"Medical Interventions EOC Review" – Flashcards
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What is the difference between gram (+) bacteria and gram (-) bacteria?
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Gram (+) bacteria have a thick peptidoglycan wall and a cell membrane. Gram (-) bacteria have a thin peptidoglycan wall, a cell membrane, and are covered with lipopolysaccharides and proteins.
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What does a BLAST analysis do?
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BLAST compares the DNA sequences input into it to its large database
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What does the ELISA test do and what does it stand for?
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ELISA- Enzyme-linked-immunosorbant-assay
This is a test that takes advantage of some of the body's natural immune responses to identify the presence of illness.
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What is an antigen?
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An antigen is really a type of protein found on the outside of every living cell (and virus!). Antigens are surface markers that cells use to identify each other. It's how your body knows that your body cells are truly yours, and they are how your body identifies cells and viruses that aren't yours.
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What is an antibody?
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The job of antibodies is to attach to foreign antigens. By attaching, those foreign antigens are neutralized. That attachment also signals other types of leukocytes (T lymphocytes) to come in and destroy whatever the antibody is attached to. So, antibodies attach to antigens. That is the principle behind an ELISA.
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What are the symptoms of meningitis?
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Fever; stiff neck; severe headache; vomiting or nausea with headache; confusion or difficulty concentrating; sensitivity to light; seizures; fatigue/difficulty waking up; loss of appetite; skin rashes (in some cases)
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What are β-Lactam Antibiotics and what is an example?
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Irreversibly inhibit enzymes involved in the final steps of cell wall synthesis. The enzymes inhibited by these drugs mediate the formation of the peptide bridges between adjacent strands of peptidoglycan. These drugs vary in their spectrum of activity; some are more active against Gram positive bacteria; whereas, others are more active against Gram negative bacteria; example, Penicillin
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What are tetracyclines and what is an example?
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Reversibly bind to the 30S ribosomal subunit, blocking the attachment of tRNA to the ribosome and preventing the continuation of protein synthesis. They are effective against certain Gram positive and Gram negative bacteria; example, Doxycycline
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What are sulfonamides and what is an example?
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Inhibit the growth of many Gram positive and Gram negative bacteria. They are structurally similar to paraminobenzoic acid (PABA), a substrate in the pathway for folic acid biosynthesis. Because of this similarity, the enzyme that normally binds with PABA preferentially binds with the sulfonamide drugs, resulting in its competitive inhibition. Human cells are not affected by these drugs because they lack this enzyme; example, Sulfadiazine
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What are fluoroquinolones and what is an example?
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Inhibit one or more of a group of enzymes called topoisomerases, which maintain the supercoiling of the chromosomal DNA within the bacterial cells. The inhibition of these enzymes prevents essential cell processes. The fluoroquinolones are active against a wide variety of bacteria, including both Gram positive and Gram negative bacteria; example, Ciprofloxacin
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Starting from the outer ear, trace the pathway of structures to the inner ear.
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1) Pinna (outer ear), 2) external auditory meatus, 3) tempanic membrane (eardrum), 4) ossicles (malleus, incus, stapes), 4) tympanic cavity, 5) eustachian tube, 5) semicircular canals, 6) cochlea, 7) vestibular nerve, 8) facial nerve, 9) cochlear nerve, 10) Internal auditory meatus
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Does a higher frequency show a higher or lower pitch?
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Higher pitch
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Conductive vs. sensorineural hearing loss?
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Conductive hearing loss - hearing loss of the outer ear; sensorineural hearing loss - hearing loss of the inner ear
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What are the three steps of PCR?
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1) Denaturation
2) Annealing
3) Exension
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What is the difference between amniocentesis and chorionic villi sampling?
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Amniocentesis involves inserting a large needle through the abdomen and into the uterus, where amniotic fluid (the fluid surrounding and protecting the baby) is removed. This fluid contains cells shed from the baby: skin cells, cells from the lining of the small intestine, or cells from the bladder. The cells in this fluid provide the DNA needed to perform genetic testing. Chorionic villus sampling, on the other hand, can be done earlier. Here, chorionic villus cells are removed from the placenta. This is done by inserting a needle vaginally and directing that needle to the placenta. A small sample of those cells - which are identical to the cells inside the baby - are removed and used for testing.
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What does an MRI scan stand for? CT scan?
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MRI - Magnetic Resonance Imaging
CT - Computed Tomography scan
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What is the best method for being able to diagnose cancer?
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Biopsy
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In a microarray, what does the green color stand for? The yellow? The red?
