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NBME 15 Answers

Question#6 (reveal difficulty score)
A 7-year-old boy is brought to the physician ...
Virion releaseπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A healthy 3-year-old boy has a cleft lip and ...
MultifactorialπŸ”,πŸ“Ί


Question#11 (reveal difficulty score)
A 9-year-old boy has mild mental retardation ...
Tuberous sclerosisπŸ”,πŸ“Ί


Question#19 (reveal difficulty score)
A 65-year-old man with a history of ischemic ...
33%πŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Interferon-gamma receptorπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 4-day-old male newborn who was born at home ...
FirstπŸ”,πŸ“Ί


Question#35 (reveal difficulty score)
One-half hour after an uncomplicated vaginal ...
OxytocinπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A 36-year-old man who is heterozygous for an ...
LDL receptorπŸ”,πŸ“Ί

Question#38 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Oculomotor nerveπŸ”,πŸ“Ί

Question#39 (reveal difficulty score)
An investigator is designing a study to ...
StratificationπŸ”,πŸ“Ί

Question#44 (reveal difficulty score)
A 59-year-old man comes to the physician ...
ImatinibπŸ”,πŸ“Ί

Question#46 (reveal difficulty score)
A 6-year-old boy with severe mental ...
0.2 to 0.5πŸ”,πŸ“Ί

Question#48 (reveal difficulty score)
A 22-year-old man is brought to the emergency ...
Deep fibular (peroneal)πŸ”,πŸ“Ί

Question#49 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
GlucokinaseπŸ”,πŸ“Ί


Question#3 (reveal difficulty score)
A 2-year-old girl is brought to the emergency ...
AtropineπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A 32-year-old man comes to the physician for ...
Schizoid personality disorderπŸ”,πŸ“Ί

Question#6 (reveal difficulty score)
A 56-year-old woman comes to the physician ...
Helicobacter pyloriπŸ”,πŸ“Ί



Question#14 (reveal difficulty score)
A 25-year-old woman with a history of ...
Streptococcus mitisπŸ”,πŸ“Ί


Question#20 (reveal difficulty score)
A 30-year-old man is brought to the physician ...
Porphobilinogen deaminaseπŸ”,πŸ“Ί

neuro
Question#21 (reveal difficulty score)
A 43-year-old woman comes to the physician ...
Complex partialπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 22-year-old woman is found to be HIV ...
Protein processingπŸ”,πŸ“Ί

Question#23 (reveal difficulty score)
A previous healthy 26-year-old woman comes to ...
Area labeled by letter 'E'πŸ”,πŸ“Ί


Question#28 (reveal difficulty score)
A 35-year-old woman, gravida 1, para 1, comes ...
Nicotinic acetylcholine receptorπŸ”,πŸ“Ί

Question#29 (reveal difficulty score)
A 2-month-old male infant is brought to the ...
Glycine receptorπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
A 24-year-old woman with Marfan syndrome ...
HypervolemiaπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 25-year-old primigravid woman at 25 weeks' ...
PrematurityπŸ”,πŸ“Ί


Question#39 (reveal difficulty score)
A 43-year-old man with a 10-year history of ...
Decreased glutathioneπŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
A 4-year-old boy is brought to the physician ...
CytoskeletonπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 45-year-old man comes to the physician for ...
Mitral regurgitationπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 37-year-old woman is brought to the ...
CardiogenicπŸ”,πŸ“Ί


Question#47 (reveal difficulty score)
A 75-year-old man with chronic obstructive ...
C5aπŸ”,πŸ“Ί

Question#49 (reveal difficulty score)
A study was begun in the 1950s to determine ...
Cohort studyπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 56-year-old woman is brought to the ...
LipopolysaccharideπŸ”,πŸ“Ί

Question#6 (reveal difficulty score)
A 50-year-old man comes to the physician for ...
MedullaryπŸ”,πŸ“Ί

Question#7 (reveal difficulty score)
A 1-year-old boy is brought to the physician ...
RNA splice errorπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A newborn undergoes surgical repair of ...
EndodermπŸ”,πŸ“Ί




Question#24 (reveal difficulty score)
A 28-year-old African American man comes to ...
EthnicityπŸ”,πŸ“Ί



Question#39 (reveal difficulty score)
A 42-year-old woman with multiple sclerosis ...
Medial longitudinal fasciculusπŸ”,πŸ“Ί


oncology hodgkin lymphoma mutation
Question#47 (reveal difficulty score)
A 2-month-old boy is brought to the physician ...
PeroxisomesπŸ”,πŸ“Ί

Question#48 (reveal difficulty score)
A paper says, "We chose the sample size to ...
5%, Type I errorπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 51-year-old man with a 5-year history of ...
HematuriaπŸ”,πŸ“Ί

pharyngeal_arch digeorge
Question#7 (reveal difficulty score)
A 17-year-old boy with chronic renal ...
HydronephrosisπŸ”,πŸ“Ί

Question#8 (reveal difficulty score)
A newborn delivered at 28 weeks' gestation is ...
Lung elastic recoilπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A 40-year-old woman with breast cancer is ...
Occipital lobeπŸ”,πŸ“Ί


Question#17 (reveal difficulty score)
A previously healthy 18-year-old woman comes ...
Ξ²-Lactamase productionπŸ”,πŸ“Ί

neuro
Question#25 (reveal difficulty score)
A couple has two children with osteogenesis ...
Germline mosaicismπŸ”,πŸ“Ί


Question#29 (reveal difficulty score)
A 45-year-old woman (III,7) comes to the ...
Incomplete penetranceπŸ”,πŸ“Ί


Question#32 (reveal difficulty score)
A 70-year-old woman is found dead in her bed ...
HypertrophyπŸ”,πŸ“Ί


Question#38 (reveal difficulty score)
A 25-year-old woman comes to the physician ...
ThrombocytopeniaπŸ”,πŸ“Ί


Question#42 (reveal difficulty score)
A 4-year-old boy with a karyotype of 47,XY+21 ...
Excess lymphoblastsπŸ”,πŸ“Ί

Question#44 (reveal difficulty score)
A 72-year-old woman comes to the physician ...
OsteomalaciaπŸ”,πŸ“Ί

Question#47 (reveal difficulty score)
A 31-year-old woman is treated for Plasmodium ...
Primaquine kills hypnozoitesπŸ”,πŸ“Ί


Question#0 (reveal difficulty score)
An investigator is studying Helicobacter ...
Slipped-strand mispairingπŸ”,πŸ“Ί

Question#0 (reveal difficulty score)
A previously healthy 26-year-old woman comes ...
External hemorrhoidπŸ”,πŸ“Ί




Question#0 (reveal difficulty score)
A 50-year-old man comes to the emergency ...
AnemiaπŸ”,πŸ“Ί

Question#0 (reveal difficulty score)
Following a stroke, a 68-year-old man has a ...
H (Wernicke's area)πŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
Influenza virus strains are characterized by ...
HAπŸ”,πŸ“Ί

Question#2 (reveal difficulty score)
An investigator conducts a study of the ...
ProteasomeπŸ”,πŸ“Ί


Question#5 (reveal difficulty score)
A 6-year-old girl is brought to the physician ...
GlutamineπŸ”,πŸ“Ί


Question#13 (reveal difficulty score)
A 24-year-old man develops recurrent ...
Sensory neuronsπŸ”,πŸ“Ί


Question#22 (reveal difficulty score)
A 30-year-old nulligravid woman comes to the ...
Estrogen in adipose tissueπŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 23-year-old nulligravid woman comes to the ...
Blockage of both fallopian tubesπŸ”,πŸ“Ί


Question#30 (reveal difficulty score)
A 43-year-old woman is admitted to the ...
HippocampusπŸ”,πŸ“Ί

Question#33 (reveal difficulty score)
A 45-year-old man with an ulcer in the ...
DiaphragmπŸ”,πŸ“Ί

Question#34 (reveal difficulty score)
A previously healthy 25-year-old woman comes ...
Germ cellsπŸ”,πŸ“Ί


Question#39 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
DyneinπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
A 22-year-old man comes to the emergency ...
MedianπŸ”,πŸ“Ί

Question#45 (reveal difficulty score)
A 70-year-old man has a 4-month history of ...
Pancreatic enzymesπŸ”,πŸ“Ί

Question#47 (reveal difficulty score)
A 50-year-old man is brought to the physician ...
"D" label in the image πŸ”,πŸ“Ί

Question#48 (reveal difficulty score)
A 60-year-old man is brought to the emergency ...
Reversible, dose-dependentπŸ”,πŸ“Ί



Question#4 (reveal difficulty score)
A 45-year-old man with chronic renal failure ...
25-hydroxycholecalciferolπŸ”,πŸ“Ί





Question#31 (reveal difficulty score)
A 13-year-old girl is brought to the ...
TranscriptionπŸ”,πŸ“Ί

Question#34 (reveal difficulty score)
A 23-year-old primigravid woman develops ...
Listeria monocytogenesπŸ”,πŸ“Ί


Question#46 (reveal difficulty score)
The lymphoproliferative properties of the ...
Nasopharyngeal carcinomaπŸ”,πŸ“Ί

Question#47 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
SerotoninπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 3-year-old boy with chronic otitis media is ...
Low blood solubilityπŸ”,πŸ“Ί




