The Craming Md
Short Description
usmle pearls...
Description
1.What is associated with: Starry sky pattern? Burkitt's lymphoma
18.What is associated with: Kayser-Fleischer rings? Wilson's disease
2.Which organ most commonly recieves mets? Adrenal gland (rich bld
19.What is associated with: Lewy bodies? Parkinson's disease
supply)
20.What is associated with: Orphan Annie cells? Papillary carcinoma
3.What is the most common testicular tumor in children? in Men? Yolk
of the ovary
sac tumor, Seminoma
21.What is associated with: Russell bodies? Multiple myeloma
4.What is associated with: Auer's rods? Acute myelocytic leukemia
22.What is associated with: Reinke's crystals? Leydig cell tumor
(AML)-M3
23.What is associated with: Blue sclera? Osteogenesis imperfecta
5.What is associated with: Aschoff's bodies? Rheumatic fever
24.What is associated with: Soap-bubble appearance on an x-ray?
6.What is associated with: Birbeck granules? Histiocytosis X
Giant cell tumorof the bone
7.What is associated with: Neurofibrillary tangles? Alzheimer's
25.What is associated with: Pseudorosettes? Ewing's sarcoma
disease
26.What is associated with: Lucid interval? Epidural hematoma
8.What is associated with: Bence-Jones proteinuria? Multiple
27.What is associated with: Bloody tap on lumbar puncture?
myeloma
Subarachnoid hemorrhage
9.What is associated with: Cal-Exner bodies? Granulosa/thecal cell
28.What
tumor of the ovary
multiforme
10.What is associated with: Cowdry type A bodies? Herpes virus
29.What is associated with: Charcot-Leyden crystals? Bronchial
11.What is associated with: Codman's triangle on an x-ray?
asthma (eosinophil membranes)
Osteosarcoma
30.What is associated with: Cafe au fait spot on the skin?
12.What is associated with: Councilman bodies? Toxic or viral
Neurofibromatosis
hepatitis
31.What is associated with: Streaky ovaries? Turner's syndrome
13.What is associated with: Calf pseudohypertrophy? Duchenne's
32.What is associated with: Keratin pearls? Squamous cell carcinoma
muscular dystrophy
33.What is associated with: Signet ring cells? Gastric carcinoma
14.What is associated with: Reed-Sternberg cells? Hodgkin's
34.What is associated with: Mallory's bodies? Chronic alcoholism
lymphoma
35.What is associated with: Blue-domed cysts? Fibrocystic change of
15.What is associated with: Heinz bodies? G-6-PD deficiency
the breast
16.What is associated with: Homer-Wright rosettes? Neuroblastoma
36.What is associated with: Schiller-Duval bodies? Yolk sac tumor
17.What is associated with: Curschmann's spirals? Bronchial asthma
37.What is associated with: Senile plaques? Alzheimer's disease
(whorled mucous plugs)
38.What is associated with: WBCs in the urine? Acute cystitis
is
associated
with:
Pseudopalisades?
Glioblastoma
39.What is associated with: RBCs in the urine? Bladder carcinoma
55.What is the most common: Tumor of the liver? Metastatic cancer
40.What is associated with: RBC casts in the urine? Acute
(GI, breast, lungs)
glomerulonephritis
56.What is the most common: Malignant tumor of the esophagus?
41.What is associated with: WBC casts in the urine? Acute
Squamous cell carcinoma
pyelonephritis
57.What is the most common: Tumor arising within the bone? Multiple
42.What is associated with: Renal epithelial casts in the urine? Acute
myeloma
toxic or viral nephrosis
58.What is the most common: Primary malignant tumor of the female
43.What is associated with: Waxy casts? Chronic end-stage renal
genital tractin the world? Cervical neoplasia
disease
59.What is the most common: Primary malignant tumor of the female
44.What is the most common: Cause of chronic metal poisoning?
genital tractin the US? Adenocarcinoma of the cervix
Lead
60.What is the most common: Tumor of the female genitourinary
45.What is the most common: Cause of congenital cyanotic heart
tract? Leiomyoma
disease? Tetralogy of Fallot
61.What is the most common: Benign tumor of the ovary?
46.What is the most common: Congenital cardiac anomaly?
Serocystadenoma
Ventricular septal defect (VSD)
62.What is the most common: Benign tumor of the breast?
47.What is the most common: Cardiac tumor? Left atrial myxoma
Fibroadenoma
48.What is the most common: Vasculitis? Temporal arteritis
63.What is the most common: Benign lesion that affects the breast?
49.What is the most common: Primary tumor of the liver?
Fibrocystic change of the breast
Hemangioma (benign)
64.What is the most common: Malignant tumor of the breast? Invasive
50.What is the most common: Primary malignant tumor of the lungs?
ductal carcinoma
Adenocarcinoma (30% to 35%)
65.What is the most common: Tumor in men between the ages of 15
51.What is the most common: Cause of nephrotic syndrome?
and 35? Testicular tumors
Membrano proliferative glomerulonephritis
66.What is the most common: Germ cell tumor in men? Seminoma
52.What is the most common: cause of nephrotic syndrome in
67.What is the most common: Testicular tumor in infants and
children? Lipoid nephrosis
children? Yolk sactumor
53.What is the most common: Organism that causes pyelonephritis?
68.What is the most common: Malignant germ cell tumor in women?
Escherichia coli
Choriocarcinoma
54.What is the most common: Renal cell cancer type? Clear cell
69.What
is
the
most
common:
Solid
tumor
in
the
body?
83.What is the most common: Chromosomal disorder involving sex
Nephroblastoma
chromosomes? Kleinfelter's syndrome
70.What is the most common: Acquired GI emergency of infancy?
84.What is the most common: Cardiac pathology in patients with
Necrotizing enterocolitis of infancy
SLE? Libman-Sacks endocarditis
71.What is the most common: Primary malignant tumor of the ovary?
85.What is the most common: Cause of urinary tract obstruction?
Serocystadenocarcinoma
BPH
72.What
is
the
most
common:
Cardiac
tumor
of
infancy?
86.What is the most common: Eye tumor in children? Retinoblastoma
Rhabdomyoma
87.What is the most common: Intraspinal tumor? Ependymoma
73.What is the most common: Acute metal poisoning? Arsenic
88.What is the most common: Lymph node affected in non-Hodgkin's
74.What is the most common: Proliferative abnormality of an internal
lymphoma? Periaortic lymph nodes
organ?
89.What is the most common: Renal pathology in patients with SLE?
Benign prostatic hyperplasia (BPH)
Diffuse proliferative GN
75.What is the most common: Malignant tumor in the bone of
90.What is the most common: Cause of cirrhosis in the USA? Alcohol
teenagers? Osteosarcoma
91.What is the most common: Malignant tumor in women? Breast
76.What is the most common: Site of a cerebral infarct? Middle
92.What is the most common: Cancer of the vulva? Squamous cell
cerebral artery
carcinoma
77.What is the most common: Cause of dementia between the ages
93.What is the most common: Testicular tumor in children? Yolk sac
of 60 and 90 years? Alzheimer's disease
tumor
78.What is the most common: Primary CNS tumor in adults?
94.What is the most common: Benign GI tumor? Leiomyoma
Glioblastoma multiforme
95.What is the most common: Thyroid cancer? Papillary carcinoma
79.What is the most common: Primary CNS tumor in children?
96.What is the most common: Malignancy in children? ALL
Medullablastoma
97.What is the most common: Cause of diarrhea in children?
80.What is the most common: Tumor on sun-exposed sites? Basal
Rotavirus
cell carcinoma
98.What is the most common: Cause of hospitalization in children
81.What is the most common: Chromosomal disorder? Down
younger than 1 year of age? Respiratory syncytial virus (RSV)
syndrome (trisomy 21)
99.What is the most common: Helminthic parasite worldwide? Ascaris
82.What is the most common: Heart defect in Down syndrome?
lumbricoides
Endocardial cushion defect
100.What is the most common: Cause of anovulation? Polycystic
114.What is the most common: Hematologic cause of papillary
ovaries
necrosis? Sickle cell disease
101.What is the most common: Cause of death in neonates?
115.What is the most common: Organ involved in amyloidosis?
Neonatal respiratory distress syndrome (NRDS)
Kidney
102.What is the most common: Cardiac anomaly in children? Patent
116.What is the most common: Cause of abnormal bleeding?
ductus arteriosus (PDA)
Thrombocytopenia
103.What is the most common: Congenital heart defect in adults?
117.What is the most common: Cause of a nontraumatic splenic
Atrial septal defect (ASD)
rupture? Malaria
104.What is the most common: Complication of PDA? Subacute
118.What is the most common: Cause of death in SLE? Renal failure
bacterial endocarditis
119.What is the most common: Cause of infection for a patient on a
105.What is the most common: Cardiac anomaly in Turner's
ventilator? Pseudomonas aeruginosa
syndrome? Coarctation of the aorta
120.What is the most common: Esophageal carcinoma? Squamous
106.What is the most common: Cause of restrictive cardiomyopathy?
cell carcinoma
Amyloidosis
121.What is the most common: Cause of chronic pancreatitis? Alcohol
107.What is the most common: Cause of pulmonary hypertension in
abuse
children? VSD
122.What is the most common: Cause of infectious pancreatitis?
108.What is the most common: Cause of reversible hypertension in
Mumps
the USA? Alcohol abuse
123.What is the most common: Complication of nasogastric tube
109.What is the most common: Inflammatory arthritis? Rheumatoid
feeding? Aspiration pneumonia
arthritis
124.What is the most common learning disability? Dyslexia
110.What
is
the
most
common:
Cause
of
spontaneous
pneumothorax? Emphysematous bleb 111.What
is
the
most
common:
125.What is the most common: Cause of insomnia? Depression 126.What is the most common: Form of necrosis? Coagulative
Cause
of
nonorganic
127.What is the most common: Cause of blindness worldwide?
pneumoconiosis? Asbestosis
Chlamydia trachomatis
112.What is the most common: Cause of painless hematuria? Renal
128.What is the most common: Cause of blindness in the USA?
cell carcinoma
Diabetes mellitus{india ---vit a deficieny}
113.What is the most common: Cause of hematuria? Infection
129.What is the most common: Cause of the croup? Parainfluenza virus
130.What is the most common: Cause of a cold in the winter and
145.What
summer? Coronavirus
Chromosome 15,17
131.What is the most common: Cause of a cold in the spring and fall?
146.What chromosome: Follicular lymphoma? Chromosome 14,18
Rhinovirus
147.What
132.What is the most common: Cause of viral pneumonia leading to
Chromosome 5p
death? RSV
148.What chromosome: Patau's syndrome? Chromosome 13
133.What is the most common: Pituitary tumor? Chromophobe
149.What chromosome: Neurofibromatosis I? Chromosome 17
adenoma
150.What chromosome: Huntington's disease? Chromosome 4p
134What is the most common: Cause of panhypopituitarism?
151.What chromosome: Familial hypercholesterolemia?
Sheehan's syndrome
Chromosome 19
135.What is the most common: Cause of Cushing's syndrome?
152.What chromosome: Gaucher's disease? Chromosome 1
Pituitary adenoma
153.What chromosome: Neimann-Pick disease? Chromosome 11p
136.What is the most common: Kidney stone type? Calcium oxalate
154.What chromosome: Tay-Sachs disease? Chromosome 15q
137.What is the most common: Site of ischemia in the GI tract?
155.What chromosome: Cystic fibrosis? Chromosome 7
Splenic flexure
156.What chromosome: Albinism? Chromosome llp
138.What is the most common: Cause of intestinal obstructions in
157.What
adults? Adhesions and hernias
Chromosome 12
139.What is the most common: Cause of neonatal bowel obstruction?
158.What chromosome: Marfan's disease? Chromosome 15
Hirschsprung's disease
159.What chromosome: Neurofibromatosis II? Chromosome 22q
140.What is the most common: Cause of rectal bleeding?
160.What chromosome: Down syndrome? Chromosome 21
Diverticulosis
161.What chromosome: Edward's syndrome? Chromosome 18
141.What chromosomal translocation is associated with: Chronic
162.What mineral is associated with impaired glucose tolerance?
myeloid
Chromium (Cr)
leukemia
(CML?
Chromosome
9,22
(Philadelphia
chromosome:
Acute
chromosome
chromosome:
is
promyelocytic
associated
with:
leukemia
Cru
(M3)?
di
chat?
Chronic lymphocytic leukemia (CLL)?
chromosome)
163.What mineral is associated with hypothyroidism? Iodine (I)
142.What chromosome: Ewing's sarcoma? Chromosome 11,22
164.What mineral is an important component of the enzyme xanthine
143.What chromosome: Adult familial polyposis? Chromosome 5,21
oxidase? Molybdenum (Mb)
144.What chromosome: Burkitt's lymphoma? Chromosome 8,14
165.What vitamin deficiency has the following signs: angular stomatitis, glossitis, and cheilosis? Riboflavin (B2) deficiency
166.What vitamin is a component of the coenzyme thiamine
178.What vitamin requires intrinsic factor (IF) for absorption?
pyrophosphate (TPP)? Thymine (Bl)
Cyanocobalamin (B12)
167.Avidin decreases the absorption of what vitamin? Biotin. Avidin is
179.What mineral is a component of cytochrome a/a3? Copper (Cu)
found in raw egg whites.
180.Leukopenia, neutropenia, and mental deterioration are signs of
168.What are the four Ds of niacin deficiency? 1. Diarrhea 2.
what mineral deficiency? Copper (Cu) deficiency
Dermatitis 3. Dementia 4. Death
181.What vitamin deficiency causes a glove-and-stocking neuropathy
169.What mineral is an important component of glutathione
seen in alcoholics? Pyridoxine (B6) deficiency
peroxidase? Selenium (Se)
182.What mineral deficiency involves blood vessel fragility? Copper
170.What mineral deficiency in children is associated with poor growth
(Cu) deficiency
and impaired sexual development? Zinc (Zn) deficiency
183.Megaloblastic anemia and thrombocytopenia are signs of what
171.What mineral, via excessive depositions in the liver, causes
vitamin deficiency? Folic acid deficiency
hemochromatosis? Iron (Fe)
184.What is the antidote for an overdose with: Carbon monoxide?
172.What
vitamin
is
needed
in
the
production
of
heme?
Oxygen
Pyridoxine(B6)
What is the antidote for an overdose with: Mercury? Dimercaprol
173.What vitamin is a component of the enzymes fatty acid synthase
What is the antidote for an overdose with: Isoniazid? Pyridoxine
and acyl CoA? Pantothenic acid
What is the antidote for an overdose with: Atropine? Physostigmine
174.What vitamin deficiency has the following signs: homocysteinuria
What is the antidote for an overdose with: Arsenic?
and methylmalonic aciduria? Cyanocobalamin (B12) deficiency [Folic
Dimercaprol, D-penicillamine
acid deficiency has only homocysteinuria as a sign.]
What is the antidote for an overdose with: Digoxin?
175.What vitamin deficiency is evidenced by the following signs: poor
Antidigoxin Fab fragments
wound healing, loose teeth, bleeding gums, petechiae,
What is the antidote for an overdose with: Gold? Dimercaprol
and
ecchymosis? Ascorbic acid (vitamin C) deficiency (These are the
What is the antidote for an overdose with: Ethylene glycol?
signs of scurvy.)
Ethyl alcohol
176.What vitamin is given as prophylactic treatment for patients who
What is the antidote for an overdose with: Opiates/narcotics?
suffer from alcoholism? Thiamine (B1)-to prevent Wernicke's
Naloxone, naltrexone
encephalopathy and Korsakoff's encephalopathy
What is the antidote for an overdose with: Organophosphates?
177.What are the three carboxylase enzymes that require biotin? 1.
Atropine, 2-PAM
Pyruvate 2. Acetyl CoA 3.Propionyl CoA carboxylase
What is the antidote for an overdose with: Warfarin? Vitamin K
What is the antidote for an overdose with: Copper? D-Penicillamine
chromosome 2.Miillerian inhibiting factor (MIF) from Sertoli cells
What is the antidote for an overdose with: Heparin? Protamine sulfate
3.Testosterone from Leydig cells
What is the antidote for an overdose with: Iron? Deferoxamine
11.Where does the embryologic foregutend? At the first part of the
What is the antidote for an overdose with: Cyanide? Amyl nitrate,
duodenum
sodium nitrate, or sodium thiosulfate
12.What is the artery of the embryonic hindgut? The inferior
What is the antidote for an overdose with: Methyl alcohol?
mesenteric artery
Ethyl alcohol
13.What
What is the antidote for an overdose with: Acetaminophen?
Cytotrophoblast 2. Symcytiotrophoblast 3. Extraembrvonic mesoderm
N-Acetylcysteine
14.Which neuropore closes last? Caudal-and it is the first to open,
What is the antidote for an overdose with: Nitrates? Methylene blue
too.
What is the antidote for an overdose with: Lead? EDTA (calcium
15.What is the artery of the embryonic midgut? The superior
disodium edetate), dimercaprol, succimer
mesenteric artery
1.What structure is derived from the prochordal plate? The mouth
16.From where are nephrons derived embryonically? Metanephros
2.What is the only organ supplied by the foregut artery that is of
17.What are the five derivatives of the ventral mesentery? 1. Falciform
mesodermal origin? Spleen
ligament 2. Hepatoduodenal ligament 3. Hepatogastric ligament 4 and
3.In
which
direction
and
how
far
does
the
gut
rotate?
three
embryonic
cell
layers
form
the
chorion?
1.
5. Coronary andtriangular ligaments of the liver. All else is derived
Counterclockwise 270 degrees
from the dorsal mesentery.
4.What structure connects the primitive gut to the yolk sac? The yolk
18.When do the septum primum and the septum secundum of the
stalk (vitelline duct)
heart fuse? After birth
5.What is the artery of the embryonic foregut? The celiac artery
19.The cerebral cortex is a derivative of what? The telencephalon
6.When does the primitive gut herniate out of the embryo? 6 weeks
20.What is the adult structure found in the embryo as the: Umbilical
7.When does it return back into the embryo? 10 weeks
vein?Ligamentum teres
8.What two pathologic conditions occur when the gut does not return
What is the adult structure found in the embryo as the: Ductus
to the embryo? Omphalocele and gastroschisis
venosus? Ligamentum venosum
9.Around what structure does the midgut rotate?
What is the adult structure found in the embryo as the: Foramen
Superior mesenteric artery
ovule? Fossa ovule
10.What three things cause the indifferent gonad to become a testis?
What is the adult structure found in the embryo as the: Ductus
1.Testis-determining factor (TDF) from the short arm of the Y
arteriosus? Ligamentum arteriosum
What is the adult structure found in the embryo as the: Umbilical
33.From what are the pulmonary trunk and the ascending aorta
artery? Medial umbilical ligament
derived? Truncus
21.Where does the hindgut end? At the superior portion of the anal
arteriosum
canal
34.What disorder will result when there is a failure of the urachus to
22.Where does the midgut end? At the right two thirds of the
close, ca
transverse colon
using a leakage of urine out of the umbilicus? Urachal fistula
23.From where is the tongue musculature derived? Occipital somites
35.The common carotid and the internal carotid arteries are
24.What two branchial arches contribute to the formation of the
derivatives of what
anterior two thirds of the tongue? First and some of the second
embryonic structure? Third aortic arch
25.What are the two fourth pharyngeal pouch derivatives? Superior
36.The palatine tonsils are derived from what embryonic structure?
parathyroid glands and the ultimobranchial body
Second p
26.What two structures are derived from the fourth aortic arch? Arch
haryngeal pouch
of the aort
37.What are the sixth aortic arch derivatives? Right and left
a and the right subclavian artery
pulmonary arterie
27.What adult structures are derived from preotic somites? Muscles of
s and the ductus arteriosus
the i
38.The stapedial artery is derived from what? Second aortic arch
nternal eye
39.The mesonephric ducts contribute to what renal structures? The
28.What structure is derived from the first pharyngeal pouch? The
collecting d
middle ear
ucts, calyx, renal pelvis, and ureters
29.What two branchial arches contribute to the posterior two thirds of
40.Of what embryonic structureis the coronary sinus a derivative? The
the tongu
left
e? Third and part of the fourth
horn of the sinus venosus
30.What are the two third pharyngeal pouch derivatives? Inferior
41.What cranial nerve (CN) is associated with the: First pharyngeal
parathyroid gla
arch?
nds and the thymus
CN V
31.What structure is derived from the first aortic arch? Maxillary artery
What cranial nerve (CN) is associated with the: Second pharyngeal
32.From what are the urinary bladder and the urethra derived?
arch? CN VII
Urogenital sinus
What cranial nerve (CN) is associated with the: Third pharyngeal
perineum? Urorectal septum
arch? CN IX
49.In the adult, the thoracic veins are derived from what structure?
What cranial nerve (CN) is associated with the: Fourth pharyngeal
The card
arch? CN X
inal veins
What cranial nerve (CN) is associated with the: Fifth pharyngeal arch?
50.The gastrointestinal tract and abdominal veins are derived from
None-it
what structur
degenerates
e? Vitelline veins
What cranial nerve (CN) is associated with the: Sixth pharyngeal
51.From what is the thyroid gland derived? The floor of the endoderm
arch? CN X
(the p
42.From where is the external auditory meatus derived? First
osterior aspect of the tongue)
pharyngeal groove
52.The thalamus and its related structures are derivatives of what?
43.From where is the smooth portion of the right atrium derived? Right
The dien
ho
cephalon
rn of the sinus venosus
1.Transcriptionally active DNA is known as what? Euchromatin
44.Meckel's diverticulum is a remnant of what embryonic structure?
2.Transcriptionally inactive DNA is called? Heterochromatin
Vitellin
3.What is the only histone not found inside the nucleosomes? H1
e duct (yolk stalk)
histone-Its f
45.The pons and cerebellum are derived from what portion of the
unction is to bind nucleosomes together.
embryonic neural
4.What coating protects proteins from intracellular degradation?
tissue? Metencephalon
Clathrin
46.The medulla is a derivative of what portion of the embryonic neural
coating
tissue?
5.A nucleosome is made up of what two components? Histories and
Myelencephalon
DNA
47.What structure "tells" the overlying cells to begin neurulation? The
6.What are the four functions of smooth endoplasmic reticulum
noto
(SER)? 1. Stero
chord
id synthesis 2. Drug detoxification 3. Ca2+ handling 4. TAG
48.What structure splits the cloacal membrane, resulting in the
resynthesis
formation of the
7.What are the long microvilli found in the inner ear and the male
16,What cell surface modification of ependymal cells and respiratory
reproductive
epithelium
tract called? Stereocilia
has a 9 + 2 microtubular configur- ation and movement as its
8.What cell junction type allows for communication between two
function? Cilia
adjacent cells?
17.What protein binds hemidesmosomes to the basal lamina? Integrin
Gap junctions (nexus)
18.What intermediate filament is found in the zona adherens? Actin
9.Where are the enzymes for ATP production and the ETC located?
19.The proteins to be exported or incorporated into the lysosome are
Inner fold of th
produced by
e mitochondria membrane
what organelle? Bound polysome (polyribosome), attached to rough
10.What cell membrane structure increases the surface area of a cell
endopla
and has act
smic reticulum (RER)
in randomly assorted within its structure? Microvillus
20.What is the function of the zonula occludens and the zonula
11.What is the function of desmosomes? To hold adjacent cells
adherens?
together (i.e., a
To provide attachment between contiguous cells and to maintain a
dhesion)
semipermeable b
12.What is the microtubule configuration of a basal body? 9 + 0
arrier
microtubul
The following intermediate filaments are associated with what cell
e arrangement
types: Desmin
13.What are the four components of the basement membrane? 1.
? Muscle cells
Laminin 2. He
The following intermediate filaments are associated with what cell
paran sulfate (heparitin sulfate) 3. Fibronectin 4. Type IV collagen
types: Cytoke
14.The proteins that are to stay within the cell are produced by what
ratins? Epithelial cells
organelle?
The following intermediate filaments are associated with what cell
Free polysome (polyribosome)
types: Viment
15.What is the lysosomal post- translational modification of proteins?
in? Mesenchymal cells
Phosphor
The following intermediate filaments are associated with what cell
ylation of mannose residues
types: Neurof ilaments? Neurons
The following intermediate filaments are associated with what cell
30.Where is tropocollagen aggregated to form a collagen fibril?
types: Glial
Extracellularly
filaments? Astrocytes
31.What cell surface extension allows osteocytes in the lacunaeto
21.The basal lamina + the reticular lamina = what? The basement
"talk" to each
membrane
other? Canaliculi
22.What is the name of the organelle where collagen is made? Rough
32.What cell type produces myelin in the CNS? Oligodendrocytes
endoplasmi
33.In which ventricles is/are choroid plexus found? All four ventricles
c reticulum (RER)
34.What muscle type has calmodulin? Smooth muscle
23.What vitamin is needed for the hydroxylation of proline and lysine
35.What element is needed for the proper alignment of the
in collage
tropocollagen molecule
n synthesis? Vitamin C - {DEFICIENCY--Survy}
s? Copper (Cu+)
24.What are the two amino acids that cross-link elastin molecules?
36.What is added to the procollagen molecules to prevent intracellular
Desmosin
precipita
e and isodesmosine
tion? Registration peptides
25.What is the major inorganic component of bone? Hydroxyapatite
37.In what tissue can you find intercalated disks? Cardiac muscle
26.What cell in bone is a part of the mononuclear phagocytic system?
38.What are intercalated disks? Dense bands containing intercellular
Osteocla
junctions t
sts
hat link adjacent cells mechanically and electrically
27.What are the two types of cells located in the perichondrium of
39.Of what are intercalated disks composed? Fascia adherens
cartilage?
(mainly) Desmoso
Fibroblasts and chondroblasts
mes Gap junctions
28.What cell in the CNS is part of the mononuclear phagocytic
40.What are the proteoglycans of cartilage and bone? Chondroitin
system? Microgli
sulfate and
a{CNS PHAGOCYTE}
keratan sulfate
29.What substance, found in eosinophils, is toxic to parasitic worms?
41.What is the only glycosamino- glycan (GAG) that binds to the linker
Major ba
portion o
sic protein
f the proteoglycan? Hyaluronic acid (all sulfates bind to the core portion)
42.What is the portion of an axon that lacks myelin and is rich in
52.What is the dominant cell type in the red pulp of the spleen? Red
Na+/K+ pumps?
bloo
Node of Ranvier
d cells
43.What type of CNS cells have cilia, line the ventricles, and
53.On what area of the lymph node can you locate plasma cells?
contribute to the
Medulla
blood-brain barrier? Ependymal cells
54.What is the name of the area in the thymus where T cells are
44.What are the largest glial cells in the CNS (Hint: They contribute to
produced?
the blo
Hassall's corpuscle
od- brain barrier.)? Astrocytes
55.What type of muscle is striated and multinuclear? Skeletal muscle-
45.Myelin is produced by what type of PNS cells? Schwann cells
it of T
46.What is the dominant cell type in the lacunae of cartilage?
tubules and SR at the A-I junction
Chondrocytes
56.In what region of the spleen are the germinal centers located?
47.What structure runs perpendicular to the Haversian canals in the
White pu
bone?
lp-where B cell differentiation takes place
Volkmann's canal
57.What layer of the skin is missing in thin skin? Stratum lucidum
48.What are the three reasons for the effectiveness of the blood-brain
58.What are the phagocytic cells of the GI tract called? Paneth cells
barrier?
(Pa
1. Tight junctions 2. Capillaries that lack fenestration 3. Very selective
neth's granular cells)
pinoc
59.Which immunoglobulin is secreted by the plasma cells in the GI
ytosis by the capillaries
tract?
49.What types of muscle have troponin? Skeletal and cardiac
IgA
50.What type of muscle is uninuclear and nonstriated? Smooth
60.In what area of the spleen are the T cells located? Periarterial
muscle - it lacks
lymphatic s
T tubules and has gap junctions
heath (PALS)
51.On what area of the spleen are the APC{antigen presenting cells}s
61.In what area of the lymph node are the T cells and the APCs
located?
located? Paracort
Marginal zone
ical (thymic-dependent) area
62.What type of muscle is striated, branched, and uninuclear?
71.What are the three "tunica" layers of a blood vessel wall? 1. Tunica
Cardiac muscle-d
intima
yadic T tubules with SR at the Z line
2. Tunica media 3. Tunica adventitia
63.What does the tunica intima of arteries have that veins do not? An
72.Within what layer of the heart are the nerves and conducting fibers
inter
located?
nal elastic lamina
Subendocardial space
64.What two layers of skin makeup the malphighian layer? Stratum
73.Which organs have fenestrated capillaries with diaphragms?
basalis
Kidney, Intestin
and spinosus (mitotic area)
es, Endocrine organs
65.What type of skin cells have the mature melanin granules?
74.What secondary lymphoid tissue is encapsulated and has germinal
Keratinocytes. M
centers?
elanocytes inject melanosomes into the keratinocytes and mature
Peyer's patches{duodenum}
there.
75.What organs have sinusoid capillaries (leakiest type)? Liver, Bone
66.What type of skin cells are part of the mononuclear phagocytic
marr
system?
ow, Spleen
Langerhans' cells
76.What type of vessel has a thick tunica media? Arteries {Veins have
67.What cells of the epidermis, derived from the neural crest, act as
a thick tunica adventitia.}
mechano- r
77.Is the spleen a capsulated organ with trabeculae? Yes-although it
eceptors? Merkel's cells (Merkel's tactile cells)
does not
68.What layer of the epidermis acts as a sealant to protect against
have cortical or medullary regions
desiccation?
78.What secondary lymphoid organ is found just below the stratified
Stratum granulosum
squamous epi
69.What layer of the skin is composed of non-nucleated cells full of
thel- ium and is partially capsulated? Tonsils
keratin?
79.What type of capillary lacks fenestrations and has pinocytotic
Stratum corneum
vesicles?
70.What are the antigen- presenting cells in the Peyer's patches of
Continuous capillary
the GI known
80.What region of the body has fenestrated capillaries without
as? M cells
diaphragms?
Kidney glomeruli.
91.Secretin and CCK are produced in what portion of the GI tract?
81.Does the thymus have germinal centers? No. Germinal centers are
Small in
associa
testine
ted with B cells.
92.What cells of the stomach secrete pepsinogen? Chief cells
82.What cell of the liver is part of the mononuclear phagocytic
93.What cell type produces dentin of the teeth? Odontoblasts (neural
system? Kupffer
crest)
cells
94.What cell type produces enamel of the teeth? Ameloblasts
83.What papillae are respons- ible for sweet taste? Circumvalate
(ectoderm)
papillae
95.What gland produces 70% of the total salivary secretions and is a
84.What are the three epi- dermal derivatives? 1. Nails 2. Hair 3.
mixture of
Sweat glands
serous (predominantly) and mucous alveoli and secretory units?
(both apocrine and sebaceous)
Submandibular gl
85.What papillae send their senses via chorda tympani of CN VII?
and
Fungifor
96.What type of cells of the respiratory system secrete surfactant?
m papillae
Type II
86.What is the area of mitotic activity in the GI tract? The crypts of Li
pneumocytes
eberkuhn
97.What zone of the liver is the first to be affected in times of hypoxia?
87.What cells of the GI tract secrete HCl and intrinsic factor? Parietal
Central region (around the central vein)
cells o
98.In what region of the respiratory system do you first see Clara
f the stomach
cells?
88.What type of sweat gland is under cholinergic stimulation? Eccrine
Terminal bronchioles
gland
99.What substance does the juxtaglomerular cells of the kidney
89.What gland produces a serous secretion that is approximately 20%
secrete in respon
of the total
se to low blood pressure? Renin
saliva produced? Parotid gland
100.In what region of the liver is fat stored? Space of Disse -{Ito cells
90.What papillae are touch receptors on the tongue and send their
and V
sensations via
it A also present there}
CN V3 (mandibular division)? Filiform papillae
101.In what region of the GI tract does exfoliation take place? At the
110.What region of the liver is first affected in toxic doses of drugs?
tip of th
Peripher
e villi
al zone (because extraction of substances occurs there first)
102.What are the mucus secreting cells in the respiratory tract above
111.What are the two acidophilic hormones secreted by the
the level
adenohypophysis?
of the terminal bronchioles? Goblet cells
GH and prolactin "
103.What cells of the distal convoluted tubule are sensitive to the low
112.In what region of the kidney does the greatest extraction of
ion cont
nutrients occur
ent of the urine? Macula densa
? Proximal convoluted tubule (-66% of nutrient extraction occurs here)
104.What cells comprise 95% of the alveolar surface and are
113.What cells of the thyroid gland secrete calcitonin? Parafollicular C
responsible for gas
cells
exchange? Type I pneumocytes
114.What cells of the adrenal gland are neural crest derivatives?
105.What are the two hormones secreted by the posterior pituitary
Chromaff
gland via the
in cells (adrenal medulla)
para- ventricular supranuclei? ADH and oxytocin
115.What cells secrete glucagon? Alpha cells of the islet of
106.What area of the nephron is impermeable to water? Ascending
Langerhans
limb of the lo
116.What hormone inhibits glucagon release and pancreatic exocrine
op of Henle
secretions?
107.What region of the kidney is affected by ADH? Collecting duct for
Somatostatin
wate
117.What hormone causes milk letdown? Oxytocin
r reabsorption- but the DCT is also affected by ADH
118.Low levels of what hormone stimulates the uterus to go into its
108.What portion of the kidney actively pumps Cl- out of the tubule?
proliferativ
Thick as
e stage? Estrogen
cending limb of the loop of Henle
119.What cells of the genito- urinary system secrete testosterone?
109.What region of the kidney has a countercurrent multi- plier
Leydig c
producing a grad
ells (stimulated by LH)
ient of hypertonicity in the tubule lumen? Loop of Henle
120.What is the mucus-secreting gland in the male reproductive system? Bulboure
thral glands (Cowper's glands)
d by a sperm. If it is not, the egg is released in metaphase II and
121.Elevated levels of what hormone cause the endometrium to enter
meiosis is i
the secretory
ncomplete.
phase of the female cycle? Progesterone
What is the chromosome number at the end of meiosis I? 23 (2n)-it is
122.What are the cells of the parathyroid gland that produce
the reduct
parathyroid hormone
ive phase of meiosis.
