jessie1976318
Forum Junior
Topics: 24
Posts: 42
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1, 25 year old woman had 9 year history of bone pain. Loose bulky stool, generalized muscle week, and abdomal distention. X showed: generalized bone demineriztion lack of lamina dura, bone of feet has fracture like line. What is the disease?(338)
2 which enzyme can protect the tissue against the damage from the reactive oxygen compound ? clyclooxygenase , lipoxigenase, superoxide dismutase, MPO, xanthine oxidase,
3, 6 month burning paining on the epigastric area and ascend to chest. It happened after the large meals and at night. Endoscopy showed moderately severe inflammation in the distal of esophagus diagnosis (332)
4, 55 man had patchy leukoplakia on anterior mouth for 4 years, recently it become firm and raised white lesion. What happen?(329)
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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2 is SOD
3 GERD?
4malignan transformation
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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all the other explanations are right...osteomalacia for number 1...although their could be a thyroid/cortisol abnormality...a little too general.
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| Malaysian
Forum Guru
Topics: 28
Posts: 778
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1)osteomalacia......due to vit D deficiency(since vit D is a fat soluble vit.)hence the bulky stools suggesting inadequate lipid absorption/digestion
2)superoxide dismutase
3)gastro esophareal reflux disease......pain after large meals and during night(that means when the pateint lies down its easier for the stomach contents to reflux into the esophagus and the acidic nature of the stomach content irritates the lower esophagus causing reflux esophagitis......give
omeprazole for treatment and ask patient to wait some time after eating before she lies down
4)leuplakia is a pre-malignant condition of the oral mucosa.....so recent changes may suggest a transformation into a malignant condition
can I ask a question.....to those who have seen a previous Q from NBME which jessie was kind to put up the answer was pick's dementia and not alzheimer's.......can anyone tell me why so and what are the salient differentiating features between these 2 types of dementias??The question states about some primitive reflex recurring in the person....grasp and glabella tap if I'm not mistaken.
And to Jessie thank you so much for putting up NBME questions up.......so by discussing them we will know exact answers to them.
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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Picks is selective atrophy of the frontal and temporal lobes. If asked to choose, I believe Pickj's is more likely to give you frontal release signs, whereas Alzheimers is diffuse cortical involvement and affects memory and personality more than anything.
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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i think regression to primitive reflexes was the key pt
personality changes like loss of inhibition , hyperorality r features of picks too
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| Bela
Forum Guru
Topics: 76
Posts: 412
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I have a question regarding NMBE. Someone was saying they have questions...kinda like Q bank. Is this true? Anyone knows the website where I can register?
Please respond!
thnx
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La vita e bella!
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