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Anki Card I made: Vagina = {{c1::Stratified squamous}} Cervix = {{c1::Stratified squamous --> simple columnar (endocervix)}} Uterus = {{c2::simple columnar}} Fallopian tubes = {{c2::simple columnar}} Ovaries = {{c3::simple cuboidal}}

brotherimodu  For some reason I don't trust you +12  
focus  ^^^ haahahaha. Thankfully the patients aren't seeing these usernames +  


submitted by gh889(127),
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erRrfigen to sRINT and INsTNR sa maytaisn fo aeemtrttn

iaMay:tsn zvfeareni R)(NTIN, veritnoof ),(NRIT dna irimebtctnaie )NRI(T

ususmle  I guess he is asking about integrate,,,,, where his should be integrated into host dna to get replicated .. triple therapy includes. 2drugs NRTIs and other one is integrate +  
whoissaad  @ususmle NRTIs would still inhibit DNA synthesis since they mess with the reverse transcriptase which is needed to make viral DNA. +2  
thotcandy  @ususmle HIV triple therapy is 2 NRTIs/NNRTIs + 1 protease inhibitor. Plus, if her CD4+ cunt is already 60/mm, that shit is well integrated in her CD4 cells already, right? +1  
brotherimodu  I was confused because isn't HIV an RNA virus? +1  
focus  @brotherimodu yes and therefore it uses a reverse transcriptase +1  


submitted by nwinkelmann(293),
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oS, rfo smeo ,ansroe mraesrnitnttrsuoe is hnsmioegt Ie'v ALYSAW gsetrugld wti.h.. ablpobyr uaecbse I nas'wt thaugt ti llwe so envre lleray daernle it, tsuj edlrean nogeuh orf teherwva am.ex I jtsu fondu thsi obo rhhotug IBCN nda sti !NFISTTCAA sIt' rfom 2100 os ghtim be ld,o btu ti wsa .grate Yuo nac acrhes thohgru eth bkoo nad ifnd eth ptecrash. I tyrtpe chmu tujs tenw hhuorgt lal fo eth testornrtrneumia .hapetrc nB.:h0ck9w/9/.m/ntsho/ibt7l.pbNv1Kwn.wsoo/ig

My iamn yswaaeltae-atkut a:mG = roamj rcyxtiotea umrsenoaterrnti.t wTo stpey of tro1):ecse rp iboco,tetpram omts of ciwhh rea aecstpnpryi Gi iwchh elsda ot cdedereas AMDN rropteec icitytav dan skir of xctyitiioxiceot, or tppotascyins qG sprcrotee hatt dael to rsceiean ,a+N ,+K nad ersadeedc tglaetamu ussace irlnzopioatdae nda neaiedsrc +M+g incepstedmal nad ADNM rreceopt ycviitta nad irks of ,tcooctxxiiyiet nda )2 oncpioirto hnnescal udcnilnig NAMD and /enAAiktaaMP nslehna,c hhciw all lloaw cionsnpcfie ticnoa uinlf,x tub ynol DNMA lwlsoa C++a fnluxi n(ad olny ni a eoatlgv dnetdnpee nrnmae etrfa neicuffist ipoaedtrnioalz has secapldid hte thiibonri +g+M nio ni eth nnech.)al

ABGA nda gynclie = tohiiyribn ne.ttorsrsiunrtaem 1) -AGBAA nad ABG-AC = rcoooiintp nselhcna ahtt dlae to fxuel of l,-C and etipesd shit uaignsc ,rizlpeniatdaoo eth ornneu istll tsays bowle tsnireg toalin.tep GAA-BA gnidbni iste orf ,iuebtaabsrtr ,etsdorsi AA,BG nda xctopiorin = isiend preo fo h.lnanec AAB-GA diigbnn iets fo indpzzsenaeiboe = eudtiso of reop of cn.hnael 2 ) Gcenyil cannhel si a yver miilsra l-C lxfeu anleh.nc )3 BA-BAG is a itmeacrtobpo lhcanne ttah scaietatv Gi ndaegil ot ceeaeddsr MAPc icwhh avetcasit fxlfeu +K chnslnae adn bitihisn C++a nufixl chalenns leagdni ot ierployrz.ipahanto

nBiicoeg ieansm = iseaeohacntmcl medopnia niocadootirn( of bdoy eotm,vnem ewrrda, vt,imnatooi cmr)nrot,neeefi iinrnrephnpeoe esp,l(e selksnawue,f ote,itnnat nigfeed eaho,bvir peineepnhir ol(ewst otorecnticnna ni N,)CS pslu nisotreno leep(,s elskns,ewfua sdein,eprso ta,iyenx aesna)u dna mhiieasnt a(arousl, nt,tieotan ,lyaerlg ustsei ade,mag adn yma funcleien bodlo iabnr )lw.of lov,bOuisy lla fo hist si ni ddintaio to ecndrergia iriatosmsronsnune and ,thfgli rhftig, and gtfih en.psroes

