robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
rapidshare.de/files/27167660/Dr._N.R._answer_for_2. doc
___________________
The Key to Succeed is Patience.
|
| vamsi2004
Forum Elite
Topics: 7
Posts: 144
|
THANKS ROBIN. if u have, please post the nbme 4 answers. I will verify them with mine.
GOOD LUCK on your exam..
|
| star1
Forum Guru
Topics: 93
Posts: 826
|
Hey ROBBIN I have typed all the answer to of NBME FORM 4. and have campared with your answer your most of answer are correct except some so please check mine
block 1
1... zinc finger motif is a DNA binding domain for steriod receptor
so A is right answer
2 McArdle disease Glycogen is there in the muscle but cant be used because
of deficievy of Glycogen phospholylase enzyme
3- Discuss
4- Tight junction are present between the cells and when they are
damaged the + discussion
5- CF is autosomal recessive disease ... the child with diease is homozygous
for CF gene.. carrier are heterogygous for the mutation...
For the parent to produce a homozygous child they must both be carrier of the
CF.
discuss
6- We are transplanting gene in the bone marrow so is cant be structural gene
and the probable answer could be B
7- here its cant be sarcoma becasue vimentin antibodies reaction are
negative... only clue is keratin antibodies as in squamous cell ca
there is keratin pearls so E seem to be right
8 BE SURE THAT YOU UNDERSTAND THE PROBLEM so its better to get more info rather
going to fast...........
9-He is without food from the last one week... note he consumed his food in
the first two weeks. A is wrong as no diet is there
hepatic glycogen store are for the first few hours.skeletal muscle
glycogen cant be used because of abscence of glucose 6 phosphatase
enzyme in muscle
D is the correct answer .. muscle protein are being used by the
gluconeogenesis process
urea nitrogen cant help
10- D is the correct
11-Bleomycin causes pulmonary fibrosis mean a restrictive lung disease
in restrictive lung diease either there is increase in FEV1/FVC ratio or
there is no change in it..... total lung volume decrease as there is
restriction in filling the lungs to there capacity
please add what will be the effect of diffusing capacity
C is the answer
12-AZT is reverse transtriptase inhibitor so E is right
13- urease is the answer but what is the substrate of urease and what
the product??
14-Broad base point to blastomycosis
15-these are sign of acute cholecystitis so E is right
16-this is acute rejection as occur after weeks of transplantations...
so T lymphocyte play there role
17-need explanations
18 need explanations
19-TNF is produced in response to Endotoxin and then TNF causes release
of NO which is the main mediator of shock and hypotension
20-D dimer are specific for DIC , D dimer can only assay the cross linked
fibrin monomer while FDP assay detect all the product of plasmin cleave
of fibrenogen and insloluble fibrin clots
21-H lateral corticospinal tract....what is at G position?
22-diagram is not clear any way they terminate at thalamus
23- A neostigmine inhibiot the enzyme
24- B is right DM causes accumulation of sorbitol in the schwann cell
becuase of ALDOSE REDUCTASE ENZYME which convert glucose into
sorbitol and lead to osmotic damage to the shwaan cell and
defective myelination of peripheral nerve and so peripheral
neuropathy..........
25-need explanations from net
26-C anti psychotic drug SE
27-what is the diagnosis?????????
28-iliopsoas
29-need net help
30-B
31-case of asthma which is an obstructive lung diseas FEV1. FVC is typically
decreased and residual volume is increased
32-superior vena cava syndrome due to small cell lung carcinoma causeing
obstruction of the vena cava and so puffiness of the face and neck
33- Patent ductus arterosis connecting aorta with left pulmonary vein
34-as we are increasing the precapillary resistance when flow will dec
and the filtration will decrease ....
35-Beta 1 increase renin secretion but alpha 1 decrease renin secretion.
36...
37 J
38-Cystic fibrosis patient have short stature
39-Did you noticed that when we add the drug X we need more histamine
to get the same response mean there is a revercible competitive
inhibitor there
...
40- its 30
41-discuss net ................
42- becuase there are bruit its mean there is atherosclerosis of the
renal artery .. less blood goes to the kidney and renin is secreted
which convert angiotensin 1 into angiotensin 2 and which in turn
increases aldosterone and increase Na absortion and so HTN.
43- Oxcytocin but what is the 2nd messenger of Oxcitocin?
