Kamsi
Forum Guru
Topics: 103
Posts: 347
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32.) A previously healthy 56-year-old woman comes to the physician because of
jaundice and dark urine for 3 weeks. She has a 1-year history of generalized
pruritus. She takes no medications. Examination shows jaundice and several
ecchymoses over the forearms and thighs. The liver and spleen are enlarged and
nontender. Laboratory studies show:
Prothrombin time 18 sec
Serum Protein Total 8.5 g/dL
Albumin 3.8 g/dL
Bilirubin Total 5 mg/dL
Direct 2 mg/dL
Alkaline phosphatase 150 U/L
Alanine aminotransferase (ALT, GPT) 45 U/L
Antimitochondrial antibody assay is strongly positive.
A CT scan of the abdomen shows hepatosplenomegaly.
Endoscopic retrograde cholangiopancreatography shows no abnormalities.
Because of her condition, this patient is at greatest risk for which of the following
deficiencies?
A) Niacin
B) Vitamin A
C) Vitamin B2 (riboflavin)
D) Vitamin B12 (cyanocobalamin)
E) Vitamin C
40. An asymptomatic 37-year-old woman comes for a
follow-up
examination 1 year after receiving a renal transplant.
Current medications
include felodipine, enalapril, cyclosporine,
pravastatin, and penicillin
G. She appears well. Her temperature is 36.8 C (98.2
F), blood
pressure is 160/95 mm Hg, pulse is 80/min, and
respirations are 12/min.
Examination shows no other abnormalities. Which of
the following
medications is the most likely cause of this patient's
hypertension?
A
) Cyclosporine
B
) Enalapril
C
) Felodipine
D
) Penicillin G
E
) Pravastatin
44. A 67-year-old man is brought to the emergency
department 2 hours
after the onset of weakness and double vision. He has
hypertension and
hyperlipidemia treated with metoprolol, captopril, and
atorvastatin.
His blood pressure is 190/106 mm Hg. Neurologic
examination shows
left-sided facial weakness including the forehead.
There is palsy of left
conjugate gaze, and the left eye fails to adduct on
right gaze.
Vertical eye movements are intact. Muscle strength is
3/5 in the right upper
and lower extremities. Deep tendon reflexes are
brisk, and Babinski's
sign is present on the right. Which of the following
is the most
likely location of this patient's lesion?
A
) Bilateral thalamic
B
) Left frontal
C
) Left pontine
D
) Right caudate
E
) Right midbrain
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| kpmle2
Forum Elite
Topics: 29
Posts: 292
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32) D) Vitamin B12 (cyanocobalamin
40) A ) Cyclosporine
44) C ) Left pontine
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| Ivonne
Forum Guru
Topics: 53
Posts: 1,410
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1-B Vit A This patient with Primary biliary cirrhosis will have fat malabsorption. Fat-soluble vitamins will be affected A,D,E & K.
2.-No clue, have to review
3.-Motor deficit in the right so the lesion is in the left and compromise of Left CNs: Left pontine: answer C
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| Ivonne
Forum Guru
Topics: 53
Posts: 1,410
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2. Cyclosporine
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| dr confused
Forum Senior
Topics: 66
Posts: 107
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B
A
C
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| yasmeen
Forum Guru
Topics: 67
Posts: 936
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vita
cyclosporin
left pons
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| drdg
Forum Senior
Topics: 31
Posts: 176
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I agree with
B
A
C
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| Ivonne
Forum Guru
Topics: 53
Posts: 1,410
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would you pz guys post your right answer. I hope they are not NBME Q.
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
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Good work guys, i will add my voice to yours;
Vit A
Cyclosporin
Lt Pons
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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B
A
C
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