Question#8 (reveal difficulty score)
A 14-year-old boy has fatigue, intermittent ...
Vitamin B12 (cobalmin)πŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 21-year-old woman at 30 weeks' gestation is ...
CyclooxygenaseπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 56-year-old woman is brought to the ...
1000πŸ”,πŸ“Ί

Question#45 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Collecting ductπŸ”,πŸ“Ί


Question#10 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Internal iliacπŸ”,πŸ“Ί

Question#20 (reveal difficulty score)
A 53-year-old man develops a fever and ...
Clostridium perfringensπŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 4-year-old boy has respiratory tract ...
Autosomal recessiveπŸ”,πŸ“Ί


Question#31 (reveal difficulty score)
A 50-year-old woman comes to the physician ...
EndothelinπŸ”,πŸ“Ί


Question#5 (reveal difficulty score)
An 18-year-old man comes to the physician ...
ProlactinπŸ”,πŸ“Ί



Question#17 (reveal difficulty score)
A 71-year-old woman is brought to the ...
Temporal arteritisπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 10-year-old girl with sickle cell disease ...
SalmonellaπŸ”,πŸ“Ί

Heme
Question#25 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Multiple myelomaπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
A 75-year-old woman comes to the physician ...
Lentigo malignaπŸ”,πŸ“Ί

Question#8 (reveal difficulty score)
A 27-year-old woman comes to the physician ...
Dilated cardiomyopathyπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 72-year-old man with poorly controlled ...
Decreased femoral pulsesπŸ”,πŸ“Ί


Question#36 (reveal difficulty score)
A food handler has a fresh furuncle on his ...
VomitingπŸ”,πŸ“Ί


Question#23 (reveal difficulty score)
An investigator who wishes to test the ...
ImmunohistochemistryπŸ”,πŸ“Ί

Question#25 (reveal difficulty score)
A 67-year-old man comes to the physician ...
BurningπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 54-year-old man comes to the physician ...
Major depressive disorderπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 23-year-old woman is brought to the ...
HeroinπŸ”,πŸ“Ί


Question#44 (reveal difficulty score)
An 8-year-old boy with moderate mental ...
Prader-Willi syndromeπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Thyroid folliclesπŸ”,πŸ“Ί

Question#25 (reveal difficulty score)
A 25-year-old primigravid woman at 12 weeks' ...
Partial hyatidiform moleπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Beta-thalassemia minorπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 19-year-old woman is brought to the ...
OlanzapineπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A 51-year-old woman undergoes dilation and ...
SuccinylcholineπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 35-year-old metal worker collapses after ...
Amyl nitriteπŸ”,πŸ“Ί

Question#26 (reveal difficulty score)
A 69-year-old man with benign prostatic ...
BethanecholπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 34-year-old woman who is a scientist is ...
Potassium iodideπŸ”,πŸ“Ί

Question#28 (reveal difficulty score)
A 19-year-old woman comes to the physician ...
DoxycyclineπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A study is conducted to assess a new prenatal ...
99%πŸ”,πŸ“Ί



aspirin
Question#9 (reveal difficulty score)
An 18-year-old woman is brought to the ...
Bleeding timeπŸ”,πŸ“Ί


Question#22 (reveal difficulty score)
A 32-year-old man has a 3-month history of ...
Decreased smokingπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 55 year old woman with colon cancer and a ...
ApoptosisπŸ”,πŸ“Ί

reproductive repro
Question#1 (reveal difficulty score)
A 26 year old woman comes to the physician ...
oral metronidazoleπŸ”,πŸ“Ί


Question#13 (reveal difficulty score)
A 24-year-old woman is admitted to the ...
Ectopic pregnancyπŸ”,πŸ“Ί

Question#12 (reveal difficulty score)
A 62-year-old man comes to the physician ...
MacrophagesπŸ”,πŸ“Ί

reproductive repro Repro
Question#35 (reveal difficulty score)
A 62-year-old man undergoes cystoscopy for ...
Ureteric orificesπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 21-year-old man is brought to the emergency ...
Antisocial πŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 55-year-old woman comes to the physician because
SupraspinatusπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 10 month old boy has an abdominal mass,10cm ...
Nephroblastoma (Wilms Tumor)πŸ”,πŸ“Ί

Question#1 (reveal difficulty score)
Four days following a hike in forest,lesion ...
Delayed type 4 HSY reactionπŸ”,πŸ“Ί

Question#26 (reveal difficulty score)
A 75-year-old man has a cerebral infarction. ...
LiquefactionπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 56-year-old woman is brought to the ...
LipopolysaccharideπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A 22-year-old basketball player who uses ...
PneumothoraxπŸ”,πŸ“Ί


Question#7 (reveal difficulty score)
A 26-year-old man develops loose, foul ...
celiac diseaseπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
an investigator is studying the age of ...
60 yearsπŸ”,πŸ“Ί


Question#13 (reveal difficulty score)
a 38-year-old man comes to the physician ...
omeprazoleπŸ”,πŸ“Ί


Question#4 (reveal difficulty score)
An 18 month old girl is brought to the ...
Parainfluenza virusπŸ”,πŸ“Ί

Recent comments ...

... andro made a comment on nbme15/block3/q#30 (13 yo boy, receiving chemotherapy for leukemia)
 +16 
submitted by andro(222)
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srFti oenqtisu : yeTh lelt su ist a ymhitcoypcl lemkeaiu

eSodcn nqtseiuo : phiecriDneg herehwt ti si a B lecl or T .cell

Teh ellsc aevh no cerufsa uonbd gI M gI, G ro mcpsityclao nsaich rof ehset biintseoad , but hvae a ngarderear nege emnte(gs geanmin tcvaei ) orf hte T llce oterpRce . So hte Cllse rae T lCsel

iThdr qonteusi : owN htta ew oknw tath eyth era T llCes , ew tawn ot wkno hhrweet eyth rea D4C ro DC 8 vieisopt

eTh scell ni eth caiilncl ttgenvei cakl tohb C4D dan DC 8 ( bedoul getnieva ) cdgAcron i to hwo T lcels lyrmlona vpoldee - eThy atstr fo as niegb bedlou gtieeavn ( e.i not nxrepisesg 4DC or CD 8) ni hte sburspuaacl iengor nad eprssveiygrlo ebomec
- epsoviit ofr otbh CD 4 dan DC 8 in eth octxer
- adn uvyteallen raeqciu hte CRT and D3C yb eth imet eyht tge ot the ledlmua

Tseeh sellc etfreoher utms T yethymolcp tychtmoyse ileadlcso ot het xtcore

i_hate_it_here  FA2020 pg: 102 +1
makingstrides  Yeah, that's what I chose too @dawgtor. But I think when the cells are made in the bone marrow, they don't have the MHC classes/ TCR either. When they get into the thymic cortex, they gain those and undergo positive selection. This is from FA2020 page 102. Correct me if I am wrong. +1
victorlt14  The thymocyte (T cell precursor, not T cell quite yet) gets in the subcapsular zone of the cortex with no CD4/CD8. It took me longer to be sure it was a cell of T lineage though. Looking back I think it should've been rather easy to recognise that since the cell line has a T cell receptor it is of T cell lineage. +
... cassdawg made a comment on nbme15/block1/q#10 (When compared to oxygenated blood, deoxygenated blood carries more carbon dioxide for a given PCO2)
 +15 
submitted by cassdawg(1457)
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oooixyDegemnlhb ash a gihehr apK hnat lgmhbayioexon nda tush liwl acecpt edrhongy snio eomr lyrdeia. iTsh si irmtatnop in the ibtiyal to "ycrar" C2O as hte nami aimehcmns of 2CO strorapnt is lulayatc onvirsoecn of OC2 ot HCO3- (OC2 + 2OH -t;&g C3OH- + )H+, stuh mixgnlboeehydao saricer eth +H ihelw -3CHO is potdsarnret ni het amsapl ot eht .unsgl mbreagbinhCaoomalni si talauylc loyn tobua 02% fo teh O2C rrsotnpat adn CO2 loivsedds sa 2OC si 1;%0 srtonrtap sa -OCH3 si ruodan 7%0 of het CO2 rntprto.sa

eHre is tareohn aiegm fo eth oscpres.

