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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