TPA adn rothe eisnupr = atecyrtoix rmosssiit,nan la-osdrceee hiwt rohte eose-maulllclm rtrr.etinsontasemu snenoedAi it'sn lalssaclicy srenoiecdd a ortutrmnieraents acusebe it stni' trdrodaseesele/ ni a+C+ pdeetnedn nmern,a ubt ivdrdee rfom APT oeefrb nvhagi na otcraiyxte eoalipttn.

eAcyilltonhec = jmaor terumntirrtosaen nvevildo ni mriotrssaseinonun iva narsiucm adn itnoiccin ocerrs.tpe

tedPeip etrsmertotrsnaiun = nmcoylmo deaesrle sa rdiepeoptp gealrr surpcrrsoe ahtt ear aedlvec by ciscfiep ezsmyen ahtt eewr in eht ames uoemnrtntatiersr lvseeic pnuo eleae.sr veiF tepys = grbuniat/ petde,spi oopdii iped,tspe rutatpiyi itedp,sp iatypmhcohla sgnleraei os,omrnhe dna tseho tno adcfsiel.si mlaespxE = rrscpreou htat egsvi esir ot scsbueant P ph,mucsaoip(p eoxoctrne, dna GIT dna eaeesrdl frmo lasml imetaedr NSP C iserbf that ttmrsian apni and tareuetmrpe faritmon,oni eowrpluf sv,ypeionhte iitdienbh by odipoi )sditpeep, rennioikun ,A iuenereptodp ,K dna dopereniutep mmaag, dan oiopdi dtepsepi ilincgdnu lpatn loksaladi ie(lk ,rhenp)iom yticetsnh ioidop rvieisved,ta dan ,ipdnoerhsn hd,onryisnp and nliee.kpnhas nI geerlan iodpio iptsdpee rae psastsernde (e.i. aanaligse emsi,nmh)ac eovnidlv ni coplxem brsahioev lsae(ux tnt,otaiarc ssu/miiesbrieagsgvsev isaeo)hbr,v dna mldeacptii (huohgt tno v)nieieitfd ni ystiachcipr siesodrr.d

rv,llOae teensmtsiarrrtuon = teyp espyt: aeelulol-smmcl seattmntsrri nda ndproise,teeup wereh -mslelosueacmll itrnmresatts era efarts adn eiematd ripad pnyicast iiasosmnnsrt .ie(. gnadnreo NSS tg/hitlfifhggihrt/f kqciu )sr,enpeos ewrhe as psnrudepoeeti lno(ga itwh iocboilg imeans dan soem mslla lumleoec )tsasrnemtrti aer wosrel and tidemea ,urglaad ndogerlop itssinru.amnoreson

Soem :prseituc aedreh/heclw/esdvtth:upat/n_omwe_k_isr/ifn.tniktwvos.nouerorirep.mutpbupdmt/ae, eaisrcgpR18ao/pu/t/glfwaTw-hr35utrfas1dt-sle2e0a6r33ilme.0Bcrgbp0n3/te-6-crea/Aeiosu/drs46Pgoet86bf-90if1o-i1hprn-2sc140hnpaAdg/4wreGa.tb-7e2diBe:b, and s#ealt=l1.9-bat5girdg/xe3rwaU11oe74exe&-/wtb5a/di:nlg0elei-ab/wthcg2/t6fs-2b.-3aad8.f/pr-neffhuip0db_dam1-sh;gn-ew6=

sweetmed  This is amazing. thank you +  
sweetmed  This is amazing. thank you +  
paulkarr  Woah... +  
brotherimodu  Short video someone posted from NBME-21 answers: https://www.youtube.com/watch?v=4-DuvwoH2zQ +2  
dorischang  Didn't finish reading this, but it looks awesome +2  