rnthAeo nptotmair tpaces of eht cspesor ot kaet tnoe of taht htye kile ot ask aoutb si the ielcordh tsfhi. ieloChrd svoem hte ioeptpos itoenidrc sa -3OCH ni the B.RC shuT ta ssseuit herew we are aenrngtige CH3-O rmfo OC2 nad need ot mppu ti uot of hte llc,e ohidlerc somev noti eht e.tclAl eht vilaole hwree ew eedn ot ppum O-HC3 back onit eth CBR ot nrut it otin C2,O hrelicod vsoem uto fo het ce.ll

eOthr :wrsnsea

  • 2,G3PB lliw dinb dna szteisibla dbexhmoienyglao kiagmn it lses detaractt ot yo,nxeg fiihntgs eth nmalebohig sodinsatoisi ercuv tirhg.
  • mixhyegoDenolab ash a rehhig iactcpay ot mfro ghbononamilrceiabma
  • bynloDimxeheoag hsa a rheihg AKp thna bnyogmhiaelxo hits( si why it can eapctc ehndrgyo snio meor dirl)eya
  • imtpnCitoeo ofr ngndiib eist si not a rmaoj inemchmas rof eht abtilyi to cryar CO2 sa otsm CO2 si e"rraid"c by nsoocvrine to CHO-3
  • crtiNi dioex nigibdn is ton a aeinsmmhc fo 2OC arcyr.
i_hate_it_here  <-- +5
pakimd  @cassdawg thank you for explaining so well along with explaining all the answer options. +1
... cassdawg made a comment on nbme15/block2/q#30 (A 2-month old male infant with a ventricular septal...)
 +15 
submitted by cassdawg(1457)
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reHe si my ekta: a veruniltacr saeptl fdeect ni iycnfna swlaol for left to rtigh unitshng fo bdolo in eth l.tinecserv sTih eauscs an secdaerin psrseeur in hte thigr tercivlen edu( ot rmoe ldoob ebing sdhpue into t)i nad a erdaeescd surpeser ni the elft evci.nterl esucBea erhet si rmoe ooldb in teh uonyplram otlcuarcnii omfr teh n,thus I ikhtn hte flet artali reseupsr wdoul slao eb sariecdne in an raeyl VD.S

SO wenh oyu raeipr eth VDS, eht ltfe cnveteril rresuesp wlil be dsniaeecr dmperaco ot hwen hte hnstu aws tspeern t(i is on elnrgo olgisn ob)old, teh rtghi rltcnviee rseprseu ilwl be dcsedreea i(t si on nolgre ggteint bodol fmro eth hnuts,) dna the eflt altria ssrpruee liwl eb dsreeecad etrhe( is on onrgel dlravoeo of hte lrpayounm myesst nurirtgne ot eth fetl tr).miau

200A2F 28p9

epiglotitties  ily cassdawg +10
i_hate_it_here  epiglotitties πŸ˜‚ +
... cassdawg made a comment on nbme15/block1/q#45 (A 70-year-old man has a 4-month history of weight...)
 +13 
submitted by cassdawg(1457)
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ehT cnrodipites ointps to enritcaapc nuicfyciefisn ude ot sroreaeatth f(at in het osto,l kelyli deu to yfccfienisnui of arcniaptec pelis)a dan mscule rifeb ni eht lstoo ichhw( stpion ot opemtlenci rnpotie dn,iiegots leyikl ude ot uyiesinnfcfci of rccpaeaitn orssepet).a

te,Frrhu eh sha no fiideeyccn in rythceaodbar osnaprbtio sa vedecendi yb eth syxoD-le ttse hcihw( ietinscda na tantic aucsom for oospnbriat dna esdo otn rueqrie vsgitdiee ,eszyenm 00A2F2 p3;)73 nad eh sah on basitiolmnrae no pbyois of the tneite.sin

h,sTu eth pmrryia uessi si atcieranpc cunisyiifnfec nda oapmutptiesenln fo taapccrnie zsneyem is tsmo llfu.hep

cheesetouch  FA2018 P375 +2
... cassdawg made a comment on nbme15/block3/q#25 (A 67-year-old man comes to the physician because of...)
 +13 
submitted by cassdawg(1457)
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iThs nam yekill hsa ectiaibd npyroaetuh adn usth udolw eavh aonhtercpiu .anpi paohNrutice pian is ebsirdced sa a gruinnb ainp sa rapoecmd ot teh hoetr dnski fo ianp.

reeH rae semo eindrcfefes wnetebe ccotieoinevp nad eniroachptu apin.

eHer is a carth of stcspdroeir sdeu ofr poaienrucht v ictoveeiopnc pain.

trazobone  I appreciate u cassdawg +1
... cassdawg made a comment on nbme15/block3/q#41 (A 56-year-old woman is brought to the emergency...)
 +12 
submitted by cassdawg(1457)
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,eHer ew twna to oknw golinad soed cihwh si aqule ot het elvumo fo dobusitnirti x agtret aicttnoronnce in spam.la

oS oru daoigln sedo = /Lg.11k8 x 0g1m = k.1/1mgg8

Seh si a g55k psnreo so 8k/gg1.m1 x 55gk = 59.59 gm cihhw pepaaitxsmor to 00g0m1 totla lindgao dseo.

rnImptota mraPh snuaqoEit to eemmbRre

cassdawg  10mg/L * sorry +1
cheesetouch  fa2018 p229 +2
... cassdawg made a comment on nbme15/block3/q#18 (27 yo man, 3 hours nausea, cramping abdominal pain, diarrhea)
 +11 
submitted by cassdawg(1457)
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20A2F0 p441

An UMELS teeatlsb tfca abotu llaseomanl sisepce is atth itcaniibot ues aulcatly osgoprnl eht cerxtioen fo eth gomins.ar nFu c)(fat? rof nzaiietomrmo as hreet is on rleac nweasr sa ot wyh atth I luodc ni.df

hiroshimi  Have a card in Zanki saying this using abx with salmonella can cause HUS so may be it's linked? +
... cassdawg made a comment on nbme15/block1/q#21 (A 20-year-old woman comes to the physician because...)
 +11 
submitted by cassdawg(1457)
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0A022F p 162 sah lraye ftela pnm.veleedot eeHr ear eth taxlesnpaoin fro teh as:nersw

ayclsBila, vnee tiohutw gnoiwkn lal hte txace ysda of vdp,otlnemee tosm anrswes acn eb itdnmeiael esdab no gnavih het tseven in teh rriectcno oedrr or hginav na etnoircrc apscte batou dtomnpeleev (ei.. hte ycotsatosbyhlniorpt mfsor curntnocre htiw het prhyoocsatbot,t 3 grme lraeys rea rtsenep artfe laogitu,snatr hte obymer si evrne yulrt ttesrnsai to raestentog fater tminaltn,oaip het orcsetleom fmosr rmof osisemt so mtisoes have ot emoc )siftr.

erHe is a rnelega voiwerev fo het srfti eerht ewkes fo tpenovmlede aerft atlfitrnoizei.

eeHr is aonrteh oen if htat odnset' od ti ofr ya.

cheesetouch  FA18 p 594, 599 (syncytiotrophoblast) +
... cassdawg made a comment on nbme15/block3/q#3 (A 3-year-old boy with chronic otitis media is...)
 +10 
submitted by cassdawg(1457)
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ptmonItra acpsset of lativeol (ags) ti:sceaehsnt 0F(202A p)495:

  • MAC ium(immn ellorvaa teocnno)cairtn: tyssenallie eth 0D5E fro dhilnea aeitn,hetcss isht si het immmiun tcoicantneonr fo nshcaiette taht asecus a rospeesn in %50 of titnspea
  • LOW CMA snema HGHI eopnytc - more ptnoet usdrg wldou vahe a olewr iniummm numaot eenedd to eb tesrnep in the aiellov ni ordre to txree hetri etc.fef
  • OLW MAC si aedelrt to HHGI piild obuiystill i(rghhe isog/la irpnttoia cfeioint)efc - erom ldiip lebsluo ntagse tdne ot be omre netotp buaeces of ihter aceridens biitlay ot rscso teh BBB
  • MAsC are aedvitid ..(ei eon asg ta .15 MAC = otw sgsae ta 7.05 rhiet ceesvripte sCM)A
  • gs/oloadB triinoapt efionectfci: na esneosprix of ltisu;biloy itshnsaceet twhi a lwo obdol sag parnotiit fcoeintceif have a prida fs/ettneofso
  • e.i. LSSE pamsal bsolleuu ctehtnisae = STAEFR /oftfteoness
  • hsTi si esbucae sels amslap buellso asentg wlil f"lli up" itehr aimmxum atmoun ni teh bldoo rsoieevrr cieqrku dna thus ear udhsep odwn ihtre intoronetncca grdnitae ntio hte banir iekqcur; .i.e ehty ckliyqu uaetsatr eht odolb adn lwli vemo no to eincgftfa teh rbani iekqurc
  • CMA nda dbga/sool pionittar enfocfiietc osal nted to be vleniysre eedaltr -- hehgri MCA = elwor o/dsgbalo oirnitpat cetoceniffi dan ciev veras; htus many fo het moer ettpno iestcshtena ahve a lnoegr mtei rfo tfsoonft/see
cheesetouch  FA2018 P532 +1
randi  FA2019 p536 +
... specialist_jello made a comment on nbme15/block1/q#33 (75 yo woman, 1 day fever and back pain)
 +9 
submitted by specialist_jello(25)
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NBKF si ni sit aiitcnve ttesa udnob to .IBK As a patr of het asalcsilc ,pwaayht albeicrta stnignae nibd ot LTR nad cavtaite KBI ainesk, aknsi(e aspl)yoerotsphh

  • KBI si tunbdaiqeui and rddedaeg

  • NBKF eresnt sluncue dna ynesthssise eth ramatyfnomli stffu

Uw :QDI 15915

... cassdawg made a comment on nbme15/block3/q#47 (2-month-old boy, hypotonia and poor feeding since birth)
 +9 
submitted by cassdawg(1457)
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eosorPmxesi ear hrwee gaaoedrdnit of ryve olng incah ftyta iacds roscuc as( lelw as piyhcatn chhiw si a rahbnecd naich yatft cdia dna cioceplpi chhwi si na alahp namoi i)dac 0F2[02A p7]4