(PTH)? Chief cells
127.What cell is under control of FSH and testosterone; secretes
123.What hormone produced during the night causes a decrease in
inhibin, MIF, a
gonadal function
nd androgen-binding protein; and phagocytizes the excess cytoplasm
? Melatonin
of the sperma
124.Where is melatonin produced? Pineal gland
tid? Sertoli cell
125.What are the four basophilic hormones released from the
128.What is the major androgen released from the zona reticularis?
adenohypophysis?
Dehydroe
1. Adrenocorticotrophic hormone (ACTH) 2. Thyroid-stimulating
piandrosterone (DHEA)
hormone (TSH) 3. L
129.What hormone causes an increase in the accumulation of
uteinizing hormone (LH) 4. Follicle-stimulating hormone (FSH)
adipose and collageno
126.What cells form the blood-testis barrier? Sertoli's cells
us tissue of the breast and an increase in the branching of the ducts
What is the chromosome number of-G1? 46 (2n)
of the bre
What is the chromosome number of-S phase? 46 (4n)
ast? Estrogen
What is the chromosome number of-G2? 46 (4n)
130.What promotes further prolactin and oxytocin release? Suckling
What is the chromosome number of-Mitosis? 46 (4n) to 46 (2n)
131.What part of the placenta is derived from the mother? Decidua
What is the chromosome number of a primary spermatocyte? 46 (4n)
basalis
In females, meiosis is arrested twice - when and at what stages of
132.What is the most common site of fertilization? Ampulla of the
meiosis?
fallopian
1. First, in utero at prophase I, 2. Second, at ovulation in metaphase II
tube
What must occur for an egg to complete ovulation? It needs to be
133.What is the only cranial nerve that comes off the dorsal surface of
fertilize
the brai n stem? CN IV
134.What type of fiber is carried in the dorsal root? Sensory or motor.
144.What area of the eye has the greatest visual acuity? Fovea (it is
Sensor
mad
y only
e up soley of cones)
135.How would a lower motor neuron (LMN) lesion present?
145.What cell type in the eye is for color vision? Cones (Cones and
Hyporeflexia, fa
color)
siculations and flaccid paralysis (always ipsilateral)
146.If there is macula sparing in a visual deficit, where is the lesion?
136.What is the name of the brain stem tract in which the dorsal
In the occipital lobe of the cerebral cortex (optic radiations)
columns run?
...
Medial lemniscus
147.Which way do the eyes drift in a frontal eye field lesion?To the
137.What is the ability to tell what something is without looking at it
side of the
and usin
lesion
g only your hands? Stereognosis
148.What is the thalamic relay nucleus that CN V needs to "speak" to
138.In what tract do pain and temperature fibers run? Spinothalamic
in order to
tract
pass
139.What gyrus in the cerebral cortex receives information from fibers
cortex?Ventroposteromedial(VPM)
of the do
149.Cell bodies of what fibers are found in the mesencephalic nucleus
rsal column tract? Postcentral gyrus
of CN V?Pr
140.What area of the brain is responsible for contralateral gaze?
oprioception of the face (CN V) and motor (jaw jerk reflex)
Frontal
150.If a patient presented with an LMN lesion in CN V, CN VII, or CN
eye field (Brodmann area 8)
XII, what w
141.What is the thalamic relay nucleus for the visual system? Lateral
ould you see? Ipsilateral paresis
genicula
151.What is the motor relay nucleus of the thalamus?Ventrolateral
te body (LGB)
(VL) nucleus o
142.What is the function of the ossicles? They increase the intensity
f thalamus
of s
152.What is the only cell type to leave the cerebellum?Purkinje
ound
(inhibitory) - G
143.What muscle in the eye is responsible for accommodation?
ABA
Ciliary muscle
its
information
on
to
the
cerebral
153.If a patient presented with a right-sided cerebellar lesion, which
162.What fluid of the inner ear has an electrolyte content like that of
way would
the extr
the patient fall if he closed his eyes? To the right
acellular fluid compartment (ECF)?Perilymph
154.What is the function of the superior olivary nucleus? To localize
163.What is the thalamic relay nucleus for the auditory system? MGB
and detemi
164.What region of the cerebellum is responsible for balance and eye
ne the nature of sounds (Sound and superior start with S.)
movement?
155.If a patient presents with a left nystagmus, where is the lesion?
Flocculonodular lobe
On the rig
165.What is the only cell in the cerebellum to have an excitatory
ht, because the nvstagmus is named for the fast component, and the
neurotransmitt
fast componen
er? Granule cell
t is to the unaffected side.
166.What does the nystagmus look like if cold water is placed in the
156.What region of the cerebellum is responsible for the planning of
right ear?
movements?
Slow drift to the right, fast drift to the left COWS = Cold Opposite -
Cerebellar hemisphere
Warm Same
157.What is the thalamic relay nucleus for the limbic system? Anterior
(named in reference to the fast component)
nucleus
167.Information from the cerebellum leaves via what? Superior
158.What fluid is found in the anterior chamber of the eye? Aqueous
cerebellar pedu
humor
ncle
159.What is the dividing line between the anterior and posterior
168.In what portion of the internal capsule are you if you can see the
chambers of the
caudate n
eye? The lens
ucleus? Anterior limb
160.If there is a total anopsia of the left eye, where is the lesion?
169.What type of memory is lost in a hippocampal lesion? Long-term
Optic nerv
memory
e of the left eye
170.In what region of the brain stem does the corticospinal tract cross
161.What is the center for ipsilateral gaze? The paramedian pontine
over?
reticular fo
Medullary decussation
rmation (PPRF)
171.From what gyrus of the brain does the corticospinal tract originate?
Precentral gyrus
178.In which region of the spinal cord does the spinothalamic tract
172.What type of fibers are carried in the ventral rami? Both sensory
cross over?
and
Ventral white commissure (VWC)
motor (from the spinal nerve on both sensory and motor fibers)
179.Sensory information from the spinothalamic tract sends its
173.What are the hallmark signs of an upper motor neuron (UMN)
information to wh
lesion? 1. Hyper
at region of the cerebral cortex? Postcentral gyrus
reflexia 2. Spastic paralysis 3. Positive Babinski sign
180.In which region of the brain stem do the dorsal columns cross
174.What tract carriers fibers for voluntary refined movements of the
over? Lower me
distal ext
dulla (synapse on nucleus gracilis or cuneatus)
remities? Corticospinal tract
181.What tract carries conscious proprioception,fine touch, two-point
175.What is the name of the tract in which the dorsal columns from
discrimina
the lower ext
tion, and vibratory sense? Dorsal column tract (all senses except pain
remities run? Fasciculus gracilis (It is medial of the two tracts on a
and
cross-s
temperature)
ection of the spinal cord; the lateral tract is the fasciculus cuneatus.)
182.What tract of the spinal cord carries dorsal column information
Rememb
from the upp
er: Lower extremities dancing-graceful-gracilis.
er extremities? Fasciculus cuneatus
176.What is the function of the superior colliculi? Cell bodies that are
183.If the right side of the corticobulbar tract to the muscles of facial
to
expres
be relayed to the thalamus for sight are found there. (Sight and
sion were damaged, where would the deficit be seen? In the
superior start
contralateral low
with S.)
er face (left)
177.In order for sensory information from the dorsal columns and the
184.If the corticobulbar tract for CN V and CN XII were cut on the right
spinothalam
side, w
ic tract to get to the cerebral cortex, they must use what thalamic relay
here would the lesion be? There would be no deficit, because the
nucleu
corticobu
s? Ventroposterolateral (VPL)
lbar tract receives bilateral input. 185.What type of fibers are carried in the ventral root? Motor only
186.What peduncle(s) carry information into the cerebellum? Inferior
ion of the optic radiation
and mid
196.What lesion produces a tremor upon movement? A cerebellar
dle cerebellar peduncles
lesion
187.Cell bodies of what fibers are found in the trigeminal ganglion?
197.What part of the inner ear is sensitive to angular acceleration and
Touch, p
decelera
ain, and temperature
tion? Semicircular canals
188.When the head moves, what causes the eyes to move in the
198.What is the normal volume of CSF? Approximately 140 ml{135ml
opposite direction?
most accurate
Vestibular system
ly}
189.Unconscious proprioception, body sense, and motor execution
199.What muscle of the eye is under parasympathetic control?
are functions of
Sphincter pupill
what part of the cerebellum? Vermis and intermediate lobe
ae (part of iris)
190.What three structures contain perilymph? 1. Scala tympani 2.
200.What cranial nerve receives sensory information from the
Scala vestib
cornea? CN VI (o
uli 3. Semicircular canals
phthalmic division)
191.The gravity receptors for changes in the position of the head are
201.What artery supplies blood to the trunk and the lower extremities
located in
on a homun
what part of the inner ear? Saccule and utricle
culus map of the cerebral cortex? Anterior cerebral artery
192.What cells are for black and white vision (night vision)? Rods
202.What structures of the inner ear contain endolymph? 1. Scala
193.What is the fluid of the posterior compartment of the eye?
media 2. Semici
Vitreous humor
rcular ducts 3. Saccule Utricle
194.What type of fluid in the inner ear has the consistency of
203.With what type of lesions do you see tremors at rest? Lesions of
intracellular flu
the b
id (ICF)? Endolymph (high levels of K+)
asal ganglia
195.Name
three
lesions
that
can
cause
left
homonymous
204.What muscle of the eye is under sympathetic control? Dilator
hemianopsia? 1. Lesio
pupillae
n of the right optic tract 2. Lesion of the lateral geniculate body (LGB)
(part of the iris)
3. Les
205.Where is the lesion if the patient presents with a right nasal
215.What tracts are found in the anterior limb of the IC?
hemianopsia?
Thalamocortical
Right internal carotid artery compression on the optic chiasm
tracts
206.What part of the inner ear functions in head movement?
216.If warm water is placed in the right ear, what does the nystagmus
Semicircular duc
look like?
ts
Slow drift to the left and fast drift to the right (COWS = Cold Opposite
207.What part of the internal capsule are you in if you see the
& Warm
thalamus?
Same)
Posterior limb of the internal capsule
217.What lesion causes a bitemporal hemianopsia? Optic chiasm
208.What region of the basal ganglia is affected in Parkinson's
lesion
disease?
218.What area of the brain is known as the motor speech area?
Substantia nigra (degeneration)
Broca's area
209.Hemorrhagic destruction of the contralateral subthalamic nuclei
219.What
results in w
homonymous superio
hat disorder? Herniballismus (wild flailing movements)
r quadrantopia
210.Slow writhing movements (athetosis) are caused by what?
220.Blood supply to the head/neck area and the upper limb on a
Hypermyelinizati
homunculus map in
on of the corpus striatum and the thalamus (seen in cerebral palsy)
the cerebral cortex comes from what artery? Middle cerebral artery
211.Atrophy of the striatum of the basal ganglia results in what?
221.What area of the brain is known for language comprehension?
Chorea (
Wernicke's area
involuntary quick movements)
222.Where is the lesion if the patient presents with a right
212.What tracts are found in the genu of the internal capsule?
homonymous inferior
Corticobulbar tr
quadrantanopia? Left upper loop lesion
acts
223.What region of the cerebellum is affected if a patient has dystaxia
213.What tracts are found in the posterior limb of the IC?
of the l
Corticospinal Sp
egs and trunk during walking? Anterior vermis (It is most commonly
inothalamic Dorsal column Thalamocortical
caused by c
does
Meyer's
hronic alcohol abuse.)
loop
lesion
cause?
Contralateral
224.Where is the lesion in a patient who presents with a broad-based
ord except the dorsal columns? Anterior spinal artery occlusion
gait, hypot
(posterior spin
onia, intention tremors, nystagmus, and ataxia? Cerebellum
al artery supplies the dorsal columns)
225.What are the functions of the external auditory meatus? Sound
232.What spinal cord lesion results in a bilateral loss of pain and
collection
temperature
and protection of the tympanic membrane
at the level of the lesion? Syringomyelia (VWC lesion)
226.What is the function of the inferior colliculi? To receive bilateral
233.What spinal cord lesion causes a bilateral dorsal column loss
aud
below the leve
itory input and arrange the input tonotopically
l of the lesion? Tabes dorsalis (neurosyphilis)
227.If a patient presents with nystagmus, dystaxia, and hypotonia of
234.What disease is associated with demyelination of the dorsal
the ipsilat
column, spinocer
eral limbs, what area of the cerebellum is affected? Hemisphere
ebellar
228.What lesion of the cerebellum is usually caused by an
degeneration
ependymoma or medullob
235.What
lastoma, resulting in dystaxia of the trunk with an inability to maintain
hemiparesis, contra
an upr
lateral spastic lower face, and ipsilateral oculomotor palsy (dilated,
ight posture? Posterior vermis lesion
ptosis, e
229.What spinal cord injury results in flaccid paralysis and muscle
ye down and out)? Posterior cerebral artery occlusion (ventral
atrophy?
midbrain sy
Polio (bilateral ventral horn lesion)
ndrome)
230.What spinal cord lesion results in a lower motor neuron (LMN)
236.What syndrome is associated with an ipsilateral UMN lesion
lesion at the
below the level o
level of the lesion and an upper motor neuron (UMN) lesion below the
f the lesion, ipsilateral dorsal column loss at and below the level of the
level of th
lesio
e lesion? Amyotrophic lateral sclerosis (ALS)-Lou Gehrig's disease
n, an LMN lesion at the level of the lesion, bilateral loss of pain and
231.What arterial occlusion would result in a loss of all tracts in the
temperat
spinal c
ure at the level an Brown-Sequard syndrome (heimisection of the
tract,
spinal cord)
and
arterial
corticospinal occlusion
tract?
results
in
Subacute
combined
contralateral
spastic
What arterial occlusion results in the following syndromes (Name
What arterial occlusion results in the following syndromes (Name
artery and spec
artery and spec
ific region.): Contralateral spastic hemiparesis of the body? Vertebral
ific region.): Nystagmus away from the lesion? Anterior inferior
artery
cerebellar art
-pyramid
ery- vestibular nuclei
What arterial occlusion results in the following syndromes (Name
What arterial occlusion results in the following syndromes (Name
artery and spec
artery and spec
ific region.): Contralateral loss of position and vibration? Vertebral
ific region.): Ipsilateral Horner's syndrome? Anterior inferior cerebellar
artery
art
-medial lemniscus
ery- descending autonomics
What arterial occlusion results in the following syndromes (Name
What arterial occlusion results in the following syndromes (Name
artery and spec
artery and spec
ific region.): Ipsilateral paralysis of the tongue? Vertebral artery-CN XII
ific region.): Ipsilateral facial paralysis? Anterior inferior cerebellar art
What arterial occlusion results in the following syndromes (Name
ery-CN Vll
artery and spec
What arterial occlusion results in the following syndromes (Name
ific region.): Ipsilateral limb ataxia? Anterior inferior cerebellar artery-
artery and spec
infe
ific region.): Deafness? Anterior inferior cerebellar artery-CN VIll
rior cerebellar peduncle
1.What is the name for the most prominent spinous process in the
What arterial occlusion results in the following syndromes (Name
spine? Vertebra
artery and spec
prominens (C7 in 70% of cases, C6 in 20%, T1 in 10%)
ific region.): Ipsilateral pain and temperature loss of the face? Anterior
2.What portion of the intervertebral disk is a remnant of the
inferior cerebellar artery-spinal nucleus of CN V
notochord?
What arterial occlusion results in the following syndromes (Name
Nucleus pulposus
artery and spec
3.What three muscles comprise the erector spinae? 1. Iliocostalis 2.
ific region.): Contralateral pain and temperature of the body? Anterior
Longi
inferio
ssimus 3. Spinalis
r cerebellar artery- spinotbalamic tract
4.What are the names given to the first and second cervical vertebrae? C1-atlas
C2-axis
erve
5.To what vertebral level does the spinal cord extend? LI to L2
16.What forms the anatomic snuff box? Extensor pollicis longus,
6.What is the name of the extension of the dura mater that attaches at
abductor polli
the level
cis longus, extensor pollicis brevis
of S2? External filum terminale
17.What vein, in the antecubital fossa, forms the communica- tion
7.How many pairs of spinal nerves exit from the spinal cord? 31 pairs
between the ba
8.What is the name of the region where the manubrium and the body
silic vein and the cephalic vein? Median cubital vein (most common
of the sternum
site fo
articulate? Sternal angle of Louis
r venipuncture)
9.What muscle originates from the third to the fifth ribs and inserts into
18.What two muscles are inner- vated by the axillary nerve? Deltoid
the c
and tere
oracoid process? Pectoralis minor
s minor
.10.Damage to what nerve will give you "winged scapula'."? Long
19.What nerve is compromised in carpal tunnel syndrome? Median
thoracic ne
nerve
rve To avoid confusing long thoracic nerve and lateral thoracic artery:
20.In what compartment of the thigh is the profundus femoris artery
Long has
found?
an "n" for nerve; lateral 3 & has an "a" for artery.
Anterior compartment (it's the blood supply to the posterior
11.The ventral rami of what regions of the spinal cord make up the
compartment)
brachial plex
21.Foot drop is caused by a compromise in what nerve? Common
us? C5-TI
peroneal nerve
12.What bone houses the ulnar groove? Humerus (between the
22.What nerve is damaged if the patient cannot ADduct the thigh?
medial epicondyle a
Obturato
nd the trochlea)
r nerve (nerve to the medial compartment of the thigh)
13.What muscle initiates Abduction of the arm? Supraspinakis
23.What is the longest muscle of the body? Sartorius
14.What muscle acts in all ranges of motion of the arm? Deltoid
24.What two nerves innervate the pectineus muscle? Femoral and
`
obturator ne
15.What nerve is damaged if a patient presents with "wrist drop"?
rves
Radial n
25.What superficial vein empties into the popliteal fossa? Short
36.How are they separated? By the oblique and the transverse
saphenous
fissures
vein
37.Into what chamber of the heart do the pulmonary veins empty? Left
26.What is the artery of the anterior compartment of the leg? Anterior
atrium (Rem
tibia]
ember-the pulmonary veins carry oxygenated blood.)
artery
38.What is the only valve in the heart that has two cusps? Mitral
27.What nerve supplies the lateral compartment of the leg?
(bicuspid
Superficial pero
) valve
neal nerve
39.What vein travels with the right coronary artery? Small cardiac vein
28.What sensory nerve are you testing when you touch the first web
40.At what vertebral level does the trachea bifurcate? T4-T5 (It is
space of the
known as th
toes? Deep peroneal nerve
e carina.)
29.The peroneal artery is a branch of what artery? Posterior tibial
41.What attaches the cusps of the valves to the papillary muscles in
30.Inflammation of the pre- patellar bursa is often referred to as what?
the heart?
Housemaid's knee
Chordae tendineae
31.What is the prominent "bump" on the lateral aspect of the knee?
42.Around what thoracic structure does the right recurrent laryngeal
Head of
nerve loop
the fibula
before ascending into the larynx? Right subclavian artery
32.How many ribs articulate with the sternum? Seven (Ribs 8, 9, and
43.At what vertebral level does the esophagus originate? C6
10 articul
44.At what level does the abdominal aorta bifurcate into the common
ate with the costal cartilage of rib 7.)
iliac arteri
33.What is the part of the lung that extends above the level of the first
es? L4-L5
rib?
45.The obturator artery is a branch of what major artery? Internal iliac
The cupula
a
34.What type of pleura is adherent to the surface of the organ?
rtery
Visceral pleura
46.What is the first branch off the abdominal artery? Inferior phrenic
35.How many lobes does the right lung have? Three
artery
47.Into what vessel does the right gonadal vein drain? The inferior
59.What structures differentiate the anatomic right and left lobes of
vena cava
the liver?
48.Into what vessel does the left gonadal vein drain? The left renal
Ligamentum teres and ligamentum venosum
vein
60.What structure "runs" along the transverse processes of the
49.At what vertebral level does the common carotid artery bifurcate?
lumbar vertebrae?
C4
Ureters
50.At what vertebral level is the hyoid bone found? C3
61.To enter into the lesser peri-toneal sac, you must traverse through
51.The ophthalmic artery is a branch of what vessel? Internal carotid
what fora
artery
men? Foramen of Winslow
52.What forms the portal vein? The union of the superior mesenteric
62.What is another name for the rectouterine pouch? Pouch of
and the spl
Douglas
enic veins
63.What bones comprise the acetabulum? Pubis, ilium, and ischium
53.Where does the inferior mesenteric vein drain? The splenic vein
64.What two ligaments of the uterus are remnants of the
54.What vein is formed by the union of the right and left
gubernaculum? Bound an
brachiocephalic veins?
d ovarian ligaments
Superior vena cava
65.What muscles comprise the deep perineal space (the urogenital
55.What is the only muscle in the larynx that is not inner- vated by the
diaphragm)?
recurre
Deep transverse perineal and sphincter urethrae
nt laryn- geal nerve? Cricothyroid (It's innervated by the external
66.What three ligaments com- prise the broad ligament of the uterus?
laryngeal
1. Mesos
nerve.)
alpinx 2. Mesovarium 3. Mesometrium
56.The folds of the mucosa of the stomach are known as what?
67.What structure traverses the diaphragm at the level of T8? IVC
Rugae
68.What are the components of the pudendal canal? Pudendal nerve
57.What is the artery of the embryonic foregut? Celiac artery
and inter
58.What comprises the portal triad? 1. Common bile duct 2. Hepatic
nal pudendal artery and vein
artery 3.
69.What
Portal vein
metacarpal/phalangealjoint?
range
of
movements
can
be
Flexion/extension, ABduction, and ADduction
performed
at
the
70.A fracture of the surgical neck of the humerus will most likely
79.What component of the corneal reflex is lost in a CN VII deficit?
damage what n
Motor as
erve? Axillary nerve
pect
71.What compartment of the lower extremity allows flexion of the hip
80.Toward what side would the uvula point if the right CN X were
and extensi
damaged?
on of the knee? Anterior compartment of the thigh
The left (points to the unaffected side)
72.What nerve roots comprise the lumbosacral plexus? L4 to S4
81.What is the name of the urinary bladder where the ureters enter
73.What is the function of gray rami communicans? They are
and the ureth
postganglionic
ra exits? Urinary trigone
sympathetic axons.
82.What is the only organ in the body supplied by preganglionic
74.What compartment of the lower extremities allows ADduction of
sympathetic fibe
the thigh and f
rs? Adrenal rnedulla
lexion of the hip? Medial compartment of the thigh
83.The pudendal canal is formed by splitting the fascia of what
75.What are the only splanchnics in the body that carry preganglionic
muscle? Obturato
parasympat
r internus
hetic
fibers?
Pelvic
splanchnics
(P
begins
preganglionic,
84.What is the name of the duct formed by the union of the vas
parasympathetic, and
deferens and the
pelvic.)
duct of the seminal vesicle? Ejaculatory duct
76.What postganglionic parasympathetic ganglion is associated with
85.What are the fingerlike projections at the end of the fallopian
CN III?
(uterine) tub
Ciliary ganglion
es? Fimbriae
77.What is the name of the ganglion that houses the cell bodies for
86.Where is the seminal vesicle located? On the posterior aspect of
the postgang
the u
lionic sympathetic fibers to the head and neck? Superior cervical
rinary bladder
ganglion
87.What vessel can be found atop the scalene anterior? Subclavian
78.What two muscles do you test to see if CN XI is intact? Trapezius
vein
and st
88.What muscle divides the anterior from the posterior triangles of the
ernocleidoinastoid
neck?
Sternocleidomastoid
Thoracic and sacral
89.Where does the parotid (Stenson's) duct enter the oral cavity?
100.What are the only muscles in the body innervated by dorsal rami?
Opposite
Intrinsi
the second upper molar tooth
c (deep) muscles of the back (All other muscles are innervated by
90.What is the function of the arachnoid granulations? Resorb CSF
ventral rami.)
into the bloo
101.What is the portion of the second cervical vertebra that projects
d
superiorly
91.What muscle is the most superiorly situated muscle in the orbit?
to act as the body for C1? Odontoid (dens) process
Levator
102.What is the actual space that contains CSF? Subarachnoid space
palpebrae superioris
103.What is the protective covering that is adherent to the spinal cord
92.What is the triad of Horner's syndrome? Miosis, ptosis, and
and CNS
anhydrosis
tissue? Pia mater
93.What bone of the middle ear articulates with the tympanic
104.What is the name of the spinal cord that passes within the
membrane? Malleus
subarachnoid spac
94.What chamber of the eye is located between the iris and the lens?
e that forms the spinal nerves that exit the lumbar and sacral
Posterio
foramina?
r chamber
Cauda equina
95.What bone houses the ear? Temporal bone
105.What are the names ligaments that would pierced, in order, by a
96.What is the only muscle of the tongue not innervated by the
lumbar punct
hypoglossal nerve
ure?
? Palatoglossus
Ligamentum flavum
97.Where does the nasolacrimal duct terminate? Inferior meatus of
106.What is the inferiormost segment of the sternum? Xiphoid
the nasal cav
process
ity
107.True or false-the pectoralis major medially rotates the arm? True;
98.What gland is found in the muscular triangle of the neck? Thyroid
it
gland
also ADducts and flexes the arm.
99.What two regions of the vertebral column are con- sidered primary
108.What are the borders of the axillary artery? Lateral border of the fi
curvatures?
rst rib to the inferior border of the teres major
1.
Supraspinous
ligament
2.
Interspinous
ligament
3.
109.What vessels arise from the three segments of the axillary artery?
he hand innervated by the median nerve: Lumbricales, Opponens
1. Super
pollicis, Abductor
ior thoracic artery 2. Lateral thoracic artery and thoracoacromial trunk
pollicis brevis, and Flexor pollicis brevis; All other intrinsic muscles in
3. Subs
the
capular artery, and the anterior and posterior humeral circumflex One
hand are innervated by the ulnar nerve
artery fro
117.What muscles in the hand ADduct the fingers? The palmer
m the first segment, two arteries from the second segment, and three
interosseus a
arteries fr
dducts, whereas the dorsal interosseus abducts (PAD and DAB)
om the
118.In order to pronate the hand, what bones need to cross? Radius
110.What muscle is the main lateral rotator of the arm? Infraspinatus
crosses o
muscle
ver the ulna
111.What
innervates
the
flexor
compartment
of
the
arm?
119.At what point does the femoral artery become the popliteal
Musculocutaneus nerve
artery? When it
112.What nerve is most commonly affected when there is a fracture of
traverses the adductor hiatus
the midshaf
120.Loss of ABduction of the lower limbs results in Trendelenburg
t of the humerus? Radial nerve C deer "(Int4.1 a .
gait; what ner
113.What vein courses along the medial aspect of the forearm?
ve is compromised to cause this? Superior gluteal nerve
Basilic vein
121.What two arteries join together to form the super- ficial and deep
114.What is the blood vessel in the upper extremity most commonly
palmar ar
palpated while
ches of the hand? Uhiar and radial arteries (ulnar is the main supplier)
taking a pulse? Radial artery
122.What muscle "fills" the greater sciatic foramen? Piriformis
115.What is the nerve supply to the forearm? Median nerve (except
123.What nerve is affected when a patient has difficulty rising from a
for the fle
sitting p
xor carpi ulnaris and flexor digiti profundus muscles of the pinkie and
osition? Inferior gluteal nerve (nerve to the gluteus maximus)
ring fin
124.Why are IM injections in the gluteal mass given in the upper outer
ger, which are supplied by the ulnar)
quadrant?
116.What are the "LOAF" muscles of the hand? LOAF stands for the
To avoid damage to the sciatic nerve
muscles of t
125.What two nerves innervate the adductor magnus? Obturator and
Why? Because the neurovascular bundle is located on the inner
tibial ner
surface of the
ves
inferior border of the rib
126.What two nerves innervate the biceps femoris? Common
134.What muscles of the foot are supplied by the medial plantar nerve
peroneal and tibi
(Hint: Thi
al nerves
nk about the median nerve distribution in the hand.)? LAFF-
127.Going from lateral to medial, what structures pass deep to the
Lumbricalis (1st),
inguinal liga
Abductor hallucis, Flexor 3X hallucis brevis, Flexor digitorum brevis.
ment? NAVEL-Nerve, Arterv, Vein, Empty space, and Lacunar
All other
ligament or Lymphati
intrinsic muscles in the foot are supplied by the lateral plantar nerve.
cs
135.What remnant of the middle lobe of the lung is found on the left
128.What artery turns into the dorsalis pedis when it crosses the
side?
extensor retin
The lingula
aculum? Anterior tibial artery
136.The ventral rami of what cervical vertebrae innervate diaphragm?
129.What is the nerve for the anterior compartment of the leg? Deep
C3, C4,
peroneal ne
and C5 keep the diaphragm alive!
rve
137.At the level of rib 6, the internal thoracic artery divides into what
130.What is the artery for the posterior compartment of the leg?
two ar
Posterio
teries? Musculophrenic and superior epigastric arteries
r tibial arterv
138.What portion of the peri- cardium is adherent to the tunica
131.Where is the "magical plane" that divides the superior from the
adventitia of th
inferior med
e great vessels? Fibrous pericardium
ia- stinum? A horizontal line from T4-T5 to the sternal angle of Louis
139.The left anterior descending artery of the heart travels with what
132.What vein drains the lower third of the thoracic wall?
vein?
Hemiazygous vein
Great cardiac vein
133.If you were to do a pleural tap, what region of the intercostal
140.What is the largest muscle in the body? Gluteus maximus
space would
141.The middle cardiac vein of the heart travels with what artery?
your needle enter? The superior border of the rib
Posterio
r intraventricular artery
Four Ms and a U- 1. Median 2. Medial antebrachial 3. Medial pectoral
142.What is the ratio of the myocardial thickness of the atria: right
4. Medial b
ventricle:
rachial cutaneus 3X 5. Ulnar
left ventricle? 1:03:09
150.What are the five branches off the posterior cord of the brachial
143.What chamber of the heart comprises the: Sternal surface? Right
plexus?
ventricle
STARS- 1. Upper Subscapularis 2. Thoracodorsal 3. Axillary ; & 4.
Diaphragmatic surface? Right ventricle and left ventricle
Radial 5. Lowe
Left margin? Left ventricle and left atrium
r Subscapularis
Right margin? Right atria
151.What are the three branches off the lateral cord of the brachial
Base? Left atria
plexus?
144.What structure does the left recurrent laryngeal nerve loop
1. Lateral pectoral 2. Lateral head of the median 3. Musculocutaneus
around before it
152.What are the four branches off the brachial plexus that arise prior
ascends into the larynx? The arch of the aorta
to the f
145.At what point does the axillary artery become the brachial artery?
irst rib? 1. Dorsal scapular 2. Suprascapular 3. Long thoracic 4. Nerve
When it
to
crosses the teres major
subclavius
146.What is the anatomic posi- tioning of the right and left gastric
153.What nerve innervates the extensor compartment of the arm?
nerve plexu
Radial nerve (It
s of the esophagus as they pass through the diaphragm? LARP-
also innervates the extensor compartment of the forearm.)
147.Left goes Anterior and Right goes Posterior (because of the
154.What muscles insert in/on the intertubercular groove of the
rotation of the
humerus?
gut -Remember your embryology!)
Lady between two Majors- latissimus dorsi, pectoralis major, and
148.What muscles comprise the rotator cuff? SITS-Subscapularis,
teres major
Infraspinatu
155.What artery is found in the lateral compartment of the leg? None.
s, Teres minor, & Supraspinatus
The perone
149.What are the five branches off the median cord of the brachial
al artery is in the posterior compartment of the leg.
plexus?
156.What muscle laterally rotates the femur to "unlock" the knee? Popliteu
s
164.The inferior thyroid artery is a branch of what vessel?
157.What bursa is inflamed in "clergyman's knee"? Infrapatellar bursa
Thyrocervical tr
158.Where does the great saphenous vein terminate? In the femoral
unk
vein
165.What is the area of the carotid artery that is an 02 receptor?
159.What comprises the "unhappy triad" of the knee? 1. Medial
Carotid
collateral lig
body (The carotid sinus is a pressure receptor.)
ament 2. Medial meniscus 3. Anterior cruciate ligament (ACL) The
166.What arteries join together forming the basilar artery? Left and
severity of inj
right v
ury to these ligaments is ranked from bad to worst in relation to how
ertebral arteries
many of th
167.What is the major difference between the veins in the face and
em are damaged, and they are usually damaged in the order listed.
the veins in
160.What are the two branches off the external iliac artery before it
the rest of the body? No valves and no smooth muscle in the walls of
becomes th
the veins
e femoral artery? Circumflex iliac and inferior epigastric arteries
in the face
161.From which three sources does the adrenal gland get its blood
168.At what point does the sig- moid sinus become the internal
supply?
jugular vein?
1. Superior suprarenal artery (off inferior phrenic artery) 2. Directly off
When it crosses the jugular foramina
the
169.What connects the lateral ventricles to the third ventricle?
abdominal aorta as the middle suprarenal artery 3. Inferior suprarenal
Foramen
artery of
of Monro
f the renal artery
170.What connects the third and the fourth ventricles together?
162.What are the three branches off the celiac artery? 1. Common
Cerebral aqueduc
hepatic artery
t
2. Splenic artery 3. Left gastric artery
171.How does cerebrospinal fluid leave the fourth ventricle? Through
163.What are the three main branches off the inferior mesenteric
the fora
artery?
mina of Magendie (medial) and Luschka (lateral) M in Magendie =
1. Left colic artery 2. Superior rectal artery 3. Sigmoid artery
medial; L in Lus chka = lateral.
172.What is the lymphatic drainage of the gonads? Lumbar trunk
loic appendages
nodes (Lymp
181.What is the artery of the embryonic midgut? Superior mesenteric
hatic drainage follows blood supply.)
artery
173.What is the lymphatic drainage of the pelvic organs? Internal iliac
182.What two ligaments together comprise the lesser omentum?
n
Gastrohepatic an
odes
d hepatoduodenal
174.What are the five clinical signs of portal hypertension? 1. Caput
183.The quadrate and the caudate lobes are part of what side of the
medusae
anatomic liv
2. Hemorrhoids 3. Retroperitoneal varices 4. Splenomegaly 5.
er? The right
Esophageal varices
184.What is the artery of the embryonic hindgut? Inferior mesenteric
175.What is the region of the body where all tonsillar tissue can be
arte
found?
ry
Waldeyer's ring
185.The hepatic duct and the cystic duct come together to form what?
