Amyloidosis

Primary (AL) - light chains
Secondary (AA) - amyloid A
dialysis related amyloidosis - beta 2 microglobulin
age-related - transthyretin

Neurotransmitters

Serotonin - raphe nucleus
GABA - caudate nucleus (striatum)
norepinephrine - locus ceruleus
acetylcholine - nucleus basalis
dopamine - substantia nigra

Review Questions

A 32yo female presents with dyspnea that has gotten progressively worse over the pass few months. Patient's mother experienced similar symptoms and passed away at the age of 50. Genetic analysis reveals that patient has a inactivating mutation in her BMPR2 gene. Which of the following can be used to treat her condition?
A. albuterol
B. bosentan
C. esmolol
D. tamoxifen
E. furosemide


A 26yo male and his wife have been trying to have a child for the past 2 years without any success. Patient has long arms and legs. Blood tests reveal increased FSH and LH, but decreased testosterone and inhibin B. Which of the following is most likely the underlying cause of this patient's complaint?
A. aromatase deficiency
B. Kartagener syndrome
C. 5 alpha reductase deficiency
D. Klinefelter syndrome
E. Marfan syndrome


17yo patient presents to clinic for wellness exam. Upon physical exam, you note that the patient has long limbs. Blood tests reveal elevated homocysteine levels but normal MMA levels. What is this patient at risk for developing?
A. thromboembolic events
B. megaloblastic anemia
C. aortic aneurysm
D. kidney stones
E. recurrent sinus infections

B

D

A