... cassdawg made a comment on nbme15/block3/q#6 (A 45-year-old man has a 2-day history of severe...)
 +9 
submitted by cassdawg(1457)
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adseB on teh hisyrot n(potuciomsn of rleag tmsanuo fo lohloac nda veeadetl suerm liyesmep/aasla wtih yehi)cp,caaoml itsh anm ilyelk ahs atuec rttisapcenia A(F0202 3p7).9 enO of eth jamro accltsniooimp si auoinsgoitedt fo eius,tss usch as ahwt si nese in hte eim.ga

cheesetouch  FA2018 P391 +
epiglotitties  Can anyone explain/describe the image? I got it right based on the info from the question but would like to know anyways just for future reference +3
randi  FA2019 391 It's also not alcoholic hepatitis because this "requires sustained, long term consumption" of alcohol and this patient consumption over the last few days. FA2019 395 +1
hecticsurreyguy  @epiglotitties this is purely a stab on my part but... I'm seeing variation in size and consistency of the adipocytes in the image, along with vesicular changes in several of the adipocytes in the bottom right hand corner of the figure. These would point towards lipolytic reaction being undergone in these adipocytes. +
... cassdawg made a comment on nbme15/block4/q#22 (A 32-year-old man has a 3-month history of episodic...)
 +9 
submitted by cassdawg(1457)
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I fyeldienit did nto kown isth, but praeyntapl gsknomi can nerwso GRDE ued ot ctnnyede of enntiioc to csuea atixrelano of eht owler lesghaoepa ncrepti.sh gnmSoki si lsao lndeik ot tmhsaco lsrcue deu to rcitneeerfne ihtw itgcrsa scmauo and acdi ou.nidprcot uJts don't oeskm d.ksi oDtn' do .ugdsr tSay ni hoclos vfereor keil edm d.tstsuen

i_hate_it_here  don't tell me what to do +
trazobone  Don’t you just love it here +2
victorlt14  What about caffeine and fatty foods? +
... cassdawg made a comment on nbme15/block1/q#50 (25 yo man participates in study of muscle function)
 +8 
submitted by cassdawg(1457)
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otmBlusi inotx tacs iva eoseaprts hatt cleaev ESANR adn eervnpt ntealichcleoy leserae ta hte uuleasnormucr jnuocint A002F(2 .)21p3 shTu, ti dose tno dceltiry fftace het anpys-trocspit eucmsl l.ecl If you dda eanrtxel eyclclano,ehit you owudl lilst ehva a ymoltplece mlnroa .srnepseo sThi itnlsimaee lal tub two wssren.a

eTh ned elpta eiatlonpt P(E)P wloud eb ecftaefd by siombtul oxitn bcesaue teh end letap ntiptleoa si eht acgnhe ni eloagtv that rsoccu ta eth oaciysstntpp luscem motro eetlnpad reaft an aonitc toneltpai in the omotr nnoeru naox rrstgieg eslaree of ymna eniyocalheltc vessi.cel oyla,Nmlr an taionc etntpiloa in eth otmro uonern wlil ceaus xulnfi of ciumlac atht delas to uofins fo hcA ceievssl (igenurirq RAN)ES dan ,xosiotsyec serignael rgael ttuniieqsa of Ach inot het asesnyp chhwi nca tenh dnib nad rtergig an PPE ni teh mu.lsce ihtW utlo,isbm nsiufo fo eth cAh lesceivs is ibnhdeiti os esls chA si rasleeed dan hte PEP si beultdn. tayo,Nlb eht avtgole si eht eams sa het PEPm hhciw is het ateglov etrfa nmdora recercncou of chA earlese ese( ewl.)ob

A tmuirenia dne atple naoltetip (EP)Pm si the golteav chneag htat uccosr nweh one islecve of ctohllaeceyni is eear.slde eTehs cruco ol.arndym EmPP lwdou tno be facedtfe by itbousml otxin euabesc it si het rpdueco of amdonr onifus fo a ielescv ichwh dlocu sllti uccor tefra idomiattrsnina of stublomi ix.tno

eHre is na megai rninedgim hte nicrfeefed wnebtee EPP adn PPEm.

... andro made a comment on nbme15/block4/q#26 (65 yo woman, follow-up examination, DEXA scan shows decreased bone density)
 +8 
submitted by andro(222)
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stiFr tsep is ot amke eht upveriespmt nioadsgsi fo stosiroesopo romf eht naliccil tvtegnei . ( heT pedpsuos uptebsy ni our tinapte is esapotouanlmps oooissp)serot

tferA siht teh tnxe etsp is ot aekm an atincsoaosi with hte lba gnisfidn Th e irmrpay cftdee is a feicndecyi of neeogrst No.allr ym trgseneo eradsesec alostcteos vatticiy by

  1. ingundci tpsaiospo
  2. seeicnard omritnoaf of errootnegiteops a dyoec lmelcoue ihhcw hisnibti cioaaitnvt of NRAK repsocetr

eNt tfeefc of nlosig gstneeor si sderneaic stsatolcoe vttciyai ad,n in sthi qotsiune by notixnese RANK L nnnetcarcioot .

NEOT : PLA cwihh is an tonidarci of sotbstolea ittviacy sdoe ton cegh/an rcieeasn ni opooisetssor , as such vdoia lla oiponts whit an naiceers in esatoslbto aiitvytc

brise  But wouldn't you need osteoblasts to have RANK L? +7
cassdawg  You still have osteoblasts, they just aren't doing their "build bone" job so their primary activity is decreased. Rather, they are stimulating osteoclasts by increasing RANKL. Similar to how parathyroid hormone stimulates osteoclasts through osteoblasts --> the osteoblasts are involved but not in doing their "build bone" job; however you would never say you increase osteoblast activity with PTH even though they are necessary for PTH function. +6
... cassdawg made a comment on nbme15/block4/q#5 (A 6-year-old girl is brought to the physician for a...)
 +8 
submitted by cassdawg(1457)
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;:DRLT envE wthi Teyp I ro II alenr luutbar sdciaiso teh gmniisnsmeaeao frmo neiaumglt si ton maidripe dna tshu si hte inma cruseo of .nmmoaia

eHer si my kt:ea adeBs no erh roihsyt nad mrsaedue aaplsm ,ulsvea ihts gril liyekl ahs noe fo hte "wlo mu"siospat aenrl brltuua a,doisces etehri Tpye I or Tpey II (ees isht hrtca rof inegrsoan edbsa on seemdrau saulve ro tihs iaemg ofr ufn frcloolu rnlae ubtalru soiadsci dan 02A0F2 p)395

hne,T ew ear ldto taht esh ash a efetdc in aos"ngiias"n.emme In the ernla ,selbutu oniaamm is teaedergn ni otw yprriam ysw:a via dctire nosorcvine of uaignmtel ot oaaimnm in eth pxlaromi uulebt chwhi si hnet srtecdee iotn teh luut,be ro by H3N imcoibgnn wthi with +H ni teh glnticcloe teusbul (ihcwh I segsu eyth are srcdnioeing a saaptree msnoiamsgeeani yaaphwt enve htghuo ist all naidk e)ld?eatr. eSe htsi iamagdr or isth gairamd

uissnAgm oru ilrg ahs epTy I alnre bauturl aoisds,ic rehet llwi be dercesdae iiblaiavtayl of rdhnyoeg nsio in teh earnl tuslbue to bocienm itwh HN3. ,Tuhs teh mryipar rcuseo fo manaomi iotrnopcud in shit ptieant llwi be eaumlting iw(hch si teh omjra usoerc fo iansisemganome ni a mrnola sepnro .wsanyay)

uFrrhet reinoagns - eTpy I is raepiidm rcstieeon fo dehgynro isno iont het luemn, os ehrte lwil eb sles neygdroh osin il.vbalaea ehS ylleik ash ytep I euabesc htsi is prmiryial teerdta with mpotsiusa icertat bot(h to freubf dna to vtepenr rlnae tenoss ichwh are a ommocn cnlpc.om)itiao vneE fi ehs had epTy II hte aiecsnerd cnrietxoe of acirbb lodwu osal bruffe oemr H+ ivalgne elss rof saemaenmnogisi ni het 3/HNH+ onaobicintm faosn.hi

rlCy,iaornt eypT 4 lrnae uabtulr diiassoc la)cmekihryp(e slruest ni areedcdse ensitsysh fo anamoim in eth imrxlopa et,buusl chwhi we nwok hse eods not ahev sueeacb of reh lwo apoti.usms

cheesetouch  Cassie you're a god. Simple/stupid approach to make a good guess - if she cannot make ammonia in the kidney, main ammonia source probably from an exogenous form like amino acids -> Glutamine! +3
pakimd  thank you @cassdawg, you're amazing! +
... cassdawg made a comment on nbme15/block3/q#23 (An investigator who wishes to test the hypothesis...)
 +8 
submitted by cassdawg(1457)
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immtucinsmthoIrohyse usse fsyloeunrtcel ggetad bnieidstoa to bdin cecisipf ngsietna on su.itsse nI iths ,cesa an bydtaoni oucdl eb rceeddti atganis 10vC4D4 avainrt ietornp edus to agt the slelc ni het spsmela htat xpeerss eth avti.ran hTis is laso eusufl sueebca it acn eb neod no sdseli of afanfpri ebemddde uie.sts

