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DIT 2009 WK 6
Q&A from DIT emailed questions WK 6
Question | Answer |
---|---|
Pathway by which light affects melatonin secretion | Suprachiasmatic nucleus (SCN) -> NE release -> pineal gland -> melatonin |
What structures give rise to the glomerular filtration barrier? | Fenestrated capillary endothelium (size barrier), Fused basement membrane w/ heparin sulfate (negative charge barrier), epithelial layer consisting of podocyte foot processes |
Which disease results from a loss of the negative charge glomerular filtration barrier? | Nephrotic syndrome – ie Minimal Change |
Three symptoms of pellagra | Diarrhea, dermatitis, dementia |
Causes of pellagra | Hartnup disease, malignant carcinoid syndrome, INH |
What factors are considered when determining the loading dose and maintenance dose of a medication? | Bioavailability, target plasma concentration, volume of distribution |
What are the two types of diabetes insipidus? | Nephrogenic and Central |
What is the cause of Nephrogenic Diabetes Insipidus? | hereditary or 2nd to hypercalcemia, lithium, demeclocycline |
What is the cause of Central Diabetes Insipidus? | pituitary tumor, trauma, surgery, histiocytosis X OR due to a lack of renal response to ADH |
What is the cause of cystinuria? | Hereditary defect of renal tubular amino acid transporter for cysteine, ornithine, lysine, and arginine in the PCT |
What is the treatment of cystinuria? | Acetazolamide to alkalinze the urine |
What is the WAGR complex? | Wilms’ tumor – Aniridia – Genitourinary malformation - Retardation (motor-mental) |
What two drugs are given to those with organophosphate poisoning? | Atropine and Pralidoxime |
Common causes of eosinophilia? | Drugs, Neoplastic, Asthma, Allergic processes, Addison’s, Acute interstitial nephritis, Churg Strauss, Collagen vascular diseases, Parasites (Loffler’s) |
What antibiotic has an MOA that blocks DNA topoisomerase? | Quinolones |
What antibiotic has an MOA that blocks the synthesis of peptidoglycans | Bacitracin, Vancomycin |
What antibiotic has an MOA that blocks nucleotide synthesis? | Sulfonamides, trimethoprim |
What antibiotic has an MOA that block mRNA synthesis? | Rifampin |
leading causes of death in ages 25-64 | Cancer, heart disease, injuries suicide, stroke |
leading causes of death in ages 65+ | Heart disease, cancer, stroke, COPD, pneumonia, influenza |
What are the risk factors for a fat embolus? | Associated with long bone fractures and liposuction |
What are the risk factors for a pulmonary embolus? | Deep venous thrombosis |
What is Virchow’s triad? | stasis, hypercoagulability, endothelial damage |
What structures arise from the Mesonephric ducts? | Male internal structures (except prostate): Seminal vesicles, Epididymis, Ejaculatory duct, and Ductus deferens |
Another name is given to the Mesonephric ducts? | Wolffian duct |
Which lysosomal storage disease has a cherry spot on retina? | Tay-Sachs, Niemann-Pick |
Which lysosomal storage disease has corneal clouding + mental retardation? | Hurler's Sx |
Which lysosomal storage disease has no corneal clouding + mental retardation? | Hunter's Sx |
Which lysosomal storage disease is a demyelinating disease that affects peripheral nerves? | Metachromatic leukodystrophy |
Which lysosomal storage disease is known for having cells described as "crinkled paper cytoplasm" | Gaucher's |
Which lysosomal storage disease has sphingomyelin buildup? | Niemmann-Pick |
Which lysosomal storage disease is treated with dialysis? | Fabry's |
Which lysosomal storage disease has accumulation of galactocerebroside in the brain? | Krabbe's (Globoid cells) |
Which lysosomal storage disease has accumulation of glucocerebroside in the brain? | Gaucher's (severe bone pain) |
Jones criteria for the diagnosis of acute rheumatic fever? | Major Criteria: Migratory polyarthritis, Carditis, Subcutaneous nodules (Aschoff bodies), Ertythema marginatum, Sydenham’s chorea (St. Vitus’ dance) |
What are some of the extrapulmonary (peripheral hypoventilation) causes of restrictive lung disease? | poor muscular effort – polio, MG or poor structural apparatus – scoliosis, morbid obesity |
Drug that can be used to treat carcinoid syndrome? | Octreotide – synthetic analog of somatostatin w/ a longer half life |
What is "conscious" in Freudian psychoanalysis? | What one is aware of |
What is "preconscious" in Freudian psychoanalysis? | What one is able to make conscious with efforts (memorizing a number) |
What is "unconscious" in Freudian psychoanalysis? | What one is not aware of; the central goal of Freudian psychoanalysis is to make one aware of the hidden unconscious |
Muscles of the rotator cuff? | Supraspinatus, Infraspinatus, Teres minor, Subscapularis |
What is Wernicke's aphasia? | Sensory (fluent/receptive) aphasia with poor comprehension, neologisms |
What is Broca’s aphasia? | Motor (non-fluent/expressive) aphasia with good comprehension (above hippocampus) |
What is conduction aphasia? | lesion in Arcuate fasciculus (connects Wernicke’s to Broca’s), good comprehension, fluent speech, but poor repetition |