sobia naeem
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Topics: 30
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healthy 33 yr old male.occasional episodes of steady severe abdominal pain with cramping but no diarrhoea.one aunt and cousin cousin have similar episodes.during a recent episode abdomen distended,bowel sounds decreased.neurologic exam shows mild weakness in upper arms.there is a biosynthetic defect in pathway involving which of following:
a.collagen
b.corticosteroid
c.fatty acid
d.glucose
e.heme
f.thyroxine
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| an
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e.heme
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| ssrpk
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i'll go with e too, as the others don't fit the criteria very well! would hv been more certain if the episodes included some psychiatric signs!
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| sobia naeem
Forum Elite
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well this question was on the usmle cd tutorial that i received today..so i cant really tell u the right answer..sorry.
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| drkpp
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looks like porphyria so willl have to agree with e.
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