  • Aiftfiyn numloc mragyocthrpaoh si sude to tperaeas a acmblcieiho emtxuir dseab on ctntiaoneir bnetwee ad/inttbaeiynng,o ne/trubtes,mzeays tin/rd,eagrcloep tec. btu uldow ton eb lufsue ni e-erdeebmpdd tsiessu ro tsih case
  • eynsitD engdaitr nuocfeiratgint is dsue no tmuirsex to rsaaetpe htme ntio moepctsnon dna si tlyrlaacurpi suufel ni gianetaspr llce sensi,sounsp schu sa ni naepiargst obdol onit lryase ot teg eth ffuby aotc ithw CWBs
  • onNrtreh ltob is rfo RNA nad cestylernlofu gats a cieep fo NRA repestn ni a lsemap
  • RPC is fro fipinniy/gliienngdtfya a NDA stegmen
  • serveeR reapnrtictsas R()T PCR is yylctlpai dsue to reaumes osprsexien eeslvl fo an RmNA
  • eShturno bolt is fro iynitgdinef a ADN entegms ni a stegid
... fruitkebabs made a comment on nbme15/block1/q#35 (30 yo woman, uncomplicated vaginal delivery, delivers placenta but continued heavy blood loss)
 +7 
submitted by fruitkebabs(23)
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nUteire taony is the ostm omomcn acuse pattrumsop geemohrahr ude ot uefiarl fo eht ruutse to etlyveffiec taonrctc and rearttc after edrile.vy It is rdetate tiwh tneiure gamesas dna ntxiooyc.

... ergogenic22 made a comment on nbme15/block2/q#36 (72 yo woman, admitted to hospital for acute myocardial infarction)
 +7 
submitted by ergogenic22(364)
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isTh qosnetui is iganks athw letf niantodm ccuotnairil esan.m I usspeop it nwats us ot nifre atth teh PAD si spilyugpn hte gardpaihm uecfsra adn VA .deon

tI si ninoucfgs to me sbeeauc ylamonlr teh htgRi nmagiarl tayrre sulspeip teh ciimaragdthap drebor tceau( ag)rimn fo het rth.ea Im' nto user atth it nahcges ni eflt naondmti tunocaicrl.i romuFrheret ti dluwo otn hacrbn off the PAD, tohhglua ymbea rtspa of ti aer pilsepud by eht PDA

lsoA teh VA dneo si iuepdpls by het etrrltonrciauAvi aonld rty,aer hhiwc nac be a nbhacr fof fo eth LCA or teh XLCbut ont alyrel teh ADP

/lvwrm.hgMt3/.nmw9phci/lwPCnc7/n..psb9/5tit3co/eais:1

os cfusiongn oseutinq rfo me btu eth iotnp is ot kwon eht sureoc fo etfl annmiotd inticcualro to het APD

epiglotitties  What the heck is it with this scrambling?😑 +1
5thgencephalosporin  you need to be a member to have total access to the content +
... cassdawg made a comment on nbme15/block3/q#10 (5 yo boy stung on foot by bee)
 +7 
submitted by cassdawg(1457)
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Teh miyaprr snammeihc fo malftiominan ro"mtu" or lgiswnle is cdaseeinr ibitryeemapl fo eht mleeohdnuti hhciw dslae ot eglkeaa fo uidlfs 02A(02F 321)p

srmtn  why not vasodilation? +2
... andro made a comment on nbme15/block4/q#33 (During normal skeletal muscle twitching, ATP concentration does not fall significantly.)
 +7 
submitted by andro(222)
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A note to lsfe : renetCia eshpapoht is a storh tmer genrey ocrues in mueslc . stcA yb nnoidagt speoaphth rpuogs ot ereagnteer PTA .

niaetrC*e si ridvdee omrf riignenA adn ediebmoltsa to etnCieinra ( wchhi is exteerdc yb hte yesnkid )

cheesetouch  ATP on FA2018 p74 to annotate book +3
... lola915 made a comment on nbme15/block0/q#0 (A 50-year-old man comes to the emergency department...)
 +7 
submitted by lola915(48)
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  • learrtAi: coP2 03 mm ,Hg 2Po 69 mm Hg
  • iArtaelr O2 ecntn:ot 21 vl%o 211–=%(%)7N
  • xMdie euovns o2P 63 mm gH
  • exdiM nsouve O2 nttcoen 8 ovl% 0(1N%–%61=)

  • )A iaemAn - atePtni sha nl Oa2P and eeradecsd O2 nott.ecn slAo anitetp si vnrtihtengayleip and O2C si thsu .owl

  • B) nri-gcdueDud avaelorl eninatopyihvtol - Arieatrl O2P dolwu be w2;OpmoCal& hghi
  • )C edncReesi ta a high dalteiut - eilrtaAr OP2 ludow be owl
  • D) Sereev laegroin smntahiicgm fo aloaelvr nitnaileotv dan rumonpyal ilapclrya uenioprfs - urlayPmno lsuboEm owuld csuea a eceaders ni iarlater O 2P )E tnlayruVo aihopnilttenevyr - artlrieA %O2 ntotnec dlouw be ln

maenAi ssauce apiohyx hitotuw empaxoih.y iManeng owl O2 eeydvirl ot sseusti ubt tno olw 2O tornsaatiu of teh dol.bo hTe gusln nca aeltaeydqu eelvidr O2 to hte atsarerli so aOP2 is loarn.m Aamien aessuc owl 2O tetnocn sbceaeu ouy haev lyertleavi olw sanumot fo Hb to racyr eog.xny

2O netotnc = 4.3(1 Γ— Hb Γ— 2oaS) + (003.0 Γ— o2)Pa

meow  I still don't really get it +
... cassdawg made a comment on nbme15/block1/q#13 (A 24-year-old man develops recurrent vesicular...)
 +7 
submitted by cassdawg(1457)
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hTis is yilkel rHseep elixmSp iuVrs 1 sa(edb no eht vlseaciru soielns no eht pi)l ihchw ariesmn noatdrm ni esosnyr n,galiag msto lmoomycn the eitnamglri oiganngl 200FA(2 p).164

... cassdawg made a comment on nbme15/block1/q#43 (A 35-year-old metal worker collapses after exposure...)
 +7 
submitted by cassdawg(1457)
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eTh rtnbu domlan smlle dan canyconnoit pyendsa si hcecictartisar fo cyadin nosopigin. yiCenda sginiopno si etredat whit ritients ecasebu trntiesi ioixezd nhmbeoilog to mfor tohiommbalegn hchwi binds cyed,nia lgioanwl sesl iic.yttox luftsaThoei is ftnoe ddade to erenasci rnael exencirot sa aytaceht.oin Cadneiy xitytoci amy olsa eb etderta twih xmoabhln,idyorcy wchih nsdbi eidny.ca

2A20F0 676p ahs iretiifdaenfont of acynied morf OC ip.sioognn

drippinranch  is there a circumstance where you would treat cyanide poisoning first with hyperbaric oxygen before hydroxy/nitrates/thiosulfate? +1
prosopagnosia  If the patient had concomitant carbon monoxide poisoning, then I think the hyperbaric oxygen would help. But in order to reverse cyanide poisoning, hyperbaric oxygen will not help because the cells are unable to use oxygen since the cyanide directly inhibits oxidative phosphorylation. +1
i_hate_it_here  Another thing to know about this is that unlike with CO poisoning, your O2 saturation of hemoglobin, total O2 content, and oxygen-hemoglobin dissociation curve would all be normal. FA2020 pg: 666 +3
trazobone  Thank you i love it here +
cheesetouch  FA18 p 648 +
chaosawaits  In reality, I believe, 100% oxygen would be provided in order to maximize the amount of oxygen dissolved in the plasma which, although small, can make a difference between life and death. However, I believe hyperbaric oxygen is very unlikely to be used rather than just a NRB mask and of course you'd still apply amyl nitrite because applying oxygen is going to do absolutely nothing for the hemoglobin problem. +
... ergogenic22 made a comment on nbme15/block2/q#21 (43 yo woman, 6 months altered consciousness)
 +6 
submitted by ergogenic22(364)
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She sah mrtoo nda ronyses sys.opmmt iTsh o/r ohtb sdkni fo smi.ple rHe rseusiez are tno bderisced as ccnicl/itono tsn,vmmeeo and ilcnedu eordpis fo idaeprim ouosne.sccisns shiT reusl uto lrazegendie iotconc/n.cli eThre si a ost-ilpact tt,sae htta lrsue out bse.caen

oAsl eht pil ckanismg is crstarahcitice of iaoa,mmsttu hwhci si ofdun in plxoemc taalrip zseriuse

bbr  Isn't is just motor symptoms, thats why its Partial? Maybe Im conflating things here. But complex partial decoded would be: Complex (lose consciousness) and partial (just 1 area of the brain, just motor). +7
euchromatin69  simple seizure wont have altered cociousness....alt. concious = complex or generaliised +
i_hate_it_here  What's the difference between a complex partial and an absence seizure? +
kaf  Absence - they just gaze off as if they're daydreaming. +2
... ergogenic22 made a comment on nbme15/block2/q#26 (47 yo man, admitted to hospital for myocardial infarction)
 +6 
submitted by ergogenic22(364)
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tceuA IM adn ltarim egrrgu o(fmr eth urru)mm aesld ot VL ifaerlu dna bfwolakc of dolbo iton eth n.ulsg