44-PCOS clue is decreased FSH
45-B
46-net search today
47-We know that radiation induced thyroid papillary ca is most common
but can it be Laryngeal CA????
48-E but see notes
49-M blocker block secretion and so cause dry mouth ipratropium
50-the oral drugs pioglitazone and rosiglitazone can cause or
exacerbate heart failure and pulmonary edema and should be
avoided in patients with left ventricular dysfunction
(impaired pumping ability of the heart) or chronic renal
insufficiency.
BLOCK TWO
1-B seem to be right... when we add antibiotic resistance plasmid,
we can get the colonies who are resistance to a particular drug
and can eliminate the drug that are sensitive ...
2- C seem to be right as we see that in CF there is a defect
mutation and 508 codon is missing coding for Phenylalanine
amino acid .. in C only phenylalanine is shown there
3-Phenylalanine Hydroxylase deficiency leading to PTU....
4-Nondisjunction will produce either an egg with 24 chromosome or
with 22 chromsomes..
5-Acute pancreatitis so enzymatic fat necrosis
6-X linked recessive disease more common in male and if female
are symptomatic then its because of inactivation of more
maternal chromsome than paternal... female are homozygouys
for the abnormal chromosome.
7-A
8-Unstable mood , impulsiveness.. female more than male
9-here is a point never assist the patient to die ....
passively is ok but actively is not ok.... i think C seem to be right
10-D??
11-E
12-transplant patient often get CMV infection so Gancyclovir
13-A
14-CCR5 i% of US population give protection to HIV infection
15-B
16-D because IgG protect respiratory mucosa from infection
17-listen steven daughtery
18-D lack of ramdomization need explanations
19-see physio
20-A
21-polycythemia so F
22-c abducent nevre
23-Radial nevre
24-circle of willus
25-D should know from where various seizure arise in the brain
26-E can any body explain?
27- Cohesion BW adjacent cells ......... and held them togethers
28-D never problem
29-G
30-what is the diagnosis
31-D seem to be right
32-what is the diagnosis?
33-C
34-During exercise the heart rate increases and when HR reach 180
it compromise the coronary blood supply .. OK now pumping action
increases the heart metabolism and increases metabolite causes
coronary vasodilation..... and so increases blood flow. Now in
exercise increase work volume occur at same pressure so C
seem to be right
35- Aortic pressure will be less than ventricular pressure so
D seem to be right
36-D
but need to check
37-Parietal cell
38-E
39-F
40-c
41- see picture of renal ameyloidosis from google
42-F
43-B
44-history is relevent to adenocarcimona
45-Babies Blue Normal reaction to birth
46-E
47-D need to check lab value
48-D
49-C seem to be right ... physiostigmine enter CNS , neostigmine not so
when you have confusion about which enter then think N is for NOT ..
50- C
BLOCK 3
1- A/T rich region are where Histone bind to DNA, Nucleosome
are formed by the histone octamer plus DNA wound round it.
One nucleosome is connected to the other by H1 histone.
Need net search or discussion..
2-C release factor
3-Alanine is converted to pyruvate for Gluconeogenesis
4-F
5-reperfusion injury by free redical
6-Autosomal recessive
7-Gamma interferon secreted by Th1 cell causes Macrophages
activation and activated macrophages become fused to
form multinucleated giant cell
8-A
9-C but not sure need forum discussion
10-Vit. C
11-E
12-A
13-Alkylating agent
14-D as this virus is segmented so produces a number of band
need discussion
15-discussion
16- Pneumococcus encapsulated bacteria
17-this is a bar graph ok first you count how many are total children
so 25+30+35+10=100 now how many children have two episode of UTI?
answer 10 now out of hundred children 10 have two episode of UTI and
will be be 10 percent .
18-Case cantrol study
19-A
20-Aferican type of Burkit lymphoma classic picture of starry sky
appearance of histo slide associated with c myc oncongene..
21-B
22-F
23-A
24-E
25-D
26-C
27-A melanocyte are derivative of neural crest cell
28-Posterior cruciate ligament Tibia move posterioly while for anterior
cruciate ligament tibia move anteriorly
29-B polumyalgia rheumatica is associated with Temporal arteritis
30-A???