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In a ipatncacer B ellc seulgco srtene iav GULT 2 dan ersetn y.ilcsoslyg Tsih sucesa hte cedniresa oecottncnnira fo TPA ni eth lelc aseusc hte cureosl fo PAT niesstiev +K ensnah.cl enhW this pepnsah the cllse mbcesoe edrodealizp nilalwgo taVelgo atdge +C2a lanshenc to be eon.p eTh C+a2 lswoal orf esycsotxoi of slnunii iotn eht dolob lses.ve

enHec eth erwans he..r.e onusiF of na rarclualeitnl elicsve wtih the lmsapa bmenr.eam

gp 234 FA 0921 has eth iegma

brotherimodu  Woah. Who knew the body was so complicated? +  


submitted by soscrying(8),
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at ym nui, ew terlan ttah at wloer ,FRG oopl cdeitrsui tsill .wrok Thsa't hwy ouy lohdsu seu etmh ni learn freli.ua eiashidzT ludow nto owkr wtih a GRF fo 0;tl3&.

qball  Dang, you actually learned something at your school? Lucky. +17  
lowyield  At our med school they teach us that Thiazide anti-HTN function is primarily from it's direct effects on vasculature rather than it's diuretic effects. Somehow directly affects the vasculature which is not well understood but this is linked to why Thiazides have greater efficacy in African American Populations. That's kinda why i figured it wouldn't be the best diuretic in this case. +1  
brotherimodu  lowyield but interesting +  


submitted by sympathetikey(1358),
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ttreBe prceuit - -1occuatls10hrthn2petp.-.ncsmjpwresvog/0tBlct/Nlpda/a/8wueo/wea/w/:.b

yb_26  @at0xibolic, I think you won this competition on finding better picture lol thanks +5  
drschmoctor  Those may be better, but this is the BEST. http://bitly.com/98K8eH +10  
brotherimodu  god damnit +1  
jesusisking  Not again (´∀`) +1  


submitted by beeip(124),
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Can eonnay lxapien hwta ere'yht ngtiget at rhe?e How cna nhbheolecta be nideatdic nad adcdt?teiocnanir

sniperx3  I think it's because Bethanechol acts on M3 receptors which can treat her urinary problems but it might exacerbate her asthma symptoms since there are M3 receptors on the lungs. +37  
suckitnbme  I definitely had to read this question multiple times to understand it. +2  
brotherimodu  I read it like 6 times and gave up +2  
motherhen  I definitely had to read this question multiple times to still not understand it +1  


submitted by youssefa(131),
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I anem hyw lowud a ectielts nrut aoundr iltesf whne mosnose'e silpeng.e shiT tplyacyli cuocsr atref /ssprto cyelbic ngidir t.e.c

brotherimodu  People can move in their sleep? +2  
prolific_pygophilic  Actually in highschool this happened to a couple of my friends in their sleep, woke up with the sack all twisted +  


submitted by usmleuser007(397),
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rrnNeaogoeureietn in eth lepraihrep orsnveu eytssm S)PN( cocrus to a nnigtsfciai [.5dr]eg]6[ee terfA na inuyrj ot the nao,x pairehperl nsrueno evitacat a reyavit fo gisnalnig ahpytsaw hhwci nutr on twprg-rooh gese,n dnegail to rifoaemrtno of a lnntuocaif rwthgo ceon nad nrngeori.eeat Teh ghtwro fo ehtse nsaox is sloa nvdoerge by tiohacemcct stcfroa ertcesed rfmo ancnwSh ecl.ls nyrjIu ot het hperaripel osnuerv tmssey aitydeimlem lcetisi het tigmniora of hspecytg,oa wcSnahn l,slce dan agmreohacsp to hte slioen tesi in droer to ealcr awya eisdbr husc sa edmdaag itseus icwhh si rioinitybh to eaoeninr.retg neWh a vnree oxan is eed,ervs eht end itsll ecthadat to het lelc obdy is dleable hte oalmxrpi ,emsnegt hiwel the rtohe dne is lacdel hte atsdil tmsegn.e etfAr uyi,jrn hte irpmxola end ellwss adn recesxeneip esom regrardteo regtenndoeai, utb cnoe hte bdsier si eerclda, ti inbegs to toursp nxosa adn eth epecrnes fo wthorg csneo nca eb e.cdtteed eTh aomrlpxi nsaox era laeb to oregrw sa gnol as the elcl obdy is ncta,ti nad thye hvea made cnatoct thwi eth cwhnaSn cllse in het draueileonn chnlnae or etu.b anumH naxo ohrtgw treas acn creah 2 ymmda/ in llmsa rvense dan 5 /ammdy in alger n]re[es.v4 eTh lsaidt sm,tneeg ,hwoevre enreesxicpe ellnraWai entndoareieg iwhint sruoh of eht n;iyurj hte nasox and enlyim gd,eeetnera tub eht eeinmoudnur merai.ns nI eht altre gsstae fo gritreeaenon teh imrnneiag adlunoeeirn teub irstecd xano wogtrh ackb ot the cctrroe tg.reats uniDgr iaWnlalre tneeoneirdag, wanShcn elscl rwog in drodere comnlsu lnoag teh doulnainere e,btu gneicrat a bnad of üBnrneg o(b)B htat ocesrttp nda vrseeerps eht nueieoldran anehcl.n osA,l macseapghor dna wnncaSh lscle reeasle ncruphoeitor stcrfoa hatt eencahn .rtghw-ero

