This is a corrected version of the post from @abhishek021196 below (https://nbmeanswers.com/exam/free120/1426#3919).
Fragile X syndrome X-linked dominant inheritance. Trinucleotide repeat in FMR1 gene = hypermethylation = decreased expression.
Most common inherited cause of intellectual disability (Down syndrome is the most common genetic cause, but most cases occur sporadically).
Findings: post-pubertal macroorchidism (enlarged testes), long face with a large jaw, large everted ears, autism, mitral valve prolapse, hypermobile joints.
Trinucleotide repeat expansion [(CGG) n ] occurs during oogenesis.
This seemed very much like schizoid, as the patient in this case appears to like to be on his own. However, his prediliction for the occult, after life and science fiction gave it away as schizotypal. Remmeber, they manifest with wishful thinking.
Increased conc. Of so many lipids easily points to fam.hyperlipidemias Now to DX-
Can only happen in Type I, which is due to either lipoprotein lipase defc or Apo C2 receptor defect.
[in type 2: incr cholesterol but causes MI, NOT pancreatitis].
Increased conc. Of so many lipids easily points to fam.hyperlipidemias Now to DX-
Can only happen in Type I, which is due to either lipoprotein lipase defc or Apo C2 receptor defect.
[in type 2: incr cholesterol but causes MI, NOT pancreatitis].
Homocystinuria can be due to cystathionine synthase or methionine synthase defc.
it is so sad that they do that. the whole proccess is already too expensive and they receive money w all those ads. it sucks
If its intrinsic defect HTF urinalysis is normal with no casts?
Its not Fire ant. because if it was he would notice instantly. Intense pain followed by intense pruritus.
Hypereosinophilic syndrome is a disease characterized by a persistently elevated eosinophil count (≥ 1500 eosinophils/mm³) in the blood for at least six months without any recognizable cause, with involvement of either the heart, nervous system, or bone marrow.[2]
HES is a diagnosis of exclusion
Adrenal Insuff - No. Normal K & HCO3. Also normal BP.
Adverser effect of FQ - It doesn't cause anything like this. SIADH causing drugs are SSRI, Cabamazepam, Cyclophosphamide
DI - Would cause mild hypernatremia
SIADH - (the one I chose,,,dk what kind of drug I was on) is also ruled out for one there's no indication of that duh. second the Uosm < Sosm here. 200 vs (2x122 i.e 244+ )
Phenotype- male; genotype- female
I could think 2 causes 1. Placental aromatase defc 2. CAH (21 OH defc)
1 isn’t an option.
How does 500 men with various urological conditions result in a precise estimate? Wouldn't the variety of values due to various degrees of illness reduce precision and cause a wider variety?
Maybe I overthought it
HCV : lymphocytic aggregation + macrovesicular steatosis FA 2019- p.172
Ascites & adnexal mass >> Follow adnexal mass workup Even if you follow ascites protocol - ans is diagnostic paracentesis, not therapeutic.
So here you do USG + CA 125 There can be 4 combination -
High Risk USG + Elevated CA125. Worst scene >>Imaging with CT/MRI Exploratory LAP
High Risk USG + Normal CA125. intermediate scene. Also do same as prev. We trust USG more.
Low Risk USG + Elevated CA125. Intermediate scene. But here do only imaging. CA 125 is less trustable.
Low Risk USG feature + Normal CA 125. Best scene. U do further imaging and CA 125 serially to monitor.
furosemide is the DOC for fluid over flow (i.e. HF) but i cucked myself by overthinking
CKD = hypocalcemia. furosemide = more hypocalcemia. hydrochlorothiazide = get to keep the Ca2+ babies. chose thiazide with a smile on my face, but didnt last long
MCC of CAP in adult 40-65
Strep Pneumo H. Flu Anerobes Viruses Mycoplasma
F Step 1 content
why cant we obtain a psych assessment
I feel the discussion is missing the key points here. Any one after step 1 will know this is ureter damage board has a hard on for following any ovarian/uterine procedure.
Ques is which test - Urine culture, renal biopsy is easy to rule out. nothing for ureter. Renal arteriography is also same. Nothing say about ureter.
I picked IVU which seem reasonable to me because it is the one most specific for ureter and overall help assess the kidneys, ureters, bladder, and urethra for any extravasation of contrast dye
And that's the key. U cant give contrast to a patient who has creatinine of 5. Its contraindicated. So and is USG.
This question was messed up for me and I couldnt even understand what it was saying lol.