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Unit 5 SIGS Review

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    Unit 5 stuff
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  • What is the MOA of loperamide?
    Binds to mu-opioid receptors and decreases peristalsis
  •  15
  • How does heat labile toxin exert its effects in Enterotoxogenic E. coli?
    Catalyzes ADP ribosylation and stimulates adenylate cyclase to increase cAMP --> hypersecretion of water and electrolytes into bowel lumen
  •  20
  • Name 4 out of 5 osteopathic models of care
    Biomechanical, Neurological, Respiratory-circulatory, Metabolic, Behavioral
  •  20
  • What is the most clinically important sequalae of Barrett's esophagus?
    esophageal adenocarcinoma
  •  15
  • Name 2 risk factors for peptic ulcer disease
    Helicobacter pylori, chronic NSAID use, Zollinger-ellison syndrome
  •  15
  • Outline the pathogenesis of Helicobacter pylori infection
    bacteria ingested --> organism colonizes the stomach using urease to protect from gastric acid --> host inflammatory response damages mucosa --> bacteria invade
  •  25
  • What is the MOA of Rotatvirus's NSP4 protein?
    Alters calcium ion influx into enterocytes and disrupts the tight junctions, causing water to leak into the bowel lumen
  •  15
  • What chapman point is at the right medial 5th and 6th intercostal space?
    Liver (posterior TP = right T5 and T6 transverse processes)
  •  10
  • 1) Describe Cullen's sign, Grey Turner's sign, or Fox's Sign 2) What do those findings indicate?
    1) (C) periumbilical ecchymosis; (GT) flank ecchymosis; (F) ecchymosis over inguinal ligament. 2) Acute pancreatitis
  •  15
  • What does Ranson's criteria evaluate? Is it better to have a high or a low score?
    Assesses pancreatitis severity and risk of mortality; mortality liklihood increases w/ higher score
  •  15
  • Hypocalcemia in the context of acute pancreatitis indicates
    Fat necrosis (saponification)
  •  15
  • What demographic is most likely to precipitate cholestrol gallstones? (Remember the F's)
    Female, Forty, Fat, Fertile
  •  10
  • What protein is released with insulin from pancreatic ß-cells?
    c-peptide
  •  15
  • What is the relationship between GLP-1 receptor agonist and DDP-4 inhibitors?
    GLP-1 binds to α-cells in the pancreas (and more) and prevents glucagon secretion (↓ catabolism). DPP-4 inhibits GLP-1
  •  25
  • Compare and contrast how liver enzyme labs would differ between pancreatitis and NAFLD
    Pancreatitis ↑Alk phos ↑GGT; NAFLD ↑AST<↑ALT
  •  15
  • Describe the biochemical pathway of lipid and carbohydrate metabolism and how it contributes to dyslipidemia
    TG packaged as chylomicrons → Apo CII binds to LPL ↑FA deposition into adipose & muscle → remnant travels to liver endocytosed by LDLR →repackaged as vLDL
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