176.What are the three functions of the nasal cavity? It warms,
Common b
moistens, and
ile duct
filters inspired air.
186.What muscle forms the "bed" for the kidney? Quadratus
177.What region of the pharynx does the eustachian tube enter?
lumborum
Nasopharynx
187.What ligament of the uterus houses the ovarian vessels?
178.In which segment of the duodenum is the ampulla of Vater
Suspensory ligam
located? Second s
ent of the ovary
egment
188.What three muscles comprise the pes anserinus? 1. Sartorius 2.
179.The duodenal/jejunal flexure is suspended from the posterior
Gracilis
abdominal wall
3. Semitendinous
by what? Ligament of Treitz
189.What are the 10 retro- peritoneal organs? 1. Duodenum 2.
180.What are the three anatomic characteristics that differen- tiate the
Ascending Colon 3
large b
. Ureters 4. Pancreas 5. Suprarenals 6. Descending colon 7. Aorta 8.
owel from the small bowel and the rectum? 1. Tinea coli 2. Haustra 3.
Kidneys 9.
Epip
Rectum 10. Inferior vena cava
190.What is the only cranial nerve with the ability to regenerate? CN I
199.What area of the posterior aspect of the eye has no photo
191.What duct transmits secretions from the sub- mandibular gland to
receptors?
the oral ca
The optic disk is the blind spot.
vity? Wharton's duct
200.What muscles are found in the superficial perineal pouch?
192.What are the boundaries of the posterior triangle of the neck?
Superficial tran
The ster
sverse perineal, ischiocavernous, and bulbocavernous muscles
n ocleidomastoid, the trapezius, and the clavicle
201.What gland is found in the deep perineal pouch in men?
193.What are the contents of the adductor canal? Femoral artery and
Bulbourethral gl
vein
and; no gland is found in this pouch in women.
and saphenous nerve
202.What pouch of the peri- neum houses the superficial fascia and
194.What are the contents of the submandibular triangle of the neck?
the inferior
Submandi
fascia? The deep perineal pouch (same as the urogenital diaphragm)
bular gland, facial artery and vein, nerve to the mylohyoid
203.What gland is found in the superficial perineal pouch in men and
195.What carpal bones articulate with the radius? Scaphoid and
women?
lunate
None in men, the greater vestibular gland in women
196.What are the borders of the anterior triangle of the neck?
204.What are the five structures that traverse the spermatic cord? 1.
Sternocleidomast
Pampi
oid, mandible, and midline of the neck
niform plexus of veins 2. Vas deferens 3. Testicular artery 4. Nerves
197.What are the six cranial nerves that innervate structures in the
5. Lymphat
orbit?
ics
1. CN II-vision 2. CN Vl-sensory (ophthalmic division) 3. CN VII-
205.What are the borders of Hesselbach's triangle? Rectus abdominis
lacrimal gland
mediall
LR6 (S04)3 (to remember nerves below): 4. CN VI-lateral rectus 5.
y, Inferior epigastric vessels laterally, Inguinal ligament as the base
CN IV-superior
206.Which type of hernia goes through both the deep inguinal and
oblique 6. CN III-all other muscles of the eye
superficial ing
198.What muscle keeps the stapes taut against the oval window?
uinal ring? Indirect; a direct hernia goes directly through Hesselbach's
Stapedius muscle
tri angle
207.What structure(s) traverse the diaphragm at the level of T10?
216.If the left hypoglossal nerve was damaged, which way would the
Esophagu
tongue point?
s and gastric plexus of nerves
To the left (The uvula points to affected side.)
208.What structure(s) traverse the diaphragm at the level of T12?
217.In women, what is the name of the pouch between the bladder
Aorta, a
and the uterus c
zygous vein, and thoracic duct Remember: One at Ts, two at Tlo,three
alled? Uterovesical pouch
at T,Z.
218.What component of the pelvic diaphragm forms the rectal sling
209.What compartment of the lower extremity allows flexion of the
(muscle of con
toe, inversion
tinence)? Puborectalis
of the foot, and plantar flexion of the foot? Posterior compartment of
219.What is the name of the comma-shaped structure that is attached
the leg
to the poste
210.How are the arm and the forearm positioned in "waiter's tip
rior aspect of the testes? Epididymis
hand"? The arm
220.What is the structure of the uterus that projects above the
is medially rotated, and the forearm is extended and pronated.
opening of the u
211.What is the function of white rami communicans? They are
terine tubes? Fundus
preganglionic s
221.What is the region of the fallopian tube where fertilization most
ympathetic axons. They are white because they are myelinated.
commonly o
212.What compartment of the lower extremity allows extension of the
ccurs? Ampulla
hip and flex
222.How can you access the lowermost point in the peritoneal cavity
ion of the knee? Posterior compartment of the thigh
in women?
213.What compartment of the lower extremity allows dorsiflexion,
Via the posterior fomix of the vagina
extension of th
223.Which type of hemorrhoids are painful? External hemorrhoids;
e toes, and inversion of the foot? Anterior compartment of the leg
internal h
214.What cervical nerves comprise the cervical plexus? C1 to C4
emorrhoids lack pain fibers.
215.What compartment of the lower extremity allows eversion and
224.What are the five terminal branches of the facial nerve? 1.
plantar flexion
Temporal 2. Z
of the foot? Lateral compartment of the leg
ygomatic 3. Buccal 4. Mandibular 5. Cervical (Two Zebras Bit My Clavicle.)
225.What two vessels come together to form the external jugular
ion (V3)
vein? 1. Poste
234.What portion of CN V is affected if the corneal reflex is lost?
rior auricular vein 2. Posterior division of the retromandibular vein
Ophthalm
226.What is the position of the eyeball if CN VI is lost? Adducted
ic division (VI)
227.The thyroid gland receives blood from what two different
235.What cranial nerve is affected if you have a laterally deviated eye
sources? 1. Infer
that is
ior thyroid off the thyrocervical trunk 2. Superior thyroid artery off the
dilated with a ptosed eyelid? CN III
exter
236.Which cranial nerves are found in the midline of the brain stem?
nal carotid artery, and sometimes off the arch of the aorta as the
CN I, 11
thyroid ima a
, 111, VI, and XII ARN Add 1 + 1 = 2, 1 + 2 = VXF 3,1+2+3=6,1+2+
rtery
3+6=12
228.What postganglionic para-sympathetic ganglia is associated with:
237.What are the four muscles of mastication? 1. Masseter 2.
CN VII?
Temporalis 3. Med
COPS Submandibular ganglion
ial pterygoid 4. Lateral pterygoid
229.What postganglionic para-sympathetic ganglia is associated with:
1.What happens to prevalence as: Incidence increases? Increases
CN IX?
2.What happens to prevalence as: Duration increases? Increases
Pterygopalatine and otic ganglion
3.What is the formula for IQ? MA/CA x 100 (MA = mental age, CA =
230.What postganglionic para-sympathetic ganglia is associated with:
chronologic a
CN X?
ge)
Terminal ganglion
4.In statistics, what is the measured rate for: A whole population?
231.What type of fibers are carried in the thoracic and lumbar
Crude ra
splanchnics?
te
Preganglionic sympathetic fibers
5.What stage of sleep is associated with high pulse, blood pressure,
232.How are preganglionic parasympathetic fibers carried to the
and respira
embryonic hindgu
tion rates, and is characterized by increased brain oxygen use, penile
t? Via pelvic splanchnics
erection
233.What is the only portion of CN V that carries motor fibers?
in males, and total paralysis of the skeletal muscles? REM sleep
Mandibular divis
(Remember as:
Awake brain & paralyzed body.)
13.In biostatistics, what type of error is due to chance? Random error
6.What stage of sleep is associated with slow pulse and respiratory
14.Dementia is associated with a decrease in what neurotransmitter in
rates, a dec
the amygda
rease
in
blood
pressure,
and
involuntary
skeletal
muscle
la, hippocampus, and temporal neocortex? Acetylcholine (ACh)
contractions? Non-rapi
15.What symptoms of schizophrenia associated with dopamine
d eye movement (NREM) sleep (Remember as: Idle brain in an
receptors include del
awake body.)
usions, hallucinations, and agitation? Positive symptoms (type I)
7.What type of study is prospective-that is, it "looks to see who gets
16.In biostatistics, what type of error has unanticipated factors that
sick" by
obscure t
defining a population at risk of being exposed to a disease? Cohort
he relationship and cause a bias? Confounding error
study (al
17.What is the most frequently occurring value in a set? Mode
so called prospective, follow-up, longitudinal, or incidence study)
18.What is the difference between the highest and the lowest scores
8.What hormone is inhibited by sleep? TSH
in a set?
9.With
what
stage
of
sleep
are
nightmares
associated?
Range
REM=`remember them" ;
19/What type of study has diffusional effects if you separate the
10.With what stage of sleep are night terrors associated? Stage 4-
groups and tes
they are
t the entire population? Community trial
not remembered
20.What type of study is under the greatest possible degree of control
11.What is the triad of normal pressure hydrocephalus? Dementia,
of the in
gait apraxia,
vestigator? Experimental study
and urinary incontinence
21.In what type of skew is the tail to the right and the mean greater
12.What category of symptoms of schizophrenia associated with
than the m
muscarinic recepto
edian? Positive skew
rs include affective flattening, social withdrawal, apathy, anhedonia,
22.In what type of error is the null hypothesis rejected when it is true?
poverty o
Type I error (alpha error)
f thought and of content of speech, and lack of interest? Negative
23.If the P-value is less than or equal to .05, what do you do to the
symptom
null hypot
s (type II)
hesis? Reject it
What drug is used to prevent alcohol consumption by blocking
e
aldehyde dehydrogen
What are the pharmacologic effects seen sexually with: Trazodone?
ase? Disulfiram
Priapism
Which drug is used to treat opiate withdrawal, attention deficit
What are the pharmacologic effects seen sexually with: Dopamine
hyperactive dis
agonists?
order (ADHD), and sometimes Tourette's syndrome? Clonidine
Increased erection and libido
Which drug is used to treat the respiratory depression associated with
What are the pharmacologic effects seen sexually with: Neuroleptics?
an overdo
Erectile
se of opioids? Naloxone or naltrexone
dysfunction
Which opioid agonist, more addictive than heroin, is used in the
In a classic gaussian curve, what percentage of the curve is between:
treatment of he
± 3 standard
roin dependence? Methadone
deviations (SDs)? 99.70%
What type of reinforcement strengthens each response and involves
In a classic gaussian curve, what percentage of the curve is between:
fast learning
The mean a
and fast extinction? Continuous reinforcement
nd ± 1 SD? 34%
According to operant conditioning theory, what type of reinforcement
In a classic gaussian curve, what percentage of the curve is between:
is occurrin
± 1 SD and ± 2
g in avoidance behaviors such as phobias and compulsive rituals?
SDs? 13.50%
Negative
In a classic gaussian curve, what percentage of the curve is between:
reinforcement
± 2 SDs and ±
What are the pharmacologic effects seen sexually with: alpha-
3 SDs? 2.40%
Blockers? Impaired
In a classic gaussian curve, what percentage of the curve is between:
ejaculation
± 3 SDs?
What are the pharmacologic effects seen sexually with: Serotonin?
0.15%
Inhibite
1.What is the rate-limiting step of: Glycolysis? PFK-1
d orgasm
What is the rate-limiting step of: Gluconeogenesis? Pyruvate
What are the pharmacologic effects seen sexually with: beta-
carboxylase
Blockers? Impotenc
What is the rate-limiting step of: TCA (Krebs) cycle? Isocitrate
What is the rate-limiting step of: Purine synthesis? Phosphoribosyl
dehydrogenase
pyrophosp
What is the rate-limiting step of: Glycogenesis (glycogen synthesis)?
hate (PRPP) glutamyl amido transferase
Glycogen
What is the only fatty acid that is gluconeogenic? Propionic acid
synthase
Aldose reductase converts galactose to what? Galactitol
What is the rate-limiting step of: Glycogenolysis? Glycogen
2.How many ATPs are generated from glycolysis? 8
phosphorylase
3.In the mitochondria, what complex is needed in order for pyruvate
What is the rate-limiting step of: Hexose monophosphate (HMP)
carboxylase
shunt? Glucose-
to catalyze the reaction from pyruvate to OAA? Biotin, ATP, and CO2
6-phosphate dehydrogenase (G-6-PD)
4.What is the enzyme for the oxidative reaction in glycolysis?
What is the rate-limiting step of: Fatty acid synthesis? Acetyl CoA
Glyceraldehyde d
carbo
ehydrogenase
xylase
5.What three substrates control the enzyme phosphoenolpyruvate
What
is
the
rate-limiting
step
of:
ß-Oxidation?
Carnithine
carboxykinase (PE
acyltransferase I
PCK) for the conversion of OAA to pyruvate in the cytoplasm? 1.
What is the rate-limiting step of: Ketogenolysis? HMG CoA synthase
Cortisol (sti
What is the rate-limiting step of: Cholesterol synthesis? HMG CoA
mulates PEPCK) 2. Glucagon 3. Guanine triphosphate (GTP)
reductas
6.What is released from the reaction of phosphoenolpyruvate
e
carboxykinase (PEPCK
What is the rate-limiting step of: Urea cycle? Carbamoyl phosphate
) for the conversion of OAA to pyruvate? C02
synthetase I
7.What enzyme deficiency causes cataracts, galactosemia, and
What
is
the
rate-limiting
step
of:
Heme
synthesis?
Delta-
galactosuria?
Aminolevulinic aci
Galactokinase deficiency
d (ALA) synthase
8.The addition of D-2,3-bisphosphoglycerate (D-2,3-BPG) to HbA
What is the rate-limiting step of: Pyrimidine synthesis? Aspartate
does what to the
transc
02 saturation curve? Shifts it to the right
arbomylase
9.In what benign condition do you see excretion of large amounts of fructose aft
er ingestion? Essential fructosuria (fructokinase deficiency)
21.Thiamine pyrophosphate (TPP) is associated with what three
10.What is the glycolysis enzyme found only in the liver? Glucokinase
enzymes? 1. a-ket
11.How many ATPs are generated per acetyl CoA? 12 (Not 15-that
oglutarate
would be the ans
Transketolase
wer if you included the pyruvate to acetyl CoA step.)
22.What hormone stimulates glycogen synthesis? Insulin
12.What
enzyme
is
associated
with
the
substrate-level
dehydrogenase
2.
Pynivate
dehydrogenase
3.
23.Deficiency in what enzyme leads to insoluble glycogen formation?
phosphorylation in the TCA
A-1,6 tr
cycle? Succinate thiokinase
ansferase
13.The availability of OAA and acetyl CoA regulates what pathway?
24.The
TCA cycl
(NADPH) generated fro
e
m the G-6-PD reaction is used exclusively for what? Fatty acid
14.What complex of the electron transport chain (ETC) is inhibited by
synthesis
malonate?
25.What enzyme requires selenium (Se) to function? Glutathione
Complex II
peroxidase
15.What drug blocks the FO portion of the adenosine triphosphatase
26.What are the two essential fatty acids? 1. Linoleic acid 2. Linolenic
(ATPase) syst
ac
em of the electron transport chain (ETC)? Oligomycin
id
16.In what two places is glycogen made and stored? 1. Liver 2.
27.What intermediate of the HMP pathway is used to generate
Muscle: Live
nucleotides?
r stores are for blood glucose; muscle stores are for energy reserves.
Ribose-5-phosphate
17.What drug blocks the ETC by attaching itself to K+ for passage
28.A deficiency in what enzyme causes a decrease in oxidoreductase
through the me
activity in n
mbrane, negating the charge gradient? Valinomycin
eutrophils? G-6-PD
18.At what step of the TCA cycle is FADH2 generated? Succinate
29.What are the nonoxidative enzymes of the HMP shunt?
dehydrogenase
Transketolase and transa
(inhibited by malonate)
ldolase
19.What inhibits complex III of the ETC? Antimycin A
30.Are the reactions they catalyze reversible or irreversible?
20.What inhibits the ATP/ADP translocase of the ETC? Atractyloside
Reversible
reduced
nicotinamide
adenine
dinucleotide
phosphate
31.A patient who presents with cardiomegaly and hepatomegaly has
r (in the mitochondria)
what glycogen s
42.What two tissues prefer ketone bodies over glucose? 1. Heart
torage disease? Pompe's disease (lysosomal glucosidase deficiency)
muscle 2. Renal
32.Very low density lipoprotein (VLDL) remnants are known as what?
cortex
Intermed
43.What enzyme is absent in the liver so that ketogenolysis cannot
iate-density lipoproteins (IDLs)
occur?
33.What carries triacylglycerols (TAGS) and cholesterol from the diet?
Thiophorase
Chylomic
44.What pathway utilizes HMG-CoA synthetase in the cytoplasm?
rons
Cholesterol bios
34.What protein is required for the uptake of low-density lipoproteins
ynthesis
(LDLs) in
45.What two vitamins are inactivated when they come in contact with
the peripheral tissue? Apoprotein B-100
acetaldehyde
35.What 3 apoproteins are on the surface of chylomicrons?
? 1. Thiamine 2. Folate
Apoprotein B-48,
46.What is the precursor of all sphingolipids? Ceramide
C-II, and E
47.What two sugars can be used to produce cerebrosides? 1.
36.What protein carries free fatty acids to the liver? Albumin
Glucose 2. Galactose
37.What hormone is activated in adipose tissue when blood glucose
48.Where does the energy for the urea cycle come from? Fat
levels decreas
metabolism
e? Hormone-sensitive lipase
49.What are the two major carriers of nitrogen from tissues? 1.
38.In the P-oxidation pathway, what enzyme generates the FADH2?
Glutamine (mo
Acyl CoA dehydro
st tissues) 2. Alanine (muscle)
genase
50.What are the ketogenic amino acids? Leucine and lysine
39.How many ATPs are generated per acetyl CoA in [3-oxidation? 5
51.What is the storage form of folate? N-methyl folate
40.How many ATPs are generated per acetyl CoA from [3-oxidation if
52.What disease is produced by a deficiency in the enzyme
it is run thr
tyrosinase? Albinism
ough the TCA cycle? 12
(Tyrosine is converted to melanin by the enzyme tyrosinase.)
41.What is the only organ in the body that can produce ketone
53.What two enzymes are blocked by lead? 1. ALA dehydratase 2.
bodies? The live
Ferrochela
tase
66.What enzyme is blocked by allopurinol? Xanthine oxidase ("suicide
54.Where in the body is heme converted to bilirubin? Reticular
inhib
endothelial sy
itor")
stem (RES)
67.What enzyme is stimulated by PTH to produce 1,25 vitamin D3? 1-
55.What type of bilirubin is found in neonatal jaundice? Indirect or
a-Hydroxylase
unco
68.What three organs are used to produce vitamin D? 1. Skin 2. Liver
njugated
3. Kidn
56.What is the primary end product of pyrimidine synthesis? Uridine
ey
monophos
69.What vitamin is an important component of rhodopsin? Vitamin A
phate (UMP)
70.What G protein is stimulated by activated rhodopsin? Gt
57.All amino acids have titration plateaus at what pH values? PH of 2
(transducin), which d
and 9
ecreases cyclic guanosine monophosphate (cGMP) and closes the
58.What amino acid is a good buffer at a pH of 7? Histidine
Na+ channels, caus
59.What is the only way to increase maximum velocity (VmaY)?
ing nerve transmission
Increase enzyme
71.What are the vitamin K-dependent clotting factors? 2, 7, 9, and 10
concentrations
72.What vitamin is connected to selenium (Se) metabolism? Vitamin
60.What happens to affinity if you increase K�? Affinity decreases
E
(they are inv
73.What is the activated form of vitamin E? Alpha-tocopherol
ersely proportional)
74.What elements make up a nucleoside? A base and a sugar
61.What two amino acids disrupt an a-helix? 1. Glycine 2. Proline
75.What is the most common methylated base? Cytosine
62.What amino acid is a phenol? Tyrosine
76.DNA is replicated at what phase of the cell cycle? S phase
63.What enzyme requires molybdenum (Mo) as a cofactor? Xanthine
77.At which end of DNA are new bases added? 3' end
oxidase
75.What keeps single-strand DNA (ssDNA) from re-annealing during
64.What determines the rate of a reaction? The energy of activation
DNA replication
(Ea)
? Single-strand (ss) binding protein
65.What substrate concentration is required to produce 1/2 Vmax?
76.What enzyme is responsible for producing a single-strand (ss) cut
Km
in the DNA to relieve the coil tension? Topoisomerase I (relaxase)
77.What two amino acids are found in high concentrations in the
l-tRNA synthetase
nucleosome?
88.What is needed to direct enzymes to a lysosome? Phosphorylation
1. Arginine 2. Lysine
of manno
78.What three bases are pyrimidines? 1. Cytosine 2. Uracil (only in
se residues
RNA) 3. T
89.What cofactor is needed for lysyl oxidase? Cu2+
hymidine
90.What part of the 50S and 60S ribosomal subunit is needed for
79.What enzyme creates a short sequence of RNA to start DNA
elongation?
replication?
Peptidyl transferase
Primase
91.In the lac operon: At which site is the repressor gene encoded? I
80.What type of enzyme is reverse transcriptase? RNA-dependent
gene
DNA polyme
92.To which site does the repressor protein bind in order to inhibit
rise
transcripti
81.What is the direction of transcription? 5' to 3' direction
on? Operator
82.Where is the TATA box in located eukaryotes? 25 bases
93.What amplification technique is used to generate a larger amount
downstream (-25)(promot
of DNA?
er)
Polymerase chain reaction (PCR)
83.What causes transcription to stop in eukaryotes? The poly(A) site
94.What test is used to determine whether a gene is expressed?
on the
Northern blottin
DNA
g
84.What protein binds to the promoter region in eukaryotes to initiate
95.At what organ in the body is urea produced? Liver
transcrip
96.What regulatory proteins work during fetal development to ensure
tion? TF II D (transcription factor)
that cells b
85.What part of the 30S ribosome binds to the Shine-Dalgarno
ecome a specific cell type (If there is a defect here, there can be
sequence? 16S subu
profound str
nit
uctural mutations.)? Homeobox genes
86.What is the start codon for translation? AUG
97.What is the mode of inheritance in which a trait is seen in every
87.What is the enzyme that activates the amino acids for the tRNA?
generation
Aminoacy
and is passed on only by females? Mitochondrial inheritance
98.What is the name for the process of going from mRNA to proteins?
110.What amino acid is broken down into N20, causing an increase in
Translat
eGMP of smoo
ion
th muscle resulting in vasodilatation? Arginine
99.What are the components of a nucleotide? A base, a sugar, and a
111.What hormone phosphorylates enzymes to decrease their
phosphate
activity? Glucagon
100.What enzymes hydrolyze 3'-5' phosphodiesterase bonds from the
112.Lack of what enzyme can lead to Wernicke-Korsakoff syndrome
outside of the
through lack of
strand in? Exonucleases
activity in the HMP shunt? Thiamine pyrophospate (TPP)
101.What type of organisms have monocistronic mRNA? Eukaryotes
113.What enzyme found in the liver catalyzes glycerol to glycerol-3-
102.In collagen, every third amino acid is this amino acid. Glycine
phosphate?
103.What form of continuous DNA, used in cloning, has no introns or
Glycerol kinase
regulatory e
114.Which shuttle is used to bring fatty acyl CoA from the cytoplasm
lements? c-DNA, when it is made from mRNA
for ketogen
104.What proteins stimulate a cell to enter the S phase? Growth
esis? Carnitine acyl CoA transferase II
factors
115.Which
105.At what pH is there no net charge on the structure? pI (isoelectric
Phenylalanine hydroxylas
point)
e
106.What complex of the ETC contains Cue+? Complex 4
116.After approximately how many days of a prolonged fast does
107.What two shuttles are needed to keep NAD+ in the reduced
death occur in hu
state? Malate/a
mans? 60 days
spartate and glycerol-3-phosphate shuttles
What is the cause of death? The breakdown of the essential proteins
108.What vitamin is required for y-carboxylation of many Cat+-binding
of the h
proteins?
eart and brain
Vitamin K
117.All the carbons in a fatty acid are derived from what source?
109.From where is the energy for gluconeogenesis derived? ß-
Cytoplas
Oxidation of fat
mic acetyl CoA that left the mitochondria as citrate
ty acids
118.What enzyme is deficient in alcaptonuria? Homogentisic acid
enzyme
is
deficient
in
phenylketonuria
(PKU)?
119.In a diabetic patient, glucose is converted by aldose reductase to
127.What four substances increase the rate of gluconeogenesis? 1.
what?
Glucagon 2. N
Sorbitol (resulting in cataracts)
ADH 3. Acetyl CoA 4. ATP
120.What glycolytic intermediate can be used to synthesize
128.What enzyme is deficient in a patient who presents with:Q A.Liver
triglycerides and pho
damage and
spholipids? DHAP
severe hypoglycemia? Aldolase B (hereditary fructose intolerance)
121.What glycolytic enzyme has a high Vmax high Km and low affinity
QB..Jaundice,
for glucose?
galactosuria? Galactos
Glucokinase
e 1-phosphate uridyltransferase
122.What is the main inhibitor of pyrnvate dehydrogenase? Acetyl
129.What
CoA (pyru
CaL+:calmodulin ratio
vate to acetyl CoA)
2. Epinephrine 3. Glucagon
123.What are the two substrate-level phosphorylations in glycolysis?
130.What are the two inhibitors of complex I of the ETC? 1. Rotenone
1. Pyruv
2. A
ate kinase 2. Phosphoglycerate kinase
mytai (barbiturates)
124.What are the eight liver-specific enzymes? 1. Fructokinase 2.
131.What
Glucokinase 3
dehydrogenase complex
. Glycerol kinase 4. PEPCK 5. Pyruvate carboxylase 6. Galactokinase
? 1. TPP 2. Lipoic acid 3. CoASH 4. FAD 5. NAD
7. Fructose-
132.What attaches to protons and allows them to enter into the
1,6-biphosphate 8. Glucose-6-phosphate
mitochondria with
125.In what cycle does glucose go to the muscle, where it is
out going through the ATP-generating system? 24-Dinitrophenol
converted to pyruva
133.What are the two decarboxylation steps of the TCA cycle? 1.
te and then into alanine before being taken back to the liver? Alanine
Isocitrate de
cycle
hydrogenase 2. a-Ketoglutarate dehydrogenase
126.In what cycle does glucose go to the muscle, where it is
134.What are the three inhibitors of complex IV of the ETC? 1.
converted to lactat
Cyanide 2. CO
e, and then returned to the liver? Cori cycle
3. Azide
vomiting,
three
are
the
lethargy,
substances
five
factors
cat,
stimulate
that
galactosemia,
glycogenolysis?
constitute
the
and
1.
pyruvate
135.What three steps of the TCA cycle generate NADH? 1. Malate
Hers disease
dehydrogenase
143.What causes the lysis of red blood cells by oxidizing agents in a
2. Isocitrate dehydrogenase 3. a-Ketoglutarate dehydrogenase
glucose-6-
136.What disease presents with weakness and cramps on exercise
phosphate dehydrogenase deficiency? The lack of glutathione
without an increa
peroxidase activ
se in blood lactate levels? McArdle's disease (muscle glycogen
ity results in a decrease in NADPH production, leaving glutathione in
phosphorylase
the reduce
deficiency)
d state.
137.NADPH generated from the HMP shunt is used for what? Fatty
144.What disease presents with hepatomegaly and a normal EKG?
acid synth
Glycogen storage
esis, nucleotide synthesis, and glutathione reductase
disease, type III (Forbes disease, Cori disease)
138.Is linolenic acid an omega-3 or -6 fatty acid? Omega-3; linoleic is
145.What apoprotein is on the surface of LDL? Apoprotein B-100
ome
146.What carries cholesterol from the tissues back to the liver? HDLs
ga-6
147.What apoprotein mediates the uptake of remnants by the liver?
139.Is the oxidative reaction of the HMP shunt reversible or
Apoprote
irreversible?
in E
Irreversible (G-6-PD and 6-phosphogluconate dehydrogenase)
148.What is the complex needed for acetyl CoA carboxylase? Biotin,
140.What disease presents with an enlarged liver and kidneys,
ATP, and
dwarfism, hypoglyc
G02 (acetyl CoA to malonyl CoA)
emia, acidosis, and hyperlipidemia? Von Gierke's disease (glucose 6-
149.are the three tissues where TAGS are produced? 1. Liver 2.
phosphat
Muscle 3. Ad
ase deficiency)
ipose tissue
141.At what three sites can the HMP shunt enter into glycolysis? 1.
150.What delivers cholesterol to the tissues? LDLs
Fruct
151.What apoprotein is produced by the intestinal epithelium?
ose-6-phosphate
2.
Glucose-6-phosphate
3.
Glyceraldehyde-3-
Apoprotein B-48
phosphate 1
152.What carries TAGS to the peripheral tissues? VLDLs
142.Deficiency in the liver glycogen phosphorylase enzyme is known
153.How many NADPHs are used per addition of each of acetyl CoA
as what?
into a fatty aci
d chain? 2 NADPHs/acetyl CoA
164.What hormone hydrolyzes TAGS to free fatty acids and glycerol?
154.What apoprotein activates lipoprotein lipase in the capillary
Hormonesensitive
epithelium to
lipase
hydrolyze TAGS? Apoprotein C-II
165.What enzyme is deficient in a patient 2 years of age or younger
155.What apoproteins are on the surface of IDL? Apoproteins B-100
who presents
and E
with vomiting, lethargy, coma, hypoketosis, and hypoglycemia
156.From which two substances are phospholipids made? 1. DAGs 2.
following a fast o
Phosphatidic
f more than 12 hours? Medium-chain acyl dehydrogenase
acid
166.What form of alcohol did the patient drink if he became blind as a
157.What apoproteins are on the surface of HDL? Apoprotein A-I, C-
result?
II, and E
Methanol (wood alcohol)
158.What is needed to produce a double bond in a fatty acid chain in
167.What regulates the rate of ketone body formation? The rate of ß-
the endopla
oxidation
smic reticulum? NADPH, O2, and cytochrome b5
168.What intermediate enables propionyl CoA to enter into the TCA
159.What apoprotein activates lecithin cholesterol acyl transferase to
cycle?
esterify
Succinyl CoA
cholesterol from tissue? Apoprotein A-I
169.What sphingolipid is formed by the union of serine and palmitoyl
160.What apoproteins are on the surface of VLDL? Apoproteins B-
CoA?
100, C-II,
Sphingosine
and E
170.What intermediate of cholesterol synthesis anchors proteins in
161.At the end of each round of ß-oxidation, what is released? Acetyl
the membranes
CoA, FADH
and forms CoQ? Farnesyl pyrophosphate (FPP)
, and NADH
171.What is the complex needed for propionyl CoA carboxylase?
162.What two enzymes are vitamin B12 dependent? 1. Homocysteine
Biotin, ATP, and
methyl transfera
C02
se 2. Methylmalonyl CoA transferase
172.What are the three ketone bodies? 1. Acetoacetate 2. Acetone 3.
163.What enzyme is blocked by disulfiram? Aldehyde dehydrogenase
ß-hydroxybut yrate
173.What type of damage to the kidneys is caused by drinking
sverase (OCT) deficiency
ethylene glycol (an
181.What amino acid is a precursor of the following substances:
tifreeze)? Nephrotoxic oxylate stones
Serotonin?
174.What is the only sphingolipid that contains choline and p04?
Tryptophan
Sphingom
What amino acid is a precursor of the following substances: GABA?
yelin (lecithin also, but it is not a sphingolipid)
Glutamat
175.What is the order of fuel utilization in a prolonged fast? 1.
e
Glucose from
What amino acid is a precursor of the following substances:
liver glycogen 2. Glucose from gluconeogenesis 3. Body protein 4.
Histamine? Histidin
Body fat
e
176.Sialic acid and amino sugars are needed to produce what
What amino acid is a precursor of the following substances: Creatine?
sphingolipid?
Glycine/
Ganglioside
arginine
177.What vitamin is needed as a cofactor for decarboxylation and
What amino acid is a precursor of the following substances: NAD?
transaminase re
Tryptoph
actions? Vitamin B6
an
178.What are the two ways that nitrogen can enter into the urea
What amino acid is a precursor of the following substances: N20?
cycle? 1. Aspar
Arginine
tate 2. Carbomoyl PO4
182.What enzyme deficiency will result in an increase in blood
179.What is the only enzyme in the body that uses N5 methyl folate?
ammonia, but no i
Homocyst
ncrease in uracil concentrations? Carbamoyl-phosphate synthetase
eine methyl transferase
183.What
180.What enzyme deficiency will result in an increase in blood
Phenylalanine, Tyrosine,
ammonia and an in
Tryptophan, Isoleucine, Threonine
crease in uracil and orotate concentrations in both the blood and
184.What are the three diseases of sphingolipids? 1. Niemann-Pick
urine?
disease
Ornithine transcarbamoylase (OTC) deficiency-also called ornithine
2. Gaucher's disease 3. Tay-Sachs disease
carbamoyltran
are
the
glucogenic
and
ketogenic
amino
acids?
185.What type of jaundice is seen in Rotor's syndrome? Conjugated
ct) hyperbilirubinemia (It is a transport defect.)
(direct) hype
198.What form of bilirubin is carried on albumin? Unconjugated
rbilirubinemia
(indirect)
186.What is the pyrimidine intermediate that joins PRPP? Orotic acid
199.In what disease is there a genetic absence of UDPglucuronate
187What three amino acids are used to synthesize the purine ring? 1.
transferase, re
Glyci
sulting in an increase in free unconjugated bilirubin? Crigler-Najjar
ne 2. Aspartate 3. Glutamine
syndrome
188.What enzyme is blocked by hydroxyurea? Ribonucleotide
200.What enzyme is deficient in acute intermittent porphyria?
reductase
Uroporphyrinogen
189.What is the primary end product of purine synthesis? IMP
I synthetase
190.What
201.What enzyme is deficient in congenital erythropoietic porphyria?
enzyme
is
deficient
in
hereditary
protoporphyria?
