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Uses for Metronidazole
GET GAP on the metro
- Giardia
- Entamoeba
- Trichomonas
- Gardnerella vaginalis
- Anaerobes
- H. Pylori
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Complex associated with Wilm's tumor
WAGR
- Wilms tumor
- Aniridia(no iris)
- Genitourinary malformation
- Retardation
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Maintenance Dose
Css x CL
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Cholimimetic agents
Direct agonists
Bethanechol- postop ileus and urinary retention - Carbachol- Glaucoma, pupillary contraction, and dec IOP
- Pilocarpine- Potent stimulator of sweat, tears, saliva
- Methacholine- Diagnosis of asthma
- Indirect (anticholinesterases) Neostigmine- Postop ileus and urinary retention, myasthenia gravis, reversal of NMJ blockade
- Pyridostigmine- gets rid of myasthenia gravis
- Edrophonium- Dx of myasthenia gravis
- Physostigmine- Glaucoma, fixes atropine overdose
- Echothiophate- Glaucoma
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Phase II metabolism in the liver
Acetylation, glucuronidation, sulfation
-> very polar, inactive metabolites
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Cafe-au-lait spots, polyostotic fibrous dysplasia, precocious puberty
McCune-Albright syndrome (mosaic G-protein signaling mutation)
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Cherry red spot on macula
Tay Sachs (ganglioside accumulation)
Niemann Pick (sphingomyelin accumulation)
central artery occlusion
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Conjugate lateral gaze palsy, horizontal diplopia, but can conjugate to adduction.
Internuclear ophthalmoplegia (damage to MLF; b/l = multiple sclerosis, u/l = stroke)
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Fever, chills, headache, myalgia following antibiotic treatment for syhillis
Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in toxin release)
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Hepatosplenomegaly, osteoporosis, neurologic symptoms
Gaucher's disease(glucocerebrosidase deficiency)
crinkled tissue paper on histology
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Encapsulated bacteria
Some Killers Have Nice Shiny Bodies
- Strep pneumo
- Klebsiella pneumoniae
- Haemophilus influenzae type B
- Neisseria meningitidis
- Salmonella
- group B strep
- Above have polysaccharide capsules
Bacillus anthracis has D-glutamate capsule
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Spore forming bacteria
- Bacillus Anthracis
- Clostridium perfringens
- C. tetani
- B. cereus
- C. botulinum
- Coxciella burnetti
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What is Giemsa stain used for
- Borrelia
- Plasmodium
- trypanosomes
- chlamydia
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Obligate aerobes
Nagging Pests Must Breathe
- Nocardia
- Pseudomonas aeruginosa
- Mycobacterium tuberculosis
- Bacillus
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Exposure to what needs passive immunity along with active immunity?
To Be Healed Real Rabidly
- Tetanus toxin
- Botulinum toxin
- HBV
- Rabies
- RSV
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P450 Inibitors
PICK EGS
- Protease inhibitors
- Isoniazid
- Cimetidine
- Ketoconazole
- Erythromycin
- Grapefruit juice
- Sulfonamides
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P450 INducers
- Carbamazepine
- Phenobarbital
- Phenytoin
- Rifampin
- Griseofulvin
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Poluria, acidosis, growth failure, electrolyte imbalances
Fanconi's syndrome (proximal tubular reabsorption defect)
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Renal cell carcinoma, hemangioblastoma, angiomatosis, pheochromocytoma
von Hippel-Lindau disease (dominant tumor supressor gene mutation)
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Restrictive cardiomyopathy (juvenile form: cardiomegaly)
exercise intolerance
Pompes disease (lysosomal glucosidase deficiency)
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Short stature, inc incidence of tumors/leukemia, aplastic anemia
Fanconi's anemia (genetically inherited; often progresses to AML)
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Smooth flat, moist white lesions on genitals
Condylomata lata (2nd syphilis)
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Neurotransmitter changes seen with Anxiety
- Increased NEP
- Decreased GABA, serotonin
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Neurotransmitter changes seen with Depression
Decreased NEP, serotonin, dopamine
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Neurotransmitter changes seen with Alzheimers
Decreased ACh
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Neurotransmitter changes seen with Huntingtons q
decreased GABA, ACh
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Neural crest cell derivatives
- ANS
- dorsal root ganglia
- cranial nerves
- celiac ganglion
- melanocytes
- chromaffin cells of adrenal medulla
- parafollicular cells of thyroid
- Schwann cell
- Pic and arachnoid
- bones of skull
- odontoblasts
- aorticopulmonary septum
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Circular grouping of dark tumor cells surrounding pale neurofibrils
- Homer Wright rosettes
- (neuroblastoma, medulloblastoma, Ewing Sarcoma)
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Buspirone
Stimulates 5-HT1A receptors
Clinical: Generalized anxiety disorder
Takes 2 weeks to have an effect
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Polyostotic fibrous dysplasia
Bone is replaced by fibroblasts, collagen and irregular bony trabeculae. Affects many bones.
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Acantholysis
Separation of epidermal cells
Seen in Pemphigus vulgaris
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What hormone uses the cAMP pathway?
- FSH
- LH
- ACTH
- TSH
- CRH
- hCG
- ADH (V2 receptor)
- MSH
- PTH
- calcitonin
- GHRH
- glucagon
- FLAT CHAMP
- a subunit common among these
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What cells do not need insulin for glucose uptake
- Brain
- RBC
- Intestine
- Cornea
- Kidney
- Liver
BRICK L
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What drug inhibits the formation of PRPP from ribose 5-P
PRPP synthetase is the enzyme
6-mercaptopurine is the drug inhibiting this enzyme
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What binds the 30S subunit, preventing attachment of aminoacyl-tRNA
Tetracyclines
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Antibiotics that binds 50S, blocking translocation
- Macrolides
- clindamycin
- linezolid
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Call-Exner bodies
Small follicles filled with eosinophilic secretions
- Seen in Granulosa cell tumor-
- -> secretes estrogen -> precocious puberty in kids
- or endometrial hyperplasia or carcinoma in adults
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Drugs that cause gynecomastia
- Spironolactone
- Digitalis
- Cimetidine
- Alcohol
- Ketoconazole
Some Drugs Create Awesome Knockers
also estrogen, marijuana, heroin, psychoactive drugs
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Most common breast cancer
Invasive ductal carcinoma
Firm, fibrous, rock-hard mass with sharp margins and small glandular duct-like cells
Worst and most invasive
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Drug reactions that cause seizures
- Bupropion
- imipenem/cilastatin
- isoniazid
- benzodiazepine and alcohol withdrawal
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I cell disease
Failure of Golgi apparatus to add mannose-6-phosphate to lysosome proteins = secreted out of cell
- Coarse facial features
- clouded corneas
- restricted joint movements
- high plasma levels of lysosomal enzymes
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Drugs that act on microtubules
- Mebendazole/thiabendazole
- Griseofulvin
- Vincristine/vinblastine
- Paclitaxel
- Colchicine
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What areas of the brain are most susceptible to ischemia?
- Hippocampus
- neocortex
- cerebellum
- watershed areas
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Menieres Disease
- vertigo
- tinitus
- hearing loss
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Tanner stage 1 in girls
elevation of the papilla of the breast and pubic hair consisting of fine villus hair
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Free nerve endings
- C- slow, unmyelinated fibers
- Adelta- fast myelinated fibers
All skin, epidermis, some viscera
Sense Pain and temperature
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