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Kaplan Qbank USMLE



Author84 Posts
  #1

oK HERE IT IS. i HAVE gone THRU THE CHAPTER!

No rulez. All we need is anything and everything related to the topic!!!

Today is Saturday, we are discussing VASCULAR PATHOLOGY!

Next weekend do come prepared for the Cardiac Pathology!


___________________
Grad of 2007. Work in progress.......

  #2

The most common site of infarction in the GI tract, caused due to a thrombus? Why?


___________________
Grad of 2007. Work in progress.......

  #3

Q1: The most common site of infarction in the GI tract, caused due to a thrombus? Why?


___________________
Grad of 2007. Work in progress.......

  #4

Q2: In Von Hippel Lindau Syndrome, the retinal vascular tumors are ass e vascular abnormalities in which of the following region:
A optic radiation B optic tract C cerebellum D cerebrum on the side of retinal lesion E pulvinar


___________________
Grad of 2007. Work in progress.......

  #5

This one seemed tough to me after my first 'lucy' read:

Q3 A 25-year-old man presents with headache, dizziness, and claudication. Blood pressure measurements reveal
hypertension in the upper limbs and hypotension in the lower limbs. Which of the following additional findings
would be most likely in this case?


A. Aortic valvular stenosis

B. Notching of inferior margins of ribs

C. Patent ductus arteriosus

D. Pulmonary valvular stenosis

E. Vasculitis involving the aortic arch


___________________
Grad of 2007. Work in progress.......

  #6

dowjunk wrote:
The most common site of infarction in the GI tract, caused due to a thrombus? Why?


Splenic Flexure - watershed area : overlapping but insufficient blood supply from both sup and inf mesenteric arteries


  #7

dowjunk wrote:
Q2: In Von Hippel Lindau Syndrome, the retinal vascular tumors are ass e vascular abnormalities in which of the following region:
A optic radiation B optic tract C cerebellum D cerebrum on the side of retinal lesion E pulvinar


C: Cerebellum

BEAK (brain, eye, adrenal, kidney) involvement in VHL syndrome


  #8

dowjunk wrote:
This one seemed tough to me after my first 'lucy' read:

Q3 A 25-year-old man presents with headache, dizziness, and claudication. Blood pressure measurements reveal
hypertension in the upper limbs and hypotension in the lower limbs. Which of the following additional findings
would be most likely in this case?


A. Aortic valvular stenosis

B. Notching of inferior margins of ribs

C. Patent ductus arteriosus

D. Pulmonary valvular stenosis

E. Vasculitis involving the aortic arch


BP difference is diagnostic of Coarctation of Aorta

Answer. B - due to intercostal arteries being used as collaterals


  #9

Most common presentation of Henoch Schonlein purpura -?


  #10

What 3 vasculitis have "segmental fibrinoid necrosis transmurally" as histopath finding ?


  #11

Palpable purpura

pain abdomen

pruritis


  #12

in HSP




  #13

Hi Dreams,

Please quote the question you are answering. Click on the #(number) at the top right corner for quoting.

At this point its obvious you are answering my questions. But down the lane, this quoting habit will avoid chaos.grin

Thanks,


  #14

dreams wrote:
in HSP




I had these 3 in mind (not exclusive)

PAN

Microscopic Polyangiitis

Vasculitis in Rheumatoid Arthritis

(from UW notes)

cannot exclude HSP - not sure.


  #15

dreams wrote:
Palpable purpura

pain abdomen

pruritis


Not sure if pruritis occurs in HSP.

I thought its Purpura and Pain (Abd and Joints)


  #16

bioguy wrote:
dowjunk wrote:
The most common site of infarction in the GI tract, caused due to a thrombus? Why?


Splenic Flexure - watershed area : overlapping but insufficient blood supply from both sup and inf mesenteric arteries


Two questions - (apart from - is my answer right?)

Is the site of infarction different for Thrombus v/s Embolus?

Is the propensity for thrombus formation same throughout the gut circulation, and thrombus at any other site doesn't cause infarction, but thrombus at splenic flexure causes infarction because of watershed phenomenon?




  #17

bioguy wrote:
What 3 vasculitis have "segmental fibrinoid necrosis transmurally" as histopath finding ?


Atherosclerosis?


  #18

abdominal pain

bioguy wrote:
Most common presentation of Henoch Schonlein purpura -?



___________________
Do not pray for easy lives,Pray to be stronger men; Do not pray for tasks equal to your powers, Pray for powers equal to your tasks; Then the doing of your work shall be no miracle, but you shall be the miracle.

  #19

which vascular abnormality of skin grows as the person grows proportionately??


___________________
Do not pray for easy lives,Pray to be stronger men; Do not pray for tasks equal to your powers, Pray for powers equal to your tasks; Then the doing of your work shall be no miracle, but you shall be the miracle.

  #20

milee99 wrote:
abdominal pain




I thought is was a rash first then abdominal pain, etc.


  #21

milee99 wrote:
which vascular abnormality of skin grows as the person grows proportionately??

Port wine?


  #22

bioguy wrote:
What 3 vasculitis have "segmental fibrinoid necrosis transmurally" as histopath finding ?

Vasculitis




___________________
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."

  #23

bioguy wrote:
Most common presentation of Henoch Schonlein purpura -?

1. Rash
2. Joint Pain
3. Abdominal Pain.


___________________
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."

  #24

Tiff wrote:
milee99 wrote:
which vascular abnormality of skin grows as the person grows proportionately??

Port wine?

nodnod


___________________
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."

  #25

bioguy wrote:
bioguy wrote:
dowjunk wrote:
The most common site of infarction in the GI tract, caused due to a thrombus? Why?


Splenic Flexure - watershed area : overlapping but insufficient blood supply from both sup and inf mesenteric arteries


Two questions - (apart from - is my answer right?)

Is the site of infarction different for Thrombus v/s Embolus?

Is the propensity for thrombus formation same throughout the gut circulation, and thrombus at any other site doesn't cause infarction, but thrombus at splenic flexure causes infarction because of watershed phenomenon?

Is the site of infarction different for Thrombus v/s Embolus? >> Yes

2. No Infarction is most likely to be in place where there is inadequte blood floow. So its not the whole but a few particular areas. Usually where ever the circulation is good the vessels are large the thrombi goes forward. It has to get lodged in place where there is no blood flow to move and the all hell breaks lose. Similar patter in Lungs and Brain. It doesnt go and block the big vessel it go after the tiny ones. The only thing which blocks the bigger blood vessels is Atherosclerosis but this also in combo with a large thrombus but all the great vessels or larger vessels have adaptive mechanisms to overcome such issues.


___________________
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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