Ferrochelatase
Uroporph
191.What are the two precursors of heme? 1. Glycine 2. Succinyl-CoA
yrinogen III cosynthase
192.What enzyme is blocked by 5-FU? Thymidylate synthetase
201.What amino acid has a pKa of 13? Arginine
193.What disease has a genetically low level of UDPglucuronate
203.What two amino acids have a pKa of 10? 1. Lysine 2. Tyrosine
transferase, resu
204.What two amino acids have a pKa of 4? 1. Aspartic acid 2.
lting in elevated free unconjugated bilirubin? Gilbert's syndrome
Glutamic aci
194.What form of bilirubin can cross the blood-brain barrier?
d
Unconjugated fre
205.What disease has a genetic deficiency in adenosine deaminase?
e bilirubin
Severe c
195.What substrates are needed to produce carbamoyl P04 (de novo
ombined immunodeficiency (SCID)
pyrimidine synt
206.What type of charge does the molecule have if the pH is greater
hesis)? Glutamine, CO2, and ATP via carbamoyl PO4 synthetase II
than the pI
196.What
(isoelectric point)? A net negative charge
enzyme
is
blocked
by
methotrexate/trimethoprim?
Dihydrofolate re
207.In what disease is there a deficiency in hypoxanthine guanine
ductase
phosphoribosyl
197.What type of jaundice is seen in Dubin-Johnson syndrome?
transferase (HGPRT)? Lesch-Nyhan syndrome
Conjugated (dire
208.What is the end product of purine catabolism? Uric acid
209.What enzyme is deficient in selective T cell immunodeficiency?
Vmax; Km is same)
Purine n
218.What is the maximum rate possible with a given amount of
ucleoside phosphorylase
enzyme? Vmax
210.What substrate builds up in Tay-Sachs disease? Ganglioside
219.To what are intracellular glucose levels inversely related? cAMP
GM2
levels
211.On a Lineweaver-Burke plot, what type of binding has both plots
220.Does a saturated fatty acid have double bonds? No; unsaturated
crossing the
fatty ac
y-axis in the same spot? Competitive, reversible inhibition (Vmax is
ids have double bonds
the
221.What two factors cause PTH to be secreted? 1. A decrease in
same, increase Km)
blood Ca2+ 2. A
212.What toxin ADP-ribosylates via GS protein to increase CAMP?
decrease in PO4 concentrations
Cholera toxin
222.What in the human genome differs in each individual that can
213.What vitamin derivatives are used for growth and differentiation of
serve as an ide
epitheli
ntification marker? RFLP-restriction fragment length polymorphism
um for reproductive and embryonic development? Vitamin A
223.What test is used to identify HIV-positive patients? ELISA-
214.Light causes isomerization of what in the eyes? 11-cis-retinal to
enzyme-lin
trapsretinal
ked immunosorbent assay
(activated rhodopsin)
224.What toxin ADP-ribosylates via G to increase cAMP? Pertussis
215.What are the two actions of calcitonin? 1. Increases Ca2+
toxin
excretion from
225.What vitamin is essential for normal Ca2+ and P04 metabolism?
the kidney 2. Increases bone mineralization
Vitamin
216.What causes an increase in bone mineralization and Cat+, as
D
well as P04 abso
226.What vitamin is deficient in a person who has impaired taste,
rption from the GI tract and kidney tubules? Vitamin D
night blindnes
217.On the Lineweaver-Burke plot, what type of binding has both
s, and increased risk for having an abortion? Vitamin A
plots crossing t
227.What bond does an endonuclease cleave? 3', 5' internal
he x-axis in the same spot? Noncompetitive, reversible binding
phosphodiesteras
(decrease in
e bond
228.What protein separates base pairs and unwinds the DNA at the
238.What eukaryotic DNA polymerase is used for: DNA repair? ß-
replication for
Polymerase
k? Helicase (It is an ATP-dependent enzyme.)
239.What is the orientation of the gene sequence strand? 5' to 3'
229.What vitamin deficiency would cause liver necrosis and red blood
(same a
cell fragil
s RNA)
ity? Vitamin E deficiency
240.What is the location of the TATA box in procaryotes? 10 bases
230.What protein catalyzes the formation of the last phosphodiester
downstr
bond (PDE) b
eam
etween the Okazaki fragments to produce a continuous strand? DNA
241.What binds to the promoter region in procaryotes? Sigma factor
ligase
242.What enzyme has a 5' to 3' synthesis of the Okazaki fragments, 3'
231.What is the hypochromic effect? Increased absorption as DNA
exonucleas
goes from do
e activity, and 5' exonuclease activity? DNA polymerase I
uble stranded to single stranded
243.What type of mutation has the same amino acid coded for, but
232.What technique uses DNA for analysis? Southern blotting
with a differen
233.In what direction is a new DNA strand made? 5' to 3'
t codonsequence? Silent mutation
234.What enzyme has a 5' to 3' synthesis activity and a 3'
244.At what position of the anticodon does the "wobble" hypothesis
exonuclease activity?
occur?
DNA polymerase III
Position 1 of the anticodon (the 5' end)- which is the same as position
235.What enzyme makes a double-stranded cut through DNA, needs
3 of the
ATP, and introduc
codon (the 3' end)
es negative supercoiling? Topoisomerase II
245.What are the three "stop" codons? 1. UAA 2. UAG 3. UGA
236.What eukaryotic DNA polymerase is used for: DNA replication? a-
246.What stops transcription in procaryotes? Rho factor or a hairpin
and d
loop
elta-polymerase
247.What are the three post-transcriptional modifications? 1. 7-methyl
237.What eukaryotic DNA polymerase is used for: Replication in
guan
mitochondria?
ine cap on the 5' end 2. Addition of the poly(A) tail to the 3' end 3.
gamma-Polymerase
Removal o f introns
248.In what type of mutation is a different codon added, resulting in
258.What translation factor is blocked by erythromycin? Elongation
formation
factore G (EF
of a different amino acid? Missense mutation
-G)
249.What amino acid is attached to the 3' end of the tRNA in
259.What is the charge of the molecule if the pH is less than the pI
eukaryotes?
(isoelectri
Methionine
c point)? A net positive charge
250.What enzyme makes tRNA and the SsRNA? RNA polymerase III
260.What technique uses the separation of proteins on a gel
251.What structure of a protein describes the interaction among
electrophoresis?
subunits?
Western blot
Quaternary structure
261.Lack of what vitamin causes multiple carboxylase deficiency?
252.What two amino acids require vitamin C for hydroxylation? 1.
Biotin
Proline 2. Ly
262.What enzyme makes hnRNA/mRNA? RNA polymerase II
sine
263.What enzyme is deficient in cystathioninuria? Cystathionase
253.What is determined by the secondary structure of an amino acid?
264.What enzyme is deficient in maple syrup urine disease?
The fold
Branched-chain k
ing of an amino acid chain
eto acid dehydrogenase
254.Which mutation has a stop codon put in place of the previous
265.What type of mutation has the addition or deletion of a base?
codon? Nonsense
Frameshi
mutation
ft
255.What amino acid is attached to the 3' end of the tRNA in
266.What is the site of action of puromycin? Aminoacyl tRNA (A site)
prokaryotes?
267.What translational factor is blocked by both diphtheria and
f-Methionine
Pseudomonas toxi
256.What enzyme makes rRNA (barring the 5s subunit)? RNA
ns? Elongation factor 2 (EF-2)
polymerase I
268.What substrate gets built up in Gaucher's disease? Glucosyl
257.What is the site of action of cycloheximide? Peptidyl transferase
cerebroside
(60
269.What enzyme is deficient in homocystinuria? Homocysteine
S)
methyl transferase or cystathionine synthetase
270.What substrate is built up in Niemann-Pick disease? Tyrosine
281.Is the hydroxyl (-OH) end of DNA and RNA at the 3' or the 5'
kinase
end? 3' end.
271.What is the second messenger system used by growth factors?
Phosphate (P04) is at the 5' end.
Sphingomyelin
282.What is the only factor of enzyme kinetics that the enzyme
272.What is the name of the sequence on mRNA that precedes the
affects? Ea (acti
start codon in pr
vation energy)
okaryotes? Shine-Dalgarno sequence
283.What tumor suppressor gene prevents a cell from entering S
273.What amino acid undergoes N-glycosylation? Asparagine
phase when no gro
274.What translational factor is blocked by tetracycline? Elongation
wth factors are present? Rb gene
facto
284.What tumor suppressor gene prevents a cell with damaged DNA
r Tu (EF-Tu)
from entering th
275.What translational factor is blocked by streptomycin? IF-2
e S phase? p53 gene
276.Which organisms have polycistronic mRNA? Prokaryotes:
285.What factors are needed for elongation in prokaryotes? EF-Tu or
Polycistonic and pr
EF-is a
okaryotes both start with P.
nd GTP
277.In what disease are lysosomal enzymes released into the
286.What factors are needed for translocation in eukaryotes? EF-2
extracellular space
and GTP
where an accumulation of inclusion bodies compromises the cell's
287.What type of inheritance involves carriers, affects only males, and
function?
skips ge
I-cell disease
nerations? X-linked recessive
278.What is the site of action of chloramphenicol? Peptidyl
288.What
transferase (50
electrophoresis? Northern
s)
blotting
279.What is needed to initiate translation? IF and GTP (OF for
289.What factors are needed for elongation in eukaryotes? EF-1 and
eukaryotes)
GTP
280.What is the name of the process of going from DNA to mRNA?
290.What factors are needed for translation in prokaryotes? EF-G and
Transcription
GTP
type
of
separation
technique
uses
RNA
on
an
291.What type of inheritance has no male-to-male transmission, and
13.What viruses are associated with Cowdry type A intranuclear
every daughte
inclusions?
r is affected from the father in every generation? X-linked recessive
Herpes virus I and II
1.What virus is associated with intranuclear inclusions known as
14.What virus is associated with the Norwalk agent? Calicivirns
"owl's eye" inc
15.What virus affects the motor neurons in the anterior horn?
lusions? Cytomegalovirus (CMV)
Poliovirus
2.What virus is associated with Negri bodies? Rabies virus
16.What is the most common cause of diarrhea in children? rotavirus
3.What virus is associated with Guarnieri bodies? Variola virus -7-ox
17.What virus lies dormant in the: Trigeminal ganglia? Herpes I
vtrc
18.What virus lies dormant in the: Dorsal root ganglia? Varicella
s
19.What virus lies dormant in the: Sensory ganglia of S2 and S3?
4.What virus causes small, pink, benign wart-like tumors and is
Herpes I
associated with
I
HIV-positive patients? Molluscum contagiosum
20.With what virus are Downey type II cells associated? EBV
5.What viruses are associated with cervical carcinoma? Human
21.What are the four segmented RNA viruses? 1. Bunyavirns 2.
papilloma viruses
Orthomyxovirus
(HPVs) 16 and 18
3. Reovirns 4. Arenavirus (BORA)
6.What virus is associated with erythema infectiosum or fifth disease?
22.Koilocytic cells on a Papanicolaou (Pap) smear are indicative of
Parvovir
what virus?
us B-19
HPV
7.What virus binds to: CD4? Human immunodeficiency virus (HIV)
23.What bacteria constitute the most common cause of nosocomial
8.What virus binds to: ß2-Microglobulin? Cytomegalovirus (CMV)
infections in bu
9.What virus binds to: Complement factor C3? Epstein-Barr virus
rn patients and in patients with cystic fibrosis? Pseudomonas
(EBV) - Qp7_1
24.What organism is associated with pneumonia acquired from air
10.What virus binds to: ACh receptors? Rabies virus
conditioners?
11.What is the only dsRNA virus? Reovirus
Legionella
12.What are the three non-enveloped RNA viruses? 1. Picornavirns 2.
25.What species of bacteria is associated with whooping cough?
Calic
Bordetella pertu
ivirns 3. Reovirns (PCR)
s,sis
26.What two bacteria are associated with drinking unpasteurized
37.What organism is associated with a rigid belly and rose spots on
milk? 1. Bruce
the belly?
lla 2. Listeria (has tumbling motility)
Salnwnella typhi
27.What
organism
is
associated
with
gastritis
and
ulcers?
38.What organism will cause an infection if undercooked or raw
Helicobacter pyl
seafood is eaten?
ori
Vibrio parahaemolyticus
28.What species of bacteria is associated with traveler's diarrhea?
39.What organism is likely to infect you if you get cut by a shell at the
Escheric
beach?
hia coli (enterotoxic)
Vibrio vulnificus
29.With what organism is "currant jelly" sputum associated? Klebsiella
40.What infective bacteria are found in undercooked hamburgers?
pneum
Escherichia coli
oniae
strain 0157:H7ss
30.What is the most common cause of enterocolitis? Salmonella
41.What organism is said to have a "spaghetti and meatball"
enteritidis
arrangement under a
31.What organism is so infective that it takes only 1 to 10 organisms
microscope? Malassezia furfur
to cause a
42.What fungus is associated with rose gardener's disease?
n infection? Shigella
Sporothrix schen
32.What organism stains bipolar and causes buboes? Yersinia pesos
ckii
33.Rice water stools are indicative of what organism? Vibrio cholerae
43.What
34.With what organism are intracellular gram-negative inclusions in
Chromomycosis
neutrophils
44.What fungus is found in soil with bird or bat feces? Histoplasma
associated? Neisseria gonorrhoeae
cap.sulatum
35.What organism is most likely to cause an infection if you are bitten
45.Which organism causes San Joaquin fever? Coccidioides immitis
by a dog
46.What fungus causes endocarditis in IV drug users? Candida
or a cat? Pasteurella
albicans
36.What organism needs factor X and NAD in order to grow on growth
47.What fungus is found in pigeon droppings? Cryptococcus
medium?
neoformans
Haemophilu.s influenzae type B
fungus
is
seen
as
colored
cauliflower
lesions?
48.What fungus is seen as a yeast with broad-based buds and a
59.What fungus is a facultative intracellular parasite of the reticular
double refractile
endothel
cell wall? Blastomyces dermatitidis
ial system? Histoplasma capsulatum
49.What fungus is stained positive with India ink? Cryptococcus
60.What virus is helical and has HN and F glycoprotein spikes?
neoforrnans
Paramyxovirus
50.What virus is the most common causative agent of the common
61.What is the most common cause of pneumonia in persons with
cold in the summe
underlying health
r and the fall? Rhiuovirus
problems? Klebsiella pneumoniae
51.To what family of viruses do dengue, St. Louis, and yellow fever
62.What is the most common cause of pneumonia in young children?
belong?
Mycoplas
Flavivirus
ma
52.What is the name of the bullet-shaped virus? Rhabdovirus
63.What virus causes epidemic keratoconjunetivitis? Adenovirus
53.What virus is responsible for causing the croup and also the
64.What is the most common cold virus? Rhinovirus
common cold in t
65.What two viruses have neuraminidase activity? 1. Influenza 2.
he young and the old? Paraiuflueuza virus
Mumps
54.What is the causative agent of orchitis, parotids, and pancreatitis?
66.What is the most common cause of diarrhea in infants? Rotavirus
Mumps vi
67.What is the reservoir for the togavirus? Birds
rus
68.What two viruses cause pancreatitis? 1. Mumps 2. Coxsackie B40
55.What virus causes hoof-and-mouth disease? Vesicular stomatitis
69.With what two viruses are Reye's syndrome associated? 1.
virus
Varicella vir
56.What is the most common cause of pneumonia in children 1 year
us 2. Influenza virus
old or younger?
70.What is the most common cause of meningitis in: Children younger
Respiratory syncytial virus (RSV)
than 3 month
57.What virus is the most common cause of the common cold in the
s of age? Streptococcus agalactiae or Escherichia Coli
winter and earl
71.What is the most common cause of meningitis in: Non-immunized
y spring? Coronavinzs
children 12 mon
58.What yeast is urease positive? Cryptococcus neoformans
ths to 6 years old? Haemophilus influenzae type b
72.What is the most common cause of meningitis in: Immunized
83.Which two organisms can cause sulfur granules in the pus? 1.
children 12 months
Actinomyces 2
to 6 years old? Streptococcus pneumoniae
. Nocardia
73.What is the most common cause of meningitis in: Military recruits?
84.What species of bacteria is responsible for causing endocarditis in
Neisseri
IV drug u
a meningitidis
sers? Staphylococcus epidermidis
74.What
is
the
most
common
cause
of
meningitis
in:
85.What bacteria are responsible for food poisoning from rice, fried
HIV+/immunocompromised person
rice, and r
s? Cryptococcus neoformans
eheated foods? Bacillus cereus
75.What is the most common cause of meningitis in: Adults?
86.Which bacteria present as a common cause of meningitis in renal
Streptococcus pn
transplant pa
eunwniae
tients? Listeria
76.What is the most common cause of bronchiolitis in children? RSV
87.What bacteria get inoculated into the body by a puncture wound in
77.What is the most common cause of urinary tract infections?
the skin an
Escherichia coli
d also inhibit glycine and GABA? Clostridium tetani
78.Which
three
organisms
cause
heterophilic
negative
88.What bacteria are found in poorly preserved canned food and
mononucleosis? 1. CMV 2
cause flaccid par
. Toxoplasma gondii 3. Listeria
alysis? Clostridium botulinum
79.What two genera are spore formers? 1. Clostridia 2. Bacillus
89.What bacteria cause myonecrosis? Clostridium perfringens
80.What bacteria are responsi- ble for woolsorters' disease? Bacillus
90.What bacteria cause pseudomembranous colitis? Clostridium
anthrac
difficile
is
91.What bacteria are associated with food poisoning from ham, potato
81.What is the most common cause of bacterial pneumonia?
salad, and
Streptococcus pn
custards? Staphylococcus aureus
eumoniae
92.What three bacteria are quellung reactive test positive? 1.
82.What bacteria cause subacute endocarditis and dental caries?
Neisseria men
Streptococcus vi
ingitidis 2. Haemophilus influenzae 3. Streptococcus pneumoniae
ridans
93.Which organism causes a painful chancre? Haemophilus ducreyi
94.What is the most common cause of viral pneumonia? RSV
108.Which organism releases endotoxins PRIOR to cell death?
95.What is the predominant anaerobe in the colon? Bacillus fragilis
Neisseria mening
96.Which organism causes trench mouth? Fusobacterium
itidis
97.Which organism causes Lyme disease? Borrelia burgdorferi
109.What is the only ssDNA virus? Parvovirus
98.Which organism causes Weil's disease? Leptospira
110.What is the only DNA virus to replicate in the cytoplasm?
99.What organism causes Q fever? Coxiella burnetii
Poxvirus
100.agent causes pneumonia in college students and military
111.What are the three naked DNA viruses? 1. Parvovirus 2.
recruits? Mycoplas
Adenovirus 3. P
ma pneumoniae
apovavirus (PAP)
101.What is the tetrad of Jarisch-Herxheimer reaction? Rigors,
112.What is the only DNA virus that has the reverse transcriptase
leukopenia, decr
enzyme?
ease in blood pressure, and increase in temperature
Hepadnavirus
102.Which spirochete causes Rocky Mountain spotted fever?
113.Which hepatitis virus is an RNA viroid-like virus that needs
Rickettsia ricke
hepatitis B to
ttsii (wrist to trunk rash)
be infective? Hepatitis D
103.Which organism causes trench fever? Rochalimaea quintana
114.Which hepatitis virus is an enveloped RNA flavivirus, which is
104.Which organism causes epidemic typhus? Rickettsia prowazekii
known for pos
(trunk to
tinfusional hepatitis? Hepatitis C
periphery rash)
115.What antigen is needed to diagnose an infectious patient with
105.Which organism causes pneumonia in bird owners? Chlamydia
hepatitis B?
psittaci
Hepatitis Be antigen
106.Which organism causes multiple infections by antigen switching?
116.Which type of hepatitis can cause hepatocellular carcinoma?
Borrelia
Hepatitis B 4- C
recurrentis
117.Which type of hepatitis is a calicivirus? Hepatitis E (enteric)
107.Which organism has protein A for an anti-opsonization defense?
118.Which type of hepatitis is a picornavirus? Hepatitis A (infectious)
Staphylo
119.What two antigens need to be positive for a patient to have
coccus aureus
chronic active h epatitis? 1. Hepatitis Bs 2. Hepatitis A antigen
120.In the window phase of a hepatitis B infection, which antibodies
and with HIV-positive patients with CD4 counts of 200 or lower?
do you see?
Pneumocy
Hepatitis Be and c antibodies; You see the antibodies c and e.
sti.s carinii
121.Which virus is found in the urine of rodents? Arenavirus
133.What three organs can be affected by Trypanoaoma cruzi? 1.
122.Which virus is associated with hairy T cell leukemia? HTLV-I and
Heart 2. Esop
HTLVII
hagus 3. Colon Remember-you get "megas:" 1. Cardiomegaly 2.
123.What are the components of the rubella triad? 1. Patent ductus
Megaesophagus 3. Meg
arterio
acolon
sus (PDA) 2. Cataracts 3. Mental retardation
134.What organism causes kala-azar, which is associated with
124.What is the drug of choice to treat: HSV encephalitis? Vidarabine
hyperpigmentation o
125.What is the drug of choice to treat: RSV pneumonia? Ribavirin
f the skin, enlargement of the spleen, and decreased bone marrow
126.What is the drug of choice to treat: CMV retinitis/infection?
activity?
Ganciclo
Leishmania donovani
vir
135.Which type of malaria is associated with dark urine? Plasmodium
127.What is the drug of choice to treat: Influenza A? Amantadine
falci
128.What is the drug of choice to treat: HSV? Acyclovir
parum (malignant)
129.What is the drug of choice to treat: HPV? Interferon alpha
136.What people are "protected" from malaria? People with
130.What does Candida albicana do that distinguishes it from other
heterogenous sickle
fungi?
cell trait
It forms a germinal tube at 37°C.
137.What type of Plasmodium is banana or crescent shaped when
131.Which organism, transmitted by sexual contact, is almost
stained with Giems
diagnostic by the f
a stain? Plasmodium falciparum
oul-smelling, green discharge from the vagina and its associated itch?
138.What is the only Plasmodium that is quartan? Plasmodium
Trichomo
malarize; the
nas vaginalis
others are tertian.
132.Which organism is associated with a diffuse bilateral interstitial
139.What types of Plasmodium produce latent hypnozoites in the
pneumonia
liver, which can cause a relapse? Plasmodium vivax and Plasmodium ovale
140.What organism is associated with liver abscess, t ulcers, and
ossibly subacute sclerosing panencephalitis? Rubeola (measles)
perforated dia
152.What are known as jumping genes? Transposons
phragms? Entamoeba histolytica
153.What is the most common viral cause of myocarditis? Coxsackie
141.What
type of
Plasmodium
affects:
Only mature RBCs?
Plasmodium malariae 142.What
type
of
B 154.What virus is associated with heterophil-positive mononucleosis?
Plasmodium
affects:
Only
redculocytes?
EBV
Plasmodium vivax
155.What is the only virus to be eradicated? Smallpox virus
143.What type of Plasmodium affects: RBCs of all ages? Plasmodium
156.What virus, which creates painful vesicular lesions, is a cause of
falciparum
aseptic m
144.What three carcinomas are associated with EBV? 1. Burkitt's
eningitis? Herpes simplex II
lymphoma 2.
157.What virus attaches to fibroblastic growth factor? Herpes simplex
Nasopharvngeal 3. Thymic
I
145.What is the direction of the strand if a virus has infectious +RNA?
158.What is the most prevalent coral infection in the USA? Varicella-
5' to 3'
zoster
RNA
virus
146.What two viruses do not get their envelope from budding but
159.What is the only herpes virus to cross the placenta? CMV
actually from co
160.Of what virus are Guarnieri bodies diagnostic? Smallpox
ding? HIV and poxvirus
161.What cells are atypical on a peripheral blood smear in a
147.What glycoprotein in the HIV virus is used for fusion? GP41
heterophil-positive
148.What glycoprotein in the HIV virus attaches to CD4? GP120
mononucleosis? T cells not the B cells
149.What protein of the HIV virus is used to detect if a patient is HIV-
162.What type of hepatitis has the highest mortality rate among
positive
pregnant women?
by ELISA? P24
Hepatitis E
150.What two viruses cause progressive multifocal encephalitis? 1.
163.What does hepatitis D virus need from hepatitis B virus to be
Simian (SV40)
infective?
virus 2. JC virus
Hepatitis Bs antigen as its envelope
151.With what virus do you see Koplik's spots and Worthin- Finkeldy
164.What are the two hepatitis viruses that can be chronic and can
cells, and p
lead eventual
ly to hepatocellular carcinoma? 1. Hepatitis B 2. Hepatitis C
ent with hepatitis? Hepatitis Be, e, s
165.What are the only two viruses where naked dsDNA is NOT
175.What is the first antigen seen in an individual with hepatitis?
infectious? 1. Poxvi
Hepatiti
rus 2. Hepatitis B virus
s Bs antigen (incubation period)
166.What is the only diploid virus? Retrovirus
176.What antibody is an indication of low transmissibility for hepatitis?
167.What types) of immune response is the body capable of making
Hepatitis Be antibody
when presented
177.What antibody is an indication of recurrent disease for hepatitis?
with a live vaccine? Humoral and cell mediated
Hepatiti
168.What HPV is the causative agent of anogenital warts? HPV 6 and
s Be antibody
11
178.Antibodies to what hepatitis B antigen provide immunity?
169.What types) of immune response is the body capable of making
Antibodies to he
when presented
patitis Bs antigen
with a killed vaccine? Humoral only
179.What are the three C's of measles? 1. Cough 2. Coryza 3.
170.Who are the "typical" women who present with endometrial
Conjunctivitis
carcinoma? Older, n
180.What vector is associated with malaria? Anopheles mosquito
on-sexually active women (whereas young, sexually active women
181.What is the vector for yellow fever? Aedes mosquito
present with cerv
182.What are the only two picornaviruses that do NOT lead to aseptic
ical carcinoma)
meningitis?
171.What type of vaccine is the MMR vaccine? Live, attenuated
1. Rhinovirus 2. Hepatitis A virus
vaccine
183.Are antibiotics helpful in treating a disease caused by a prion?
172.With what virus is postauricular lymphadenopathy associated?
No. Prio
Measles
ns are infectious proteins; thus, antibiotics are useless.
(rubella) virus
184.What is the only part of the virus that is "detectable" during the
173.In what trimester is the fetus most vulnerable to congenital rubella
eclipse p
syndrom
eriod of the viral growth cycle? The viral nucleic acid .
e? The first trimester
185.What is the only virus to carry its own ribosomes? Arenavirus
174.What is the order of the antibodies, from first to last, in an infected
186.What is the term for the period from the onset of an infection to
pati
the appear
ance of the virus extracellularly? Latent period
or for B cells? IgD
187.What is the leading cause of diarrhea in the USA? Campylobacter
198.What is the only IgG that cannot bind to Staphylococcus protein
jejuni{IND
A? IgG3
IA----ROTAVIRUS}
199.By which process do antibodies make microorganisms more
188.What organism would cause a patient to present with constant
easily ingested via
diarrhea after
phagocytosis? Opsonization
drinking mountain stream water on a camping trip? Giardia lamblia
200.Which immunoglobulin is found as a pentamer and activates
189.What
complement?
parasite
can
cause
vitamin
B12
deficiencies?
Diphyllobothrium latum
IgM
190.What viral infection is associated with black vomit? Yellow Fever
201.What is synthesized by epithelial cells, protects IgA from
(fl
degradation, and
avivirus)
transports IgA across epithelial barriers? Secretory component of IgA
191.What are the two nonspecific chemical defenses of the body?
202.Which IgG cannot activate complement? IgG4
Acidic pH and ly
203.What cell surface marker is used to distinguish different stages in
sozymes
the matu
192.What are the two nonspecific physical defenses of the body? Skin
ration of T cells? CD3
and mucus
204.What form of graft involves tissue or organ transplantation
193.What immunoglobulin is the first antibody in an immune
between genetica
response? IgM
lly identical twins? Isograft (isogenic graft, syngraft)
194.What is the major antibody of external secretions? IgA
205.True or false: antigen. antibody binding is irreversible? False; it is
195.What is the major antibody of internal secretions (blood, CSF,
rev
lymph)?
ersible because the antigens and antibodies are not linked covalently.
IgG
206.What is the term for a single isolated antigenic determinant?
196.What is the valence of an immunoglobulin molecule equal to?
Hapten (
The number of an
not immunogenic)
tigens that the antibody can bind
207.Which chromosome is associated with major histocompatibility
197.What immunoglobulin is a marker for mature B cells and is the
complex (MHC) g
antigen recept
enes? Chromosome 6
208.Which region of the variable domain comprises the antigen-
218.In a binding of helper T cells and an antigen-presenting cell
binding site of th
(APC), which i
e antibody? Hypervariable region (three per light chain; three per
s the first cell to secrete activating signals? Helper T cells (cytokines
heavy cha
to act
in)
ivate the APCs)
209.What form of transplantation crosses the species barrier?
219.Which type of cell is responsible for immunologic memory?
Xenograft
Memory B cell
210.What subdivision of MHC is found on all nucleated cells? MHC
220.What region of the immunoglobulin does not change with class
class I (thr
switching?
ee subtypes: -A,-B,-C)
Hypervariable region
211.What protein is used to differentiate MHC class I from MHC class
221.What type of cell does an antigen-stimulated B cell turn into if
II, and on
there is a
what chromosome is it found? ß2-Microglobulin, on chromosome 15
continuous supply of antigen? Plasma cell
212.What cell type recognizes MHC class I? Cytotoxic T cell (CD8)
222.What three cells are essential for T cell differentiation in the
213.What is the predominant antibody of a secondary immune
thymus?
response in the mucos
1. Dendritic cells 2. Macrophages 3. Thymic epithelial cells
al route? IgA
223.What type of T cell leaves the bone marrow? Pre-T cell (unable to
214.What substance is secreted by activated helper T cells to induce
recognize
T and B cel
antigen)
l division? IL-2
224.What cytokine stimulates stem cell differentiation? IL-3
215.What type of antigen do B cells recognize? Free, unprocessed
225.What form of T cell binds to mature B cells? Activated helper T
antigen
cell
216.What type of antigen do T cells recognize? Processed antigenic
226.What co-stimulatory molecules are necessary for effective T cell
peptides bou
and B cell
nd in the groove of the MHC molecule
signaling? B7 and CD28 (stimulatory signal for the T cell)
217.Which protein prevents internal binding of self proteins within an
227.At which site of the lymph node are B cells found? The germinal
MHC class
centers (fo
II cell? Invariant chain
llicles)
228.What are the two primary lymphoid organs? 1. Bone marrow 2.
240.What aspect of the complement system is deficient if there are
Thymus
repeated gono
229.What cytokine, produced by stromal cells of the bone marrow, is
coccal
important in
meningitis? C5, 6 ,7
myeloid development? IL-3 A " 3" on its side looks like an m for
, or 8
myeloid
241.A deficiency in C1 esterase (C1-INH) results in what disease?
230.What immunoglobulins are found in an infant at birth? Maternal
Heredita
IgG and
ry angioedema
fetal IgM
242.What form of immunity kills the host cell in order to recover from
231.What cell surface marker is found on blood B cells? CD19
intracell
232.What cell surface marker do all T cells have? CD3
ular infections? Cell-mediated immunity
233.What is the major antigen-trapping site in the immune system?
243.With what area of the spleen are the T cells associated?
The lymp
Periarteriolar L
h node
ymphatic Sheath (PALS)
234.What cells are the first to come into contact with soluble antigen
244.What are the three secondary lymphoid tissues? 1. Lymph nodes
in the ly
2. Spleen
mph node? Macrophages or dendritic cells
3. Mucosal-Associated Lymphoid Tissue (MALT)
235.In which region of the lymph node do plasma cells spend their
245.What type of cell can never leave the lymph node? Plasma cell
lives secretin
246.What is the B cell-dependent area of the spleen? The marginal
g antibodies? Medulla
zone
236.What cell surface marker is found on activated helper T cells?
247.Which major cell type is found in the red pulp of the spleen?
CD40
RBCs-tha
237.In which region of the lymph node are T cells found? Paracortex
t is why it is called red pulp.
238.Myeloperoxidase uses H202 and what to generate additional
248.At what stage of the immune response do you see an increase in
oxidants? Halide c
serum specifi
ofactor (Cl-, I-)
c antibody levels? Log phase
239.What is the main cell type of chronic inflammation? Macrophages
249.What cytokines do APCs secrete to activate helper T cells? IL-1,
infections
IL-6, TNFa
and
recurrent
episodes
of
meningococcal
250.What immunoglobulin is responsible for antibody- dependent cell-
259.What types of T cell receptors (TCRs) comprise 95% of all TCRs?
mediated cyt
Alpha an
otoxicity (ADCC) of parasites, has a high-affinity Fc receptor on mast
d beta chains
cells and
260.Which TCRs are found on the skin and mucosal surfaces?
basophils, and is responsible for the allergic response? IgE
Gamma and delta
251.What immunoglobulin is responsible for activation of complement,
TCRs
opsonizatio
261.What type of graft transplants from one individual to another with
n, and ADCC, and is actively transported across the placenta? IgG
a differe
252.What immunoglobulin activates the alternate pathway, neutralizes
nt genetic makeup (within the same species)? Allograft
bacterial e
262.What type of graft transplants from one site to another on the
ndotoxins and viruses, and prevents bacterial adherence? IgA
same person?
253.What are defined by antigen-binding specificity? Idiotypes
Autograft
254.What are the genetic variants of a molecule within members of
263.What is the term for the strength of association between multiple
the same speci
antibody-b
es? Allotypes
inding sites and multiple antigenic determinants? Avidity (greater than
255.What are different classes and subclasses of the same gene
on
products known as
e binding site)
? Isotypes
264.How is IgA found in secretions? As a dimer; it is a monomer in
256.What are the four phases of immune system defense? 1.
the blood
Recognition 2. Amplif
.
ication 3. Regulation 4. Elimination-Rare
265.What is the limited portion of a large antigen that will actually be
257.What is the term for a molecule that will trigger an immune
recogni
response?
zed and bound to an antibody and contains approximately five to six
Immunogen (It must be foreign and have at least two antigenic
amino acids
determinants.)
or four to five hexose units? Antigenic determinant (epitope) (Idiotypes
258.What
MHC
class
communication by direct c ontact? MHC class III
does
not
participate
in
immune
cell
bind to epitopes.)