Tshi slade to acnisedre laronpumy yctoasirdth rlapaliyc erru.psse iThs wlil laed ot esxces ovumel igknela rfmo teh rapyunlom iaascilerpl ntoi teh sttlrntiiaei and isht liwl afsietnm as ulymrnaop meade k(crasl).ce

yanlruoPm emdae illw rrenitefe hiwt gsa ceexangh gladien to iaep.oyxmh

medstudent  Doesn’t this also result in decreased alveolar ventilation since the fluid blocks air from getting to the alveoli? +4
cassdawg  ^I would agree, but I think the primary cause of hypoxemia in pulmonary edema is actually the diffusion defect rather than strictly the decrease in alveolar ventilation so the better (more NBME) answer would simply be the increased pulmonary capillary pressure as this is the root cause of all of the issues in this guy's oxygenation. +1
cassdawg  Another way of saying this is that if the defect was purely due to a decrease in alveolar ventilation, the A-a gradient would be unchanged and CO2 would be increased. However, since it is edema, the A-a gradient is increased because there is a diffusion defect, and CO2 is not significantly increased. +5
... trazobone made a comment on nbme15/block2/q#26 (47 yo man, admitted to hospital for myocardial infarction)
 +6 
submitted by trazobone(64)
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etAuc MI dna rltmia ggurer fmor hte rmumru dseal ot VL aifleru dna colakbfw fo olobd nito hte lgns.u

Thsi lades ot srdiecnea rapoymuln ioysdachttr pyaillacr pes.rrsue iTsh lliw laed to sescxe evluom ealgnik omfr hte ormuaynpl ciiresaallp itno teh itsilertiatn nad htsi will tafesimn sa munoylrap meead kcrlec(a.s)

omuyaPlrn mdaee ilwl rfreneiet itwh gas enegahcx ieanldg ot .myxpoihae

... cassdawg made a comment on nbme15/block1/q#22 (A 30-year-old nulligravid woman comes to the...)
 +6 
submitted by cassdawg(1457)
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sThi awmno sah soclcityyP aoavinr ynodsemr. sihT acn eb ueedddc suabece of eth gihh F:SHLH tioar g&()2t,; hgih IMB, and nseeprce fo rdtwawalih ndeglieb ni a potsgeenroer iatwlawhdr ets.t nI ltyiocspcy niravoa ymeosrnd, erthe is adierecsn lreseea of dsoeagnrn fmro caeht antnrei l.cles Tsehe ransengod acn ecuas ytmssmo lcmnmoyo ostacadeis thiw OPCS ishtsr(ui,m ean)c ubt anc oasl eb maredzoita ot estgoner in iapdoes stuise. eTh nrpeseec fo ngeessotr in shit rfom ueacss stcotann tingavee kafeecbd on eth hyapstuhomal nda oitnudslyrage ni teh roaerapippt esevll fo hte girsonptadono e(se heer adn heer)

eerH si a noaipocmrs gahpr fo hte hrmenoo slvele in a rnmalo amerutnls eclyc to POCS.

A onspetorreeg raalhdwtiw etst is sedu to lhep emeterdin hte aeusc fo haoarnmrie. fI hilrtwdaa ieneblgd ,orscuc it senam hte ntitape ash ecsfiifunt doseliart and eth rranhaoeim is due to otuio.nlanav If no adwhitawlr bdelegin ccsruo, ti nmaes the itpneat itheer ash ohnccri aoatoilunnv whitotu n,erteosg a earcnivnote mmdrtue,eion ro a lmporeb twhi enutire fowlu.to In ruo nsieatt'p acse, esh sah rhiltdwwaa gineledb os esh sah nloaanoituv, a mmcono mmstoyp of cosltycipy raaivon .nsdmroye

... cassdawg made a comment on nbme15/block1/q#31 (A 75-year-old woman comes to the physician because...)
 +6 
submitted by cassdawg(1457)
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eLitogn agamnil is a eypt of elomnaam (0AF022 48p4,) ehnec ywh it si timorpant hte selnoi si kbwo/acrbnl twih luregrria droebrs nad girnaengl a(ll alrlamshk fo mom.ana)le hTe spyibo dirncpsotei oals stif ltgoine aiamgln, tbu nvee if yuo aer ont a stohgloapit het sreidtpocin that fist crneca nda dan ail"pyatc tleemy"nsaoc dhsolu pnoit oyu ot negtoli igaaln.m

  • ciosasntAh iirnancsg is niiecnhktg tss(cnhaaio menas rmaeilpde alprahsiy)ep nda iaennkdgr of snik ni sflod dna eerssca tscdiaoesa with nsiuinl rnectseasi
  • Aitcnci rkseitsoa is a naarnilmgtep enilso that si a m,lasl hr,guo shtarueeoetm ro oibnwhsr qupaepaleup/l
  • Cdnmoopu nsuve is a eypt fo mole thta is lhilstgy eeaet,dvl rwobn or tglih rnwbo, dna has uaglrre .rrsdobe tI is otn nst-.iwagfrgo
  • rScrieoheb esotkrsai era k"-tcns"ou laft, yrea,gs dmtpgneie squsoamu plielhieat nerpoiftiloar fo itaummer teiackrteosny iwht iflet-ialnrdke cy.sst dpiaR entos fo tllemupi editnisca ilebssop IG cilngnaaym.

2A0F02 42p8, 774 dan 448

cheesetouch  fa2018 p 469 melanoma +1
randi  FA2019 p473 +
... cassdawg made a comment on nbme15/block1/q#11 (9 yo boy, mild mental retardation, 4 years increasingly frequent major motor seizures)
 +5 
submitted by cassdawg(1457)
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uubTrose cssleoirs si arccderatihez yb AHAOMAMSRST Hrtamaas[mo in SNC dan kni,s smbiorgonAiaf , tlaiMr irgt,oingterua asAhfle- otpss , cdaaicr aadmR,mhbooy (roTbuuse ,elsc)ossri ulsomtoaa mnnt;Odai etMlna riaternoatd ni(aculleltet ,aytisib)ild arlne napygooAilimom , rzseueS,i rSeaheng ,paehcst 20A02F 5]p52

If you dditn' wnko hatw msaomtarah okol lkie ..i(e m)e, ereh is a ruetcip fo htaw hety eerw idnecbisrg. yeTh lsoa rdsecibe ,uiessrez madylepbsneu cdiaelfci elsunod lkiy(le osrhtamaam of het SN,C) and a carcaid ,sams ciwhh is llieyk a drymmaoo.abh shTee are rtactcihairecs fo uTourebs is.eSsclor

gronW nswrae aal:ipensnxto

  • lFaiaiml pyichtrerhop pcoahmryoadtiy is ioasscdtae ihwt dusden thaed ni ,estaethl ton iseuserz dna aaam.hsmort
  • neGarrd rdyomeSn si lsoa cdella afilamli oecloartcl slppyoiso adn si a rfom of lmliiafa oesdnmutaao i.oopspysl
  • necyogGl oargset essaedi Type I is nVo ekGeri seedis,a hicwh prsesten wiht leepotmespnaylagho dna sevree fsaitgn yeligahopmyc cplityyal ni nnifayc.
  • uepMltil Eericonnd saelaNopi eyTp I si deocsastia thwi all the 'Ps >- aPcnet,arci idaohyra,Prt adn iautirytP necaap(tcir neoircedn omr,stu potrdriaayh adsnam,oe dna traiptyui tmsor)u
... ergogenic22 made a comment on nbme15/block2/q#9 (67 yo man, 2 days double vision and drooping left eyelid)
 +5 
submitted by ergogenic22(364)
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eH hsa a nwdo and uto l,piup sdeacu yb NC III .saply His zega si ued to duopsoenp iconat of eth elrlata csrtue nad osiperur o;qbeuli ptioss ude ot nvtanrdioee fo eorvlta epepablar .iirsosupse

heT ynlo urynji lidest atth codul asecu a NC III pyasl si yemnarsu fo the CPA rsgncmeospi hte mrauoloorct ecuus.ln

cheesetouch  Compression of superior cervical ganglion -> Horner's syndrome -> ptosis, miosis, anhidrosis, would NOT have dilated pupil. +2
jmd2020  Aneurysm of the PCA would compress the oculomotor NERVE, not the nucleus (just fyi) +2
trazobone  I appreciate u cheesetouch +
... cheesetouch made a comment on nbme15/block2/q#36 (72 yo woman, admitted to hospital for acute myocardial infarction)
 +5 
submitted by cheesetouch(215)
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eLft aodintmn lacctrioinu - ptrrsoioe eisngdcdne atyerr A()PD hchiw spueplsi VA ndeo ect si ocnmig ormf the *flet uxclmcrief. morpPt assy it is l.obekcd To egt ot ,rethe eth trccoer aitnmaoalc aatywph si efLt onryroac r,yetar mrlfxucice rartye, spoitrero vnceriluirrnetat )P.AD(

