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Kaplan Qbank USMLE



Author7 Posts
  #1

9. A 42-year-old man with pneumococcal pneumonia has acute fibrinous pleuritis. Which of the following proteolytic enzymes is required to eliminate the exudate and restore normal pleural anatomy?

A ) Collagenase

B ) Plasmin

C ) Stromeolysin

D ) Thrombin

E ) Trypsin



12. A 35-year-old woman has had type 1 diabetes mellitus for 20 years and microalbuminuria for 3 years. Which of the following findings is most likely on examination of tissue obtained on renal biopsy?

A ) Corticomedullary cysts

B ) Diffuse glomerulosclerosis

C ) Endothelial cell proliferation

D ) Glomerular crescents

E ) Glomerular leukocytic infiltration



14. A 50-year-old woman with a history of hypertension suddenly develops a severe headache and collapses while shopping. She is intubated and mechanical ventilation is started because of irregular respirations. A CT scan of the head shows a massive intracerebral hemorrhage with blood extending into the ventricles and subarachnoid space. The following morning she is unresponsive to all stimuli. Her pupils are fixed and dilated, oculocephalic reflexes are absent, and she has no spontaneous respirations. An EEG confirms electrocerebral inactivity. Which of the following best describes her level of neurologic functioning?

A ) Brain death

B ) Cataplexy

C ) Limbic encephalopathy

D ) Persistent vegetative state



15. A 23-year-old woman has had intermittent amenorrhea since the birth of her first child 5 years ago. She received 10 units of blood during her delivery. Her skin is thick and doughy. She has no energy and is depressed. Which of the following is the most likely cause of her symptoms?

A ) Adrenocortical insufficiency

B ) Chronic fatigue syndrome

C ) Hemochromatosis

D ) HIV infection

E ) Pituitary necrosis


20. Nine months ago, a 60-year-old man had a myocardial infarction of his left anterior ventricular wall. Recovery was uneventful. A photomicrograph of the area of infarction is shown. Which of the following macrophage products is primarily responsible for the dominant feature in the area surrounding the X?

IMAGE IS ATTACHED BELOW

A ) Fibroblast growth factor

B ) Formylated peptides

C ) Interferon-γ

D ) Leukotriene D4

E ) Neutral proteases

F ) Nitric oxide


22. A 72-year-old man has difficulty initiating urination. Digital rectal examination shows an enlarged, firm prostate. An assay for serum prostate-specific antigen is 3.5 μg/L (reference range = 0–5). Examination of tissue obtained on biopsy of the prostate is most likely to show

A ) adenocarcinoma

B ) chronic prostatitis

C ) epithelial dysplasia

D ) glandular hyperplasia

E ) leiomyoma





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saif

  #2

12)A
12)C
14)A
15)E
20)A22)D

  #3

9-b

12b

14a

15c

20a

22a




  #4

a
b
a
e
a
d

___________________
I wOn'T gRaTiFy ThE dEvIl By GeTtInG dIsCoUrAgEd !!

  #5

09- B

12- B

14- A

15- E

20- A

22- D


___________________
Malcolm Forbes: Victory is sweetest when you've known defeat

  #6

b
b
a
e
a
d


  #7

HI WHAT TO DO,
MAY U POST THE CORRECT ANSWERS?

___________________
Great works are performed not by strength, but by perseverance.







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