iwi(k)

brotherimodu  That describes Schwann cells' involvement with neuroregeneration, but I don't see how it answers the question "Which cell is blocking reinnervation" +  


submitted by cr(4),
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wyh otn ?.C ´stI otn seoups ahtt it vprmioe het fevitteiyc fo ?ininlus

yb_26  thiazolidinediones (pioglitazone) increase insulin sensitivity (in muscles and liver) through activation of peroxisome proliferator-activated receptor-gamma (PPAR) I think they are asking about primarily mechanism of action, that's why it is E +  
cienfuegos  UW explanation regarding the genes upregulated 1. GLUT4: insulin responsive on adipocytes/skeletal increases G uptake 2. adiponectin: cytokine secreted by adipocytes increases # of insulin responsive adipocytes and stims FA oxidation 3. PPAR family also plays significant role in pathogenesis of metabolic syndrome +2  
poisonivy  Also, I think the word uptake shouldn't be right when speaking about insulin, it does increase insulin sensitivity and therefore glucose uptake +7  
brotherimodu  @poisonivy That's why I didn't choose C and went with E since it was more specific +  


submitted by hungrybox(1035),
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hewn idff selgni drnsta raperi mhisamscne era eus:d

  • irpear eywln dysietnzehs ta:dsrn mmcasith arprei hy(ncL r)mnedsyo
  • repiar idpinmyier dismer dusace yb dat VU sxpuer:oe iuntdoclee xicisone eiprar d(rXoemear )inpoumstgem
  • periar nxtnptouiec/ossoa nrt:aoaliet baes icsoxein aripre
meningitis  Brca: recombinant repair +  
brotherimodu  P.40 FA2019 lists the different DNA repair mechanisms +2  
teepot123  fa '19 pg 382/3 +  


am i the only one who chose mesothelioma? didnt that look like a pleural plaque posteriorly to anyone?

brotherimodu  That's what I thought too. +  


submitted by hayayah(1077),
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artioistsPt is ehazciadrrcte by ry,usdia furqynece, u,rgeycn olw back np.ai aWmr, r,tende ndlgaere .teprsoat

uectA eiratcalb sitriipttasno— erdol enm smto ommonc breuitacm si E. oic.l

ergogenic22  In young men it could be chlamydia but the question stem makes no mention of sexual activity, so it is e. coli +17  
charcot_bouchard  First this guy isnt older! He may incite Daddy issue but not older. At this age people tend to be more monogamous so E Coli the more likely answer. But again cont NBME 20 trend this one was pretty vague too. +1  
monkey  They classify at 35 year old (<35 = Chlamydia or Neisseria and > 35 = E.coli) +4  
mbourne  I put Pseudomonas, as that is a cause of prostatitis in older men, but it is less common than E. coli. Just keep that in mind, if E. coli wasn't an answer choice, the answer should have been Pseudomonas. If he was a younger male, then Chlamydia would have been acceptable. +4  
brotherimodu  @mbourne I think Pseudomonas is the more common etiology for acute prostatitis in the elderly (>65ish for exams), whereas E.Coli is the more common etiology in adults 35-64yo +