Tshi anc eb rsnaodee yb seopcsr fo eanointimli o.1 -ot veniG hte eftL nodaitmn ,tcuairncilo we nca tliiemean hsyatpwa bnnnigeig ta eht hrigt an c.r-oro2y oT gte okacgelb at rteproosi of ,hatre we lilw NOT esu oniertar rtiiraecneurvtnl ,rteary os oyu nac tieilname eth 2 pootnsi ntgslii ths 3.oe - hTe xmflcurcie retyra evsig esri to teh A,DP but is not the nflai atyerr ni ruo ahtp ot the elabogck (os acn lenetimai eotnhra t o.w)sTih uhosld gvie uyo hte eorctcr nras.we

cheesetouch  FA2018 P277 heart anatomy drawing +
... cassdawg made a comment on nbme15/block3/q#7 (1 yo boy, 4 weeks progressive generalized tonic-clonic seizures)
 +5 
submitted by cassdawg(1457)
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There are a few sywa ot gte to eht rsaewn fo eth scepli o:errr

  • The mnauoitt asceud ngs""ikpip of an .xneo lngipiSc si teh esropcs erewh nrotsni ear icdlspe tuo and xoesn era celsdip reogteth oefreb xenpgoitr hte NmR.A deeatiRn ritnnos or gppkniis of an oxne is illyek a urselt fo an errro in lnsip.cgi
  • hTe anitumto elsftis is GT ot AT. In RNA hist woldu be UG ot UA. UG is a nnwok opmtencon of the '5 leicps iset 2A02(p)F20,4 os iths saol sonpit to lcsipe esti mnttiou.a
  • oNne of eht hoert isaouttmn dteuqyaela brediesc why an nxoe would eb dpks.epi ouY ludoc noaser a ssnenneo taomtinu a( tniumota ttah rtcudisneo a ostp o)cnod lduco i"k"sp hte satl neox ro so eceuabs it atnctsruetu eht prtie.no Hvoe,wre het naotmtiu soed otn itf any tath ctnoerudi a otsp docon (hte ptos ncosdo aer UAA, UA,G dan AG..U. nnoe fo ethse evah AU in et!h)m

heOtr ifo:n tihs oby has tye,ainklupreonh hogtuh etulmlpi totsimanu nca dela ot stih os ti oulwd ont pleh in inwsgnear isht oeqin.uts

... cassdawg made a comment on nbme15/block3/q#24 (28 yo African American man, 3 months mild fatigue, weakness, 4.5 kg weight loss)
 +5 
submitted by cassdawg(1457)
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I tn'od ikel shit utqsinoe orf ynma aoer,sns but clyblaisa he sha riasdsocios ges(tcnnoiana angularmso hiwt no aothnepg dfonu no o)ibspy hichw oracngicd to trFis iAd is orem mncomo in raeni-cfniamcrAA aemfe.sl enicS eh is cAn-imcararfiAen hatt is ish srik tfoacr 22(00AF 66)p7.

cheesetouch  FA2018 p658 +
i_hate_it_here  Questions like this let me know that the ideals of racism have never left the medical system. Ok, so he's "African-American", is he of actual African descent? Is sarcoidosis just increased in american found black people, or is it black people of African descent, what about Jamaican? Afro-Latino, Europeans?? I hate that they teach us things like this and we're suppose to take it at face value. +1
kaf  agree...medicine is full of racism, sexism and so on. Some meds work differently and diseases present differently etc...for ex., ACE inhibs in AA vs white...or MI presentation in women vs men. +1
... cassdawg made a comment on nbme15/block3/q#48 (A study finds a statistically significant difference between two groups when, in reality, there isn't one. What is the name of this statistical error?)
 +5 
submitted by cassdawg(1457)
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nI hstheospyi estnit,g the haapl luvea is the briytibloap of kmagni a peyT I .rerro hiTs is eht ptye of error doneitemn ni eth etoiqus.n

  • eyTp I rerro - uoy find a eeecrdffni enhw a dfernciefe eso'dtn ylrale .siext
    • One yaw fo erirbgnmeem hits is atht itsh is thwa ctsetiissn wtan"" ot mka:e heyt tnaw ot dfin a cgfnitiansi rniefedecf in tiehr t,aad huts it is eth sfitr" tkamsei" th'yed a.kme
    • aAlhp si the tiraoyibplb uyo era nlligiw to epcatc ttha uyo ldcuo vaeh eadm a epty I eorrr ..(ei na aalph ealuv fo .050 anesm rteeh si a 5% ybpiitoabrl ouy ulcod eamk a etyp I rrore dna rtecej het lnul psshyhtioe ewnh uoy dlohus nt)o

  • yTpe II rorre - oyu od nto nifd a cfdrfieene hwne uoy dlusoh hvae eceusab a etur ffiercende rlaely sexist
    • teaB is the lbiptbiyaro ttah uoy aekm a eytp II rrero
    • Pwreo si qelua to 1( - t)eba
    • owerP acn eb nereaisdc yb inengricas semapl size, nda htsu with a aelgrr lpsmea you ahve a rowle byrbilpaoit fo nkgima a pTey II reror
    • ewPor cna osal be eenrdaisc by eningsrcai cptedexe eefcft zsei or enrnscagii oisce.rpni It is etntnrsigei ot toen rcacayuc sha no ceffet on er.opw

20F02A 6p32

cheesetouch  FA2018 p258 +
... cassdawg made a comment on nbme15/block4/q#38 (25 yo woman, 1 week general malaise, facial rash)
 +5 
submitted by cassdawg(1457)
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eBdas on the nqutisoe estm adn eth iineatasuootdb vnige lryufet(tb shar oncembid hwit dtaShnpNpi/-id)Ah-n,asmaiolit/pitsDon htis amnwo sha lcscais ulsup. ESL is toieassacd wthi oynpai,scet so ptyhoictrobnemoa si hte stbe coecih fo teh vilbaeala .arnesws roytocnihaebTpmo is mmcoon in pluus 0(A22F0 407)p

  • HUS si sciodatsae ihtw Eolic. or haSelgli tniniofce and ont suLup. spuLu knidye seidesa si sedfifu etvoriaierpfl pegoio.rmrlstehnuli
  • ryctMcoaic naimea si layiycplt dceusa yb 1B2 or ftealo ecinfycied nda nto isdtcaeosa htiw u.pslu Lpsuu eamnia si ylpiclayt ienaam of hnoicrc ,edeasis whhci si iort,moccyn ro ude to euqdantiea CBR idtnurcoop ro oirn ,deefyincic cihwh si icrytm.iocc
  • pilueMtl endltauce rthsyroetyce ear ufdno ni aesueilmk hwen het sRCB rae eigbn espu""hd out fo eth bone rmo,war or ni idseesas herwe eht nebo wrmoar is ihghyl r.sdtesse upsLu does tno ltcyplyia scuae sti.h
  • I ma nto 100% eurs wyh luxeaor romtonafi si ,rwnog asbeeuc sa far sa I dnuetnadrs yna odninicot taht escnreisa aolonlcomn bAs cna auecs rxuuaole fotnaoirm, ubt I am gsanmsui ti si stju otn sa ecik,oon/mlmly nehec ohnractemobtyoip cwhhi is eyrv common si eht brtete nsewra
cheesetouch  FA2018 P458 +2
randi  FA2019 p462 +
... baja_blast made a comment on nbme15/block4/q#48 (Study of effectiveness of cough medication in children)
 +5 
submitted by baja_blast(160)
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nI htis ysud,t a aboplce is not dseu no hte rnotocl upgr.o ehT texmenpielar purgo gtes httnxepmorerohda ehwli eth tolocnr uprgo segt n"o n.tartm"eet hisT suselrt ni ruepcdeor isab, as sbucstej ni tedfifrne ouprgs rae not etaretd het msea. dinlignB nda use of a lopbace deceur het fnuneilce fo pttaicprasni and rrsaeseechr no ceudporesr adn retnpoinaeitrt fo tmsoeouc as nhrieet rae awera of rogup nsaeigms.nst

eSe taelb on bias dan yusdt ersrro ni AF 2190 p 260.

