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Welcome to abkapoorโ€™s page.
Contributor score: 20


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 +0  visit this page (nbme24#36)
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This is a horrendously worded question.

Villous atrophy is not the CAUSE of celiac's disease, its a manifestation

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beeseltz  I think they meant what's the cause of the foul smelling stools ie malabsorption due to villous atrophy as a result of celiac. I agree not great wording though. +

 +9  visit this page (nbme17#0)
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Just to clarify, complete resolution after injury can only occur if the basement membrane remains intact as this below this is where the stem cells are located. If there is damage to the basement membrane, you will have incomplete resolution and scar formation. The best example of this is skin injury.

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 +6  visit this page (nbme17#27)
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The best way to explain this:

Firstly, the only possible combinations for the child are 1,2 or 2,3, one from each parent (that eliminates A, C & D)

They are looking for the genotype for III if he is unaffected by the disease. In I, we see that the male is affected, and the female is not. In II, both the female and male are affected.

If II female is 1,1 one of each 1 alleles comes from each parent, II male, we recognize that the 3 allele has to come from I female, and 1 allele HAS to come from I male. Therefore, one can infer that it is the one of the 1 genes from the I male causing the disease. If III is unaffected, the only option would be 3,2.

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submitted by cassdawg(1781), visit this page
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This is Neurofibromatosis Type I, which is an autosomal dominant disease (FA2020 p60, 525)

Even if you did not know this fact, you could likely guess autosomal dominant based on the inheritance pattern and general disease described. It is VERY COMMON in the family on one side (the mothers) and it did not skip a generation. Autosomal recessive skips generations. Mitochondrial with variable penetrance could be possible, but the disease pattern for mitochondrial are myopathies, metabolic, or optic neuropathy. X-linked would have ALL of the sons of the mother affected (whether it was dominant or recessive).

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abkapoor  X-linked dominant may not have all of the sons of the mother affected if she gives her other x chromosome (unaffected chromosome). It is technically possible for this disease to follow x-linked dominant inheritance. The question just requires you to assume this is NF1 +4
jdc_md  if it was X-dominant not all of the sons would have it because the mom could/would most likely be Xx genotype. If the inheritance was x-recessive and the mother possessed the phenotype then all of the sons would be affected +
abkapoor  Its theoretically possible for it to be X-linked dominant. Its just unlikely. +


submitted by tea-cats-biscuits(273), visit this page
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Fibronectin is an extracellular matrix glycoprotein, while lamin is an intermediate filament that specifically provides support to the cell nucleus. Donโ€™t confuse lamin with laminin (science hates us clearly); laminin is like fibronectin, an ECM glycoprotein and a major component of the basal lamina of basement membranes.

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masonkingcobra  Lamin looks like a "cross" and held up Jesus and the basal lamina is super important just like jesus (you bet there are people who believe this) https://answersingenesis.org/biology/microbiology/laminin-and-the-cross/ +45
dr.xx  blasphemy @masonkingcobra +1
luciana  I clearly confused lamin with laminin, now I know +3
almondbreeze  FA 2019 pg 48 lamin +1
almondbreeze  picked tubulin but i guess tubulin makes up microtubules and therefore is spherical +
abkapoor  Also remember progeria is due to lamin a dysfunction, and progeria patients have messed up nuclei +
brise  @abkapoor the f is progeria? and do we need to know it for step? +
brise  @abkapoor omg jk jk wow +


submitted by drachenx(72), visit this page
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These kinds of questions are really hard because I've never seen female reproductive structures irl. :c

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nbmehelp  Lmao +3
regularstudent  Lmao +1
mutteringly  Lmao +
rockodude  lmao +
abkapoor  Lmao +
dang90  LMao +
noopnoop  Lmfao +
stunna216  LMAO +
icrieeverytiem  lmao +
peteralamir  Lmaoo +
empem28  lmao +


submitted by medstruggle(21), visit this page
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Why is it not ovarian follicle cells? I thought the female analog of Sertoli and Leydig is theca/granulosa cells.