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Green - genes are being expressed in normal cells but not in cancer cells
Yellow- both genes are being expressed in both cells
Red - genes are being expressed in the cancer cells but not the healthy cells
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DNA microarrays measure these differences by measuring the amount of _____ for genes that is present in a cell sample
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mRNA (messenger Ribonucleic acid)
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In depth, what do tumor suppressor genes do?
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Tumor suppressors, such as the p53 gene, are used to control cells. When a cell does not function properly, or is in the wrong stage of the cell cycle, the gene will signal those cells to undergo apoptosis to keep them from spreading their non-functioning genes. If a tumor suppressor gene is turned off, then those non-functioning cells will continue to spread, which leads to a tumor formation which can be malignant.
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What are proto-oncogenes?
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Proto-oncogenes are a group of genes that cause normal cells to become cancerous when they are mutated.
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What are the mutated versions of proto-oncogenes called?
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Oncogenes
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What does an SNP stand for?
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Single nucleotide polymorphism
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Amniocentesis
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a procedure used in fetal diagnosis in which fetal cells are removed from the amniotic fluid
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anneal
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The pairing of strands of DNA through hydrogen bonding.
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Carrier Screening
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Testing a person for a specific gene
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Chorionic villus Sampling (CVS)
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a test used to find genetic defects that involves taking samples of hairlike material that surrounds the enbryo
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gene
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A segment of DNA on a chromosome that codes for a specific trait
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genetic testing
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the use of tests to diagnose or predict the presence of or susceptibility to genetic conditions in individuals considered to be at high risk for a particular disorder, based on clinical symptoms, family history, or a positive genetic screen
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genotype
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genetic makeup of an organism
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karyotype
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A picture of all the chromosomes in a cell arranged in pairs
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newborn screening
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tests performed to help early detection of disease, especially genetic disorders, at birth
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phenotype
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physical characteristics of an organism
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PCR
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technique that makes many copies of a certain segment of DNA without using living cells
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Preimplantation Genetic Diagnosis
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is a technique used to identify genetic defects in embryos created through in vitro fertilization (IVF) before transferring them into the uterus
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primer
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a short segment of DNA that serves as the starting point for DNA synthesis
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restriction enzyme
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enzyme that cuts dna at a specific sequence of nucleotides.
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single nucleotide polymorphism
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the differences in homologous DNA sequences that are reflected in different lengths of restriction fragments produced when the DNA is cut up by a restriction enzyme
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supernatant
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the liquid material left above the pellet after centrifugation
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TAQ polymerase
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heat resistant enzyme that extends primers from 5' to 3' ends in PCR
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Thermal cycler
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an instrument used to complete PCR reactions; automatically cycles through different temperatures
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ultrasonography
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using the reflections of high-frequency sound waves to construct an image of a body organ (a sonogram)
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cloning
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Using a somatic cell from a multicellular organism to make one or more genetically identical individuals.
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gene therapy
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a technique that places a gene into a cell to correct a hereditary disease or to improve the genome
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in vitro fertilization
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The most common assisted reproduction procedure, in which a woman's eggs are mixed with sperm in culture dishes (in vitro) and then carefully inserted into a woman's uterus.
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vector
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in biology, any agent, such as a plasmid or a virus, that can incorporate foreign DNA and transfer that DNA from one organism to another; an intermediate host that transfers a pathogen or a parasite to another organism
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apoptosis
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programmed cell death; cell suicide; termination due to mutation
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biopsy
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examination of tissues or liquids from the living body to determine the existence or cause of a disease
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bone scan
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a nuclear scan of bone tissue to detect a tumor, malignancy, etc.
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cancer
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any malignant growth or tumor caused by abnormal and uncontrolled cell division
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cell cycle
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the regular sequence of growth and division that cells undergo.
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CT scan
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a series of x-ray photographs taken from different angles and combined by computer into a composite representation of a slice through the body.
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diagnostic imaging
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Diagnostic imaging A noninvasive procedure using instrumentation that seeks to establish a diagnosis by observing body structure and/or function
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DNA microarray
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Allows for simultaneous detection of many genes expressed; high throughput. Using genome database of a particular species genes are selected, sequence placed on a glass slide. Sample collected, DNA isolated and taged with a fluorescent dye. Exposed to glass slide. Fluorescence is detected and measured by lasers.
