Physiology

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Boards Ophthalmology Fichas sobre Physiology, creado por Rick Lanuza el 09/11/2015.
Rick Lanuza
Fichas por Rick Lanuza, actualizado hace más de 1 año
Rick Lanuza
Creado por Rick Lanuza hace más de 8 años
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What happens with K9 corneal thickness after parturition? After eyelid opening (2wks Post-natal): Decrease in thickness over 4 wks, then increase in thickness for 6 mos
What is the difference b/w Keratin and Chondroitin sulfates? Keratin adsorbs 2-3x more water and Chondroitin retains it 8-9x better
Where in the cornea is the greatest [ ] of keratin sulfate? Posterior cornea (near endo)
What are histopath abnormalities seen w/ SCCED's? Dysmature epithelium Stromal inflammatory infiltrates PAS+ acellular collagen zone (Bentley, 2005)
What is the oxygen diffusion maximum of the retina? 143 microns
Which Immunoglobulin is present in higher numbers in tears? IgA (vs. G & M)
What is in tears that binds Iron? Lactoferrin (bacteria needs iron for metabolism & growth)
What is the a-wave (PIII) of an ERG? Hyperpolarization of the photoreceptors caused by light-evoked Na channel closure
What is the b-wave (PII) of an ERG? Bipolar cell activity
What is the c-wave (PI) of an ERG? Transiently hyperpolarized RPE apical cells and Muller cells
What is the i-wave and where is it located? A positive wavelet in a light-adapted FERG that appears after the b-wave, which could be attributed to the ONH or RGC layer (inner retinal)
What are the 4 properties of viscoelastics? 1.) Pseudoplasticity 2.) Viscosity 3.) Viscoelasticity 4.) Surface tension (cohesiveness/coatability)
How much decussation at Equine chiasm? 85%
How much decussation at Dog chiasm? 75%
How much decussation at Cat chiasm? 70% (67%)
How quickly will an Indirect-Acting Sympathomimetic drug take effect on a central or pre-ganglionic lesion and why? Quickly/immediately due to the release of norepinephrine in the postganglionic neurons
Give example of Direct-Acting Sympathomimetic drugs for lesion localization? What is the principal behind the MOA? Epinephrine (0.001%) Phenylephrine (1% or 10%) They work via up-regulation due to hypersensitivity of the nerve.
Name a Direct and Indirect-Acting Parasympathomimetic drug used for lesion localization? Direct: Pilocarpine for both pre- and post-ganglion lesions Indirect: Physostigmine only for pre-ganglion lesions
What must be intact for an Indirect-Acting Parasympathomimetic or Sympathomimetic drug to properly localize a lesion? Requires an intact POST-ganglionic neuron
What order of Horner's syndrome causes facial and neck sweating? 2nd order (preganglionic lesion)
Corneal sensitivity in order from most to least? Cria>Human>Alpaca>Cat>Rabbit (Pigmented then Albino)>Dog (this is for measurement in mg/mm2) Cria>Dog>Cat>Diabetic Dog>Alpaca>G. Pig>Brachy Cat (this is for measurement in g/
Most sensitive region of K9 cornea? Central>Nasal>Temporal (least sensative is dorsal and ventral) p.1840
What cells are responsible for oscillatory potentials (OP's) and where in the retina do they represent activity? Amacrine cells originating in inner plexiform layer.
What are the two most numerous sulfates in the cornea? Keratan and dermatan sulfates (heparan and chondroitin also present)
What is the difference in water properties between keratan and chondroitin? Keratan absorbs 2-3x more water, but chondroitin retains 8-9x more water effectively
Location of GAG's within cornea? Keratan: deep cornea and low numbers toward limbus Dermatan: anterior stroma and high numbers toward limbus
Bowman's Layer is found in what species/animals? Human, monkey, avian, whales (pilot), dophine, giraffe, some herbivores
What is Psuedofacility? the false thought process of lowering aq. humor production (ultrafiltration portion) by increasing the IOP during studies
What is the pathophysiology of rod-cone dysplasia type1? What breed does it affect? mutation in beta subunit of PDE, preventing it from hydrolyzing cGMP, which results in build up of it and subsequent cell death. Irish Setters.
Which breed has mutations in rhodopsin, causing progressive retinal degen, which makes good human model for Retinitis Pigmentosa English Mastiff
Which is the only step in the photopigment regeneration process that does NOT take place in the RPE? Reduction of all-trans-retinal to all-trans-retinol by all-trans-retinol dehydrogenase
How much of the optic n. stays on the IPSILateral aspect of the following species: Horse, Dog, Cat? 15%, 25%, 33%
How are Fluorescein sodiium (FS) and Indocyanine green (ICG) different? What are they used for? Both used for angiography. FS has shorter wave length, which means better retinal cap detail. ICG has longer wave length, which means penetrates RPE/choroid so better choroidal vasc detail, but less retinal vessel detail ICG binds more to protein, leaks slowly from vessels (FS leaks fast)
What % is unconventional (uveoscleral) flow in canine and feline? 15% and 3%
When is the retina fully formed in the dog? 28 days post natal
What are the 3 current concepts behind origin and perpetuation of autoimmune disease? 1. Molecular mimicry 2. Bystander activation 3. Epitope spreading
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