266.What would be the result if an antibody were cleaved with
274.What response involves elevated levels of antibody and a short
papain? There wo
lag phase, an
uld be two Fab and Fc regions.
d requires low levels of antigen to precipitate? Secondary response
267.What would be the result if an antibody were cleaved with
275.Whose function is it to present exogenous peptides to helper T
pepsin? There wo
cells?
uld be a Fab' region; thus, it would still be able to participate in
MHC class II
precipitati
276.What process is involved when an antigen is in the endocytic
on and agglutination.
vacuole and the
268.What type of binding is involved when there is binding of one Fab
re is fusion with lysosomes, which contain proteases that cleave the
or one idi
protein ant
otype of IgG? Affinity
igens into peptide fragments? Antigen processing
269.What cytokines are secreted by helper T cells to activate the
277.Which four helper T cell cytokines are involved in differentiation?
APC? INF-y an
I. IL-4
d IL-4
2. IL-5 3. IL-6 4. IL-10
270.What acts as a target for elimination of abnormal host cells? MHC
278.Which co-stimulatory molecules are necessary for B cell
clas
differentiation (cla
sI
ss switching)? CD40 and CD40L (gp39)
271.At what stage of an immune response do we see stable levels of
279.Which cytokine is chemotactic for neutrophils? IL-8
antibody in t
280.Which nondividing cells synthesize immunoglobulins in great
he serum? Plateau phase
amounts?
272.At what stage of an immune response do we see catabolism
Plasma cells
without synthesis o
281.Which process is involved in rearranging the DNA that encodes
f antibody, causing a decline in the levels? Antigen processing
for the consta
273.What stage of the immune response is involved from the time
nt region of the heavy chain? Class switching
when we are firs
282.What are the two functions of the thymus in T cell differentiation?
t presented with an antigen to the first time that there are detectable
1. Hormo
levels o
ne secretion for T cell differentiation 2. T cell education to recognize
f antibody in the serum? Lag phase
self fr
om nonself
290.Which complement fragments cause lysis of cells? C5b-9
283.Which process is involved in rearranging one heavy chain gene to
291.Which complement fragment is deficient if a patient presents with
produce a f
repeated i
unctional gene product, while it shuts off the rearrangement and
nfections, fever, rash, and arthralgia? C3
expression of t
292.What three factors cause opsonization? IgG, C3b, and mannose
he other alleles to ensure that one antibody type is made? Allelic
binding pr
exclusio
otein
n
293.Which cell surface marker binds to C3d fragments? CD21
284.What are the three rules of clonal selection? 1. One cell type 2.
294.What disease is associated with an inherited deficiency in
One
NADPH oxidase, in
antibody type 3. Random selection of hypervariable regions, and only
which the individual is likely to develop infections with catalase-
cells with
positive org
bound antigen undergo clonal expansion
anisms? Chronic granulomatous disease
285.When is the last time that maternal IgG is seen in circulation?
295.What cells are antigen-specific and have MHC restricted killing?
Between
Cytotoxi
9 and 15 months
c T cells
286.What cytokine, produced by stromal cells of the bone marrow, is
296.What large granular lymphocytes have CD16 and CD56 as cell
important in
surface markers,
lymphoid development? IL-7 A "7" upside down looks like an "L" (L for
do not secrete immunoglobulins, and are not antigen specific? NK
Lymphoid
cells
).
297.What three complement fragments are also anaphylatoxins? 1.
287.Which region of the thymus contains the mature T cells? The
C3a 2. C4a 3.
medulla (The
C5a
y mature in the cortex.)
298.What pathology is associated with low levels of immunoglobulin
288.What are the cell surface markers of helper T cells? CD28 and
that persist
CD4
in children for up to 2 years? Transient hypogammaglobulinemia of
289.What are the cell surface markers of cytotoxic T cells? CD28 and
childhood
CD8
299.What cell surface marker is found on pre-T cells? Tdt
300.What cell surface marker is required for class switching? CD40
4.What region of the aorta is affected in syphilitic (luetic) aneurysms?
301.What large granular lymphocytes are stimulated by IL-2 and INF-
Ascending arch or the root
y and are act
5.What organism is associated with hyaline membrane formation and
ivated by natural killer (NK) cells? Lymphokine-activated killer (LAK)
cold agglutini
cells
ns? Mycoplasma
302.Which cells recognize the Fc region of IgG and carry out ADCC?
6.What cell type is commonly elevated in asthma? Eosinophils
Killer c
7.What enzyme level is commonly elevated in sarcoidosis?
ells
Angiotensin conv
303.What are the four chemotactic agents? 1. C5a 2. Leukotriene B4
erting enzyme (ACE)
3. IL-8
8.What form of lung cancer is commonly associated with asbestosis?
4. Bacterial peptides
Malignan
304.What are the five main oxidizing reactions that are used to kill
t mesothelioma
ingested or
9.With what protein-losing enteropathy do you see hypertrophied
ganisms?
1.
H202
2.
Superoxide
3.
Hydroxyl
radical
4.
gastric rugal fo
Myeloperoxidase 5.
lds? Menetrier's syndrome
Hypochlorous acid
10.What region of the GI tract does Giardia lamblia most commonly
305.True or false-it is perfectly normal to have low levels of IgG from 3
affect?
to 12
Duodenum
months of age? True; it is called physiologic hypogammaglobulinemia
11.What
of infancy.
Entamoeba histol
1.What valve of the heart is most commonly affected in IV drug
ytica
abusers? Tricuspi
12.What hepatic pathology is associated with ingestion of oral
d valve
contraceptives?
2.What is the first sign of reversible cellular damage? Ballooning or
Liver adenoma
hydropic c
13.True or false alpha-1-antitrypsin deficiency can lead to cirrhosis of
hanges secondary to mitochondrial injury
the liv
3.What is another name for isolated right-sided heartfailure? Cor
er? True; it is most commonly associated with panacinar emphysema
pulmonale
of the low
organism
is
associated
with
"flask-shaped"
ulcers?
er lobes.
23.What
14.What organism is associated with cholangiocarcinoma? Clonorchis
Vacuolation of t
sinensis
he mitochondria
15.True or false-polycythemia is associated with renal cell carcinoma?
24.Antinuclear antibodies (ANA), anti-dSDNA, and smooth muscle
True, be
antigen (Sm ag) a
cause there is an increase in erythropoietin
re all used to diagnose what disease? Systemic lupus erythematosus
16.What cancer of the male genitourinary system is associated with
(SLE)
osteoblastic
25.SS-A(Ro), SS-B(La), and R-ANA are diagnostic markers of what
bony metastasis? Prostatic carcinoma
disease?
17.What organism is commonly associated with IUD infections?
Sjogren's disease
Actinomyces
26.What disease is characterized by decreased bone resorption due
18.What female genitourinary pathology is associated with elevated
to defective o
levels of hum
steoclast function? Osteopetrosis (Albers- Schonberg disease)
an chorionic gonadotropin (hCG) and has a "snowstorm" appearance
27.What metaplastic cellular change (from what cell type to what cell
on an ultrasoun
type) occu
d? Hydatidiform mole
rs
19.What subset of leukemia involves gingival hypertrophy? Acute
(adenocarcinoma)
myelocytic
28.Antinuclear antibodies (ANAs) and anti-SCL-70 antibodies are
leukemia (AML)-M5, also called acute myelogenous leukemia
diagnostic of wh
20.What chemical pathogen is associated with squamous cell
at disease? Scleroderma
carcinoma of the skin
29.What T cell defect is found in Graves' disease? Defect in antigen-
? Arsenic
specif
21.With what form of cancer is diethylstilbestrol (DES) associated?
ic suppressor T cells
Vaginal
30.A gastric mucosal erosion caused by extensive burns to the body
clear cell adenoma
surface is kn
22.What form of cancer is most commonly associated with
own as what? Curling's ulcer (Burns = hot = curling iron) VXP
nitrosamines? Gastric
31.A superficial gastric mucosal erosion causing an excessive
cancer
secretion of pepsi
in
cellular
process
Barren's
defines
esophagus?
irreversible
Squamous
to
cellular
injury?
columnar
cell
n, due to an increase in intracranial pressure from trauma or surgical
s node (due to metastatic gastric carcinoma)
injury to
41.What pathology is associated with Budd-Chiari syndrome? Hepatic
the CNS, is known as what? Cushing's ulcer
venous t
32.What two antibodies are used to diagnose Hashimoto's thyroiditis?
hrombus
Antithyr
42.Cell fragments of hemolysis are known as what? Helmet cells
oglobulin and antimicrosomal antibodies
(schistocyt
33.What is the term for the copper corneal deposits found in Wilson's
es)
disease?
43.What is the name given to the red blood cell that contains a
Kayser-Fleischer rings
peripheral rim o
34.What is the triad of Meig's syndrome? 1. Right-sided hydrothorax
f hemoglobin along with a dark central area containing hemoglobin?
2. As
Target c
cites 3. Ovarian fibroma
ell
35.What is the triad of Plummer-Vinson syndrome? 1. Atrophic
44.What are the three causes of a microvesicular fatty change in the
glossitis 2.
liver?
Esophageal webs 3. Iron-deficiency anemia
1. Tetracycline toxicity 2. Reye's syndrome 3. Fatty liver of pregnancy
36.In multiple myeloma, what are the immunoglobulin protein droplets
45.Abnormal, unstable RNA within a developing RBC is known as
within plas
what? Basophil
ma cells called? Russell bodies
ic stippling
37.Obstetric hemorrhage or shock to the anterior pituitary leads to
46.What is the term for an RBC with inorganic iron-containing
what syndrom
granules? Siderocy
e? Sheehan's syndrome (approximately 90% destruction of the
te
pituitary)
47.A patient presenting with dark urine, pale stools, and itchy skin has
38.What is the term for a twisting of a loop of bowel leading to an
what fo
obstruction?
rm of jaundice? Obstructive (direct) jaundice
Volvulus
48.With what form of hepatitis do you see elevated levels of AST
39.In what condition is a strawberry gallbladder seen? Cholesterolosis
(SGOT) and GGT
40.What is the term for a palpable left supraclavicular lymph node?
liver enzymes?
Virchow'
In both alcoholic 2nd viral hepatitis, AST and ALT are elevated. SGOT
s
> SGPT in
59.What dye is a major cause of transitional cell carcinoma of the
alcoholic hepatitis, and SGPT > SGOT in viral hepatitis.
urinary bladd
49.What region of the liver is affected during shock? Pericentral
er? Naphthalene
(necrotic) reg
60.Interstitial fibrosis of the lower lobe is pathognomonic of what?
ion
Asbestos
50.What
drug
can
cause
amyloidosis
and
focal
segmental
is
glomerulosclerosis in the
61.With what is cherry red intoxication associated? Acute carbon
kidney? Heroin
monoxide po
51.What type of metal poisoning causes basophilic stippling? Lead
isoning
52.What drug causes a six- fold increase in schizophrenia, can impair
62.With what disease do you see Brushfield's spots? Down syndrome
motor acti
63.What is the causative organism associated with: Acute infectious
vity, and can cause lung problems? Marijuana ...
endocarditis
53.With what disease do you see dust-containing macrophages within
? Staphylococcus aureus; Aureus begins with an "a" just like acute.
a reticulin m
64.Subacute infectious endocarditis? Streptococcus viridans
esh? Coal workers' pneumoconiosis
65.What percentage of a vessel is stenosed in order to cause sudden
54.With what two pathologies is a honeycomb lung associated? 1.
cardiac deat
Asbestosis 2.
h? Greater than 75% of the vessel
Silicosis
66.What foci of fibrinoid necrosis are surrounded by lymphocytes and
55.What is Caplan's syndrome? Rheumatoid arthritis with silicosis
macrophages
56.What chemical can be potentially dangerous if you work in the
throughout all the layers of the heart? Aschoff's bodies of rheumatic fe
aerospace indus
ver
try or in nuclear plants? Beryllium
67.What cardiac pathology are children with pharyngeal infections
57.What are the three causes of angiosarcoma of the liver? 1. Vinyl
more likely to
chlorid
develop? Rheumatic heart disease
e 2. Thorium dioxide 3. Arsenic
68.Where is the embolism site for a right-sided heart lesion? The
58.What causes acellular fibrosis in the upper zone of the lung?
lungs
Silicosi
69.What is the term for white retinal spots surrounded by
r leaflet due to the long chordae tendineae
hemorrhage? Roth's s
80.What disease affects medium to small arteries, occurs most
pots
commonly in men, i
70.In what condition are they seen? In bacterial endocarditis
s associated with elevated perinuclear anti-neutrophilic cytoplasmic
71.The painless hemorrhagic areas on the palms and soles in a
antibody (P
patient with bacte
-ANCA) levels to myeloperoxidase, and involves 30% of patients with
rial endocarditis are known as what? Janeway lesions
hepatitis Bs
72.What pathology involves a diastolic blood pressure greater than 90
antigen? Polyarteritis nodosa (PAN) Remember by P in P-ANCA and
mmHg or a
P in PAN.
systolic blood pressure greater than 140 mmHg? Hypertension
81.With what disease do you see IgA deposits in small vessels of the
73.What are the four cardiac abnormalities associated with tetralogy
skin and th
of Fallot?
e kidneys? Henoch-Schonlein purpura
1. Shifting of the aorta 2. Hypertrophy of the right ventricle 3.
82.What type of vasculitis presents with headache, facial pain, and
74.Interventricular septal defect 4. Pulmonary stenosis 3X (SHIP)
sometimes lo
75.What term applies when a single vessel receives blood from both
ss of vision? Temporal arteritis (usually in women older than 80 years
ventricles?
of age)
Truncus arteriosus
83.What
76.How do you diagnose a patient who presents with an
involvement associ
underdeveloped right ventr
ated with skin rash and lymphadenopathy, and involves 70% of
icle, atrial septal defect, and no tricuspid valve? Tricuspid atresia
persons with corona
77.What are the three left-to-right shunts? 1. Ventricular septa] defect
ry artery aneurysms? Kawasaki disease; Think kids, koronary,
(VS
konjunctiva-Kawa
D) 2. Atrial septal defect (ASD) 3. Patent ductus arteriosus (PDA)
saki
78.What type of coarctation of the aorta is associated with Turner's
84.What is the difference between a true aneurysm and a false
syndrome?
aneurysm? A true a
Preductal (infantile) type
neurysm is the bulging of an arterial wall that is intact, whereas a false
79.Which leaflet is most commonly affected in mitral valve prolapse?
aneur
Posterio
type of
vasculitis affects children,
has conjunctival
ysm is a rupture where a sac is formed by the tissue adjacent to the
submaxillary gland, and submandibular gland with posterior uveal
artery.
tract involveme
85.With what lung pathology do you see a collapsed leathery lung?
nt? Mikulicz's syndrome
Acute re
92.In what autosomal recessive (AR) disease do you see a decrease
spiratory distress syndrome CARDS)
in adenine tri
86.In which region of the lung are 75% of the pulmonary infarcts
phosphatase (ATPase) activity of dynein arms in cilia, also known as
seen? Lower lo
immotile ci
bes
lia syndrome? Kartagener's syndrome
87.What is it called when the cervical lymph node is involved in Tb?
93.What disease involves a decrease in al-antitrypsin activity, causing
Scrofula
all the
88.What is the difference between Raynaud's disease and Raynaud's
alveoli to be affected? Panacinar emphysema
phenomenon?
94.What lung pathology involves columnar to squamous cell
Disease occurs when there is vasospasm in a small artery without any
metaplasia and cannot
underlying
be diagnosed unless the patient has 3 months of productive sputum
pathology, whereas a phenomenon has some underlying pathology
for 2 years or
associated with it
more? Chronic bronchitis
.
95.What bronchogenic carcinoma: Is found in the peripheral aspect of
89.What is the difference between a Ghon focus and a Ghon
the lung an
complex? A Ghon f
d is known as the "scar" carcinoma? Adenocarcinoma
ocus is a TB tubercle, whereas a Ghon complex is a focus with hilar
96.Has a poor prognosis because 50% of the cases have
lymph node i
metastasized to the brain
nvolvement.
by diagnosis? Undifferentiated cell carcinoma
90.What is the term for laminated concretions of Ca2+ and protein
97.What hematoma involves lucid intervals and affects the middle
found in granu
meningeal arter
lomas, especially sarcoidosis? Schaumann's bodies
y? Epidural hematoma
91.What condition is manifested by bilateral sarcoidosis of the parotid
98.What renal pathology involves uniform thickening of the glomerular
glands,
capillary
wall, "granular" appearance under the microscope, and effacement of
idney, just to name a few.
foot process
107.What type of peptic ulcers is associated with elevated gastric
es? Membranous glomerulonephritis (MGN)
secretions an
99.What syndrome has massive proteinuria, hypoalbuminemia,
d blood group O and responds well to cimetidine? Duodenal ulcer,
hyperlipidemia, and a
whereas
nasarca as its components? Nephrotic syndrome
gastric ulcers are associated with blood group A and low gastric
100.What renal pathology is associated with an alteration of the
secretions
basement membra
108.What GI pathology can be caused by a patient taking clindamycin
ne and mesangial cell proliferation, along with a tram-track
or lincomyci
appearance under th
n or by Clostridium diffcile, ischemia, Staphylococcus, Shigella, or
e microscope? Membranoproliferative glomerulonephritis (MPGN)
Candida inf
101.What is the triad of renal cell carcinoma? 1. Hematuria 2.
ections? Pseudomembranous colitis
Costovertebral p
109.How is Pseudomembranous colitis treated? With vancomycin or
ain 3. A palpable mass
metronidazole
102.What is the most common type of kidney stone? Calcium oxalate
110.What regions of the GI tract are the most common sites of peptic
103.In what condition do you see "dimpling" on the kidney's surface?
ulcers?
Pyelonep
The lesser curvature of the stomach and the first part of the
hritis
duodenum
104.What are the four most common metastatic sites for renal cell
111.What three criteria allow you to differentiate an ulcer from an
carcinoma?
erosion or c
1. Lung 2. Liver 3. Brain 4. Bone
arcinoma? 1. Less than 3 cm 2. Clean base 3. Level with the
105.What is the causative organism involved in squamous cell
surrounding mu
carcinoma of the bl
cosa
adder? Schistosomiasis haematobia
112.What is the watershed area of the GI tract? It is the most common
106.Is cigarette smoking associated with transitional cell carcinoma of
site of is
the blad
chemic bowel disease (splenic flexure of large bowel).
der? Yes. It is also a cause of cancers of the lung, esophagus, ureter,
113.What is the term for hypoperfusion of an area involving only the
and k
inner layer
s? Mural infarct
120.With what autosomal dominant disease do you see osteomas in
114.Failure of neural crest cells to migrate to the rectum and sigmoid
the mandible and
colon is
maxilla, epidermoid cysts, and edematous polyps in the GI tract?
known as what? Hirschsprung's disease (congenital megacolon)
Gardner'
115.What is the term for the irregular linear lacerations in the long axis
s syndrome
of th
121.In what autosomal recessive disease do you see a decrease in
e esophagus seen in chronic alcoholics? Mallory-Weiss tears
ceruloplasmin,
116.What is the condition in which progressive dysphagia and
micronodular cirrhosis, and Kayser-Fleischer rings? Wilson's disease
regurgitation occur
122.What is the term for the smooth, round fragments of nuclear
owing to failure of the lower esophageal sphincter to relax when
chromatin seen i
swallowing is
n RBCs? Howell-Jolly bodies
initiated? Achalasia (can also be seen in Chagas' disease)
123.What form of hepatitis involves Kupffer's cell hyperplasia,
117.With what autosomal dominant disease do you see polyps in the
ballooning hepat
GI tract that
ocytes, councilman bodies, and an increase in ALT? Viral hepatitis
can be large and pedunculated, along with melanin pigmentation of
124.What X-linked recessive disease involves a decrease in
the oral mucos
hypoxanthine guanine
a, lips, and palms? Peutz-Jeghers syndrome (rarely predisposes to
phosphoribosyl transferase (HGPRT), mental retardation, self-
colon canc
mutilation, choreoa
er)
thetosis, and spasticity and an increase in uricemia? Lesch-Nyhan
118.What is the most common hemolytic anemia that has an elevated
syndrome
reticulocyte c
125.In what X-linked recessive disease is there a decrease in the
ount and a positive result on a Coombs' test? Autoimmune/immune
hexose monopho
hemolytic anem
sphate (HMP) shunt, along with Heinz body formation? G-6-PD
ia
deficiency (gluco
119.What is the first sign of megaloblasdc anemia on a blood smear?
se-6-phosphate dehydrogenase deficiency)
Hyperseg
126.What illegal drug can cause rhabdomyolysis, myocardial
mented polymorphonucleocytes (more than five lobes)
infarction, cerebral infarct, and lethal cardiac arrhythmias? Cocaine
127.What type of metal poisoning causes mental retardation,
l 4 to 8 days after an MI? SGOT
somnolence, convulsi
136.What are the four right-to-left shunts? 1. Tricuspid atresia 2.
ons, and encephalopathy? Lead
Truncus
128.What type of acute metal poisoning involves stomach and colon
arteriosus 3. Transposition of the great vessels 4. Tetralogy of Fallot;
erosion and ac
All of
ute tubular necrosis? Mercury
the Ts
129.What enzyme level increases in hours and falls 24 to 48 hours
137.What form of angina pectoris is classically brought on by exercise
after a myocar
or by an
dial infarction? Creatinine phospholanase (CPK)
elevated heart rate? Stable angina (S-T depressions are seen on
130.What form of infectious endocarditis is most likely to metastasize?
EKG.)
Acute in
138.What form of angina pectoris is the most serious and is referred
fectious endocarditis
to as "prei
131.What is the terminology for the secondary disease of benign
nfarction angina"? Unstable angina
hypertension in
139.What marker increases in 12 hours, peaks in 48 to 72 hours, and
the kidney? Benign nephrosclerosis
falls in 1 t
132.What is the term for the appearance of the kidney in malignant
o 2 weeks after an MI? Lactate dehydrogenase (LDH)-1 > 2
hypertension
140.What form of angina pectoris is caused by coronary artery
(it has petechiae on its surface)? Flea-bitten kidney (can also be seen
vasospasms?
in
Prinzmetal's angina (variant). S-T elevations are seen on EKG.
pyelonephritis)
141.What is the condition that involves focal accumulations of
133.What is the term for fibrinoid necrosis of the arterioles in the
basophilic, mutin
kidney seco
ous extracellular substance in the media of the aorta? Cystic medial
ndary to malignant hypertension? Onion skinning
necrosis
134.What are the three most common sites for left-sided heart
142.When do you see an elevated blood pressure in the upper
embolisms to metas
extremities with hyp
tasize? 1. Brain 2. Spleen 3. Kidney
otension in the lower extremities? Coarctation of the aorta
135.What enzyme levels increase in 6 to 8 hours, peak in 24 to 48
(postductal), a
hours, and fal
dult type
143.What is the characteristic radiographic finding in postductal
with skin flushing, cramps, diarrhea, and nausea; and affects the
coarctation of
valves on the
the aorta? Notching of the ribs due to dilated internal mammary
right side of the heart along with the endocardium? Carcinoid tumor of
arteries
the h
144.What test uses p24 protein when diagnosing HIV? ELISA test
eart
(enzyme-linke
150.What is the consolidation around the small bronchi known as?
d immunosorbent assay test)
Bronchop
145.What type of vasculitis occurs in male heavy smokers, typically
neumonia
younger than
151.What disease usually occurs in men in their 40s who present with
35 years of age, that can cause gangrene in the lower extremities?
persistent
Buerger'
pneumonia, chronic sinusitis, renal disease, and mucosal alterations,
s disease
and show a
146.Low to absent levels of pulmonary surfactant along with hyaline
n increase in cytoplasmic antineutrophilic cytoplasmic antibodies (C-
membrane for
ANCAs)?
mation is the hallmark of what? NRDS (neonatal respiratory distress
Wegener's granulomatosis
syndrome)
152.What disease involves a weakened pulse and hypotension in the
147.What form of emphysema affects the upper lobes, increases in
upper extremit
smokers, and ha
ies, visual problems, and dizzy spells and occurs in Asian females
s carbon deposits distal to the affected areas? Centriacinar
who are 15 to
emphysema
45 years of age? Takayasu's arteritis (pulseless disease)
148.Is right ventricular hypertrophy (RVH) in utero a sign of
153.What bronchogenic carcinoma occurs most commonly in men
coaretation of the
and smokers; is foun
aorta? Yes, if you are referring to preductal or infantile coarctation of
d centrally; and can have eetopic production of adrenocorticotrophic
the a
hormone (AC
orta; congestive heart failure is also a sign of the infantile form.
TH) or antidiuretic hormone (ADH)? Small-cell carcinoma (oat cell)
149.What tumor involves an increase in 5-hydroxyindoleacetic acid; is
154.What bronchogenic carcinoma is commonly associated with
associated
Addison's disease? Squamous cell carcinoma
155.What disease, diagnosed by exclusion, involves bilateral hilar
163.What autosomal dominant syndrome involves 1000 or more
lymphadenopat
edematous polyps, mos
hy and noncaseating granulomas in many organs and is most
t commonly affects the colorectal area, and is associated with
commonly seen in black
chromosome 5q21?
women? Sarcoidosis
Familial poly posis coli
157.What causes a nutmeg liver? Right-sided heart failure
164.What autosomal dominant disease involves hyperkeratosis of the
158.What bronchogenic carcinoma is associated with an elevated
palms and sol
level of Cat+, in
es in association with esophageal carcinoma? Tylosis
volves keratin pearls, occurs in men more than women, is associated
165.What primary carcinoma is associated with signet ring cells?
with smoking
Gastric
, occurs in the major bronchi, and is seen in the central areas of the
carcinoma
lung?
166.What liver pathology involves an increase in AST, GGT, Mallory
Squamous cell carcinoma
bodies, fatty
159.What GI pathology involves a loss of villi and a decrease in the
change, and micronodular cirrhosis? Chronic alcoholism
absorptive
167.What is the term for a reversible change in which one adult cell
area due to gluten sensitivity? Celiac disease
type is rep
160.What tumor spreads via the lymphatic system into the
laced by another adult cell type? Metaplasia
peritoneum, rectal shel
168.What is a decrease in the size of cells because of the loss of
f, and both ovaries, secondary to metastatic gastric carcinoma?
structural co
Krukenberg's tum
mponents known as? Atrophy
or
169.What hemoglobin-derived pigment contains iron? Hemosiderin
161.What is necrosis and distortion of liver architecture with nodular
170.What brown-black pigment is derived from the oxidation of
regenerat
tyrosine? Melanin
ion and fibrosis known as? Cirrhosis
171.What form of necrosis is seen in the lower extremity or the bowel
162.What disease is due to increased iron deposits causing
due to vas
congestive heart fail
cular occlusion? Gangrenous necrosis
ure
(CHF),
bronze
Hemochromatosis
diabetes,
and
micronodular
cirrhosis?
172.What is the term for depositions of Ca2+ in normal tissue due to hypercalcem
ia? Metastatic calcifications
182.In what rare autosomal recessive disorder do you see
173.What is the most common type of necrosis? Coagulative necrosis
neutropenia, defective
174.What is the increase in the number of cells known as?
degranulation, and delayed microbial killing due to a problem in
Hyperplasia
chemotaxis and
175.What form of necrosis is caused by the actions of lipases on
migration? Chediak-Higashi syndrome
adipose tissue,
183.What is the main cell type of chronic inflammation? Macrophages
seen in acute hemorrhagic pancreatitis? Fat necrosis
(from blood
176.What is the term for cells that have undergone proliferation and
monocytes)
atypical cy
184.What are the two main components of granulation tissue? 1.
tologic alterations involving all sizes, shapes, and orientations?
Fibroblasts 2
Dysplasi
. Neovascularization
a
185.What causes platelets to bind to the collagen of the basement
177.What pigment, called the "aging pigment," is due to free radical
membrane?
injury and
von Willebrand's factor (factor VIII)
lipid peroxidation and is seen in brown atrophy? Lipofuscin
186.What is the term for ischemia to the CNS causing dissolution of
178.The increase in the size of cells due to synthesis, causing an
the tissue d
increase in t
ue to the actions of hydrolytic enzymes? Liquefactive necrosis
he size of the organ, is known as what? Hypertrophy
187.What is a sudden loss of oxygen to tissue, causing death of the
179.What is the term for a collection of epithelioid cells surrounded by
cells becaus
a rim o
e of a cessation of blood flowing to a particular area, known as?
f lymphocytes? Granuloma
Coagulat
180.What form of necrosis is caused by immune-mediated vascular
ive necrosis (most common in heart and kidneys)
damage? Fibrinoi
188.What is the term for depositions of Ca2+ in nonviable or dying
d necrosis
tissue, when
181.What is the term for excess amounts of granulation tissue that
the calcium level in the blood is normal? Dystrophic calcifications
can block reepithelialization
189.What type of necrosis is seen as a part of granulomatous
and wound healing? Proud flesh
inflammation? Gaseous necrosis
190.What are the three causes of transudate? 1. CHF 2. Cirrhosis 3.
199.What is a localized area of necrosis caused by circulatory
Nephrosis
insufficiency kno
191.What is the type of healing that occurs in a clean surgical
wn as? Infarction
incision?
200.What is the term for an abnormal amount of collagen type III that
Primary intention
produces a
192.What protein causes clot retraction? Thrombosthenin
large bulging scar, seen primarily in blacks? Keloid
193.What protein acts as a binding factor in wound healing and
201.What component of the basement membrane binds to collagen
embryogenesis?
type IV and hepari
Fibronectin
n sulfate and is a cell surface receptor? Laminin
194.What IgE-mediated cell secretes major basic protein and has
202.What is the term for an excessive production of collagen that
elevated levels
flattens out a
in the blood during asthma and parasitic infections? Eosinophils
nd does not extend beyond the site of the injury? Hypertrophic scar
195.What are the three platelet aggregating factors? 1. Adenosine
203.What are the three Bs of adult polycystic kidneys? 1. Big 2.
diphosphate
Bilateral 3. B
(ADP) 2. Prostaglandin 3. Thromboxane A2 (TXA2)
erry aneurysm
196.What is the triad of fat embolism? 1. Petechiae 2. Hyperactive
204.What pathway in the coagulation cascade is activated after tissue
mental statu
injury?
s 3. Occurs within 24 to 48 hours of the initial insult (e.g., long bone
Extrinsic pathway
fractur
205.What is an intravascular mass that is carried from its point of
e)
origin to a
197.An intense inflammatory reaction, an increase in the amounts of
distant site known as? Embolism
granulation
206.In what disease do you see horseshoe kidneys, rockerbottom
tissue and wound contraction by myofibroblasts are the characteristics
feet, low-set ear
of what?
s, micrognathia, and mental retardation? Edward's syndrome (trisomy
Healing by secondary intention
18)
198.What are the two most common origins of pulmonary embolism?
207.What genetic disease has an increased risk for developing
1. Deep veins of
carcinoma of the b
the legs 2. The prostatic plexus of veins in the pelvis
reast? Klinefelter's syndrome
208.What is the predominant cell type of humoral immunity? B
chemic necrosis that affect the head of the femur, humerus, and tibia?
lymphocytes
Caisson'
209.What protein causes fibrinolysis? Plasmin
s disease
210.What factors in the coagulation cascade need Ca2+ to be
219.What type of hemostasis occurs in an intravascular space and
activated? Factors
consists of fib
II and X
rin, platelets, and red and white blood cells? Thrombus
211.What tumor comprises 40% of all testicular tumors in children?
220.What disease involves mental retardation, flat face, muscle
Teratoma
hypotonia, and a
212.What most common germ cell tumor can be detected by elevated
"double-bubble" sign on an x-ray and poses an increased risk of
hCG levels and
221.Alzheimer's disease and acute lymphocytic leukemia (ALL)?
metastasizes to the bone, lung, and liver? Choriocarcinoma
Down syndrome (t
213.What pathway in the coagulation cascade is activated by making
risomy 21)
contact with
222.What are the three components of amyloid? 1. Fibrillary protein 2.
foreign substances? Intrinsic pathway
Amyloid
214.What protein is a common activator of the coagulation,
protein 3. Glycosaminoglycans
6brinolytic, and infl
223.What type of hypersensitivity is mediated by IgE? Type I
ammatory systems? Hageman factor (XII)
hypersensitivity
215.What factors in the coagulation cascade need factor Ila
224.What type of hypersensitivity involves the antigen-antibody
(activated) to becom
complex and acti
e activated? Factors V and VIII
vates complement, leading to tissue injury? Type III hypersensitivity
216.What lobe of the brain is most commonly affected by herpes
225.What type of hypersensitivity involves serum sickness, SLE,
virus? Temporal
Arthus reaction,
lobe
and acute glomerulonephritis? Type III hypersensitivity
217.What disease involves microcephaly, mental retardation, cleft lip
226.What test uses gp120 protein when diagnosing HIV? Western
or palate,
blot test
and dextrocardia? Patau's syndrome (trisomy 13)
227.What disease involves a patient with dry eyes and dry mouth; is
218.What disease, caused by decompression sickness, leads to
associated w
multiple foci of is
ith other collagen vascular diseases and B cell dysfunction; occurs in
236.With what are the following microscopic changes associated: loss
women mor
of polarity
e than men; and poses an increased risk of the patient developing a
,
high-grade B
nuclear:cytoplasmic
cell lymphoma? Sjogren's disease
ratio, hyperchromasia, and increase in the rate of mitosis? Malignancy
228.What is the most common fungal infection in HIV? Candida
237.What is the most common pathway for sarcoma to spread?
229.What is the most common infectious agent in HIV? Pneumocystis
Hematogenous pat
carinii
hway
230.What are the two most common viral infections in HIV? 1. CMV
238.What is the most common complement deficiency? C2 deficiency
retinitis
239.What type of erythema do you see in: Ulcerative colitis?
