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Kaplan Qbank USMLE



Author31 Posts
  #1

Which are the main regulatory enzymes of hexose monophosphate pathway?

  #2

The answer is:
35 y.o. AA male has a FLU , and took some OTC med, after which he presents in your office w/ jaundice, dark urine and back pain. Unconjugated bilirubin is elevated. Peripheral blood smear- normocytic nonspherocytic anemia, and there are Heinz bodies seen in some RBCs.
Deficiency of which enzyme is most likely related to this episode?

  #3

Truly sorry, no dark urine. Uconjugated billirubin is not water soluble and therefore is not going to end up in the urine :oops:

  #4

hmm.. yeah , good concept .. only an increase of indirect bilirubin ..intravascular hemololysis .

can anyone tell me the other conditions where there is intravascular hemolysis ? 4 in all

  #5

G-6-PD deficiency, TTP, DIC, paroxysmal nocturnal hemoglobinuria (PNH), hemolytic anemia due to prosthetic cardiac valves... :?:

  #6

way to go ...!!!!!!!

also autoimmune hemolytic anaemia .. i think its the cold type .


how do you differentiate ITP from TTP in a peripheral smear ?

  #7

ITP - Thrombocytopenia with megathrombocytes - enlarged immature platelets
TTP - Thrombocytopenia and schistocytes, reticulocytes
As for hemolysis in cold AIHA, I thought that it was extravascular, in a liver mostly... ::very_confused:: I could be wrong though, need to look it up :icon_study:

  #8

bang on target !!!!!!

are you like taking ur exam tomm or something ?

yeah , i always get confused on the warm or cold AIHA .. i think ur right !

  #9

No, in two weeks smiling face
What about yourself?

  #10

ur ready to rock !!!

me .. sept 17th .. still rusty on lotta boichem and physio

  #11

You still got time smiling face You'll be just fine, I am sure.
How about pharm? It is my biggest headache... Do you have any questions to share? Kaplan Q-bank has very few ... surprisingly.

  #12

i think ..pharm is pretty k ....beside that freaking ioniszing and protonted chapter..

im having trouble in genetics and physio..

will be happy to VIVA you sometime in pharm ?

  #13

There is a very unfortunate woman lives (or lived) somewhere. Her mother was a carrier for mutant allele of HRTP gene and father was genotypically normal. The woman suffers from Lesch-Nyhan Disease. What genetic phenomenon could be responsible for disease symptoms in female that should have been just another asymptomatic carrier?

  #14

k .. im just gonna take a chance on this one....but is it that unfortunatley the' sweet ' X chromosome was inactivated ..leaving the nasty X chromosome ...'manifesting heterozygotes '

  #15

Yes, she was unfortunate enough to have most of her "good" chromosomes, meaning carrying normal allele, inactivated.

Here's another one, more of a molecular biology:

They are describing the process of eukaryotic gene cloning, some particular gene, and its product is Western blotted and probed with radioactive DNA, which gives a positive result.
Which of the following is least likely to be a product of that gene?

a. CREB
B. steroid receptor
c. RNA polymerase
d. proteine kinase A
E. SP-1

  #16

good qn ..uve got me hangin....d seems like the only one thats not directly involved

but then again creb and protein kinsae are both invld in glucagon ..

  #17

there is a defect in the 'homeobox ' whixh leads to K Wallenburg syndrome ... which gene has the pathology ?

  #18

Rajeev, Protein kinase A does not actually bind to DNA, so you can figure it out from here...

PAX gene mutation - Klein Waardenburg syndrome- bunch of abnormalities...

  #19

You 're right, it is choice d grin

  #20

qn .. Yulia is molecular biologist and is deriving mRNA from a tissue expressing a gene to form a cDNA library , her lab is on low supply of an enzyme need ing to carry out the 'recombinant tecnique so she calls her friend rajeev who works at a loacal pharm firm and orders 2 cases of an enzyme .. WHAT ENZYME DID SHE ORDER IN ORDER TO CARRY OUT FORMING A cDNA LIBRABRY ?

  #21

AWESOME ... CAN YOU TELL ME THE DRUG THAT WOULD ALSO COZ SIMMILAR EFFECTS .... CONTRA IN PREGNANCY ???

  #22

Yulia (the molecular biologist one) is going to need some RNA dependent DNA polymerase - AKA reverse transcriptase smiling face
The other one - I admit I do not know, and my guess would be methotrexate ::very_confused::
And if am wrong, could you give me some choices please? :oops:

  #23

It is not exactly about biochemistry, I just need your opinion here.
I am going to conduct a large study to assess the course of type 2 DM under the influence of different environmental factors.
I will have 2 large groups, I'll get volunteers from all over the world. First group is going to be a control group, and the second one is going to have all kinds of attention available. I will put them on calorie-salt- restricted diet, they will be getting organic food only, I will make them exercise every day (may be), and I will educate their family and friends about Diabetes. And in two years I will compare the complications of diabetes rates in two groups.
What do you think about my study design?

  #24

absolutely right !!!!! yulia the 'molecular bilogist ' would need some RT .

im sorry sad , i shoulda worded the Qn better.. what i meant was simm effects to a 'homeodomain screwup ' in pregnanacy .... isotretintoin for 'acne '

so remember b'fore starting a woman in the reproductive age on this drug .. always order a pregnancy test just to make sure shes not pregnant !

  #25

pt has his dna assesed in a folate meduim which shows long arms resembling x .. he has a family h/o of mental retardation and huge testis
where is the pathology located

a. introns
b. 5' UTR
c.3'UTR
d. shine dalgarno sequence
e. promoter







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