resolve in ____; postpartum depression can last as long as ____;
postpartum psychosis often lasts ____.
10 days; a year or more; 4 to 6 weeks
A 55-year-old man has unstable angina. What are the effects of nitrates, -blockers, or both
on heart rate?
-blockers decrease heart rate, nitrates increase heart rate (as a reflex response), a
combination of both decreases heart rate
How can fructose enter glycolysis quickly?
Via aldolase B, as fructose skips the rate-limiting step of phosphofructokinase
How can fructose enter glycolysis quickly?
Via aldolase B, as fructose skips the rate-limiting step of phosphofructokinase
Describe the effect of each inhibitor type on Vmax: reversible competitive, irreversible
competitive, and; noncompetitive.
Reversible competitive is unchanged; irreversible competitive decreases; noncompetitive
decreases
Elevated levels of alkaline phosphatase can be associated with which three disease
processes?
Seminoma (placental ALP), Paget disease of the bone, and metastases to bone or liver
A few hours after your patient fills his prescription to help with his PTSD, he calls you saying
he is feeling dizzy. Why?
Prazosin (an 1-selective blocker) can cause orthostatic hypotension on initial doses
A boy has recurrent infections (viral, bacterial, protozoal), faulty IL-2 receptors, and no
germinal centers in lymph nodes. Treatment?
Treatment of choice is bone marrow transplantation (no allograft rejection) for this patient
with severe combined immunodeficiency (SCID)
A patient with abnormally low LDL receptors may have a defect in which vesicular trafficking
protein?
Clathrin
What vital sign may be used to approximate afterload?
Mean arterial pressure
Amphotericin B binds to ____ (unique to fungi); this creates membrane pores, allowing
leakage of ____, requiring ____ and ____ supplements.
A 27-year-old man has spastic paralysis. You suspect C. tetanus infection. Name the toxin
and explain its mechanism of action.
Tetanospasmin exotoxin; it blocks glycine and GABA (both are inhibitory neurotransmitters)
release from Renshaw cells in the spinal cord
Isoniazid decreases production of mycolic acids; KatG (catalase-peroxidase found in the
bacteria) converts it to the active metabolite
Which two cortical areas are connected by the arcuate fasciculus? What are their functions?
Associative auditory cortex temporal lobe (Wernicke in dominant hemisphere); motor speech
area frontal lobe (Broca in dominant hemisphere)
The mnemonic ABCDEFG is useful for remembering key information about Corynebacterium
diphtheriae. State this mnemonic.
ADP ribosylation; beta- (-)prophage; Corynebacterium diphtheriae; elongation factor
2; granules
Staphylococcal scalded skin syndrome is caused by an ____ that destroys the keratinocyte
attachments in the stratum ____.
Exotoxin; granulosum
A 10-year-old girl has BP of 140/90, potassium of 3.0, & no secondary sex traits. What other
sign would a boy with this enzyme deficiency have?
XY males with 17-hydroxylase deficiency have pseudohermaphroditism (from low DHT)
with ambiguous genitalia & undescended testicles
LBBB - reversed split S2
Split S2 - mitral regurgitation
Opening snap - mitral stenosis
Hypomagnasemia SE of: foscarnet; amphotericin B
SE of corticosteroids = Hyperlipidemia
List the symptoms of hyper-IgE (Job) syndrome using the mnemonic fated.
Coarse facies; noninflamed staphylococcal abscesses; retained primary teeth; high
Ig E;dermatologic issues
A patient with -thalassemia major has increased risk of infection by what bacteria, leading
to aplastic crisis?
Parvovirus B19
Visible dilated capillary proliferation within the skin secondary to the effects of liver failure
and cirrhosis is called what?
Spider nevi
Which method of DNA repair repairs double-stranded breaks?
Nonhomologous end joining (mutated in Ataxia telangiectasia)
Depigmented 'ash-leaf' spots - tuberous sclerosis
Cerebellar hemangiomas - von Hippel-Lindau syndrome
What are the clinical uses of rituximab? (Mab against CD20)
germinal
centers
is