keepgoing
Forum Fanatic
Topics: 93
Posts: 2,147
|
A 54-year-old man presents to a physician with headaches. A complete blood count demonstrates a hematocrit of 62%. The peripheral smear shows normocellular erythrocytes, with increased
reticulocytes and nucleated red cells. Bone marrow biopsy demonstrates increased numbers of
erythrocytic precursors. Cancer of which of the following organs would be most likely to cause
these findings?
A. Colon
B. Kidney
C. Ovary
D. Prostate
E. Thyroid
___________________
"Deh Shiva Var Mohe Ahey ,Shubh Karman Te Kabhun Na Tarun ,Na Darun Arson Jab Jaye Laroon, Nischey Kar Apni Jeet Karoon"
|
| dncosta
Licensed, finally
Topics: 19
Posts: 603
|
B
|
| po
Forum Elite
Topics: 39
Posts: 356
|
|
| Medusin
Forum Elite
Topics: 19
Posts: 296
|
B. Because of erythropoietin?
___________________
What Starts Here Changes The World
|
| inkspot
Forum Guru
Topics: 33
Posts: 629
|
B because of erthopoietin ! its funny its a man and the option has ovary to this!
how would u explain headaches? mets?
___________________
89/92/CS/Step3 awaiting result/H1-J1/2005 grad/1 mo USCE/ 2 publication in home country/ 1 Research/volunteer work/
|
| new_n_lost
Forum Hero
Topics: 663
Posts: 6,107
|
B. Kidney
___________________
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."
|
| Medusin
Forum Elite
Topics: 19
Posts: 296
|
jaja I had not noticed that, good point inkspot.
___________________
What Starts Here Changes The World
|
| lq2006
Forum Elite
Topics: 43
Posts: 382
|
B
|
| keepgoing
Forum Fanatic
Topics: 93
Posts: 2,147
|
The correct answer is B. The hematologic finding is erythrocytosis, which can be caused by
abnormal erythropoietin secretion by renal cell carcinoma (i.e., a paraneoplastic syndrome).
Absolute erythrocytosis also occurs in a number of other conditions, such as hypoxia, other
types of renal disease, some tumors (e.g., hepatocellular carcinoma, meningioma,
pheochromocytoma, cerebellar hemangioblastoma, adrenal adenoma), androgen therapy, Bartter's
syndrome, or in polycythemia vera.
Cancers of the colon (choice A), prostate (choice D), and thyroid (choice E) do not usually
produce inappropriate hormones.
Cancers of the ovary (choice C) can produce male or female sex steroids, but do not produce
erythropoietin.
___________________
"Deh Shiva Var Mohe Ahey ,Shubh Karman Te Kabhun Na Tarun ,Na Darun Arson Jab Jaye Laroon, Nischey Kar Apni Jeet Karoon"
|
|
| |
| | | | | | | | | |
