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Retired NBME 22 Answers

nbme22/Block 4/Question#47 (reveal difficulty score)
A 56-year-old woman comes to the physician ...
Maintenance of basement membrane integrity 🔍 / 📺 / 🌳 / 📖
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 +14  upvote downvote
submitted by bubbles(79)
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Btnsemea ambnemer enytiirtg is het etmrndtiean of lufl lugn rycovree wlfoloing lympunroa int.uls

a:muymSr

)(1 sols fo nesbmtae raemnmeb enrtiiygt si tiacilcr ni mdtneirnige hte ti“npo fo no ”teru,rn dna citbretsnuo ot eht iltnyiiba ot tlrsehbseai rnolam nulg crceurtaheti iwht oriptnomo of ibs;isfor

)(2 slso of pleialihte lle,cs aiohledletn c,llse nda taenesbm mbeeramn rtitygnie in uaslu sartlittiine uoannimep adsicatsoe hwti iidpaociht arplomuyn osbfiisr dsela ot tedsdeyro lgun ttccrhereiau nad rptaueple srfi;bosi

3)( nratnofgsimr wogtrh cotfrβ-a is n,arcsseye btu nto iynteelr ,fetinscfiu ot roetopm epnamnret ;fsobiirs

)4( epssrnttei aginerunriyn/titijra/nt is catiilrc ofr eth oopigrtnpaa of so;biifrs

5)( adpicoihit ounmyarlp rsfiibos si na epmaelx fo a pcssore dleaetr ot eth eirenceptss fo na ai(ne“,nsg)”t ncichor ,alfaointmnmi nad riosbisf; dna

)(6 unuieq lslec aer icraitcl uclelrla eylprsa ni het utlrngoaei of oi.ribfss

iati:notc :/ihp.wMt./4CnwhmclsngPol.v4/i5/imnt./2aebtps621crwc/

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kernicterusthefrog  velyoL +
endochondral1  ayn FA ro aapthmo ro urdlwo ltiroreona?c +
endochondral1  ro was isht a ?mndaor +
taediggity  pTey II tusomepecny evesr as hte stem clel rerc,srousp wto/u theso roeyu' oemr ro sles u:fedck AF 0220 pg 661 +4

Quoting Dr Sattar, if an injury or cut is too deep so as the regenerative/stem cells are removed/damaged - then healing can only occur by repair. Thus, in this case, the stem cells of the lung aka Type 2 pneumocytes reside in the basement membrane - so, injury to basement membrane would damage type 2 pneumocytes and would NOT allow restoration of normal lung architecture. That's why maintenance of basement membrane integrity is the most important determining factor to distinguish whether tissue will heal by regeneration (restore normal architecture) or repair (fibrosis/scarring). Same concept can be applied to skin (basal cells) and intestines (crypt cells).


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 +11  upvote downvote
submitted by drdoom(1206)
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You heva to iknht aotbu it ihts wa:y het nbeeamst mbrmeean si teh fc”ogdnlsifa“ no hhicw otrts[iare]ve iaegnhl .oucsrc S,o ,yes mest celsl ypt(e II smcoteenpy)u dolwu be nivdvloe ni htta linhage pscores but eyht tlcno’ud oestrer the lamron rcaeettcruih “o(n on”imtabia)rsel twhiout eth l‘eknote’s of eht mbenesat beremman niltleg tmhe rhewe ot ,go ni htaw oeiitdcrn ot go,rw hhicw ayw is ”“,up cte. fI eht ntemsaeb ermenmab is trsoed,eyd oyu acn lslti gte a,linheg tub ti tonw’ eb igonrzeda iaglnhe -- tli’l eb ziaedrsdogin eganhil, whhic sdoe nto ppaaer as nmlora s.seiut zno(sdriiageD geniahl is treebt ahtn on nihg,lea but tutowih a ,BM the rgeantgneeri sllce tond’ have nay it“rindo”ec adn efroreteh n’atc treosre eht rnolam e)utrtiheacr.c

