 |  mixed nbme ques---posted on forum by someone
|
 
|
| Author | 17 Posts |
reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
Q.1..22 yr oldman . pain sweeling of left testis for 36 hours.One wk ago mild dysura and dischagre. Gram stain shows neutrophils but no org. wats the org nvolved.
A.Chlamydia.
B.tracohis
C.vaganislai.
D.e.coli. mumps.
E. Nissera.
F.HERPES.
G.CMV
My answer CHLAYMADIA.
Q.2. 25 yr old woman with 3 yr tremor of outstretched hand LFT abnormal. these results hwo accunmalation of?
ALmiunum , IRON , COpper , lead mercaury.
My answer LEAD.
Q.3. 22 yr old man with recurrent sino-pul infection and dirrhea. Serum IgG normal. Dx?
A.AIDS.
B. CGD.
C.COmon variable immunodeef.
D. DiGeorge.
E.isolated IGA.
F.SCUD.
G.WIshKOTT_ALDRICH SYND .
H.X-linked agamaglobinemia.
My answer isolated IgA
Q.4. 10 month old infant brought on hot day of june to emergency dept. listeles. floppy, cranky , diragged. He has no hair or teeth. over past 2 weeks not smiled . roled over or sat up . MOM says she and her son cannot tolerate heat. he always had thin hair and still has some baby teeth.. which of the following skin structures is absent or decreased in both mo and choild.?
A.langerhans ceels
B. merkels cells
C.pacianiann corpulsules .
D.sabaceous glands.
E.sweat galnds.
mY answer Sweat galnds.
Q5.a 66 year old man with squamous cell ca. of lung has an increase in serum alkaline phosphatase activity. metastatic disease is suspected measuremnet of serum activity of which of the following enzymes will be most useful in differentialting bone and hepatic metastasis?
A.acId phosphatase.
B.aldolase.
C.amyalse.
D.Y-glutamyltransfrease.
E.LDH.
my asnwer acid phosphatase.
Q.6.A 70 yr woman lives alone. brought to hoispital becoz she isnt takin care of herself. pt denies any problems but hair on left side is unkempt . shirt on left side unbuttoned. draws only 12- 6 of a clock. MRI will show lesion of?
A.left frontal lobe.
B.Right fontal.
C.Lt parietal.
D.rt.pariental.
E.Lt temo.
F.rt tempotral.
my answer DUNNO.
Q7.51 yr man sucesful business man starts abusing his wife duw to alcolaol probelem . wife complains that his drinkin problem is destroyin theri family. MOST effectice way to initaite the effect of alcolol on his family is to?
A.did u know most pt. who drink as much as you lose thier families.
b.do u feel guilty about wat ur r doin to ur children.
c.wat do iu think is the impact of drinkin on ur family.
d.do u realize the damage u are doin to ur realtionships due to drinikni.
e.ur wife says ur drinkin is destroyin ur family.
my answer c.
Q8.56 yr old man has had bright red blood in stoll for the past 10 days. colonoscopy shows 6 cm sessile , bleeding polypid lesion in descnding colon.examination of tisue on biopsy shows primary adenocarcinoma of colon. ther is mraked mitotic activity and cell differrentiation is poor. neoplasm is resected. metasetases are preset in the regional lymph nodes. a foocus of the same neoplasm is present in liver biopsy. which of the folowing indicates poorest prognosis.?
a.lymphatic incvasion
Bmarked mititoci activety
C.noeplasm in liver
D.poor cell differntistion
E.regial lymh note mets.
MY ANSWER . POOR DIFFRENTIATION.
Q.9. 58 yr old man is chduled to be dischaged from hsopitla after tx of MI. therpay with which of the folwong drugswith which action is lieky to decrease his risk of dyin over the the next 6 motnths.
A.blockade of b-adrenergic receptors.
B.block of ca channels.
C.blaock of k chaneels
D.blcoak of sodium chanels.
