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Kaplan Qbank USMLE



Author9 Posts
  #1

1) 45 yr male presented with hyperpigmentation of skin, ascites and abnormal liver function tests. His serum Fe 210 microg/dl, and transferrin saturation 90%. The most likely dx is:
a) erythropoietic porphyria
b) hepatic porphyria
c) iron intoxication
d) primary hemochromatosis
e) secondary hemochromatosis

2) Which of the organs is least likely to be affected by this disease:
a) brain
b) heart
c) liver
d) pancreas
e) skin

  #2

3) Which of the followingclinical manifestation is least likely to occur in this pt?
a) CHF
b) DM
c) hepatocarcinoma
d) photosensitivity dermatitis
e) testicular atrophy

4) Secondary hemochromatosis is most likely to occur in pts a) with Addison disease
b) with high dietary iron content
c) with malaria
d) with porphyria
e) requiring multiple blood transfusions

  #3

1 -prim hemochromatosis
2-brain
3-photosensitivity dermatitis
4-requiring multiple transfusions

  #4

rest are correct grin 4) is addison dis

  #5

u asked most likey cause of sec. hemochromatosis . addison dz mightbe but i i cant think of the reason

  #6

I asked 'Secondary hemochromatosis is most likely to occur in pts'
not the cause of it

  #7

:oops: sorry u were absolutely correct the first time. I was wrong about 4, I looked it up, the answer is E) req multiple transfusion.
Sorry for the confusion, my bad :oops:
1) d
2) a
3) d
4) e

  #8

i was still debating what is making u say that addison's dz is the answer there are better choices. now all the answers r clear. good luck to us all.

  #9

Good pick-up peekay. :idea:

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