2. HSV-2
Erythema nodosum
231.What is the most common opportunistic infection of the CNS in
Rheumatic fever? Erythema marginatum
HIV? Toxoplas
Stevens-Johnson syndrome? Erythema multiforme
mosis
240.What is the triad of meningitis? 1. Fever 2. Headache 3. Stiff neck
232.What is the term for a hospital-acquired infection? Nosocomial
(Naus
infection
ea, photophobia, and irritability are also commonly seen in patients
233.What are the four DNA oncogenic viruses? 1. HPV (human
with mening
papilloma virus) 2
itis.)
. EBV (Epstein-Barr virus) 3. Hepatitis B 4. Kaposi's sarcoma- HSI/?
241.What carcinoma in the thyroid involves stromal amyloidosis and
234.What disease is X-linked recessive, presents with eczema
an excessive
thrombocytopenia an
release of calcitonin? Medullary carcinoma
d an increased chance of developing recurrent infections, involves a
242.What is the name for an adenoma in the adrenal glands that
decrease in
causes elevated l
serum IgM and in the T cell-dependent paracortical areas of the lymph
evels of aldosterone? Conn's syndrome-page230
nodes, an
243.What does prepubertal hypersecretion of growth hormone lead
d means that the pa Wiskott-Aldrich syndrome
to? Gigantis
235.What is the most common pathway for carcinomas to spread? Via
m
lymphatics
anaplasia,
pleomorphism,
discohesiveness,
increase
in
the
244.What is an ACTH-secreting tumor in the pituitary gland known
251.What bone pathology is associated with teenagers, occurrence in
as? Cushing'
men more tha
s disease
n women, hematogenous spread to the lungs, and Codman's triangle
245.What is a beta cell tumor that secretes an excess of gastrin,
on an x-ray?
which causes m
Osteosarcoma
ultiple peptic ulcers in aberrant locations, known as? Zollinger-Ellison
252.What is the collapse of the vertebral body due to Tb known as?
syndro
Pott's d
me
isease
246.What type of pancreatic tumor has the following common signs:
253.What pathology is associated with cartilage formation in the bone
hypoglycemia,
of the jaw
hunger, sweating, tremors, seizures, and coma? Insulinoma
, shoulder, and pelvic girdle and presents in middle age?
247.The
most
common
causes
of
osteomyelitis:
Overall?
Chondrosarcoma
Staphylococcus aureus
254.What disease is found in persons in the 20- to 40-year-old age
In neonates? Streptococcus agalactiae
range; affect
In patients with sickle cell disease? Staphylococcus aureu.s (but they
s women more than men; occurs at the epiphysis of the knee; and is
are mor
seen as a "so
e prone to developing salmonella infections)
ap bubble" appearance on an x-ray? Giant cell tumor of the bone
In drug addicts? P.seudomonas
255.What disease is seen in the first or second generations; is
248.What renal disease in diabetic patients is seen as a halo of
associated with
capillaries aro
chromosome 11,22; affects men more than women; and has
und the mesangial nodules? Kimmelstiel-Wilson disease
pseudorosettes and an oni
249.With what pancreatic tumor do you see watery diarrhea,
on- skin layering formation? Ewing's sarcoma
hypokalemia, and achl
256.What joint is affected causing Heberden's nodes in osteoarthritis?
orhydria? Vasoactive intestinal peptide (VIP) tumor of the pancreas
Distal i
250.What are the four most common causes of femoral head
nterphalangeal (DIP) joint (Bouchard's nodes are in the proximal
necrosis? 1. Stero
interphalangeal
ids 2. Alcohol 3. Scuba diving 4. Sickle cell anemia
[PIP] joint)
257.What vitamin D deficiency leads to a softening of the bone
munodeficiency? Adenosine deaminase
causing demineral
266.What two components of the complement cascade are
ization? Osteomalacia
anaphylatoxins? 1. C3a 2
258.Podagra, tophi in the ear, and polymorphonucleocytes (PMNs)
. C5a (causes mast cells to secrete histamine)
with monosodium
267.What
urate crystals are associated with what pathology? Gout
contraction? Bradykin
259.With what pathology are bamboo spine on an x-ray and the
ins
haplotype HLA-B27 a
268.What is the most potent vasoconstrictor and can cause platelet
ssociated? Ankylosis spondylitis
aggregation?
260.With what pathology is deposition of calcium pyrophosphate in
TXA2
patients older
269.What prostaglandin is associated with vasodilatation (edema)
than 50 years of age associated? Pseudogout
iand nhibits pl
261.What childhood pathology involves anterior bowing of the tibia,
atelet aggregation? Prostaglandin I2, (PGI2)
epiphyseal e
270.What prostaglandin is associated with vasodilatation, fever, and
nlargements, and costochondral widening with the endochondral
pain?
bones being affect
PGE2
ed? Rickets
271.What are the three characteristics in Virchow's triad of
262.What is the triad of Reiter's syndrome? 1. Peripheral arthritis 2.
thrombosis?
Conju
1. Injury to the endothelium 2. Change in laminar flow 3.
nctivitis 3. Nongonococcal urethritis
Hypercoagulation
263.What are the five chemotactic mediators? 1. LB4, 2. IL-8, 3. C5a,
272.What is collagen and fibrin surrounded by macrophages in
4. TNFa,
rheumatic fever kno
5. N-formyl-methionine
wn as? Aschoff bodies
264.What are the three opsonins? 1. C3b 2. Fc region of IgG 3.
273.What leukotriene is a major chemotactic factor that causes WBCs
Mannose-bi
to adhere to
nding protein
the endothelium? LB4
265.What enzyme is lacking in the autosomal recessive type of
274.What two substances, produced by the body, cause fever? 1.
severe combined im
Interleukin 1
causes
vasodilatation,
pain,
and
smooth
muscle
(IL-1) 2. Tumor necrosis factor (TNF)
in the third to the fifth decade? Scleroderma
275.What three leukotrienes are associated with bronchospasms and
282.What type of hypersensitivity involves autoimmune hemolytic
an increase in
anemia, erythrob
vessel permeability and vasoconstriction? LC4, LD4, and LE4,
lastosis fetalis, Goodpasture's syndrome, parasitic killing, Graves'
276.What substance, derived from IgE-sensitized basophils, causes
disease, an
increased vasc
d myasthenia gravis? Type II hypersensitivity
ular permeability, leukocyte adhesion, chemotaxis, and aggregation
283.What type of hypersensitivity involves systemic anaphylaxis and
along with be
skin and foo
ing one of the most potent platelet stimulators? Platelet-activating fact
d allergies? Type I hypersensitivity
or (PAF)
284.What joints in the hand are most commonly affected by
277.What is the most common organ involved in amyloidosis? Kidney
rheumatoid arthritis?
278.What is the term that describes when treatment for one disease
Proximal interphalangeal and metacarpal phalangeal joints
leads to anot
285.What disease is seen in the 20- to 40-year-old age group, is more
her disease presenting itself? Iatrogenic infection
prevalent
279.What disease involves a failure of the third and fourth pharyngeal
in women than men, involves diarrhea with or without bloody stools,
pouches t
starts in th
o develop, with a lack of T cell immunity causing a poor defense
e rectum and ascends without skipping areas, includes pseudopolyps,
response to cer
and has a th
tain fungal and viral infections and tetany? DiGeorge's syndrome
ickness of the bowe Ulcerative colitis
280.What disease involves a lack of both T cell-mediated and Immoral
286.What disease arises from the adrenal medulla, displaces and
immune resp
crosses the midl
onses that can be either X-linked or autosomal recessive? Severe
ine, metastasizes early, is the most common solid tumor, and is seen
combined
in the 2- t
immunodeficiency
o 4-year-old age group? Neuroblastoma
281.What pathology involves excessive fibrosis throughout the body
287.In which disease do you find a decrease in the bone density and
via increased
thickness of
fibro- blast activity, occurs in women more than men, and is most
the cortex, occurring most commonly in postmenopausal women but
commonly seen
can be induced
by steroids, old age, or idiopathic causes? Osteoporosis
people older than 40 years of age? Paget's disease of the bone
288.What is cortical hypersecretion of the adrenal gland known as?
294.What type of hypersensitivity involves a Tb test, viral infections,
Cushing'
graft re
s syndrome
jections, and tumor-associated antigen? Type IV hypersensitivity
289.What does postpubertal hypersecretion of growth hormone
295.What
cause? Acromega
cytotoxicity?
ly
Type IV hypersensitivity
290.What tumor is seen in the 2- to 4-year-old age group; does not
296.What disease has the following characteristics: occurrence in
cross the mid
women more tha
line; has immature glomeruli, tubules, and stroma; and metastasizes
n men; involvement of the second or third generation; positive ANAs;
late to the
joint pain;
lungs? Wilms' tumor
skin rash in a malar distribution; diffuse proliferate GN; Libman- Sacks
291.What GI pathology is associated with the following: a positive
endoca
string sign,
rditis; and neurolo SLE : MD SOAP N HAIR (malar rash; discoid
an increase in the number of bloody stools, RLQ pain, skip lesions,
lesion; serolo
terminal ile
gic; oligoarthritis; ANA positive; pleuritis/pericarditis; neurologic
um most commonly affected, occurrence in women more than men,
complicati
and an increased t
ons;
hickness of the bow Crohn's disease
antibodies; 3 &
292.What is associated with deposition of an extracellular amorphous
immunologic; and renal)
substance i
297.What form of hypersensitivity includes IgG- or IgM-activating
n the blood vessel walls and connective tissue and green
phagocytosis,
birefringence under pol
complement,
arized light? Amvloidosis
(ADCC)? Type II
293.What disease is characterized by a mosaic pattern of bone
hypersensitivity
marrow replacement
298.What X-linked recessive disease involves failure of maturation of
; involves high-output cardiac failure; and occurs in women more than
pre-B cell
men and in
form
hematologic
or
of
hypersensitivity
involves
T
[leukopenia/thrombocytopenia];
antibody-dependent
cell-mediated
anticardiolipin
cell-mediated
cytotoxicity
s with no surface immunoglobulins, leading to recurrent pyogenic
306.What is the most common cause of meningitis in: Neonates?
infections in i
Escherichia coli
nfants? X-linked agammaglobulinemia
or group B streptococci
299.What syndrome comprises small-cell carcinoma of the lung and
What is the most common cause of meningitis in: Immunized
myasthenia grav
children? Streptoc
is? Lambert-Eaton syndrome
occus pneumoniae
300.What pathologic process and pattern of involvement in the brain
What is the most common cause of meningitis in: Non-immunized
consist of n
children? Haemophi
ecrosis, fibrosis, edema, and gliosis going from the center out?
lus influenzae
Abscess
What is the most common cause of meningitis in: Young adults?
of the brain on a CT scan
Neisseria mening
301.What is the most common site of a contrecoup contusion? Orbital
itidis
surface
What is the most common cause of meningitis in: The base of the
of the frontal lobe
brain? Haemophi
302.What artery is the most common site of infarctions in the cerebral
lus influenzae
circulati
307.What AR disease involves a lack of phenylalanine hydroxylase?
on? Middle cerebral artery
Phenylke
303.What is the most common cause of a cerebral infarct?
tonuria (PKU)
Atherosclerosis/
308.What type of head trauma is characteristic of a fractured temporal
arteriosclerosis
or pariet
304.What
event
involves
the
following
precipitating
factors:
al bone, lucid intervals, headache, and confusion? Epidural
hypertension, diabe
hematoma
tes, aneurysms, atherosclerosis, and occurrence in blacks more than
309.What disease is seen in children younger than 5 years of age; X-
in whites?
linked reces
Intracerebral hemorrhage
sive,
305.What artery is affected in a subarachnoid hematoma? Middle
protuberant bellies;
cerebral artery
an increase then a decrease in CPK; and death in the second
cardiac
myopathies;
generation of life?
calf
pseudohypertrophy;
lordosis;
Duchenne's muscular dystrophy
-abl? Breast cancer
310.What breast pathology involves malignant cells with "halos"
317.What adenocarcinoma presents with elevated levels of acid
invading the epi
phosphatase, dihyd
dermis of the skin? Paget's disease of the breast
rotestosterone, prostate-specific antigen (PSA), and bone pain?
311.What tumor comprises 40% of all testicular tumors in children?
Prostatic carcin
Teratoma
oma
312.What
disease
has
the
following
characteristics:
has
318.What myopathy, due to autoantibodies to ACh receptors, can
autoantibodies to IgG; o
present with thym
ccurs in women more than men; and includes exophthalmos, pretibial
ic abnormalities, red cell aplasia, and muscle weakness? Myasthenia
myxedema, ner
gravi
vousness, heart palpitations, and fatigue? Graves' disease
s
313.What germ cell tumor is seen in the 15- to 35-year-old age group,
319.What two factors of the complement cascade are deficient in the
peaks when
person with
the person is 35 years of age, and is a bulky mass that spreads via
SLE? C2 and C4
the lymphat
320.What aspect of the complement cascade is defective if a patient
ic system? Seminoma
constantly p
314.What sex cell tumor causes precocious puberty, masculinization,
resents with recurrent infections with Neisseria gonorrhoeae or N.
gynecomastia
meningitidis?
in adults, and crystalloids of Reinke? Leydig cell tumor
Membrane attack complex-MAC (C5 to C9)
315.What
thyroid
pathology
causes
dwarfism,
retarded
bone
321.What disease involves "cold" skin abscesses due to a defect in
maturation, myxedema,
neutrophil ch
mental retardation, and decreased T4 with increased thyroid-
emotaxis and a serum IgE level higher than 2000? Job's syndrome
stimulating hormone
322.What X-linked recessive disease, deficient in NADPH oxidase,
(TSH) levels? Cretinism
presents with c
316.What are the following risk factors characteristic of: late
atalase- positive infections? Chronic granulomatous disease (30% are
menopause, early
AR)
menarche, obesity, nulliparity, excessive estrogen, genetic factor p53,
323.When does fetal IgM first appear in the fetal circulation? Third
and brc
trimester
(6 to 9 months)
331.What is the only immunoglobulin found in the fetal circulation in
324.Hereditary angioneurotic edema (AD) presents with local edema
the second
in which organ
trimester? Maternal IgG
s? GI, skin, respiratory tract
332.How does maternal immunoglobulin cross the placenta to get into
325.What enzyme deficiency causes increased capillary permeability
fetal circul
due to a rele
ation? Fc receptor on the heavy chain of the immunoglobulin via
ase of vasoactive peptides? C1 esterase inhibitor (C1INH)
active transpor
326.What AR disease contains the most common neutrophil defect?
t
Myeloperoxidase
333.What disease involves a deficiency in IgM; elevated IgA; normal
deficiency
IgG; and rec
327.How can a deficiency in adenosine deaminase be a bone marrow
urrent pyogenic infections, especially from pneumococci; and
suppressor?
thrombocytopenia?
It causes a buildup of dATP, which inhibits ribonucleotide reductase
Wiskott-Aldrich syndrome
and leads t
334.What syndrome in children involves hypofunction of the adrenal
o a decrease in deoxynucleoside triphosphate (a precursor of DNA),
glands due to
resulting in
bilateral
overall bone marrow suppression.
associated with meni
328.What disease involves an adenosine deaminase deficiency, B
ngococcemia? Waterhouse- Friderichsen syndrome
and T cell defici
335.What thyroid carcinoma presents with psammoma bodies?
ency,
and
defective
IL-2
receptors?
Severe
combined
hemorrhagic
infarctions,
which
are
most
commonly
Papillary carcin
immunodeficiency (SCID)
oma of die thyroid
329.What AR disease presents with B and T cell deficiencies,
336.In what disease do you see a large, hard, fibrous proliferation of
lymphopenia, an IgA
the conne
deficiency, cerebellar problems, and spider angiomas? Ataxia-
ctive tissue of the thyroid? Riedel's thyroiditis
telangiectasia
337.What thyroid pathology presents with a "cold," solitary, discrete
330.What immunoglobulins are present on the surface of mature B
nodule?
cells? IgM and
Adenoma of the thyroid
IgD
338.What cell type involves Immoral immunity? B lymphocytes
339.What
disease
involves
a
goiter,
hypothyroidism,
and
hythmias,
bone
resorption,
kidney
stones,
and
metastatic
autoimmunity due to ag-s
calcifications?
pecific suppressor T cells and occurs in women more commonly than
Primary hyperparathyroidism
in men?
348.What
Hashimoto's thyroiditis
hyponatremia, hypoglycemia
340.How is gonadal sex determined? The gonads' histologic
, and hyperkalemia along with skin pigmentation? Addison's disease
characteristics
349.What disease, with familial mental retardation, presents with large
341.How is ductal sex determined? Presence of mullerian or wolffian
everted
ducts
ears and macroorchidism? Fragile X syndrome
342.How is phenotypic sex determined? Appearance of external
350.What
genitalia
Serocystadenocarcinoma
343.What disease presents with severe mental retardation, VSD,
351.What cystic swelling of the chorionic villi is the most common
asymmetric face,
precursor of
microcephaly, and chromosome 5p deletion? Cri du chat
choriocarcinoma? Hydatidiform mole
344.What is primary hyperparathyroidism most commonly due to?
352.What estrogen- or progesterone-producing tumor is associated
Chief cell adeno
with Call-Exner
ma (80%)
bodies? Granulosa cell tumor
345.What are low levels of Ca2+ and P04 along with neuromuscular
353.What ovarian pathology is associated with Turner's syndrome or
irritability si
malformation
gns of? Hypoparathyroidism
of the genitals and comprises 50% of all malignant germ cell tumors?
346.What pathology has the following signs: severe headache,
Dysgermi
palpitations with o
noma
r without tachycardia, diaphoresis, anxiety, nervousness, and
354.What ovarian pathology involves ectoderm, endoderm, and
hypertensive episo
mesoderm in a histol
des? Pheochromocytoma
ogic section and is most commonly seen in the early reproductive
347.What pathology has the following signs: elevated levels of Cat+,
years? Dermoid
cardiac arr
cyst (teratoma)
adrenal
ovarian
pathology
pathology
presents
involves
with
hypotension,
psammoma
bodies?
355.What AR disease involves a deficiency in glucocerebrosidase,a
362.What AR disease involves a deficiency in tyrosinase, poses an
huge spleen, a
increased risk
nd engorged phagocytic cells and is associated with chromosome 1?
of developing basal cell or squamous cell carcinoma, and is
Gaucher'
associated with chr
s disease
omosome llp? Albinism
356.What disease, with an abnormality in collagen type I, presents
363.What is the most common fatal recessive disease in whites?
with "blue sc
Cystic fibrosis
lera"? Osteogenesis imperfecta
364.What AR disease has a deficiency in homogentisic oxidase that
357.What small, subareolar, solitary tumor that affects the lactiferous
causes brittle
ducts pr
, fibrillated articular cartilage, blue-black pigmentation of collagen, and
esents with bloody discharge from the nipple? Intraductal papilloma
urin
358.What cell consists of a binucleate giant cell with eosinophilic
e that turns black upon standing? Alkaptonuria
inclusions?
365.What
Reed-Sternberg cells
sphingomyelinase, massive org
359.What disease involves bilateral, enlarged, pale ovaries and
anomegaly, zebra bodies, and foamy histiocytes microscopically and
presents with in
is associated
fertility, hirsutism, obesity, secondary amenorrhea with elevated levels
with chromosome llp? Niemann-Pick disease
of LH,
366.What disease has multiple schwannomas, cafe au lait spots on
testosterone, and low levels of FSH? Polycystic ovaries
the skin, and L
360.What benign tumor of the breast, seen in the young, is well
isch
demarcated and h
Neurofibromatosis I
as a very low risk of cancer? Fibroadenoma
(chromosome 22q is with neurofibromatosis II and no Lisch nodules
361.What breast pathology commonly occurs bilaterally in the upper
either)
outer quadran
367.Name the AD disease associated with chromosome 15 in which
ts, and includes microcalcifications, hypertrophy of the ducts, apocrine
the patient has l
metapla
ong extremities, lax joints, pigeon chest, and posterior mural leaflet
sia, sclerosing adenoma, and blue-domed cysts? Fibrocystic change
prolapse,
of the breast
AR
nodules
disease
and
is
involves
associated
a
decreased
with
amount
chromosome
of
17q?
and is prone to developing dissecting aortic aneurysm? Marfan's
372.What is the most common cause of death in this disease? Suicide
syndrome
373.In utero death, caused by a complete lack of an alpha chain, is
368.What AR disease involves a defect in amino acid 508 on
known as wha
chromosome 7, causing
t? Hydrops fetalis
a defect in Cl- transportation that leads to recurrent pulmonary
\
infections and
374.What AR disease involves a substitution of valine for glutamic
an increase in viscid mucoid secretions along with pancreatic
acid at posit
insufficiencies?
ion 6 on the beta chain? Sickle cell anemia
Cystic fibrosis (Parents are usually the first to find out because the
375.What AD disease involves a defect in spectrin and leads to
baby tast
jaundice, splenom
es salty.)
egaly, and cholecystitis? Hereditary spherocytosis
369.What AD disease, associated with chromosome 19, involves a
376.What spinal cord pathology is caused by a degeneration of the
defect in the LDL
cortical spina
receptors,
leading
to
skin
and
tendon
xanthomas?
Familial
ls, leading to weakness, fasciculations, hyperreflexia, and spasticity?
hypercholestero
Amyotrop
lemia
hic lateral sclerosis (ALS)-Lou Gehrig's disease
370.In what syndrome does the patient have angiomatosis; renal cell
377.What are the two reasons for megaloblastic anemia with elevated
carcinomas;
mean corpusc
pheochromocytomas; retinal, cerebellar, medulla, or spinal cord
ular volume (MCV)? 1. Vitamin B12 deficiency 2. Folate deficiency
hemangioblastoma
378.What are the five reasons for normochromic normocytic anemia
s; and epidermal cysts? von Hippel-Lindau syndrome
with a normal M
371.What AD disease is associated with chromosome 4p; does not
CV
present until the
hypersplenism 2. Trauma 3.
person is in his or her 30s; and involves atrophy of the caudate
Anemia 4. Spherocytosis 5. Sickle cell anemia
nucleus, dilat
379.What are the four reasons for hypochromic microcytic anemia
ation of the lateral and third ventricles, and signs of extrapyramidal
with a low MCV?
lesions?
1. Sideroblastic anemias (i.e., porphyrin and heme synthesis
Huntington's disease
disorders) 2. Thala
and
an
elevated
reticulocyte
count?
1.
Autoimmune
ssemia 3. Iron deficiency 4. Lead poisoning
386.What disease affects the basal ganglia and the substantia nigra,
380.What are the three causes for normochromic normocytic anemia
produces co
with a normal M
gwheel rigidity, mask-like faces, and resting tremors; and reveals
CV and a low reticulocyte count? 1. Marrow failure 2. Cancer 3.
Lewy bodies m
Leukemia
icroscopically? Parkinson's disease
381.How is iron-deficiency anemia differentiated from the other forms
387.What pathology has bilateral periventricular plaques, perivascular
of hypochr
inflammat
omic microcytic anemia? RDW value greater than 15 (indicative of
ion, and demyelination and is thought to be autoimmune or brought on
iron-deficiency
by a viral
anemia)
infection? Multiple sclerosis
382.What CNS tumor is seen in persons between 40 and 50 years of
388.What type of vascular pathology, involving damage to the
age; occurs in
bridging veins that
men more than women; affects the cerebral brain stem; is GFAP-
drain into the superior sagittal sinus, is due to blunt trauma and is
positive; has a po
seen most
or prognosis; and microscopically displays pseudopalisades,increased
commonly in old people? Subdural hematoma
cellularity
389.What pathology is associated with a bloody lumbar puncture,
, pleomorphism, neo Glioblastoma multiforme
which is caused
383.In what CNS tumor, arising from arachnoid cells, do you see
most commonly by a ruptured berry aneurysm that produces the worst
psammoma bodies?
headache that
Meningioma occurs in (women more often than in men).
the person has ever experienced? Subarachnoid hemorrhage
384.What CNS pathology has a protracted history of seizures, occurs
390.What is the most common intramedullary spinal cord tumor?
in the 30- t
Ependymoma
o 40-year-age range, and microscopically involves "fried egg" cells?
391.What is the most common cause of dementia; occurs in women
Oligoden
more than men in
droglioma
the 60- to 90-year-old age group; and is associated with (32 amyloid,
385.In what disease do you see atrophy of the frontal and temporal
senile pla
lobes ("walnu
ques, and neuroflbrillary tangles? Alzheimer's disease
t brain")? Pick's disease
392.What common cause of hypogonadism in men involves testicular
399.What type of person has testicular tissue with female genitalia
atrophy, azoosp
and both the
ermia, gynecomastia, and Barr bodies? Klinefelter's syndrome
Y chromosome and testis present? Male pseudohermaphrodite 3 &
393.What is the main type of cell involved in cellular immunity? T
"Dude looks
lympho
like a lady!"
cyte
400.What type of person presents with male external genitalia and is
394.What is the syndrome associated with women of short stature
46XX owing
with a web neck,
to excess exposure to androgenic steroids during the early stage of
a low posterior hairline, streaky ovaries, and preductal coarctation of
gestation?
the aor
Female pseudohermaphrodite
ta? Turner's syndrome
401.What syndrome has the following components: hypertension,
395.What is the term for a person with ambiguous external genitalia
proteinuria, hemat
who has both
uria, azotemia, and oliguria? Nephritic syndrome
ovarian and testicular tissue (Note: 66% of such persons are 46 XX.)?
402.What type of glomerular nephritis (GN) occurs most commonly in
True her
children afte
maphrodite (due to an X,Y translocation)
r a pharyngeal or skin infection; is immune complex mediated; and is
396.What type of Ehlers-Danlos syndrome is X-linked recessive and
seen as "lu
is caused by a
mpy-bumpy"
defect in copper metabolism, causing a problem with cross-linking
nephritis
collagen and
403.In what type of GN, seen in the 2- to 6-year-old age group, is
elastin fibers? Type IX
there albumin
397.What type of Ehlers-Danlos syndrome involves decreased activity
uria and effacement of the visceral epithelial foot process with no
of lysyl hyd
deposits?
roxylase and affects collagen types I and III the most? Type VI (AR)
Minimal change disease (lipoid nephrosis)
398.What type of Ehlers-Danlos syndrome involves a deficiency in
404.What type of GN, associated with celiac disease and dermatitis
procollagen- Npeptidase?
herpetiformis
Type VII (AR)
, has mesangial deposits of IgA, C3, properdin, IgG, and IgM?
subepithelial
Berger's disease
deposits?
Postinfectious
glomerular
(IgA nephropathy)
skin, is a precursor to squamous cell carcinoma? Keratoacanthoma
405.What pathology has pulmonary and renal basement membrane
413.True or false-Hodgkin's lymphoma affects Waldeyer's ring? False;
involvement and cre
non-Hodgk
scent formation and involves type II hypersensitivity? Goodpasture's
in's disease affects Waldeyer's ring and the periaortic nodes
syndrome
414.What pathology is due to increased resorption or impaired
406.In what AD pathology is there a derangement of the epiphyseal
synthesis of bone,
cartilage grow
resulting in decreased bone mass,
th, causing a large skull and a normal-sized vertebral column?
postmenopause, inactiv
Achondroplasia
ity, hyperthyroidism, hyperadrenocorticism, and Ca2+ deficiency?
407.What gynecologic pathology occurs in the third and fourth
Osteopor
decades, is the ca
osis
use of 18 to 25% of all gynecologic laparoscopic procedures, and
415.What is a circumscribed, flat, nonpalpable pigmented change up
presents with c
to 1 cm?
hocolate cysts? Endometriosis
Macule (e.g., a freckle)
408.What form of GN is characteristically associated with crescent
416.What is a palpable, elevated solid mass up to 0.5 cm? Papule
formation?
417.What is the most common tumor on sun-exposed sites that rarely
Rapidly progressive glomerulonephritis (RPGN)
metastasizes
409.What type of GN has C3, IgG, C1q, C4 along with subendothelial
but is locally aggressive and has palisade arrangements of the nuclei?
deposits?
Basal ce
MPGN type I (two thirds of the MPGN cases)
ll carcinoma
410.What type of skin carcinoma occurs on sun-exposed sites, has a
418.What is an elevated, fluid-filled cavity between skin layers up to
low level of
0.5 cm?
metastasis, and involves keratin pearls? Squamous cell carcinoma
Vesicle (e.g., poison ivy)
411.A herniation of the brain through a defect in the skull is known as
419.What is an elevated, fluid-filled cavity between the layers greater
what?
than 0.5
Fungus cerebri
cm? Bulla
412.What type of skin pathology, located on the central face and on
420.What melanocytic tumor has a neural filament tumor marker and
sun-damaged
vertical or ra
and is associated with
dial growth? Malignant melanoma
427.What lymphoma arises from germinal follicles and is associated
421.What benign neoplasm has the total lesion above the level of the
with proto- o
skin with a
ncogene bcl-2 due to translocation of chromosome 14,18? Follicular
"pasted on appearance"? Seborrheic keratosis
lymphoma
422.What are the gray-black patches of verrucous hyperkeratosis,
428.What variant of small lymphocytic lymphoma has a slow course
usually found i
and elevated le
n the axillary folds, that can be a sign of an underlying malignancy?
vels of IgM that lead to hyperviscosity syndrome and blindness?
Acanthos
Waldenstrom's ma
is nigricans (It is commonly seen in obese patients.)
croglobulinemia
423.What is it called when the posterior cerebellar mass pushes the
429.What lymphoma is seen in male adolescents, is associated with a
tonsils thro
thymic mass,
ugh the foramen magnum? Tonsillar herniation
and progresses to ALL? Lymphoblastic lymphoma {verify this}
424.What form of lymphoma is diffuse in the lymph node, has an IgM
430.What is the term for the condition in which the brain is pushed
spike, slowly
under the fa
evolves to chronic lymphocytic leukemia (CLL), is seen in the old, and
lx cerebri by a one-sided mass lesion? Subfalcial herniation
also has
431.What
liver, spleen, and bone marrow involvement? Small-cell lymphoma
Craniopharyngioma
425.What lymphoma is a diffusely mixed, diffusely large cell that
432.What variant of Hodgkin's lymphoma occurs least frequently, is
grows rapidly
seen in peopl
and consists mainly of B cells along with "null" cells? Diffuse
e younger than 35 years of age, is localized, has an excellent
aggressive lymph
prognosis, and in
oma
volves mainly lymphocytes and a few Reed-Sternberg cells?
426.What lymphoma forms 30% of childhood lymphomas, is linked to
Lymphocyte predo
EBV, is associa
minant
ted with chromosome 8,14q translocation, and has a "starry sky"
433.What variant of Hodgkin's lymphoma is the most common type;
pattern of invol
involves women m
vement on a histologic section? Burldtt's lymphoma
ore than men; occurs in adolescence more than in old age; affects the lower cerv
CNS
tumor
arises
from
Rathke's
pouch?
ical, supraclavicular, and mediastinal lymph nodes with broad bands
440.What
leukemia
is
associated
with
a
chromosome
9,22
of fibrous t
translocation; constitute
issue and "lacunar" Nodular sclerosis
s 80% of childhood leukemias; and has blasts with PAS-positive
434.What variant of Hodgkin's lymphoma is widespread with
material and term
extensive fibrosis and
inal deoxy-transferase (TdT) marker present? Acute lymphocytic
necrosis, occurs in older patients, involves many Reed-Sternberg
leukemia (ALL)
cells, and has
441.What leukemia is seen in the 15- to 39-year-old age group, has
a poor prognosis? Lymphocyte depletion
blasts with m
435.What variant of Hodgkin's lymphoma can be localized or
yeloperoxidase-positive granules, tends to invade tissues, and is
widespread and has an
associated wit
intermediate prognosis with lymphocytes, eosinophils, plasma cells,
h a poor prognosis? Acute myelocytic leukemia (AML)
histiocytes
442.What leukemia is seen in the 25- to 60-year-old age group and is
, and Reed-Sternberg cells? Mixed cellularity
associated
436.What AR disease involves a deficiency in hexosaminidase A and
with chromosome 9,22 translocation, bcr-abl oncogene, and blast
cherry red spo
crisis? Chronic
ts on the retina; is seen more commonly in Jewish people; and is
myeloid leukemia (CML)
associated with
443.What leukemia is the most indolent of all leukemias; affects
chromosome 15q? Tay-Sachs disease
persons older t
437.Name the condition described by the following: Adenomas of the
han 55 years of age; and is associated with trisomy 12 (Hint: 95% are
thyroid, para
B cell neo
thyroid, and adrenal cortex along with Zollinger-Ellison syndrome?
plasms.)? Chronic lymphocytic leukemia (CLL)
Multiple
444.What type of GN has C3 MPGN type II deposits in irregular
endocrine neoplasia, type I (MEN I)-Wermer's syndrome
granular/linear fo
438.Pheochromocytoma, medullary carcinoma of the thyroid, and
ci and intramembranous deposits of unknown material? MPGN Type
adenoma of the par
II
athyroid? MEN Ila-Sipple's syndrome
445.What is the term for a News benign melanocytic tumor? Nevus
439.What cranial nerve is most commonly affected in a schwannoma?
1.Which muscarinic receptor uses a decrease in adenyl cyclase as its
CN VIII
second mess
enger? M2
13.What two drugs inhibit the release of neurotransmitters from
2.What drug is used to differentiate a cholinergic crisis from
storage granules
myasthenia gravis
? 1. Guanethidine 2. Bretylium
? Edrophonium
14.What drug blocks intragranular uptake of norepinephrine (NE)?
3.What drug causes a gradual loss of choline from the presynaptic
Reserpin
nerve terminal
e
by blocking its reuptake? Hemicholium
15.What two drugs, when mixed, can lead to malignant hyperthermia?
4.What is the only site in the body that uses Ml receptors? The
1. Succi
stomach
nylcholine 2. Halothane (Treatment is with dantrolene.)
