what to do
Forum Senior
Topics: 29
Posts: 88
|
13. The binding specificity for extracellular matrix proteins, such as fibronectin and laminin, to cell membranes depends on which of the following classes of proteins?
A ) Collagen
B ) Elastin
C ) Integrin
D ) Microfibrillin
E ) Proteoglycan
30. A 28-year-old woman is brought to the emergency department after a motor vehicle accident in which her chest struck the steering wheel. Pulse is 125/min and blood pressure is 90/60 mm Hg. She is diaphoretic and has dyspnea on exertion. Head and neck veins are distended. Heart sounds are distant and there are no murmurs. The radial pulse pressure decreases abnormally during inspiration. The most likely diagnosis is
A ) cardiac tamponade
B ) hemorrhage from a ruptured descending aorta
C ) mitral valve prolapse
D ) pulmonary embolism
E ) rupture of a papillary muscle
43. A sexually active 18-year-old woman comes to the physician's office because of fever, lower abdominal pain, and a purulent vaginal discharge for the last 3 weeks. A tender mass is palpated in the right lower quadrant on bimanual examination. Which of the following is the most likely site of the mass?
A ) Ovary
B ) Fallopian tube
C ) Uterine fundus
D ) Uterine body
E ) Vagina
F ) Bladder
G ) Rectum
can anyone plz answer?
___________________
saif
|
| alb123
Forum Newbie
Topics: 1
Posts: 29
|
13. not sure
30. A, classic cardiac tamponade.. hypotension, jugular vein distention, and muffled heart sounds
43. B, ectopic pregnancy
|
| NE
Forum Guru
Topics: 53
Posts: 504
|
13-C
|
| proctalgia
Forum Senior
Topics: 2
Posts: 209
|
alb 123 How could it be ectopic? Looks more like an infection.
|
| johnnyu041
Forum Junior
Topics: 2
Posts: 48
|
I agree proctalgia...because she is sexually active and because of the long duration of the purulent discharge im thinking pelvic abscess which can also present with a palpable mass....the only thing is where would this mass arise from? The vagina?
|
| Peak
Forum Newbie
Topics: 0
Posts: 2
|
please can anyone clarify the answers 4 43 & 30 with explanation
|
| alb123
Forum Newbie
Topics: 1
Posts: 29
|
Proctalgia, i agree.. my bad.. so what is the answer? Ovary?
|
| fruity
Forum Junior
Topics: 6
Posts: 75
|
why not PID ??
|
| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
|
it is pelvic inflammatory disease , pid causes scaring of tissue which predisposes to ectopic pregnancy. She came after three weeks
|
| arunangsude
Forum Newbie
Topics: 0
Posts: 9
|
43--ans is b fallopian tube
b,cos diagnosis is pyosalpinx, which has arisen from PID
|
| rezaaa
Forum Senior
Topics: 8
Posts: 163
|
doesnt advanced PID produce a Tubo-ovarian abcess? What would we choose in this question then, cuz tubes and ovary are given as seperate options
|
| cd
Forum Elite
Topics: 21
Posts: 92
|
abc 123 are u sure 30th is A, i am thinking of D, because in accident there is a more chance for thrombus formation.
pls some one reply.
thanks
cd
|
| babydoc4usmle
Forum Guru
Topics: 18
Posts: 634
|
in accident - only tamponade: distant heart sounds, distended veins and no radial puls.
100%
as for girl: i would stick with ovary, it is infection and palpable mass souns more like inflamed ovary
|
| babydoc4usmle
Forum Guru
Topics: 18
Posts: 634
|
change of heart
for girl- it happened to be fallopian tubes
oops
|
| lq2006
Forum Elite
Topics: 43
Posts: 382
|
13. C
30. A
43. B
|
| doc179
Forum Guru
Topics: 67
Posts: 1,217
|
C,A and B
|
| Addicudo
Forum Guru
Topics: 124
Posts: 608
|
13. C 30. A 43. A 43 .. ? in PID .. cant the ovaries be involved .. ?
___________________
... Idle hands are the DeVilS play ground ...
|
|
| |
| | | | | | | | | | | | | | | | | |