... hungrybox made a comment on nbme15/block0/q#0 (An investigator is studying Helicobacter pylori...)
 +5 
submitted by hungrybox(1146)
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esEsxc anttpre peartes ldae ot rsdtan ioerap/elsgrsrp deu ot an lbneatsu eringo in( sthi a,sce excsse iyetndiC asbs.)e

tI ducol eb a detaepre teranpt sa lwel ie( eth cueliidrttoen tpreae CAG in iutHton.s)'nng


er'seh a oemr in tephd ptanxnoaile morf( pedaiwiki icaretl no ddt-eSrplinpsa sinpmgiari:)

A ppeasilg etevn arylolnm ccruso nwhe a eneecqsu of iterieepvt iolneustdce dmte(an )etsaepr ear ufdno ta teh iest fo pi.ractnoeli dmTena peaerst are ensulbta einrsgo of hte eenmgo wreeh qtnrfuee teronsiins nad sdoneltei of osiendcelut anc atke ,clepa trluegisn in eogenm ertreans.nrmage

hungrybox  Anyone know why it's not Transposon insertion? I was thinking maybe because transposons have to be longer than one nucleotide, but I'm not sure. +7
bingcentipede  @hungrybox I think it's because transposons are usually gene segments rather than a single nucleotide insertion - plus w/ what you said about the repeated pattern, I think slipped-strand mispairing (which is a concept the NBME loves) more likely. +24
i_hate_it_here  cool so why do I need to know this +3
... cassdawg made a comment on nbme15/block1/q#27 (A 50-year-old man comes to the physician because of...)
 +5 
submitted by cassdawg(1457)
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eyK ecptssa fo eht inetos:qu

  • oseisipnykH fo teh roitpesro tlef vcnlterei htwi eisnacgrni ciitatvy leselv - ni my opnoiin tsih is het piyarmr cleu to nssieost of het hrtig rnyacroo ryreat. Thsi is ebescau het erpirtsoo herat si pldsiuep yb hte tseroripo eegndncsid ar,eytr hhiwc in otsm eoplpe ohw aevh rtgih ntmanido norrcyao lcicunroati si a arhncb of hte gihrt aorcnroy ay.etrr
  • We"nh cinimglb its"sar and het osihepkinys igben etnpesr on erssts entsgti - iths lhpes ouy ot owkn eth dncoioint is ynol erbedxceaat in rei,exsec nad stsenosi of eth CRA eeragtnse ypomssmt in cixeesre ecubsea in ecrsxeeis eht arneseic ni xnogye dmdnae aylpltiyc saescu idntlioa of eht nrcyroao lvseess ot aodtceacm.a henW terhe si ,ntessois eht lveses nncato tlaeid nda tshu teehr si inettasnr sieihacm fo het raea het vslsee siupslpe hits( is elotiantlyp cdeearxtabe by the yorncoar eatsl eopnenhnmo ni a sstres etts cwhhi acn urcco tihw daamosntrtiiin of rlsoa)avdiost F022A0 430p

esanreIc in gxeyno cunmooiptns si hte mnolar esenrops ot eecisexr nad onela is ton lgcihoopat. xlvsEaatrruac pcsrmnoeois fo het orraynoc ersartei is osal ieesdrcdno onamlr nda ;acgipolnonhot tshi si ywh most ocrnaryo odolb olwf cruocs grunid oadlites and why teh aeorcdimund is sotm sseucptlbei ot cseahiim.

euchromatin69  but isnt stenosis gonna cause m.infarction? we have not been told any percentage of stenosis +
shieldmaiden  If it completely cuts off blood for too long, then yes, but as you mentioned, they don't tell us how much stenosis, so with his clinical presentation and echo, we can say it's stable angina. Like @cassdawg mentioned, here a case of transient ischemia +
... cassdawg made a comment on nbme15/block2/q#24 (An 82-year-old woman with alcohol dependence is...)
 +5 
submitted by cassdawg(1457)
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sihT oanwm hsa teh isalcsc igsns of vnaitim C yifec,cnied ro rvsc:uy ayse ,siugibnr cteiphe,ia olclriarfpulie rsrmoaegeh,h gmu seeiasd, adn wlso ownud nileh.ag tiVmnai C is sacseyenr fro rrpope lrydnoiothxya fo ilorepn nda islney ni lenlaog.c (20A20F p69 en)[]ic

... cassdawg made a comment on nbme15/block4/q#25 (A 25-year-old primigravid woman at 12 weeks'...)
 +5 
submitted by cassdawg(1457)
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Thsi si a lptraia elmo uecesba of teh rsencpee of aftle prtsa. eeCmtlop lsmoe ehav on felat srapt, arailtp lmeso heav eltfa PparatAli(sRT = afelt R.)ATPs (002A2F 42)6p

cheesetouch  FA18 p 622 +
... andro made a comment on nbme15/block1/q#24 (3 yo girl, 2 weeks of diarrhea)
 +4 
submitted by andro(222)
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oNte: 21IL- etoprecr ecincfd,iye ro a dcefet ni teh etorefrnnI ammaG cperoetr
Thikn tiesdiemsDna oyMicbctlaare dan ugnlFa oftnIcsien . Aslo amollenasl *

cassdawg  Disseminated mycobacterial infections occur more often with interferon gamma receptor or IL-12 receptor deficiencies due to impaired ability to form granulomas (IL-12 and IFNgamma are the main cytokines involved in granuloma formation). +4
cheesetouch  FA2018 P 116 under il-12 receptor deficiency +4
cheesetouch  Also on FA18 p 102 related to Th1 response +1
... ergogenic22 made a comment on nbme15/block2/q#3 (2 yo girl, brought to ER, 20 minutes after ingesting insecticide)
 +4 
submitted by ergogenic22(364)
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svalti dan dene ot be edratet it,srf so toepairn adn ehnt emio.aipxlrd

3ll/ntpe3w0ih4imm:wws2/./gibCccn.srcn.t/Ma/v.Po99th/p

poanmitrt ot eotn ttha prnoagasohesotph ebcoem iebirlreesrv ta a rectina ptnio os eiopirmlxad oesd llsti eend ot eb gevin rylae

... cassdawg made a comment on nbme15/block2/q#11 (48 yo man, brought to ER, 1 hour nausea, crushing chest pain)
 +4 
submitted by cassdawg(1457)
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hsTi nawos'm iaradcc trears edaucs a pieodr fo sslo of blood wlof adn ihmcsaei ni het ykeind ttha sha del ot teuac butlaru iec.sosnr nI NAT htere is na icingtni tneev nhte an iicroulg hsp.ae In NT,A tereh si dahte fo nrale baurlut lehiilaept sllce htta losguh ffo dan ofrm ymddu nobwr glarranu ssta.c eepK in dinm het xplriamo bletuu adn tihck igcnnaesd mbli rae hte trpa of hte enyikd osmt esiebpctslu ot coxpyih jry.iun 02F2[A0 p2]60

... cheesetouch made a comment on nbme15/block2/q#31 (24 yo woman, Marfan syndrome, positive home pregnancy test)
 +4 
submitted by cheesetouch(215)
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cryenapng caessu eimhpe,vryalo and erhihg bodlo lofom/leuwv ghuthor eht herat lliw einsarec usummrr otrca(i grurg.)e

... ergogenic22 made a comment on nbme15/block3/q#6 (50 yo man, routine health maintenance examination)
 +4 
submitted by ergogenic22(364)
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yMrueldla iryohdt cicmornaa si eenddif :as

a lngnmaait roitpaolirnef fo aflparlaloucri C"" eclsl ttha eestrec niaocnltic

siyohglto sowsh tlaaingnm oumtr selcl nhtwii nikp lyna(,)hi amyidlo asromt

aaa1  ^I un-scrambeled the above answer Medullary thyroid carcinoma is defined as: a malignant proliferation of parafollicular "C" cells that secrete Calcitonin Histology shows malignant tumor cells within pink hyalin +4
... cassdawg made a comment on nbme15/block4/q#40 (18-month-old boy, severe combined immunodeficiency syndrome)
 +4 
submitted by cassdawg(1457)
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roFm ahtw I can llt,e het gtis of siht noiqtuse si htat he sha SIDC dna iscne het CIDS lidch sah acalilybs no eimunm stesym iy(talcplraur cubsaee the lcka fo ell-Tc tiu)nymim theer is a ieghhr nahcec fo rsacotustnnfiasi-doase tgafr svusre thso idseaes V-TD()GHA so lbdoo dscrpuot eavh ot eb iirrd.tadea

rHee is a mpecsdae cereeernf whit hwo erreuiqs iadatirred BCRs ude to denrsiaec rski fo GV-AHTD ofr ruoy negsripu.

i_hate_it_here  Just curious, are you a student? Your answers are always much appreciated. +4
... cassdawg made a comment on nbme15/block1/q#24 (A 23-year-old nulligravid woman comes to the...)
 +4 
submitted by cassdawg(1457)
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reHe is a alrmno lhsegopyasotrmgrnia.

girnmCapo tish to teh agiem ei,vgn uyo nca ees tehre si no erntcean fo eth edy tnio tehrie loianlpfa utbe or pslag,lie so tohb era cbek.dol

... cassdawg made a comment on nbme15/block1/q#34 (A previously healthy 25-year-old woman comes to the...)
 +4 
submitted by cassdawg(1457)
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sTih owanm has a eartum csicty mrtaa,oet hichw ni fslmeae is lsualyu eg.nbni iThs can be dddeuce mfor het enprcsee of euilmtlp mratue ustsise morf lal hteer germ ryeasl taht era ont nmlyalro tivaen ot eht .vyroa seaTmatro are rdivdee orfm egmr el.slc 2AF20(0 6p)46

oNte ot keep ni di:mn atimrume otareatsm nad teroh mger lecl tmsrou are ntgalimna ni seflame, nda in asmle enev ermtau eartostma of hte sttsee aslo yma be ganmilatn al(l mger lelc routms ni slaem rae a)matlnnig

... cassdawg made a comment on nbme15/block1/q#38 (The vaccine against diphtheria confers protective...)
 +4 
submitted by cassdawg(1457)
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sCmitudrilo etiant and uCycnimtrroabe dheitrhpeai rea rapt fo na atianvcdtie xotdoi vicance hiwt laoeadBrlt surpiests Tdap( adn aDTp sisnotc fo suTaent ,oidotx tipaeridh otd,iox and erualclal trsu,pssei enehc pa)

020A2F 111p



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