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drdoom  by tvrae"ei"ostr i maen lhignea ichwh sreetosr eth ripeuovs (dna mnorl)a siestu acte.ithrrecu fro thta ot phneap, ouy dene an cattni bamneste bm!ernaem +2
nwinkelmann  ,Yse tihs a eagtr rausmym to het otps yb bel@bsub nda the teiclar he e!tpdos eAhntro awy ot ikhnt of hte nusioeqt si ,ton twah csesau eirpr,a tub athw acssue vresrilreieb rfiynssjoiur/.bi Thta itrleac aexpineld na nmpeterxei htat hwsdeo bF-teTGa asw rnscesyae ot tieiatni ,isiosrfb utb if MB saw ttican and GTbe-Fat was odmree,v eht rbfssiio t'didn issrp,te ..ie icttan BM si ietpcotrve niagtsa t-bFaT.Ge mwlct6hMCh5lm1g/4s.c/inv.wi/ta/r.ienowP/2.2ptbps:c/4n +1


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 +1  upvote downvote
submitted by shaydawn88(8)
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I owlud ktnih uoistloner lvosnvie hte emst cslle epyt( II eoeps.ynumct) sI teh ttniac aeebstnm anmremeb hte wsraen aeebcsu it mitsil aep?rsd

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aesalmon  I wudlo laso ikle to owkn fi noeyan cna sawnre isht ieuqtnso - I wsa ti sa a taatrS o"en ad,y neo we,ek eno mt"hno knid of su.oinqte tIs oabbplyr vrey limpse btu I sillt 'tnod gte ti +
bubbles  I dptsoe a ewn etnmomc eigxn:lniap mnabstee aeemnmbr gntyietir is the egonsrstt nadtmteeirn fo lulf fx yrvroece gfiowlnlo umpaolnry tsilnu ): +5
drdoom  uoY veah to htnik otuab it tshi wya: teh smeantbe mneamerb is the cosa”ginl“dff on hhciw ]steav[rtiore gilhnea .ruocsc S,o e,sy smet elcls py(et II scot)emeuypn wolud be nivdlevo ni hatt naiehlg spsoecr btu eyth ’cdltoun tserore the l*n*mroa threcuctaeir (o“n inar”msoeltbai) howitut the ’et‘onlkes of eth bnemstae aenmbrme leitgnl hetm ewreh to go, ni twah ncirtiode to gwor, wihch awy si ,”p“u t.ec If hte entbaesm mrameenb is tsyderdo,e uoy cna lslti teg ,ianghel ubt ti o’twn be ridznaego ianhegl -- lilt’ be r*sio*ndizagde aengih,l hwhci esod not apreap sa namrlo .etsisu oadDnsgiiez(r ahnegli is rtebte nhat on haigen,l tbu oiwhutt a ,BM teh neegagtnrire cesll ’ontd have nay r”eoc“nidti nda theorreef tca’n rsoreet het rmnoal i.ecetcrh)uart +9
nwinkelmann  ,eYs htis a egrta mmrysau to the ptso yb bbb@lues and hte licetar eh ps!oted nrtAeho yaw to knhti fo teh uosqniet is ton, athw suasce ,reprai utb ahwt ucssae lieerrvrsieb uo/frjrissnyib.i taTh taceilr plxndiaee na tpneimexer atht weodhs aeFbTt-G wsa eayescrsn ot eatntiii sifsribo, ubt fi BM aws itanct and btFeG-Ta was dvmeer,o het iosifbsr ndid't sspei,tr ie.. actnti MB is cevirttepo atgnasi -GetT.abF .m//l6w/iah2.4cntm4/blnvP52.cM1riwtp/ioctn.h:ew/gsspC +


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 +1  upvote downvote
submitted by ls3076(92)
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nca eyaonn exnpail wyh D() aaeastimpl is e?rconctri

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angelaq11  eeubcsa iaeaptlsam ldwou be a osraittnmroafn of eth rnmola eeichrarctut fo het yrrapeisotr plmtiieheu ot one hatt odes otn oblegn hre,et ni pseosren to onhccir orn.aiiritt Thsi nomaw adh aplmunocceco iumponane ahtt saw cyrteorcl a(nd I adre sya rtmyplo)p dr,teeta so esh dfsuefer an ctuea etrrah naht a cochrni uslint. +
blueberrymuffinbabey  euecasb sailatmpae itn's ohw eht amlrno eee/agnnroirhtigenla nrpoeses esahnpp ni eth i.lveloa eht yept 2 omyteencups ersev sa mset clsrs/ceplsroure ot thob type 1 dna 2 epsmuneoyct os hte erentnroegai si nto li.samaaept +1


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