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Kaplan Qbank USMLE



Author4 Posts
  #1

26. A neonate has ambiguous genitalia. In the first 48 hours of life, the neonate feeds poorly and becomes dehydrated. Which of the following is the most likely diagnosis?

A ) Androgen insensitivity syndrome

B ) 5α-Reductase deficiency

C ) 17-Hydroxylase deficiency

D ) 21-Hydroxylase deficiency

E ) True hermaphroditism


28. A previously healthy 56-year-old man has the sudden onset of severe headaches that become worse in the afternoons. His blood pressure is 180/110 mm Hg. Renal arteriography shows 85% occlusion of the right renal artery. The laboratory finding that best predicts whether an operation that relieves the obstruction will reduce the blood pressure to normal is increased renin activity in the

A ) left renal artery vs right renal artery

B ) left renal vein vs right renal vein

C ) right renal artery vs left renal artery

D ) right renal vein vs left renal vein



37. A homeless 38-year-old man has a 3-month history of decreased appetite, generalized wasting, a low-grade fever, and worsening cough productive of bloody, mucopurulent sputum. He has a 3-year history of alcohol abuse. X-ray films of the chest show consolidation and cavitary lesions in the apices of the lungs. Which of the following is the most likely inflammatory and/or immune response in the lung?

A ) Endothelial cell proliferation, vascular budding, fibroblasts

B ) Epithelioid cells, multinucleated giant cells, caseation necrosis

C ) Fibroblasts, collagen deposition, replacement of intrinsic tissue

D ) Macrophages, lymphocytes, hypergammaglobulinemia

E ) Neutrophils, vascular congestion, exudate



40. A 50-year-old woman is evaluated for occult blood in the stool. Colonoscopy shows a 5-cm sessile mass with a velvety surface that projects about 2 cm above the mucosa of the rectosigmoid. Microscopic examination of tissue obtained on biopsy of the mass shows papillae composed of delicate fibrovascular cores covered by dysplastic columnar epithelium. This patient is at increased risk for which of the following colonic neoplasms?

A ) Adenocarcinoma

B ) Carcinoid

C ) Fibrosarcoma

D ) Leiomyosarcoma

E ) Lymphoma

F ) Squamous carcinoma



44. A 27-year-old man is found to have a solitary thyroid nodule during a routine health maintenance examination. A thyroid scintiscan shows uptake of radioactive iodine by the nodule. Which of the following is the most likely diagnosis?

A ) Chronic autoimmune (Hashimoto's) thyroiditis

B ) Follicular adenoma

C ) Granulomatous thyroiditis

D ) Medullary carcinoma

E ) Papillary carcinoma



45. The presence of which of the following is characteristic of the infectious agent of bovine spongiform encephalopathy?

RNA DNA Protein


A ) + + +


B ) + + -


C ) + - +


D ) + - -


E ) - + +


F ) - + -


G ) - - -


H ) - - +



any suggesstions about the answer. i am a little more than mean here but i have no other way. plz, send me answers

___________________
saif

  #2

26)a
28)d
37)B
40)a
44)a

  #3

37 E, 40 A, 45 G.

  #4

Sorry 45th is H.







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