5.What drug is an Ml-specific antispasmodic? Pirenzepine
16.In what phase of noncompetitive depolarization does no further
6.What is the most potent neuromuscular junction Mocker (NMJB),
depolarization
and also has no
occur, producing a desensitized block? Phase 2
cardiovascular side effects? Doxacurium
17.What adrenergic receptors use inositol triphosphate (IP3) and
7.What antimuscarinic is used as an inhalant for asthma? Ipratropium
diacylglycerol
8.What is the antidote for organophosphate ingestion? Atropine and
(DAG) for their second messenger system? a1-Receptors
2-PAM (pral
18.What a1-agonist is used to treat paroxysmal atrial tachycardia with
idoxime)
hypotensi
9.What is the drug of choice for atropine or tricyclic antidepressant
on? Metaraminol (a1, ß1)
(TCA) over
19.What a1-agonist, not inactivated by catechol-O- methyl transferase
dose? Physostigmine
(COMT), is
10.What is the rate-limiting step for norepinephrine synthesis?
used as a decongestant and also for treatment of paroxysmal atrial
Tyrosine hydroxy
tachycardia?
lase
Phenylephrine
11.What two enzymes are blocked by disulfiram? Aldehyde
20.What ß2-agonist is used in the prophylactic treatment of asthma?
dehydrogenase and dopam
Salmeter
ine ß-hydroxylase
ol
12.What is the monoamine oxidase B (MAOB) inhibitor? Selegiline
21.What two ß2-agonists cause myometrial relaxation? 1. Ritodrine 2. Terbutal
ine
31.In what three areas of the body are sympathetics the predominant
22.A hypertensive crisis can be caused by the addition of an MAO
tone?
inhibitor and w
1. Sweat glands 2. Arterioles 3. Veins
hat? Tyramine
32.What three ß-blockers are used in the treatment of glaucoma? 1.
23.What group of drugs is known as the "antihypertensive" group? a1-
Propranolol 2
Antag
. Timolol 3. Carteolol
onists
33What two ß-blockers decrease serum lipids? 1. Pindolol 2.
Why? Because they decrease total peripheral resistance (TPR) and
Acebutolol
preload with
34.In what area of the brain can an excess of dopamine lead to
no change in heart rate or cardiac output
psychotic symptom
24.What
mixed
a-antagonists
are
used
for
patients
with
s? Mesocortical area
pheochromocytoma?
35.What area of the brain is linked to emotion and movement?
Phentolamine and phenoxybenzamine
Mesolimbic syste
25.What a2-antagonist is used to treat impotence and postural
m
hypotension?
36.What two drugs block dopa-decarboxylase in the periphery to
Yohimbine
decrease the conv
26.What drug that penetrates the blood-brain barrier is found in
ersion of L-dopa to dopamine? 1. Carbidopa 2. Benserazide
asthma preparat
37.What is the drug of choice for early Parkinson's disease?
ions and used as a nasal decongestant? Ephedrine
Selegiline
27.What two ß2-agonists are used to produce bronchodilatation? 1.
38.What antiviral agent is used in the treatment of drug-induced
Metaprotereno
Parkinson's dis
l 2. Albuterol
ease? Amantadine
28.What ß-blocker is also an a-blocker? Labetalol
39.What drug which causes Ca2+ independent release of dopamine
29.What are the four cardioselective ß-blockers? 1. Bisoprolol 2.
is used to treat
Atenolol 3. Met
attention deficit hyperactive disorder (ADHD) and narcolepsy?
oprolol 4. Acebutolol (BAMA)
Methylphenidate
30.What ß-blocker is also a membrane stabilizer? Propranolol
40.What dopamine-2 (D2) agonist is used to treat neuroleptic malignant syndrome?
Bromocriptine
Clozapine
41.What cofactor of dopa- decarboxylase decreases the efficacy of L-
51.What is the drug of choice for status epilepticus? Diazepam
dopa?
52.What two neuroleptic agents are associated with tardive
Vitamin B6
dyslunesia? 1. Haldo
42.What three drugs can cause gingival hyperplasia? 1. Phenytoin 2.
l 2. Fluphenazine
Cyclospo
53.What neuroleptic agent causes retinal deposits, hypotension, and
rine 3. Nifedipine
torsades de
43.What antiepileptic agent has syndrome of inappropriate antidiuretic
pointes? Thioridazine
hormone (
54.What neuroleptic has amoxapine as a metabolite? Loxapine
SIADH) as a side effect? Carbamazepine
55.What is the only neuroleptic that does not cause an increase in
44.What drug is used for partial seizures and Lennox-Gastaut
weight or app
syndrome in childre
etite? Molindone
n? Felbamate
56.What TCA causes sudden cardiac death in children? Desipramine
45.What
is
the
drug
of
choice
for
trigeminal
neuralgia?
57.What TCA is used to treat enuresis? Imipramine
Carbamazepine
58.What class of antidepressants are associated with insomnia?
46.What are the first signs of overdose from Phenobarbitals?
Serotonin select
Nystagmus and at
ive reuptake inhibitors (SSRIs)
axia
59.What monoamine oxidase inhibitor (MAOI) does not cause a
47.What drug, used for partial seizures, inhibits the release of
hypertensive crisis?
glutamate and c
Selegiline
auses rashes in 45% of patients taking it? Lamotrigine
60.What occurs if you mix an MAOI and a sympathomimetic? Severe
48.What benzodiazepine is used to treat absent mal seizures?
hypertens
Clonazepam
ion, which can lead to subarachnoid hemorrhage
49.What are the two drugs of choice for simple partial seizures? 1.
61.What two TCAs are considered to be heavily sedative? 1.
Carba
Amitriptyline 2. Traz
mazepine 2. Phenytoin
odone
50.What is the only neuroleptic agent that does not cause
62.What neuroleptic agent is also considered to be an antihistamine?
hyperprolactemia?
Risperid
one
75.What is the neurotransmitter (NT) at the mu receptor? ß-Endorphin
63.What TCA is used to treat obsessive-compulsive disorder and is
76.What is the NT at the delta receptor? Enkephalin
said to cause
77.What is the NT at the kappa receptor? Dynorphin
aggressive behavior? Clomipramine
78.Which type of receptor antagonist is the most clinically efficacious?
64.What neuroleptic agent causes agranulocytosis and also has no
Competitive antagonist
tardive dyslcin
79.Which type of antagonist acts on the same receptor as the agonist
esia as a side effect? Clozapine
that it blo
65.What drug decreases mood swings and is used for the manic
cks? Pharmacologic antagonist
phase of a bipolar
80.How are water-soluble drugs eliminated primarily? Via the kidneys
illness? Lithium
81.What class of pharmaceuticals are initially inactive but are then
66.What group of drugs potentiate the activity of gamma-aminobutyric
metabolized
acid (GABA)
to their active products? Prodrugs
? Benzodiazepines
82.How are drugs that are excreted via the biliary system resorbed by
67.What
benzodiazepine
is
used
for:
Anxiety/panic
attacks?
the GI tra
Alprazolam
ct? Enterohepatic cycling
68.Absence seizures and as an anticonvulsant? Clonazepam
83.What body fluid preferentially breaks down esters? Blood
69.Alcohol withdrawal and as an anticonvulsant? Clorazepate
84.Which type of antagonist takes out a drug by binding to it?
70.Status epilepticus, as a preoperative medication? Diazepam
Chemical antagon
71.Preoperative medication? Lorazepam
ist
72.What benzodiazepines are activated outside of the liver?
85.Which type of antagonist directly reverses the action of a drug by
Oxazepam, temaze
working on
pam, and lorazepam (OTL = "outside the liver")
a different receptor? Physiologic antagonist
73.What benzodiazepine antagonist is used for benzodiazepine
86.Quantal dose-response curves indicate what two things about a
overdose? Flumazen
drug in a patie
il
nt population? 1. Margin of error 2. Relative safety
74.What are the three signs of morphine overdose? 1. Pinpoint pupils
87.When an agonist drug binds to its receptor, what type of
2. De
mechanism does it ac
creased respiratory rate 3. Coma
tivate? Effector mechanism
88.What are the four types of signaling mechanisms? 1. Intracellular
102.What monobactam is resistant to ß-lactamases of some bacteria?
recepto
Aztreona
rs 2. Membrane receptors 3. Enzymes 4. Intracellular effectors
m
89.What are the two factors that influence low oral bioavailability? 1.
103.What are the drugs used in the triple treatment of Helicobacter
First
pylori?
-pass metabolism 2. Acid lability
Pepto-Bismol, metronidazole, and erythromycin or amoxicillin
90.What do the following values stand for: EDS ? Effective dose for
104.What is the commonly IV opioid used in surgery? Fentanyl
50% o
105.Which IV agent has the lowest incidence of postoperative emesis
f drug takers (median effective dose)
and has the
91.TD50? Toxic dose for 50% of drug takers (median toxic dose)
fastest rate of recovery? Propofol
92.LD50? Lethal dose for 50% of drug takers (median lethal dose )
106.What is the major pulmonary side effect of mu-activators?
93.What is the equation for a drug's ther-a e~utic index? LD50 divided
Respiratory depr
by
ession
ED50
107.Which drug causes dissociative anesthesia and is used mainly in
94.What does the FDA regulate? Efficacy and safety of drugs
pediatric su
95.Which phases of drug testing require an investigational new drug
rgery? Ketamine
exemption?
108.Which short-acting benzodiazepine is often used for conscious
Phases I, II, and III
sedation?
96.How many years do preclinical animal studies last? 2 to 5 years
Midazolam
97.How many phases of clinical testing are there? Four phases
109.What is the most commonly used IV opioid in cardiovascular
98.Before which phase of clinical testing is a new drug application
surgery? Morphine
applied for?
sulfate
Phase IV
110.What toxicities are caused by the following agents: Occupational
99.How many years does clinical testing last? 4 to 5 years
nitrous oxi
100.What antineoplastic drug is a prodrug? Flucytosine
de exposure? Anemia
101.What carbapenem is resistant to penase and is a partial cell wall
MethoxyHurane? Nephrotoxicity
inhibitor?
Halothane? Hepatitis, with or without necrosis
Imipenem
111.What is the only local anesthetic that does not cause
122.What form of antimicrobial therapy is better to treat an
vasodilatation?
immunocompromised p
Cocaine (It is vasoconstrictive.)
atient? Bactericidal
112.Do opioids increase or decrease uterine smooth muscle tone?
123.What drug used to treat alcoholism has a long half-life and is
Decrease-but the
given orally?
y increase ureter smooth muscle tone
Naltrexone
113.What are the two side effects of opioids to which the user will not
124.What is the site of action for carbonic anhydrase inhibitors?
develop
Proximal
tolerance? 1. Constipation 2. Miosis
tubule
114.What two classes of drugs can cause schizoid behavior? 1.
125.What is the site where local anesthetics bind? Inactive Na+
Clucocorticoi
channels
ds 2. Amphetamines
126.Which bactericidal agents interfere with cell wall synthesis by
115.What is another name for prolactin inhibiting factor? Dopamine
inhibiting t
116.What is the mechanism behind tardive dyskenesia? Dopamine
ranspeptidation? Penicillins
receptor upregu
127.What are the three ß-lactamase inhibitors? 1. Clavulanic acid 2.
lation
Sulbactam
117.What sedative-hypnotic is used for alcohol withdrawal? Diazepam
3. Tazobactam
118.To what is inhalational anesthesia potency proportional? Lipid
128.What sulfonamide is the drug of choice in treating: UTIs?
solubility
Sulfisoxazole
119.What is the only commonly used inhalant that is not a
Toxoplasmosis? Sulfadiazine and pyrimethamine
halogenated hydrocarbo
Malaria prophylactically? Sulfadoxine and pyrimethamine
n? Nitrous oxide
Ophthalmic infections? Sulfacetamide
120.Which sedative-hypnotic is contraindicated in patients on warfarin
Crohn's or ulcerative colitis? Sulfasalazine
therapy?
129.What
Chloral hydrate
(Sulfonamides block
121.What is the triad associated with "serotonin crisis"? Myoclonus,
dihydropteroate synthase.)
hyper
130.What are the two "broad-spectrum" penicillins? 1. Ampicillin 2.
thermia, and rigidity
Amoxici
drug
blocks
dihydrofolate
reductase?
Trimethoprim
llin
142.What two tetracyclines have the highest plasma binding? 1.
131.Which penicillin can cause interstitial nephritis? Methicillin
Doxycycline 2
132.What form of penicillin is stable in acid environments? Penicillin-V
. Minocycline
133.What form of penicillin is used in the treatment of life-threatening
143.Renal tubular acidosis, nephrosis, and amino aciduria constitute
illness
the triad o
es? Penicillin-G (benzylpenicillin)
f what syndrome? Fanconi-like syndrome
134.What is the drug of choice in the treatment of Pneumocystis
144.What is the cephalosporin of choice for Pseudomonas infections?
carinii pneumoni
Ceftazid
a? Sulfonamide/trimethoprim
ime
135.What are the five penicillinase-resistant penicillins? 1. Cloxacillin
145.Which bacteriostatic drug inhibits translocation of protein
2
synthesis by bin
. Oxacillin 3. Nafcillin 4. Dicloxacillin 5. Methicillin (CONDM)
ding to the 50S ribosomal subunit and is a narrow-spectrum antibiotic
136.Which antiviral agent is teratogenic? Amantadine
used for p
137.Which broad-spectrum antibiotic inhibits the attachment of amino
ulmonary infections? Erythromycin
acyl tRNA b
Vestibular toxicity is associated with what tetracycline? Minocycline
y binding to the 30S ribosomal subunit? Tetracycline
Hepatotoxicity is associated with what tetracycline? Chlortetracycline
138.Which tetracycline is used in the treatment of SIADH?
146.Which two cephalosporins cross the blood-brain barrier? 1.
Demeclocycline
Cefuroxime 2.
139.Which tetracycline is used when there is a decrease in renal
Cefaclor
function?
147.What
Doxycycline
mechanisms? 1. Cefam
140.With which two tetracyclines is phototoxicity associated? 1.
andole 2. Cefoperazone 3. Ceftriaxone
Doxycycline 2
148.What three cephalosporins can produce disul6ram-like reactions?
. Minocycline
1. Cefam
141.Which drug inhibits peptidyl transferase enzyme and binds to the
andole 2. Cefoperazone 3. Moxalactam
50S ribosom
149.What three cephalosporins inhibit vitamin K-dependent factors?
al subunit? Chloramphenicol
1. Cefam
three
cephalosporins
are
andole 2. Cefoperazone 3. Moxalactam
eliminated
via
biliary
150.What three cephalosporins have good penetration against
161.What is the drug of choice for methicillin-resistant Staphylococcus
Bacteroides fragilis
aureus?
? 1. Cefotetan 2. Cefoxitin 3. Ceftizoxime
Vancomycin
151.What cephalosporin-like drug has excellent coverage against
162.Which drugs bind to the 30S ribosomal subunit and interfere with
gram-positive an
the initiat
d gram-negative bacilli activity and is used in conjunction with the
ion complex, causing a misreading of mRNA? Aminoglycosides
enzyme inhi
163.What is the drug of choice for asymptomatic meningitis carriers?
bitor cilastatin? Imipenem
Rifampin
152.What
is
the
drug
of
choice
for
penicillin-resistant
164.Which three aminoglycosides have vestibular toxicity? 1.
gonococcalinfections?
Streptomycin
Spectinomycin
2. Gentamicin 3. Tobramycin
153.Which drugs block the enzyme DNA gyrase? Quinolones/nalidixic
165.What are the two most important features in the diagnosis of
acid
malaria?
154.What aminoglycoside is used before surgery to sterilize the
1. Splenomegaly 2. Anemia (With a high index of suspicion)
bowel? Neomycin
166.Which antihelmintic increases membrane permeability to Ca2+
155.What aminoglycoside causes disruption of CN I? Streptomycin
and is the drug
156.Which anti-Tb drug gives orange urine, saliva, and tears?
of choice for schistosomiasis? Praziquantel
Rifampin
167.What is the drug of choice in the treatment of the lepra reaction?
157.What is the drug of choice for amebic dysentery caused by
Clofazim
Bacillus fragil%s?
ine
Metronidazole
168.What is the drug of choice for taeniasis which inhibits oxidative
158.Which topical agent blocks the enzyme isoprenyl phosphate?
phosphoryl
Bacitracin
ation in cestodes? Niclosamide
159.What is the drug of choice for Legionella, Mycoplasma, and
169.What is the drug of choice for threadworm, trichinosis, and larva
Campylobacter inf
migrans?
ections? Erythromycin
Thiabendazole
160.What drug is used to treat Tb, tularemia, and the plague?
170.What inhibitor of microtubule synthesis is the drug of choice for
Streptomycin
whipworm a
nd pinworm? Mebendazole
180.What is the drug of choice for: Human immunodeficiency virus
171.Which bacteriostatic drug inhibits folic acid synthesis and a major
(HIV) infection
side eff
s? azidothymidine (AZT)
ect is the lepra reaction? Dapsone
181.What is the drug of choice for: Influenza and rubella infections?
172.What mosquito is responsible for the transmission of malaria?
Amantadi
Anophele
ne
s mosquito
182.What is the drug of choice for: Respiratory syncytial virus (RSV)
173.What is the drug of choice for filariasis and onchocerciasis?
infections
Diethylc
? Ribavirin
arbamazine
183.What is the drug of choice for: Human papilloma virus (HPV)
174.What drug of choice for ascaris causes neuromuscular blockade
infections?
of the worm?
a-Interferon
Pyrantel pamoate
184.What antihistamine is used in the treatment of serotonergic
175.What drug blocks glucose uptake, leading to decrease formation
crisis? Cyprohep
of adenosine
tadine
5' triphosphate (ATP) and resulting in immobilization of the parasite?
185.What are the three nonsedating antihistamines? 1. Terfenadine 2.
Albendaz
Astemi
ole
zole 3. Loratadine
176.What drug is an irreversible inhibitor of the Na+/K+ pump?
186.Skin necrosis is caused by a deficiency in what? Transient protein
Omeprazole
C defi
177.What is the drug of choice for: Herpes simplex virus (HSV)
ciency
infections?
187.What
Acyclovir or trifluridine
Chlorpromazine
178.What is the drug of choice for: Varicella-zoster? Acyclovir
188.What prostaglandin El (PGE1) analog is used in the treatment of
179.What is the drug of choice for: Cytomegalovirus (CMV)
ulcers cause
infections? Ganciclo
d by the excessive use of NSAIDs? Misoprostol
vir
189.What ß2-agonist is used as a prophylactic agent in the treatment of asthma?
D2
receptor
blocker
is
used
as
an
antiemetic?
Salmeterol
197.What drugs combined together produce neuroleptanalgesia?
190.What is the only form of insulin that can be given IV? Regular
True. They also
insulin
increase insulin release and decrease glucagon release.
191.What drug, if given during pregnancy, would cause the uterus to
198.What drugs combined together produce neurolepanalgesia?
exhibit sign
Droperidol and f
s of progesterone withdrawal and induce an abortion? RU 486
entanyl
192.What two forms of insulin, if mixed together, would result in
199.What ultra-short-acting barbiturate induces hypnosis and is
precipitation
associated with
of zinc? 1. Lente insulin 2. NPH insulin or protamine zinc insulin (PZI)
cardiovascular and respiratory depression? Thiopental
193.What blood disorder is a side effect of metformin? Megaloblastic
200.What is the most common pain killer used during pregnancy?
anemia (de
Meperidine
creased absorption of vitamin B12 and folic acid)
201.What antimicrobial agent's major side effect is: Gray baby
194.Which antineoplastic agents' site of inhibition is in: M phase of the
syndrome?
cell c
Chloramphenicol
ycle? Vinblastine and vincristine
202.What antimicrobial agent's major side effect is: CN VIII damage
Gl phase of the cell cycle? L-asparaginase and mitomycin
(vestibuloto
G2 phase of the cell cycle? Bleomycin
xic)? Aminoglycosides
Between GI and S phases of the cell cycle? Hydroxyurea
203.What antimicrobial agent's major side effect is: Teratogenicity?
Between S and G2 phases of the cell cycle? Etoposide
Metronid
S
phase
of
the
cell
cycle?
Cytarabine,
methotrexate,
6-
azole
mercaptopurine, and
204.What antimicrobial agent's major side effect is: CholestaHc
6-thioguanine
hepatitis?
195.What is the physiologic basis for the actions of birth control pills?
Erythromycin
They block the midcycle surge of luteinizing hormone (LH)
205.What antimicrobial agent's major side effect is: Hemolytic
196.True or false: Oral sulfonylureas increase the number of insulin
anemia? Nitrofur
receptors.
antoin
False-verify this answer.
206.What antimicrobial agent's major side effect is: Dental staining if used in
the pediatric population? Tetracycline
d tubules
207.What antimicrobial agent's major side effect is: Altered folate
218.What is the only diuretic that works on the blood side of the
metabolism?
nephron?
Trimethoprim
Spironolactone (binds to aldosterone receptors)
208.What antimicrobial agent's major side effect is: Auditory toxicity?
219.What is the active metabolite of spironolactone? Canrenone
Vancomyc
220.What drug is given transdermally for chronic pain but can cause
in
chest wall r
209.What antimicrobial agent's major side effect is: Cartilage
igidity if given IV? Fentanyl
abnormalities?
221.What is the lipid solubility and potency of a drug if the induction
Quinolones
and reco
210.What are the five zero-order processes? 1. Sustained release 2.
very from the drug were both rapid? Low lipid solubility and potency
IV drip
(They a
3. Phenytoin 4. Alcohol 5. Aspirin toxicity
re inversely proportional.)
211.What morphine derivative is used in patients with renal failure?
222.What is the drug of choice for hypertensive patients with a
Hydromor
decreased renal
phone
function? a-Methyldopa (Guanabenz or clonidine is also used.)
212.Which group of antihypertensive agents decreases left ventricular
223.What hormone is released by the atria due to an increase in
hypertroph
blood pressure t
y the best? Thiazide diuretics
o cause an increase in glomerular filtration rate (GFR), Na+ retention,
213.What is the site of action of: Osmotic diuretics? The entire tubule
and reni
barrin
n-angiotensin release? Atrial natriuretic factor
g the thick ascending limb
224.What is the drug of choice in treatment for the late phaseof
214.What is the site of action of: Loop diuretics? Ascending limb
asthma?
215.What is the site of action of: Thiazide diuretics? Early distal tubule
Corticosteroids
216.What is the site of action of: K+-sparing diuretics? Early collecting
225.Which antigenic thrombolytic agent causes a decreased level of
duct
circulating f
217.What is the site of action of: Aldosterone antagonists? Distal
ibrinogen? Streptokinase
convolute
226.What is the only class of diuretics to retain Cl- used in the short-
234.What is the best form of treatment if an elevated blood pressure
term tre
is due to:
atment of glaucoma and also in the treatment of acute mountain
Increase in TPR? Centrally acting sympatholytics, a-antagonists, or
sickness?
Ca2+
Acetazolamide
channel bockers
227.What diuretic is used to decrease intraocular and intracranial
235.Which class of diuretics blocks Na/Cl cotransport in the distal
pressures?
tubules?
Mannitol
Thiazide diuretics
228.Which thrombolytic agent, activated in the presence of fibrin, is
236.Why should codeine be carefully administered acetaminophen or
manufactur
aminosalicylic
ed by recombinant DNA process? Alteplase
acid? Because it has an additive effect with with these agents
229.Which diuretic causes irreversible ototoxicity and GI bleeding as
1.What
its main s
Cricopharyngeus
ide effects? Ethacrynic acid
2True or false: chewing is essential for digestion? False; it just
230.What IV agent is used to treat respiratory depression associated
increases
with withdr
the surface area of the food.
awal from alcohol usage? Naloxone
3.In which region of the stomach are parietal and chief cells located?
231.What is the best form of treatment if an elevated blood pressure
Body or
is due to:
corpus
Elevated heart rate? ß-Blockers
4.What hormone, released in response to low pH, inhibits gastric
232.What is the best form of treatment if an elevated blood pressure
emptying by dec
is due to:
reasing antral contractions, increases constriction of the pyloric
Elevated force of contractions? ß-Blockers
sphincter, an
233.What is the best form of treatment if an elevated blood pressure
d also increases bicarbonate secretions from the pancreas? Secretin
is due to:
5.In which region of the stomach are G cells located? Antrum (They
Increase in fluid volume? Diuretics or angiotensin converting enzyme
secrete gas
(ACE)
trin: G for gastrin.)
inhibitors
6.How long is the transit time through the large intestine? 3 to 4 days
muscle
comprises
the
upper
esophageal
sphincter?
7.How long is the transit time through the small intestine? 2 to 4 hours
15.What hormone is stimulated by glucose and fat in the duodenum,
8.What hormone causes contractions of smooth muscle, regulates
inhibits gastr
interdigestive mo
ic secretions and motility, and stimulates insulin secretion? Gastrin
tility, and prepares the intestine for the next meal? Motilin
inhibito
9.What is the main function of HCl in the stomach? Converts
ry peptide (GIP)
pepsinogen into
16.Which portion of the autonomic nervous system regulates salivary
pepsin
flow?
10.What hormone increases the intestinal secretions of electrolytes
Parasympathetic portion
and H2O, rel
17.A pH of less than 4.5 stimulates the release of what hormone?
axes smooth muscle, dilates peripheral blood vessels, and inhibits
Secretin
gastric secre
(It inhibits acid Secretion.)
tions? Vasoactive intestinal peptide (VIP)
18.What is composed of smooth muscle, innervated by pelvic
11.What gland produces 20% of salivary secretions and contributes to
splanchnics and hypog
almost all
astric nerves, and involuntary? Internal anal sphincter
of the amylase secretions? Parotid gland (serous secretions)
19.What
12.What hormone causes contractions of the gallbladder, augments
Submandibular gl
the action of s
and (produces both mucous and serous secretions)
ecretin to produce an alkaline pancreatic juice, inhibits gastric
20.What is the tonicity of pancreatic juice? Isotonic
emptying, and
21.What organism is associated with gastric ulcers? Helicobacter
increases constriction of the pyloric sphincter? Cholecystoldnin (CCK)
pylori
13.What are the four functions of saliva? 1. Provides antibacterial
22.What is the only gastric secretion required to sustain life? Intrinsic
action
factor
2. Lubricates 3. Begins carbohydrate digestion 4. Begins fat digestion
(IF)
14.What is composed of skeletal muscle, innervated by the pudendal
23.What three structures increase the surface area of the GI tract? 1.
nerve, and in
Plica
a voluntary constant state of contraction that relaxes for defecation?
e circularis 2. Villi 3. Microvilli
External
24.What hormone is the primary regulator of HCO3 secretion from the
anal sphincter
pancreas?
gland
produces
70%
of
total
salivary
secretions?
Secretin
(AV) difference positive or negative? Positive AV difference
\
38.In laminar flow, which area has the fastest flow? The center of the
25.What cells of the GI tract secrete mucus? Goblet cells
tube
26.What are the five F's associated with gallstones? 1. Fat 2. Forty 3.
39.What are four ways to get an increased pump function of the
Femal
heart? 1. Exerc
e 4. Familial 5. Fertile
ise 2. Increase heart rate 3. Increase in arterial pressure 4. Increase
27.Lactose intolerance is caused by a lack of what enzyme? Lactase
contract
28.What are the three end products of amylase digestion? 1. Maltose
ility
2. Ma
40.What system has an increased pressure, decreased resistance,
ltotetrose 3. Alpha limit dextrans (a-1,6 binding)
increased flow,
29.What percentage of bile acids are excreted daily? 5% (95%
increased compliance, and blood volume that is proportional to flow?
reabsorbed via e
Pulmonar
nterohepatic circulation)
y circuit
30.Which glands of the upper duodenum secrete a bicarbonaterich
41.What two organs have local metabolites as the main determinant
solution?
of blood flow?
Brunner's glands
1. Brain (cerebral circulation) 2. GI tract (after a meal) All other organs
31.What is the major route for excretion of cholesterol? Bile
are
32.What hormone potentiates the effect of secretin? CCK
under neural control.
33.What is the major phospholipid in bile? Lecithin
42.What are the three sympathetic effects on the pacemaker cells of
34.What is the rate-limiting step in the formation of bile acids? 7-a-
the heart?
Hydr
1. Increase the slope of prepotential 2. Take less time to reach
oxylase
threshold 3. In
35.What two amino acids are conjugated to bile acids to increase
crease the rate of firing
H2O solubility?
43.What are the three parasympathetic effects on the pacemaker cells
1. Glycine 2. Taurine
of the hear
36.What is absorbed in the gallbladder to concentrate bile? Water
t? 1. Hyperpolarize the cells by increasing K+ conductance 2. Take
37.If a substance is removed from circulation by an organ, is its
longer t
arteriovenous
o reach threshold 3. Decrease the rate of firing
44.What are the two major causes of arterial pressure? 1. Contraction
d equilibrate for a substance
of the he
53.Which region of the lungs has a low perfusion pressure and a high
art 2. Hydrostatic pressure
resistance
45.What causes an increase in cardiac performance with no increase
so that there is little blood flow? Apex
in preload?
54.What fluid is monitored directly by central chemoreceptors?
Contractility (inotropic)
Cerebrospinal fl
46.Change in what intracellular ion causes a change in contractility?
uid (H+;CO2)
Calcium
55.On
47.What are the two main circulations with extrinsic regulation that are
regurgitation? Increase
most af
in stroke volume
fected by nervous reflexes? 1. Cutaneous circulation 2. Resting
On a pressure-volume loop, what is seen with:Aortic stenosis?
skeletal mus
Increase in afte
cle
rload, decrease in stroke volume, increase in peak tension
48.What is the third heart sound caused by? Ventricular filling (heard
On a pressure-volume loop, what is seen with:Increased contractility?
durin
Increase
g diastole)
in stroke volume by decreasing the end-systolic volume
49.What is the fourth heart sound caused by? Atria] contraction
On a pressure-volume loop, what is seen with:Heart failure? Increase
(heard during
in endsystolic
diastole)
volume, decrease in afterload, decrease in peak tension, increase in
50.If a substance is put into circulation by an organ, is its
pe
arteriovenous diff
ak tension
erence positive or negative? Negative
56.What two compensatory mechanisms occur to reverse hypoxia at
51.What is the baroreceptor response to an increase in blood
high altitudes?
pressure? Increase
1. Increase in erythropoietin 2. Increase in 2,3-bisphosphoglycerate
afferent activity of CN IX and CN X to decrease heart rate
(2,3-BPG)
(parasympathetic)
57.What would you give to neutralize the excess base in an alkalotic
52.What is a perfusionlimited situation? When alveolar and capillary
patient?
bloo
NH4Cl(strong acid can lyse RBCs)
a
pressure-volume
loop,
what
is
seen
with:
Aortic
58.What would you give to neutralize the excess acid in an acidotic
66.What phase of the female cycle ALWAYS lasts for the same
patient?
number of days (14 d
NaCO2 (CO2 eliminated by lungs)
ays in most women)? Luteal phase
59.What is a diffusion-limited situation? When alveolar gas and
67.What serves as a marker for 24-hour growth hormone secretion?
capillary
Plasma i
blood attempt to equilibrate but do NOT (i.e., CO2)
nsulin-like growth factor type 1 (IGF-1) levels
60.What must occur in order for PaCO2 to remain constant when
68.What three things inhibit the secretion of glucagon? 1. Insulin 2.
there is an increa
Somatostat
se in the body's metabolism? Need to increase alveolar ventilation (if
in 3. Hyperglycemia
not hy
69.Which three organs or structures have gluconeogenic capabilities?
percapnia would result)
1. Liver
61.What enzyme is needed for conversion of testosterone to
2. Kidney 3. GI epithelium
estradiol? Aromatas
70.Which type of diabetes is more likely to lead to ketoacidosis? Type
e
I(
62.What two anions compete with iodine for the iodine pump in the
insulin-dependent diabetes mellitus [IDDM])
thyroid gland?
71.Excess bone demineralization and remodeling can be detected by
1. Perchlorate 2. Thiocyanate
checking urine
63.What enzyme is associated with osteoblastic activity? Alkaline
levels of what substance? Hydroxyproline (breakdown product of
phospha
collagen)
tase
72.What two things cause l-a-hydroxylase activity to increase? 1.
64.What form of plasma calcium is the physiologically active form and
Parathyroid h
is regulat
ormone (PTH) 2. A decrease in PO4 levels
ed within narrow limits? Free calcium (ionized)
73.What type of membrane is permeable to water and small solutes?
65.Which three factors cause the release of epinephrine from the
Selectiv
adrenal medulla
ely permeable membrane
? 1. Exercise 2. Emergencies (stress) 3. Exposure to cold (The three
74.What is the movement of ions in an electrical held known as?
Es)
Conductance
75.What two components of a body of water cannot be measured and
84.What are the four "stress" hormones? 1. Growth hormone (GH) 2.
need to be calc
Glucagon 3. Co
ulated? 1. Intracellular fluid (ICF) (water minus extracellular fluid) 2.
rtisol 4. Epinephrine
Inters
85.Proopiomelanocortin
titial fluid (ISF) (extracellular fluid minus plasma volume)
substances? 1. Adren
76.What phase of an action potential has the greatest rate of Na+
ocorticotrophic hormone (ACTH) 2. (alpha)-Lipotropins (melanotropins
influx?
and endorph
Phase 0
ins)
77.Which phase of an action potential requires energy? Phase 4 (via
86.What are the six substances that promote the secretion of insulin?
the Na+/K+
1. Gluco
pump)
se 2. Amino acid (arginine) 3. Gastrin inhibitory peptide (GIP) 4.
78.What type of muscle is associated with one T tubule and two
Glucagon 5. A
cisternae (triad)
lpha-Agonists 6. ACh
? Skeletal muscle
87.What is the thin filament that has the attachment site for the
79.What is the region of an axon where no myelin is found? Nodes of
crossbridges a
Ranvier
nd also activates adenosine triphosphatase (ATPase)? Actin
80.What types) of muscle contain the thin filament troponin? Skeletal
88.What types of muscle have a sarcomere? Skeletal and cardiac
and car
muscle
diac muscle
89.Where is the action potential generated on a neuron? Axon hillock
81.Where are antidiuretic hormone (ADH) and oxytocin produced?
90.What is the name for the load that the muscle is working against
The supraoptic a
during stimu
nd paraventricular nuclei of the hypothalamus
lation? Afterload
82.What is the only hormone to INCREASE with a DECREASE in
91.What type of contraction has an active tension when the length is
pituitary function?
shortened?
