NBME 16 Complete

NBME 16 COMPLETE

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ANSWER = A  LH:FSH RATIO > 2:1  TESTOSTERONE IS HIGH  INSULIN IS HIGH BECAUSE OF HYPERGLYCEMIA

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CFTR IS A CHANNEL not a receptor; does not regulate proteins ANSWER = E

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ANSWER = D interstitial nephritis – Not ATN which was wrong.

Drugs can cause both… wikipedia says eosinophiluria is either TIN, UTI, or churgg-strauss

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ANSWER C = Physostigmine PHYXES ATROPINE OVERDOSE (CROSSES BBB) Accidentally hit the PAUSE button… never do that during the exam…

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A STRAIN IS TEMP SENSITIVE = NOTE HOW GROWTH IS TERMINATED IN THE PRESENCE OF THE L SEGMENT ANSWER = A

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ANSWER = B

ANSWER = C

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ANSWER = C (CHRONIC PYELONEPHRITIS) BLUNTED CALYCES WITH SCARRING

ANSWER = D (CROSS SECTIONAL)

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SMALL CELL CARCINOMA = SIADH ANSWER = F

JEJUNUM IS SUPPLIED BY SMA ANSWER = C

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ANSWER = B LABETALOL & CARVEDILOL

ANSWER = B  Although central vasodilation increases blood flow to organs, it doesn't cause heat loss. It is the peripheral vasodilation (cutaneous, near the skin) that causes heat loss.  Since peripheral vasodilation is not an option, the most accurate answer will be evaporation of sweat.

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ANSWER = AMPHETAMINES (STIMULANT) MOA: BLOCKS REUPTAKE OF NE & DA ↑NE = ↑HR (b1) ↑ BP (a1) MYDRIASIS (a1) ↑DA = PSYCHOTIC PARANOIA DYSKINESIA

ANSWER = CHRONIC INFLAMMATION FROM LYPHOCYTIC INFILTRATION

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ANSWER = FACIAL CN7 LOSS

ANSWER = C

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ANSWER = MYXOMA Heterogenous pedunculated mass in L atrium

ANSWER = RENAL PAPILLARY NECROSIS 1ST AID PAGE 554 SAAD PAPA  SICKLE CELL DISEASE  ACUTE PYELONEPHRITIS  ANALGESICS NSAIDS  DM  PAPILLARY NECROSIS

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INCREASED PROTEIN DEGRADATION = increased polyubiquitination in the muscle cells. In order for proteins to be degraded via proteasomes, they have to be modified by ubiquitination. ANSWER = E

8 MONTHS = NORMAL GRIEF ANSWER = A (SCHEDULE APPOINTMENTS TO MONITOR)

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VINCRISTINE MECHANISM = MICROTUBULES FOR AXONAL TRANSPORT ANSWER = A

ANSWER = E CENTRAL RETINAL ARTERY IS A BRANCH OF RIGHT OPHTHALMIC

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TUBULIN IS AN INTRACELLULAR TARGET OF VINCRISTINE ANSWER = J

32/1000 = 3.2% 1000 - 32 = 968 3.2% X 968 = 31 ANSWER = C

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ANSWER = A INFERIOR MESENTERIC IS THE BLOOD SUPPLY FOR SIGMOID COLON

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Bulimic girl who is sad and wants to lose weight, give her the happy pill: SSRI = Fluoxetine ANSWER = A

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KIDNEY CLEAR CELL CARCINOMA CAN PRODUCE EPO = POLYCYTHEMIA ANSWER = B

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GHRELIN GAINS

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INCREASED FSH = Fast path to MENOPAUSE ANSWER = D

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ANSWER = B SMOKING #1

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ANSWER = E USE INTERPRETER ALWAYS

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ANSWER = B LAMELLAR BODIES ARE SECRETORY GRANULES

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ANSWER = C ATROPHY

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ANSWER = B microglial = macrophage in brain

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1ST order elimination = CONSTANT FRACTION 12.5 – 10 = 2.5 is the concentration eliminated in 2 hours  2.5 / 12.5 = 0.2 or 20% ELIMINATION  10 X (0.20) = 2  10 – 2 = 8 mg/L

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ANSWER = B alcohol displaces uric acid from the binding site

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0.12 – 0.04 = 0.08 or 8%

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ANSWER = E THIS IS VIRAL INFLUENZA, not Haemophilus NON-PRODUCTIVE COUGH is the key with muscle pain and headache

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FLOW = AREA x VELOCITY FLOW = 2 cm2 x 20 cm/sec = 40 cm3/sec = 40 mL/sec (now convert to desired units L/in) 40 mL/sec x 60 sec/min x L/1000 mL = 2.4 L/min

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ANSWER = E DAMAGED CST = CorticoSpinal Tract. motor deficit is ipsilateral. Right sided paresis

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BUDDING YEAST

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ANSWER = E

Grade 4/6 holosystolic murmur best heard over the left lower sternal border and cardiac apex Key: MI & PAPILLARY MUSCLE RUPTURE leading to MR + CHF

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SARCOIDOSIS = HYPER VITAMIN D (LOW PTH AND HIGH VIT D) ANSWER = D

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ANSWER = A ALPHA AGONISTS PRODUCE VASOCONSTRICTION IN NASAL MUCOSA BETA AGONIST IS OF NO BENEFIT INITIALLY

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INCIDENCE = 200 new cases / 2000 at risk = 10%

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“Do unto others as you would have them do to you.”

Luke 6:31

Listen to the song SUCCESS by the New York band INTERPOL Then buy the album: EL PINTOR and their self titled album.

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