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Author8 Posts
  #1

2) What is the grapefruit effect on Vd and drug serum [ ]?
3) Why two kids with Neurofibromatosis present w/ different symptoms?
4) Pt w/multiple nevi and cancerous lung nodules. Dx?
5) What happens to pt. in terms of melanocytes when he gets tanned at the beach?
6) Dx for a young woman who goes to the beach but sun gives her joint pain
7) What doesn't get killed even if it's autoclaved?
8) What gene is defective in a pt w/ high CEA level?
9) Why is CT3 given in addition to AZT in an HIV pt?

You don't have to answer all of them...just as many as u can grin

___________________
La vita e bella!

  #2

2-it increases the HMG-Co reductase inhibition by Statins esp. Lovastatin and Atorvastatin thereby increasing their effects.
it also increases both max. Con. and AUC(bioavailability) but i am not sure it translates into less Vd :icon_scratch:

3- they,though with the same name, are Genetically and clinically two diff. entities,
NF1 --> gene defect on chrom.17(ras inhib.) : Neurofibromatosis+Cafe-au-lait
NF2 -->defect on chrom.22(unkown mech.) : above+ Accoustic Neuroma

both can turn into Malignant Fibrosarcoma.

4- i think "Congenital Melanocytic Melanoma" with Lung Metastasis ::very_confused::

5-they increase the Melanin production as a defence mech. and also Proliferate more,--> more division,and more point mutation --> Melanoma(in the short run) SCC,BCC(in the long run)


..... well too tired cant keep it up, get back here later.

___________________
Allah (God) is watching over us...

  #3

7) Prions are not killed by autoclaving.

  #4

6)Not sure of answer....how about SLE??


8)High CEA indicates Colonic Ca......gene defected can be APC,P53,DCC,k-ras.

9)To increase effectiveness of treatment and also descrease resistance developing from genetic shit in HIV virus???

  #5

2- Grapefruit juice inhibits CYP3A4 raising serum conc of these metabolised drugs including some statins (not pravastatin, or fluvastatin)

3. As mentioned above, there is type I and II, two presenting with bilateral acoustic neuromas

4. Liver CA with lung mets?

5. Increased production of melanin

6. SLE

7 Prions (thanks for that one sakaki)

8 P53, k-ras, apc. What gene is overexpressed in colon cancer?

9. HIV has a notorious rate of random mutations rendering single drug resistance rapidly, as of yet I do not think there is any strain resistant to 3 different drugs (god help us if there is, and it becomes as virulent as regular HIV)

  #6

Thanks Ahab for putting the picture all together!!As for question 4 its unlikely liver Ca and I'm sure its mainly referring to Melanoma....to tell which sort of melanoma we don;t have ample evidence though.

However I would like to hear your point of argument??Are you referring to acanthosis nigricans by any chance??

  #7

I was under the impression that the nevi were referring to spider nevi, cutaneous capillary dilations that appear on the chest wall implying liver dysfunction, hence my guess of liver CA.

  #8

Ok...naevi are also referred to moles too.....seen in melanomas to suddenly change in size,colour numbers.







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