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MRI
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a technique that uses magnetic fields and radio waves to produce computer-generated images that distinguish among different types of soft tissue; allows us to see structures within the brain
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Oncogene
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a gene that causes normal cells to change into cancerous tumor cells
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Osterosarcoma
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bone cancer (femur, humerus)
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Proto-oncogene
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a normal gene that has the potential to transform itself into an oncogene
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Radiology
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(radiology) examination of the inner structure of opaque objects using X rays or other penetrating radiation
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Risk Factor
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anything that increases the chance of disease or injury
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Tumor Suppressor Gene
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gene that codes for a protein that stops cell division in particular situations
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X-Ray
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a type of electromagnetic radiation
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Allele
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the different forms of a gene
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BRCA
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breast cancer (gene)
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Familial Cancer
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BRCA1 and BRCA2 are good examples of what type of cancer heredity
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Genetic Marker
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a specific gene that produces a recognizable trait and can be used in family or population studies
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Hereditary Cancer
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Cancer that is passed on by relatives.
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Marker Analysis
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is a genetic technique whereby the sequence of the gene is not directly analyzed, but the mutant copy (allele) of the gene is inferred through analysis of a genetic marker
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Microsatellite
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Polymorphic loci present in nuclear and organellar DNA that consist of repeating units of 1-6 base pairs in length.
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Melanoma
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an especially dangerous cancer of the pigmented cells of the skin, related to sun exposure in people with light-colored skin
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Screening
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testing objects or persons in order to identify those with particular characteristics
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Sporadic Cancer
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occurs when a dominant mutation or 2 recessive mutations happen in somatic cells
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Biofeedback
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a training program in which a person is given information about physiological processes (heart rate or blood pressure) that is not normally available with the goal of gaining conscious control of them
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Chemotherapy
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the use of chemical agents to treat or control disease (or mental illness)
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Metastasis
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spread of cancer cells beyond their original site in the body
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Radiation Therapy
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the application of cell-destroying radiation to kill cancerous tissues
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Amino Acid
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..., basic building blocks of protein molecules
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Genetic Engineering
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the technology of preparing recombinant DNA in vitro by cutting up DNA molecules and splicing together fragments from more than one organism
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Plasmid
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circular DNA molecule found in bacteria
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Recombinant DNA
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genetically engineered DNA made by recombining fragments of DNA from different organisms
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Dialysis
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a procedure to remove waste products from the blood of patients whose kidneys no longer function
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End Stage Renal Disease
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a severe stage of chronic renal failure that requires life-sustaining treatment with either dialysis or a kidney transplant. BUN may be as high as 150 to 250 mg/dL.
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Hemodialysis
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the process of removing waste products from the blood due to kidney failure
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Kidney Transplant
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a kidney is taken from a living donor or a recently deceased donor
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Peritoneal Dialysis
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method of removing impurities using the peritoneum as the filter; a catheter inserted in the peritoneal cavity delivers cleansing fluid (dialysate) that is washed in and out in cycles
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Anesthesia
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loss of feeling or sensation resulting from ether, chloroform, novocaine, etc.
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Antibody
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any of a large variety of proteins normally present in the body or produced in response to an antigen which it neutralizes, thus producing an immune response
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Antigen
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any substance (as a toxin or enzyme) that stimulates the production of antibodies
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Crossmatch
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blood bank test for the transfusion of blood products
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Haplotype
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a combination of genes or DNA sequences that are inherited as a single unit
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Histocompatibility
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condition in which the cells of one tissue can survive in the presence of cells of another tissue
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Human Leukocyte Antigen
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the major histocompatibility complex (MHC) in humans, is controlled by genes located on chromosome 6. It encodes cell surface molecules specialized to present antigenic peptides to the T-cell receptor (TCR) on T cells.
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Laparoscope
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instrument used for visual examination of the abdominal cavity
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Laparoscopy
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visual examination of the abdominal cavity using an endoscope
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Major Histocompatibility
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is a set of molecules displayed on cell surfaces that are responsible for lymphocyte recognition and "antigen presentation
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National Organ Transplant Act
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Passed in 1984, a statute that provides grants to qualified organ procurement organizations an established an Organ Procurement and Transplantation Network
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Nephrectomy
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Surgical removal of a kidney
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Organ Procurement and Transplantation Network
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maintains the only national patient waiting list and features the most comprehensive data available in any single field of medicine
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Organ Procurement Organization
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Organization that is responsible for deciding who gets organs
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Panel Reactive Antibody
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Blood Test that determines what antibodies a person has in their blood.
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Suture
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thread of catgut or silk or wire used by surgeons to stitch tissues together
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Tissue Typing
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a series of diagnostic tests before an organ transplant to determine whether the tissues of a donor and recipient are compatible
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Trocar
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sharply pointed surgical instrument used in cavity embalming to aspirate the cavities and inject cavity fluid; the trocar may also be used for supplemental hypodermic embalming