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colonelred_  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +16
brethren_md  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +5
sympathetikey  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +6
s1q3t3  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +13
masonkingcobra  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +4
mcl  Wait, but did anyone mention that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen??? +42
mcl  But seriously though, pathology outlines says sertoli-leydig tumor "may be suspected clinically in a young patient presenting with a combination of virilization, elevated testosterone levels and ovarian / pelvic mass on imaging studies." As for follicle cell tumors, granulosa cell tumors usually occur in adults and would cause elevated levels of estrogens. Theca cell tumor would also primarily produce estrogens. Putting the links at the end since idk if they're gonna turn out right lol Link pathology outlines for sertoli leydig granulosa cell tumor theca cell tumor +13
bigjimbo  LOL +1
fallenistand  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +6
medpsychosis  So after doing some intense research, UPtoDate, PubMed, an intense literature review on the topic I have come to the final conclusion that...... ...... ...... ...... Wait for it.... ..... ..... Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +10
charcot_bouchard  Hello, i just want to add that Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +2
giggidy  Hold up, so I'm confused - I read all the posts above but I still am unsure - are sertoli-leydig cells notorious for producing androgen? +6
subclaviansteele  Hold the phone.....Females can get sertoli leydig cell tumors which are notorious for producing androgen? TIL TL;DR - Females can get sertoli leydig cell tumors = high androgens +1
cinnapie  I just found a recent study on PubMed saying "Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen" +3
youssefa  Hahahahaha ya'll just bored +11
water  Bored? you wouldn't think so if you knew that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +6
nbmehelp  I dont get it +1
redvelvet  how don't you get it that females can get Sertoli Leydig cell tumors, which are notorious for producing lots of androgen? +2
drmomo  what if this means..... females can get Sertoli Leydig cell tumors, which are notorious for producing lots of androgen +1
sunshinesweetheart  hahahaha this made my day #futurephysicians #lowkeyidiots +1
sunshinesweetheart  @medstruggle look up placental aromatase deficiency (p. 625 FA 2019), it would have a different presentation +1
deathbystep1  i am sure i would ace STEP 1 if i only knew that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +3
noplanb  Wait... I might actually never forget this now lol +4
drmohandes  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +2
lilmonkey  Don't forget that females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of androgens! You're welcome! +1
drpatinoire  Now I get it that females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of androgens. Thank you very much.. So why choose Sertoli-Leydig cell tumor again? +1
dr_ligma  The reason is because females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of androgens! This is easy to remember, as you can remember it through the simple mnemonic "FCGSLCTWANFPLOA" which stands for "Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen!" +22
minion7  after receiving a f*king score..... this post made me smile and thanks to the statement-- females can get sertoli-leydig cell tumours, which are notorious for producing lots of androgen! +2
djtallahassee  My worthless self put adrenal zona fasciculate but now I will never forget that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +2
medguru2295  Wait..... so can females get Sertoli Leydig cells that produce androgens then?????? +1
peqmd  Going to snapshot this to my anki deck card: "females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of {{c1::androgens}}" +2
paperbackwriter  Watch me f*ck up the fact that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgens on the real deal. +3
alexxxx30  just made sure to add to my notes "Females can get sertoli leydig cell tumors, which are notorious for producing lots of androgens" +3
peridot  I also just wanna add that if you look on in FA on p.696969, you'll see that they'll mention "Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen" +2
mbate4  According to the literature [lol] females can get sertoli-leydig cell tumors, which are notorious for producing lots of antigens +1
drdoom  the tradition lives on +2
jamaicabliz  Wait... so for clarification, is it that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen? Or that Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen?? HELP +1
abkapoor  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen sorry for bad Englesh +1
faus305  Sertoli-leydig cells are notorious for producing lots of androgens, females can get these. +1
djeffs1  the fact that a bunch of medstudents can get so weird about how females can get sertoli-leydig cell tumors: notorious for producing lots of androgens- just made my week!! I love you guys +1
niftykoala  As an extra piece of information, I would like to add that Bungee Gum possesses the properties of both rubber and gum. +
neurotic999  Oh I get it! Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgens. Makes alot more sense now after reading it a hundred times. Thanks guys! +
rdk3434  okay , this actually made my day and i also learned that Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgens!!productive +
laravonter  Since it has been a month, I feel the need to remind all that sertoli-leydig cell tumors are notorious for producing lots of androgens +
thisisnewgg  FCGSLCTWANFPLOA +


submitted by cassdawg(1781), visit this page
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This is Neurofibromatosis Type I, which is an autosomal dominant disease (FA2020 p60, 525)

Even if you did not know this fact, you could likely guess autosomal dominant based on the inheritance pattern and general disease described. It is VERY COMMON in the family on one side (the mothers) and it did not skip a generation. Autosomal recessive skips generations. Mitochondrial with variable penetrance could be possible, but the disease pattern for mitochondrial are myopathies, metabolic, or optic neuropathy. X-linked would have ALL of the sons of the mother affected (whether it was dominant or recessive).

get full access to all content โ‹… become a member
abkapoor  X-linked dominant may not have all of the sons of the mother affected if she gives her other x chromosome (unaffected chromosome). It is technically possible for this disease to follow x-linked dominant inheritance. The question just requires you to assume this is NF1 +4
jdc_md  if it was X-dominant not all of the sons would have it because the mom could/would most likely be Xx genotype. If the inheritance was x-recessive and the mother possessed the phenotype then all of the sons would be affected +
abkapoor  Its theoretically possible for it to be X-linked dominant. Its just unlikely. +


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