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Kaplan Qbank USMLE



Author4 Posts
  #1

A 45 year old man has Duke’s C adenocarcinoma of the colon. There is a strong family history of colon cancer in the absence of polyps. What is the most likely genetic basis?


A. Mismatch repair genes

B. Ras

C. Deletion in colon cancer

D. P glycoprotein gene

E. APC gene



___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

mismatch repair

  #3

a

  #4

The Correct Answer is A

History is most consistent with HNPCC

HNPCC is linked to mutations caused by microsatellite instability in several mismatch repair genes, notably hMSH2 & hMLH1. As a result, there is defect repair of DNA mismatches with abnormal cell growth & tumour development. The majority of these mutations are inactivating insertions or deletions.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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