Primary Care for COMLEX Level 1. Dr. Jahan Eftekar

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Primary Care for COMLEX Level 1 - Dr. Jahan Eftekar

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AUTOSOMAL RECESSIVE DISORDERS

      Keyboard Associations

      Condition ⇔ Deficiency/Symptom

      •Alkaptonuria ⇔ Homogentisic oxidase

      •Cori’s Disease (Glycogen Storage III) ⇔ Amylo 1, 6-glucosidase

      •Pompe’s (Glycogenesis II) ⇔ α-1,4 glucosidase

      •Von Gierke’s (Glycogenesis I) ⇔ Glucose-6-phosphatase

      •McArdle’s (Glycogenesis V) ⇔ Muscle phosphorylase

      •Galactosemia ⇔ Galactose-1-phosphate uridyl transferase

      •Tay-Sachs ⇔ Hexosaminidase A

      •Hurler’s ⇔ α-L-Iduronidase

      •Gaucher’s ⇔ Glucocerebrosidase

      •Niemann-Pick ⇔ Sphingomyelinase

      •Phenylketonuria ⇔ Phenylalanine hydroxylase

      •Wilson’s disease (Hepatolenticular degeneration) ⇔ Decreased serum ceruloplasmin (a copper binder)

      •Cystic fibrosis ⇔ Exocrine malfunction, thick mucus, sweat test (high Cl-), chromosome 7

      •Sickle Cell anemia ⇔ Afro-Americans, Chromosome 11, hypoxia

      •Alpha-Thalassemia ⇔ Insufficient alpha-globin, chromosome 16, Bart’s anemia

      •Beta-Thalassemia ⇔ beta-globin deficiency, Cooley’s anemia

      •ADA (Adenosine deaminase) ⇔ Impaired A and T

      26. SEX-LINKED ANOMALIES

      Keyboard Associations

      Condition ⇔ Deficiency

      •Duchenne muscular dystrophy ⇔ Dystrophin defect, pseudohypertrophy of calf

      •Becker muscular dystrophy ⇔ dystrophin deficiency

      •Wiskott-Aldrich Syndrome ⇔ B and T defect, thrombocytopenia, see Immune deficiency

      •Lesch-Nyhan ⇔ Hypoxanthine-guanine phosphoribosyl transferase deficiency, self-mutilation, mental retardation

      •Hunter’s ⇔ L-Iduronosulfate sulfatase

      •Glucose-6-phosphate dehydrogenase deficiency ⇔ Hemolytic anemia, oxidative injury, antimalarial, sulfonamide

      •Hemophilia A (Classic) ⇔ Factor VIII

      •Fabry’s ⇔ α-galactosidase A

      •Fragile X ⇔ Dominant, Folate deficiency, CGG trinucleotide repeat, mental retardation

      •Bruton’s agammaglobulinemia ⇔ B cell defect

      27. AUTOSOMAL DOMINANT CONDITIONS

      Keyboard Associations

      Condition ⇔ Attributes

      •Adult-polycystic kidney disease ⇔ Renal cyst, Liver, Berry aneurysm, Mitral

      •Familial hypercholesterolemia ⇔ Myocardial infarction, LDL receptors

      •Huntington’s ⇔ Progressive dementia, Chromosome 4, low GABA

      •Hereditary Hemorrhagic telangiectasia (Osler-Weber-Rendu Syndrome) ⇔ Skin telangiectasia, convoluted venules

      •Familial Polyposis coli ⇔ APC gene, chromosome 5, Colonal cancer

      •Von Hippel-Lindau ⇔ Hemangioblastoma, Chromosome 3, Renal tumors

      •Von Recklinghausen’s (Neurofibromatosis) ⇔ Café au lait spots, neural tumors, Chromosome 17

      •Marfan’s ⇔ Fibrillin, floppy mitral, lens subluxation, tall stature

      •Hereditary Spherocytosis ⇔ hemolytic anemia

      •Thorotrast ⇔ Hepatic angiosarcoma

      •Retinoblastoma ⇔ Risk of osteosarcoma and breast carcinoma

      •Ehlers Danlos Syndrome ⇔ Collagen and elastin defect, elastic skin, easy bleeding

      •Von Willebrand ⇔ Bleeding

      28. CHROMOSOMAL ABERRATIONS

      •Down’s Syndrome ⇔ Trisomy 21, non-disjunction, mental retardation, Simian crease

      •Edwards’s ⇔ Trisomy 18, PDA, Clenched fist

      •Patau’s ⇔ Trisomy 13, syndactyly, mental retardation

      •Cri du chat ⇔ Chromosome 5, mental retardation, microencephaly

      •Klinefelter’s ⇔ XXY, male hypogonadism, low IQ, Barr bodies (buccal smear)

      •XYY Syndrome ⇔ violent behavior, severe acne

      •XXX Syndrome ⇔ mental retardation

      •Turner’s syndrome ⇔ XO, female hypogonadism, no Barr bodies

      •Fragile X ⇔ Frequency of mental retardation is second after Down’s, long arm of chromosome X defect

      29. VASOACTIVE AGENTS

      Vasoconstriction

      •Thromboxane A2 (TXA2)

      •Leukotrienes: LTC4, LTD4, and LTE4

      •Platelet activating factor (RAF)

      Vasodilation

      •Endothelial Prostacyclin PGI2

      •PGD2, PGE2, PGF2α

      •Bradykinin

      •RAF

      •EDRF (endothelial derived relaxing factor) = NO (nitric oxide)

      Increasing Vascular Permeability

      •Serotonin

      •Histamine

      •Bradykinin

      •PGD2, PGE2, PGF2α

      •LTC4, LTE4, LTD4

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