Prolactin
Isotonic contraction
83.Which enzyme converts cholesterol to pregnenolone? Desmolase-
92.What type of muscle has high creatinine phosphokinase (CPK),
rate limiting
high ATPase acti
step (RLS) in steroid hormone synthesis
(POMC)
is
cleaved
into
what
two
vity, and no myoglobin; is anaerobic; and is for short-term use? White
ase activity
mu
106.What type of muscle has end plates? Skeletal muscle
scle (fast)
107.What type of contraction has an active tension, but the overall
93.What type of muscle uses calmodulin? Smooth muscle
length of th
94.What thick filament has crossbridges and ATPase activity? Myosin
e con traction does not change and no work is done? Isometric
95.What causes actin-myosin crossbridge dissociation? Binding of
contraction
ATP
108.What thin filament covers the attachment site in resting muscle so
96.What is used as an index of cortisol secretions? Urine 17-OH
that the
steroids
crossbridges are unavailable for binding? Tropomyosin
97.What would be the two major consequences if the zona fasciculata
109.What is the load on a muscle in the relaxed state known as?
and the zona
Preload
reticularis were removed? 1. Circulatory failure 2. Inability to mobilize
110.Total tension - preload = what? Active tension (contraction)
energy stores
111.What types of muscle are uninuclear? Cardiac and smooth
98.How many carbons do androgens have? Androgens are 19-carbon
muscle
steroids.
112.In a contractile muscle, what is the source of the calcium?
99.How many carbons do estrogens have? Estrogens are 18-carbon
Sarcoplasmic ret
steroids. (Remov
iculum (The source is NOT extracellular.)
al of one carbon from an androgen = an estrogen.)
113.What is the maximum force of a contraction determined by? The
100.The level of what hormone tends to DECREASE with stress?
number of mo
Insulin
tor units activated during the contraction
101.On what two occasions are cortisol releasing hormone (CRH)
114.What types) of muscle have T tubules associated with them?
secretions elevat
Cardiac and skel
ed? 1. Early morning 2. During stress
etal muscle
102.What is an inhibitory interneuron known as? Renshaw neuron
115.What type of muscle has myoglobin, low CPK, and low ATPase
103.What is the summation of mechanical stimuli known as? Tetany
activity; is aero
104.What is the thin filament that binds to calcium? Troponin C
bic; and is for long-term use? Red muscle (slow-twitch muscle)
105.What determines the maximum velocity of shortening muscle?
116.What event signifies the first day of the menstrual cycle? The first
The muscle's ATP
day of
bleeding
126.What hormone thins cervical mucus, stimulates LH receptors on
117.What hormone is essential for induction of ovulation and
granulosa cell
formation of the co
s, elicits the LH surge, and increases proliferation of the uterine
rpus luteum? Luteinizing hormone (LH)
mucosal laye
118.How many days before the first day of bleeding is ovulation? 14
rs? Estradiol
days
127.What hormone is secreted by the placenta late in pregnancy,
in most women (Remember: The luteal phase is always constant.)
stimulates mamma
119.What is required to maintain lactation? Suckling (stimulates
ry growth during pregnancy, mobilizes energy stores from the mother
oxytocin se
so that the
cretion)
fetus can utilize them, and has an amino acid sequence like GH?
120.What hormone, in high levels, blocks milk production? Estrogen
Human chorionic
121.What hormone is necessary for maintenance of the corpus
somatomanunotropin (hCS) or human placental lactogen (hPL)
luteum for the first
128.What hormone causes an increase in the production of milk?
3 months of pregnancy? Human chorionic gonadotropin (hCG)- from
Prolactin
the trophoblast
129.What is the force necessary to collapse the lung known as? Lung
122.Up to how many hours after ejaculation are sperm able to fertilize
recoil
the egg?
130.For what hormone do Leydig cells have receptors? LH
72 hours
131.What vitamin needs thyroid hormone for conversion to its active
123.What hormone induces myometrial contraction and causes milk
form?
letdown?
Vitamin A
Oxytocin
132.What is the tonicity of fluid that leaves the loop of Henle?
124.What hormone is necessary for the maintenance of the uterine
Hypotoni
endometrium fro
c
m the fourth month of pregnancy on? Progesterone (Estrogen is
133.What enzyme converts androgens to estrogens? Aromatase
needed for pro
134.What does excess production of thyroid-stimulating hormone
gesterone to be effective.)
(TSH) cause?
125.How long after ovulation does fertilization occur? 8 to 25 hours
A goiter
135.What type of cell reabsorbs bone? Osteoclast; Blasts make;
te deficiencies? Before the collecting duct (There is no electrolyte dist
clasts take.
urbance in the collecting duct.)
136.What is the major form of androgen secreted from the adrenal
146.What substance is free filtered but partially reabsorbed by
gland? Dehydroe
passive mechanis
piandrosterone (DHEA)
ms? Urea
137.What cells of the genitourinary system produce testosterone in
147.What hormone promotes mobilization of energy stores, enhances
males?
the capacity o
Leydig cells
f glucagon and catecholamines, and increases the capacity to
138.What type of urine does ADH cause to be excreted? Hypertonic
withstand stress?
urine (becaus
Cortisol
e of the water reabsorption in the collecting duct)
148.What is used as an index of androgen secretion? Urine 17-
139.What is the term for the volume of plasma removed from a
ketosteroids
substance per unit
149.What are the pituitary hormones associated with: Thyrotropin
time? Clearance
releasing hormo
140.What is the most potent male sex steroid? Dihydrotestosterone -
ne (TRH)? Thyroid stimulating hormone (TSH)
DHT
150.What are the pituitary hormones associated with: Cortisol
141.What two substances stimulate Sertoli cells? Follicle stimulating
releasing hormone
hor
(CRH)? Adrenocorticotrophic hormone (ACTH)
mone (FSH) and testosterone
151.What are the pituitary hormones associated with: Gonadotropin
142.At which three sites in the body is T4 converted to T3? 1. Liver 2.
releasing horm
Kidne
one (GnRH)? Luteinizing hormone (LH) and follicle stimulating
y 3. Pituitary gland (via 5'-deiodinase enzyme)
hormone (FSH)
143.The fresh air being delivered to the respiratory zone per minute is
152.What are the pituitary hormones associated with: Growth
known as
hormone releasing ho
what? Alveolar ventilation (the first 150 ml is not included)
rmone (GHRH)? Growth hormone (GH)
144.What region of the lungs gets very little ventilation? Apex
153.What are the pituitary hormones associated with: Somatostatin?
145.Where does polyuric originate if the patient is dehydrated and has
Inhibits
electroly
GH secretion
154.What are the pituitary hormones associated with: Prolactin
162.Which
extravascular
chemoreceptor
detects
low
NaCI
inhibiting factor
concentrations? Macul
(PIF) [dopamine]? Inhibits prolactin secretion
a densa
155.Which hormones are released from the: Zona glomerulosa?
163.What is the major stimulus for cell division in chondroblasts?
Aldosterone (sal
Insulin-li
t)
ke growth factor-1 (IGF-1)
156.Which hormones are released from the: Zona fasciculata?
164.The total air in and out of the respiratory system per minute is
Cortisol (sugar)
known as wh
157.Which hormones are released from the: Zona reticularis?
at? The total ventilation (minute volume or minute ventilation)
Androgens (sex)
165.What is the major hormone secreted by the ovarian follicle? 17
158.Which hormones are released from the: Medulla? NE:Epi (1:4) If
alpha-Estradi
the zona
ol
glomerulosa were removed from the adrenal gland, what would be
166.What two conditions cause ADH to be released? 1. Low blood
seen?
volume 2. E
Decrease in Na+ causing a decrease in the ECF volume, leading to a
levated plasma volume (high solute concentration)
decrease in B
167.What cell converts androgens to estrogens? Granulosa cell
P, and eventually to circulatory shock and death
168.What hormone acts on this cell? FSH
159.What does subatmospheric pressure (negative) do to the lungs?
169.What three lung volumes cannot be measured with a spirometer?
It causes t
1. Resid
hem to expand (because of the decrease in intrathoracic pressure)
ual volume 2. Total lung capacity 3. Functional residual capacity
160.Where is the last conducting zone of the lungs? Terminal
170.What two conditions decrease the secretion of aldosterone? 1. An
bronchioles (No
increase i
gas exchange occurs here.)
n blood pressure 2. Weightlessness
161.Where is there summation, hyperpolarization of the postsynaptic
171.What cell in the female genitourinary system is stimulated by LH
membrane, an
and is the
increase in Cl- conductance, and local gradation? Inhibitory
site where androgens are produced? Thecal cell
postsynaptic po
172.What serves as a marker of endogenous insulin secretions? C
tential (IPSP)
peptide
173.What do you have when there is depolarization of the
183.What is the term for the air that can be taken in after normal
postsynaptic membrane o
inspiration?
wing to an influx of Na+, resulting in summation and local gradation?
Inspiratory reserve volume (IRV)
Excitato
184.What is the first zone of the lungs that is capable of O2
ry postsynaptic potential (EPSP)
exchange? Respir
174.What are days 15 to 28 in the female cycle known as? Luteal
atory bronchioles (because they have alveoli)
phase
185.What is the term for ventilation of underperfused alveoli? Alveolar
175.What hormone is secreted by the Sertoli cells to decrease FSH
dead sp
production?
ace
Inhibin
186.What is the temperature of the scrotum? 4 degrees cooler than
176.What hormone regulates osmolarity because it controls water
the body
excretion?
187.How is the lower temperature of the testes maintained? By a
ADH (It causes water reabsorption.)
countercurr
177.What is the term for the air in the system after maximal
ent heat exchanger in the spermatic cord
inspiration?
188.What happens to sex steroids, LH, and FSH: If the gonads are
Total lung capacity (TLC)
removed?
178.What is a sign of a Sertoli cell tumor in a man? Excess estradiol
Sex steroids decrease; LH increases; FSH increases.
in the
189.What happens to sex steroids, LH, and FSH: In postmenopausal
blood
women? Sex ster
179.What hormone is responsible for the negative feedback onto LH
oids decrease; LH increases; FSH increases.
and FSH of the
190.What happens to sex steroids, LH, and FSH: After the
anterior pituitary and positive feedback onto the granulosa cells?
administration of testo
Estrogen
sterone? Sex steroids increase; LH decreases; nothing happens to
180.What is the term for the total dead space of the lungs?
FSH.
Physiologic dead
191.What happens to sex steroids, LH, and FSH: After the
space
administration of inhib
181.The surge of what hormone induces ovulation? LH
in? Nothing happens to sex steroids; nothing happens to LH; FSH
182.What does positive pressure do to the lungs? It collapses them.
decreases.
192.What happens to sex steroids, LH, and FSH: With constant
201.What hormone level peaks 1 day before the surge of LH and FSH
infusion of GnRH?
in the female
Sex steroids decrease; LH decreases; FSH decreases (needs to be
cycle? Estradiol
given pulsatile)
202.What is the day after the LH surge in the female cycle known as?
.
Ovulatio
193.What region of the lungs is incapable of gas exchange? Anatomic
n
dead sp
203.By what mechanism does chronic constriction keep blood flow
ace
through the peni
194.What is the term for the amount of air that can never leave the
s low during non-aroused states? Alpha-Adrenergic mediated
lungs?
constriction
Residual volume
204.Days 1 to 7 of the female cycle are known as what? Menses
195.If you increase the depth of breathing, what ventilatory
205.The amount of air that enters or leaves the respiratory system in
parameters can be i
a single r
ncreased? Total ventilation and alveolar ventilation
espiratory cycle is known as what? Tidal volume
196.If you increase the rate of breathing, what ventilatory parameters
206.What part of the autonomic nervous system is responsible for the
can be in
movement of
creased? Total ventilation
semen through the vas deferens and related structures? Sympathetic
197.What is the term for the air left in the lungs after normal
nervous syst
expiration?
em
Functional residual capacity (FRC)
207.Which pancreatic cells secrete glucagon? Alpha cells
198.The lung volume from maximum inspiration to maximum
208.Which pancreatic cells secrete somatostatin? Delta cells
expiration is known as w
209.What term describes how easily a vessel stretches? Compliance
hat? Vital capacity (VC)
(pulse pressu
199.Where is renin produced? In the juxtaglomerular ( JG) cells of the
re is inversely proportional to compliance)
kidney
210.What is the most compliant artery in the body? Aorta
200.What phase of the female cycle occurs during days 1 to 15?
211.What is the best way to regulate mean arterial pressure? Via total
Follicular phase
periph eral resistance (TPR)
212.What is the term for resistance to ventricular outflow? Afterload
221.What process occurs when hydrostatic pressure exceeds plasma
213.What is the main determinant of resistance? The radius of the
oncotic pressur
vessel (also t
e? Filtration
he viscosity and length)
222.What vessels have the greatest blood volume? Systemic veins of
214.What is the relationship between Na+ reabsorption and O2
the lo
consumption?
wer extremities
An increase in Na+ causes Oz consumption to increase.
223.What vessels have the smallest total cross-sectional area? The
215.What vessels have the greatest cross-sectional area? Capillaries
aorta, then
216.What is the nontitratable acid that buffers secreted H+ in the
the vena cava
kidney buffer
224.What is the only way to increase O2 delivery to the myocardium?
ed as? NH4+ (ammonium). H2PO4 (dihydrogen phosphate) is the
Increase
titratable acid tha
the blood flow
t buffers secreted H+.
225.What happens to airway resistance during inspiration? It
217.What are the five ways to promote turbulent flow? 1. Increase
decreases. Sy
velocity 2.
mpathetics
Branching 3. Narrow orifice 4. Increase tube diameter 5. Decrease
resistance.
viscosity
226.What is the main drive for ventilation? The PCO2 of systemic
218.What part of the cardiovascular system has the lowest drop in
circulation
pressure?
227.Where does depolarization in the heart begin? From the apex to
Right atrium
the bas
219.What vessels are the resistance vessels and have the largest
e and from the endocardium to the epicardium
drop in pressur
228.Where is the greatest venous PO2 in resting tissue? Renal
e? Arterioles
circulation
220.What part of the autonomic nervous system is the main controller
229.The load on the muscle in the relaxed state is known as what?
of blood fl
Preload
ow when a person is at rest? Sympathetic nervous system (alpha
(also the end-diastolic volume [EDV])
constricts, be
230.What cells of the heart have the highest rate of automaticity?
ta-2 dialates.
Sinoatri
decrease
resistance;
parasympathetics
increase
al (SA) nodal cells 231.What
are
the
240.What are the normal values for: PaO2? 100 mmHg slowest
conducting
cells
of
the
heart?
241.What are the normal values for: PaCO2? 40 mmHg
Atrioventricular (AV) no
242.What are the normal values for: PvO2? 40 mmHg
dal cells
243.What are the normal values for: PvCO2? 47 mmHg
232.What is the main control of flow in exercising muscle? Vasodilator
244.What are the two ways to increase stroke volume? 1. Increase
meta
preload (EDV
bolites
) 2. Decrease end-systolic volume (ESV)
233.During what phase of the cardiac cycle do coronary vessels
245.What is the main factor that determines the glomerular filtration
receive their blo
rate (GFR)
od flow? Diastole
? Hydrostatic pressure
234.On the venous pressure curve, what do the following waves
246.What is the normal value for the GFR? 120 ml/min
represent -a wave,
247.What happens to pulmonary blood flow under conditions of low
-c wave, -v wave? Atrial contraction, Ventricular contraction, Atrial fill
alveolar PO2?
ing (venous filling) Atrial contraction, Venous
A decrease in blood flow secondary to vasoconstriction
235.What causes the second heart sound? Aortic closure
248What is the normal compensatory mechanism for a state of
236.Where is the second heart sound on an EKG? At the T wave
metabolic alkalosis?
237.What causes the diastolic interval to decrease? Increase in the
Hypoventilation (respiratory acidosis)
heart ra
249.What anion is excreted in large amounts in the urine in a patient
te
with a com
238.What happens to cerebral circulation during hypoventilation?
pensated alkalosis? Bicarbonate (alkaline urine)
Blood fl
250.Which hormone affects the osmolarity? ADH
ow increases because PCO2 is increased. (The opposite occurs
251.What are the sympathetic effects on the kidney? A decrease in
during hyperventila
GFR and an
tion.)
increase in filtration fraction: FF = GFR/RPF. (There is a larger
239.What is the main factor affecting PaCO2? Alveolar ventilation
decrease in t
(Hyperventi
he RPF than the GFR, resulting in an increase in the filtration
lation decreases PaCO2 and vice versa. Body metabolism also
fraction.)
affects PaCO2')
252.What are the effects of angiotensin II on the kidney? Constriction
262.What are the three characteristics of autoregulation? 1. Flow
of
independ
the efferent arterioles
ent of BP 2. Flow proportional to local metabolism 3. Flow
253.What four changes occur with an increase in contractility? 1.
independent of nervou
Increased slo
s reflexes
pe of action potential 2. Increased peak left ventricular pressure 3. I
263.What is/are the major autoregulators of: Cerebral circulation?
254.Increased rate of relaxation 4. Decreased systolic interval
Increase
255.What fibers of the heart have the lowest intrinsic rate of
in PCO2
automaticity?
264.What is/are the major autoregulators of: Coronary circulation?
Purkinje fibers
Decrease
256.What causes the first heart sound, and when does it occur on an
in PO2; increase in PCO2 and adenosine
EKG?
265.What is/are the major autoregulators of: Exercising skeletal
Mitral valve closure at the QRS complex
muscle?
257.What is the main determining factor of filtration fraction? Renal
Lactate
plasma flo
266.What process occurs if the capillary oncotic pressure is greater
w (decreases flow; increases filtration fraction)
than the hy
258.What is the normal osmolarity of the filtrate in the renal tubule?
drostatic pressure? Reabsorption
300 mOsm
267.What area of the circulatory system houses the greatest blood
259.What prohibits the filtering of protein anions into the renal tubule?
velocity?
The negative charge on the filtration membrane
Aorta
260.What are the fastest conducting fibers in the heart? Purkinje
268.What two things happen to cutaneous circulation when the
fibers
sympathetic nervous
261.From which point to which point does repolarization travel in the
system is stimulated? 1. Constriction of arterioles to decrease blood
heart?
flow 2.
From the base to the apex and from the epicardium to the
Constriction of the venous plexus to decrease the blood volume
endocardium (opposite o
269.Adenosine in the kidney, decreased PO2 in the lungs, and
f depolarization)
thromboxane A2 (TXA 2) have what effect in the circulation? Vasoconstriction
270.What is the period when higher than normal stimulation is
s and where total resistance is the SUM of the individual resistances?
required to induce
Vessels
a second action potential? Relative refractory period
connected in a series
271.During an action potential, what is the stimulus for opening the
280.What effect on a blood vessel does each of the following have:
Na+ channel
histamine, br
s? Depolarization
adykinin, prostaglandins (A2, E2, I2), nitric oxide, adenosine, an
272.What substance "affects" the action potential? Na+ conductance
increase in K
273.What substance "affects" the resting membrane potential? K+
+, H+, PCO2 and a decrease in PO2? Vasodilatory effect
conductance
281.What are three characteristics of a subthreshold potential? 1.
274.In which direction do osmotically active substances cause water
Graded 2. Sum
to move?
mation 3. Not propagated
Toward them
282.What is the depolarization phase of an action potential caused
275.What are the three tracers for total body water? 1. Urea 2.
by? Na+ infl
Thiourea 3. T
ux
itrated water
283.If the ventilation-perfusion ratio is less than 1, what part of the
276.What are the three characteristics of an action potential? 1. All or
lung is
none 2
involved and what physiologic process is occurring? The base,
. Propagated 3. No summation
because flow e
277.In what system is the second greatest blood volume found?
xceeds delivery of O2
Pulmonary system
284.How do you compensate for metabolic acidosis? Hyperventilate
278.What are the four ways to increase total peripheral resistance
(respirat
(TPR)?
ory alkalosis)
1. Decrease the radius 2. Increase the viscosity 3. Increase the length
285.How many liters of water are there in: Total body water? 42 L
4. Decre
How many liters of water are there in: ICF? 28 L
ase the number of parallel channels
How many liters of water are there in: ECF? 14 L
279.What type of system is a high resistance system with flow equal
How many liters of water are there in: ISF? 10.5 L
at all point
How many liters of water are there in: Plasma volume? 3.5 L
286.What hormone affects fluid volume? Aldosterone (Na+ content
is always less than any individual resistance, and the reciprocal of the
determines the
total
volume of the plasma.)
resistance is the sum of the reciprocal resistances? System
287.The repolarization phase of the action potential is caused by
connected in para
what? K+ efflu
llel
x (depolarization opens the gates)
296.What is happening to the renal arteriole in each of the following
288.What is the name of the period in which, no matter how strong the
situations
stimulus,
: Increased GFR, increased glomerular pressure, decreased RPF,
a second action potential cannot be generated? Absolute refractory
increased FF?
period
Constriction of efferent arteriole
289.What hormone is necessary to maintain normal thyroid hormone
297.What is happening to the renal arteriole in each of the following
levels?
situations
GH
: Decreased GFR, increased RPF, decreased glomerular pressure,
290.What region of the lung has the greatest blood flow? The base
decreased FF?
291.During inspiration, which region of the lung receives the greatest
Dilatation of the efferent arteriole
level of
298.What is happening to the renal arteriole in each of the following
ventilation: the apex or the base? The base
situations
292.What is the function of the stretch receptors in the lungs? To
: Decreased GFR, decreased RPF, decreased glomerular pressure?
prevent overd
Constriction of
istention of the lungs (inhibits inspiration)
the afferent arteriole
293.Where does the inherent rhythm for respiration originate? In the
299.What is happening to the renal arteriole in each of the following
medullary
situations
center of the medullary oblongata
: Increased GFR, increased RPF, increased glomerular pressure?
294.Where is the deep breathing center located? Apneustic center in
Dilatation of th
the pons
e afferent arteriole
295.What type of system is a low-resistance system in which the total
300.Which region in the lungs gives the best ventilation - perfusion
resistance
ratio? The hilum
301.What causes peripheral chemoreceptors to be stimulated? A
2. Increased concentration gradient 3. Decreased thickness of the
decrease in di
membrane
e arterial PO2, H+, and PCO2 of the normal drive for ventilation)
310.What type of dehydration is associated with Addison's disease?
302.What is secreted by the parafollicular C cells of the thyroid?
Hypotoni
Calciton
c dehydration
in
311.When is GH released? At night and during puberty
303.What is the titrated acid that the secreted H+ is buffered as?
312.What is protein-mediated transportation down a concentration
H2PO4
gradient known
304.What type of dehydration is associated with hemorrhage, burns,
as? Facilitated transport
vomiting, and
313.What determines the level of alveolar ventilation? Central
diarrhea? Isotonic dehydration
chemoreceptors (
305.What is the potential at which concentrations are equal and
PCO2)
opposite to the
314.Which point in the lungs is involved if the ventilation - perfusion
electrical forces, and also at which there is no net flux of ions across
ratio is
the mem
greater than 1? Apex
brane? Equilibrium potential (Nernst's equation)
315.Why is the V-P ratio in the apex of the lung greater than 1?
306.What hydration state is caused by the ingestion of salt water?
Delivery
Hyperton
exceeds the flow
ic overhydration
316.How is CO2 carried in the blood? As plasma bicarbonate
307.What is the free water clearance if the osmolarity of urine is
317.To what hydrated state can excess ingestion of water or
greater than
syndrome of inapprop
300 mOsm? Negative free water clearance (concentrated urine)
riate antidiuretic hormone (SIADH) lead? Hypotonic overhydration
308.What is the term for the process of water traveling from a low
318.What are the four major anabolic hormones? 1. Insulin 2. Thyroid
solute to a h
hormone 3.
igh solute concentration? Osmosis
GH 4. Sex steroids
309.What three factors increase simple diffusion? 1. Increased
319.What are the eight insulin INdependent tissues? 1. CNS 2. RBCs
solubility
3. Renal tubules 4. Testis 5. Teeth 6. ß cells 7. Liver 8. Intestinal epithelium
320.What are the growth factors released from the liver called?
332.During what part of the cardiac cycle do you hear: Aortic
Somatomedins
regurgitation?
321.What state of hydration would you be in if you had edema and if
Diastole
you ingested
333.What four factors affect the rate of diffusion for any process? 1.
an excessive amount of salt? Isotonic overhydration
Surfa
322.What type of cell lays down bone? Osteoblast Remember: Blasts
ce area 2. Thickness of the membrane 3. Concentration gradient 4.
make; clasts
Solubility (ma
take.
in factor)
323.What is the only condition in which giving enriched O2 will not
334.What does a decrease in GH in adolescence lead to? Dwarfism
significantl
335.What type of transportation requires ATP and is protein mediated
y increase PaO2? Pulmonary shunt
against a c
324.What is the biologically active form of thyroid hormone? T3
oncentration gradient? Primary active transportation
325.For how many months can you store thyroid hormone? 2 to 3
336.What does an increase in GH in adolescence lead to? Gigantism
months
337.What gas has a low driving force but high solubility? CO2
326.What is the ratio of T4 to T3? 20:01
338.What are two causes of diffusion impairment in the lungs? 1.
327.What type of cell is surrounded by mineralized bone? Osteocvte
Decrease in s
328.What type of dehydration is associated with excess sweating,
urface area 2. Increase in membrane thickness (PAO2 > PaO2)
decreased water
339.What is evident in the urinalysis of a compensated acidotic
intake, fever, alcoholism, lithium salts, excess evaporation, and
patient?
diabetes insi
Low HCO3 - excretion (acidotic)
pidus? Hypertonic dehydration
340.What does angiotensin II do to restore blood pressure? It has a
329.During what part of the cardiac cycle do you hear: Aortic
direct
stenosis? Systole
vasoconstrictive effect.
330.During what part of the cardiac cycle do you hear: Mitral
341.When is systemic venous blood delivered to the left side of the
stenosis? Diastole
heart withou
331.During what part of the cardiac cycle do you hear: Mitral
t O2 exchange in the alveoli? In a pulmonary shunt
regurgitation?
342.What gas has a high driving force and low solubility? O2
Systole (pan)
343.In what type of shunt do you see an increase in right atrial,
R)
ventricular, a
351.From which point to which point does it appear on an EKG? From
nd pulmonary arterial PO2, along with an increase in pulmonary blood
the QRS to
flow?
the T wave (S1 to S2)
Left-to-right shunt
352.What are the four features of aortic stenosis? 1. Increase in
344.What causes Ca+ and PO4 to be reabsorbed from the kidney and
afterload
Ca+ and PO4 to
2. Increase in LV pressure 3. Increase in the pressure gradient
be absorbed from the GI tract, and also promotes bone synthesis?
between the LV
Vitamin
and the aorta 4. Crescendo-decrescendo systolic ejection murmur
D3
(early systolic
345.What does excess secretion of GH in an adult lead to?
ejection click)
Acromegaly
353.When is surface tension the greatest in a respiratory cycle? At the
346.The rate at which a substance is filtered into Bowman's capsule is
e
known as
nd of inspiration
what? Filtered load rate (GFR X plasma concentration)
354.What type of transportation requires ATP, can be co- or
347.What part of the nephron has the greatest osmolarity? Tip of the
countertransport, an
loop
d is a protein-mediated transport with a concentration gradient?
of Henle (1200 mOsm)
Secondar
348.At what region of the nephron does H+/HCO3 - exchange occur?
y active transportation
Distal t
355.What lung pathology is associated with a decrease in FEV1/FVC?
ubule
COPD (ob
349.During what type of heart block do the atria and the ventricles
structive)
beat indepen
356.What is the most important factor in describing lung recoil?
dently of each other? Third-degree heart block
Surface
350.What is the length of systole on a pressure curve? From the
tension (also fibers of tissue)
beginning of th
357.What is the free water clearance if the osmolarity of urine is less
e isovolumic contraction (IVC) to the beginning of the isovolumic
than 300
relaxation (IV
mOsm? Positive free water clearance (dilute urine)
358.What four characteristics are common to all protein-mediated
node and PR intervals greater than 0.21 second? First-degree heart
transportation?
block
1. More rapid than diffusion 2. Zero-order kinetics 3. Chemical
365.What two occurrences cause an increase in the force of
specificity 4. C
contraction? 1. Incre
ompetition for carriers
ase in preload 2. Increase in contractility by increased intracellular
359.What causes an increase in Na+ and water loss from the kidney
Ca+
by increasing
366.What are three features of mural regurgitation? 1. Increase in v
GFR, stimulated by stress and high Na+ concentrations? Atrial
wave 2.
natriuretic facto
Increase in preload 3. Increase in atrial pressure and volume
r (ANF) released from the right atrium
367.What is the length of diastole on a pressure curve, and where is it
360.What growth factors are chondrogenic, working on the epiphyseal
on an EK
end plates o
G? From the beginning of the IVR to the beginning of the IVC, and
f bone? Somatomedins (insulin-like growth factor type 1[IGF-1])
from the
361.What causes an increase in Ca+ reabsorption from the distal
T wave to the QRS complex (S2 to Sl)
tubule, a decrea
368.What are the three features of aortic regurgitation? 1. Increase in
se in PO4 reabsorption from the kidney, and an increase in Ca+ and
p
PO4 reabsorpt
reload 2. Increase in systolic pressure 3. Decrease in aortic diastolic
ion from the GI tract? Parathyroid hormone (PTH)
pressure
362.If a patient is irritated, excited, and emotionally unstable and has
369.What are the three features of mitral stenosis? 1. Increase in a
overall
wave 2.
symptoms of ß-adrenergic stimulation, would you assume that this
Decrease in LV filling 3. Increase in atrioventricular pressure
patient is hyper
370.What type of heart block is characterized by: Progressive
thyroidic or hypothyroidic? Hyperthyroidic
lengthening of the
363.What is needed for proper postnatal and perinatal mental growth
P-R interval until there is failure of the impulse to be transmitted?
and also for
Second-d
proper bone ossification and GH secretion? Thyroid hormone
egree heart block, Wenckebach (Mobitz type I)
364.What type of heart block is associated with slowed conduction
371.What type of heart block is characterized by: Constant P-R
through the AV
interval but with
an occasional failure of conduction, resulting in an atrial rate greater
377.What has happened if the amount filtered and the amount
than t
excreted per unit ti
he ventricular rate? Second-degree heart block, non-Wenckebach
me are the same? Nothing; there has been no tubular modification.
(Mobitz type I
378.What happens to the following parameters in an obstructive
I)
versus restrictiv
372.What are the three functions of surfactant? 1. Increased
e lung problem: Lung recoil?
compliance 2. Decre
Decrease (obstructive); increase (restrictive)
ased surface tension 3. Decreased probability of pulmonary edema
379.What happens to the following parameters in an obstructive
formation
versus restrictiv
373.More negative intrathoracic pressure causes what to happen to
e lung problem: FRO?
systemic venou
Increase (obstructive); decrease (restrictive)
s return and what to the pulmonary vessels? Promotes systemic
380.What happens to the following parameters in an obstructive
venous return
versus restrictiv
into the chest and increases the caliber and volume of the pulmonary
e lung problem: TLC?
vessels
Increase (obstructive); decrease (restrictive)
374.What four factors cause the oxygen-hemoglobin dissociation
381.What happens to the following parameters in an obstructive
curve to shift to
versus restrictiv
the right? 1. Increased PCO2 2. Decreased pH 3. Increased 2,3-BPG
e lung problem: FVC?
4. Increa
Decrease (obstructive); decrease (restrictive)
sed temperature
382.What happens to the following parameters in an obstructive
375.What part of respiration, on a pressure volume curve, acts "like
versus restrictiv
the chest w
e lung problem: FEVI?
all"? Inspiration (collapse is due to elastic recoil)
Decrease (obstructive); decrease (restrictive)
376."Secretion + filtration =
383.What happens to the following parameters in an obstructive
Excretion" is the transport maximum (Tm) for what substance?
versus restrictiv
Paraaminohippura
e lung problem: Peak flow?
te (PAH)
Decrease (obstructive); increase (restrictive)
384.What happens to the following parameters in an obstructive
arriers are saturated and the excess is excreted in the urine? The
versus restrictiv
transport ma
e lung problem: RV?
ximum has been reached (Tm glucose = 375 mg/min).
Increase (obstructive); decrease (restrictive)
341.What four factors cause aldosterone to be released? 1.
385.What hormone increases reabsorption of Na+ by the principal
Conversion of angiote
cells and promot
nsin I to angiotensin II 2. Hyperkalemia 3. Hyponatremia 4. A
es excretion of H+ and K+ by the intercalated cells of the kidney?
decrease in blood
Aldoster
volume
one
342.What disease state includes buffalo hump, moon fades,
386.What three situations cause the rennin-angiotensin-aldosterone
hyperglycemia, hyperli
axis to fire?
pidemia, hypertension, hypokalemia, osteoporosis, and thinning of the
1. A decrease in blood pressure in the afferent arteriole 2. Low Na+
hair?
levels at t
Cushing's disease
he macula densa 3. ß1-Sympathetic nervous system input
343.What condition involves high urine flow, low urine osmolarity, low
387.What pathology is associated with low ACTH levels and high
ECF volum
levels of cortiso
e, high ECF osmolarity, low ICF volume, and high ICF osmolarity?
l? Cushing's syndrome (adrenal)
Diabetes
388.When do you see low urine flow, high urine osmolarity, high ECF
insipidus (lose water)
volume, low
344.Which condition involves elevated ACTH and cortisol levels?
ECF osmolarity (low Na+), high ICF volume, and low ICF osmolarity?
Cushing's diseas
SIADH (w
e (pituitary tumor)
ater retention)
345.Which condition involves high ACTH, low cortisol, high ADH,
389.What is the term for the process in which excretion is less than
elevated renin l
the filtere
evels, hypotension, and low body hair? Addison's disease (primary
d load? Net positive reabsorption (glucose, Na+, urea)
adrenal insuf
340.What has happened when everything that is filtered is reabsorbed
ficiency)
until the c
346.What process has taken place in the kidney when excretion is greater than th
e filtered load? Net negative secretion (PAH, creatinine)
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