31-Type11 form new type 1 cells
32-Pneumothorax there will be Hyperresonant, deviation of tracha to
opposite plus decreased breath sound and absent fremitus
33-A
34-A
35-B
36-D but need discussion
37-C
38-F for hurshsprung disease symptoms appear soon after birht
39-A but how need explanation
40-Absent of kidney lead to oligohydoamnious
41- ADH causes increase water reabsorption so serum osmolarity
would Dec , Urine osmolarity inc and urine sodium conc will be high
42-F
43-A accessory nipple got inlarged due to Pregnency
44-Guljan says that
age MC tumor of gynae
45 Cervical
55 endometrial
65 Ovarians
Note CEO alphabat come accordingly
in the Q stem ist mention that she has PCOS mean has high estrogen
plus Height is normal mean she dont have tuner syndrome
which point to ovarian syndrome ... but its endometrial Ca
post menopausal bleeding
45-E
46-D PID
47-B
48-D due to parathyroid removal
49-need discussion
50-D but need to know whether is this a brush border enzyme??
BLOCK 4
1-A
2-D need clarification
3-Need to see YH biology notes C?
4-A action potential travel to the interior of myocyte due to
T tubule
5-its X linked recessive mean only diease gene on X chromosome
and if that male parent would have defective gene on his X
chromosome then he would have the disease and he dont have
its mean that he is not carrier of this disease
6-B
7-need clarification from YH biology notes
8-B??
9-A not congenital because he is 70 year old
10-Partial agonist as at low dose its acting as agonist but
at high dose its acting as antagonist.
11-A
12-Penecillin are excreted by kidney so when renal
function are compromised then serum drug level increse as this y
patient
13-D
14-B
15-E
16-C but what is ghost cell?
17-Need mastering of Biostatistics
18-Thymus
19-E
20-A but need to check
21-A
22-Cerebellum and in cerebellum has ipsilateral signs
23-E
24-Duodenal atresia and ths diagnosis seem to be hurshsprug disease
25-E
26-B but need to check this nusty Q
27-B
28- D increase blood circulation
29-need to discuss A?
30-H
31-E
32-G DVT
33-E
34-D
35-A but need to memorise the time sequence of infarction
36-A
37-A but how to differentiate between the rest of conditions
38-cirrhosis and increase in splenic vein pressure due to portal
hypertension
39-B need to revise all the antihelmeitic drugs
40-what is the main function of mesengial cell....
41-C
42-i think E but some says c
43-B because for outlet incontenence there is continouse voiding
without a stress factor
44-5 alpha reductase convert testosterone into DHT which is necessary
for the development of external ganitalia including prostate
when DHT is not formed female external feature are formed but
internal male system is developed because testosterone is required to
form normal internal male struture .
45-E
46-An inhibitory hormone so inhibit all the function
47- Diabetic ketoacidosis mucor specific
48-C
49-C
50-Spironolactone aldosterone antagonist...
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
THANK YOU STAR1
MY NBME 4 ANSWERS WERE POSTED IN DIFFERENT THREAD
THE ONE I POSTED RECENTLY IS OF OTHER GUY.
I DO NOT HAVE TIME TO CHECK THE ANSWERS.
___________________
The Key to Succeed is Patience.
|
| docswapna
Forum Senior
Topics: 61
Posts: 229
|
robbin & star1!! thanku for posting nbme 4 answers...
|
| docswapna
Forum Senior
Topics: 61
Posts: 229
|
robin plz post ur answers for nbme form 2. there are many mistakes in Dr.NR answers which u have previously posted.
Friends if any one of you have saved nbme form 2 answers, plz post them here. I shall check them with mine and mail u if there r any differences.
|
| star1
Forum Guru
Topics: 93
Posts: 826
|
Any body have answers to NBME FORM 1, 2, 3... ???
As i first saw the Robbin Q and then check them and rewrite them .. Now i have limited time pleease if some one of you ahve them send me at
star4usmle@yahoo.com
waiting
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
i DO NOT HAVE NBME 2 ANSWERS
THE LINK ABOVE IS FROM ANOTHER FORUM AND ANSWERS ARE NOT MINE.
GOOD LUCK
___________________
The Key to Succeed is Patience.
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
STAR1 PLEASE SPECIFY THE UNMATCHED ANSWERS FOR NBME 4., I WILL CHECK THEM, MY EXAM IS ON TOMORROW AND I DO NOT HAVE TIME TO CHECK ALL.
THANKS
___________________
The Key to Succeed is Patience.
|
|
| |
| | | | | | | | | |
