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Kaplan Qbank USMLE



Author5 Posts
  #1

Many patients with cirrhosis, particularly alcoholic cirrhosis, develop
gynecomastia, testicular atrophy, and impotence. Which of the following
is thought to be the underlying mechanism producing these changes?
A. Both decreased testosterone secretion and decreased
extraction of androstenedione
B. Decreased hepatic extraction of androstenedione
C. Increased estrogen secretion by Leydig cells
D. Increased estrogen secretion by Sertoli cells
E. Testosterone deficiency alone

___________________
If you think you can You can! If you think you cant you are right again!!

  #2

? B. (there is decreased breakdown of androstenedione in the liver which increases its conversion to estrogens in the periphery)

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #3

b...

  #4

no sturge. i answered it b. bt it is explianed as A in qbank

___________________
If you think you can You can! If you think you cant you are right again!!

  #5

yes i think i too got it wrong in q bank, and i still did it wrong

thanks msyamp








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