MY ANSWER A
Q.10 a neonate is born with ambigiuos genetalia. the clitoris is enlarged , there is a single perineal opening anterior to the anus , and no amsses are palpable in the labioscrotal pounches or inguinal canal. which of the foloowing is most likely cause of sexual ambigguity of this neonate?
A. Androgen-insensitivity synd.
B.21 alfa hydrolase deff
C.miixed gonaldal dysgeensis
D.5 alfa- reductase deff.
E.True hermaphroditism.
MY ANSWER B.
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
62-yr man, 6-month of strange behavior. No focal neurological signs, but prominent grasp and snout reflexes.
A. Arteriosclerosis
B. Dementia, Alzhermer type
C. Huntington’s Dz
D. Normal aging
E. Pick’s dz
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
EXPLAIN question 6,7 also???/
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
i'll try and explain the Qs u pointed out.....this is all in Kaplan...
Q6 she has left side neglect of her body. This is a sign of lesion in the right or non-dominant parietal lobe. Other signs she is showing is anosognosia....whr the patient denies they hv a problem. There is a lack of integration in the somatosensory and visual interpretation. The patient's vision is okay but fails to acknowledge their own body on the left side.
If the lesion is in the Dominant or left parietal lobe, it is called Gerstmann syndrome. Here they hv agraphia, acalculia, finger agnosia, rt-lt disorientation and many learnign disabilities...
Q7 u can use "CAGE" qs...the best frm these choices is B.
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
i think 8 is c.
can someone explain 10,
thanks
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
can u exaplain about 8???
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
mestastis to the liver means that the cancer has spread far.
So, I think this is worst prognosis,
I may be wrong, any one else?
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
wht about ques 1??
ya,, ur answr to ques 8 .. ..seems correct.
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
i think 1 is Nisseria, 22yr old man, and neutrophils are clues.
but how do you explain 10
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
A. Androgen-insensitivity synd. -- .-undecended testis present
B.21 alfa hydrolase deff -ambigous gentialia---hyperplasia in adrenals.
C.miixed gonadal dysgeensis - i think ...one side scrotum atrophy.
D.5 alfa- reductase deff. -- no DHT formed--no sexual sec charaters in males.
E.True hermaphroditism. -- genotype is same...phenotypicaly differnt
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
Sorry, What does "CAGE" stand for?
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
C- Have u ever felt the need to Cut down on ur drinking?
A- Have ppl Annoyed you by criticising your drinking?
G- Have you ever felt bad or Guilty abt ur drinking?
E- Have you felt the need to take alcohol as an Eye-opener first thing in the morning(to get over a hangover)
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| humpf!!
Forum Elite
Topics: 51
Posts: 120
|
is #2 lead? considering LFTs, i would have thought copper....consider Wilson's Dz: copper accumulation, esp. in liver, brain, cornea. The ABCD of Wilsons Dz (from FA):
Asterixs
Basal ganglia degeneration (parkinsonian symptoms)
Ceruloplasmin decreased, Cirrhosis, Corneal deposits, Copper accumulation, hepatocellular Carcinoma, Choreiform movements
Dementia
any thoughts?
|
| humpf!!
Forum Elite
Topics: 51
Posts: 120
|
is Q. 11 Pick's Dz?
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
ya,,, PICKS DS,,,,frontal lobe involved
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| humpf!!
Forum Elite
Topics: 51
Posts: 120
|
reet wrote:
C- Have u ever felt the need to Cut down on ur drinking?
A- Have ppl Annoyed you by criticising your drinking?
G- Have you ever felt bad or Guilty abt ur drinking?
E- Have you felt the need to take alcohol as an Eye-opener first thing in the morning(to get over a hangover)
although i agree with the CAGE approach - the questions asked about "initating" a conversation with the patient. i don't know that the patient is aware that he has a problem, and then to jump in with "do you feel guilty..." may not be the right approach. i agree with C, in that asking him about the impact of his drinking may be a better opener, and then i would roll with the CAGE questions.
any thoughts?
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
ya, open ended question.. is C... ...seeems to b more accurate ...
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
|
| |
| | | | | | | | | | | | | | | | | |
You don't have permission to post.
|
