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Welcome to diabetes’s page.
Contributor score: 25


Comments ...

 +1  (free120#9)

if we know that dorsal coloumn ascending is medial and decussate in medulla and ascend contralaterally then we will choose c

cbreland  I was struggling with if the UMN would have crossed yet, but from what I remember, the cortospinal tract crosses at the bottom of the medulla. Also the CN XII has ipsilateral lesions ("Tongue licks the lesion") so that helped think through this problem. +

 +1  (nbme23#1)

the key here is (asymptomatic) the only amswer is anovulation


 +1  (nbme23#19)

pupillary dilation ,hypertesion ,tachycardia,seisure ,wakefulness are typical for amphetamines intoxication.


 -2  (nbme23#49)
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owh is endarla ulmedal ahs ACH iicocntni cerorept iwhch rea gaaiegddl-nt aNk/ hlncseean ? nirsmcc iau AHC ercorsetp rea Gonupi-cet-eorpld .soeepctrr

gdupgrant  epinephrine acts on alpha or beta adrenergic receptors which are all G protien receptors. muscarinic receptors are also G coupled but Acetyl choline wasnt an answer choice. In the adrenal medulla the chromaffin cells are kinda like modified post ganglionic neurons and have nicotinic receptors. +

 +1  (nbme23#44)
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orailbt floro cretaufr laed to eentprtnma of IMR adlgien to wdapi,ipole can ees ari ni the trbio psul elntmcisdpae fo eey essuti and the ulmcse ni xmalaiyrl nsuis .


 +1  (nbme23#7)
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dblegine + rseusper onwd +eulsp up luqea yoeclphviom hksoc


 +0  (nbme23#15)
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2gm1/gmMl/2L1= 1 20=8..9010 gr/g8/. k0mh15=2924.2 /kdmy/gga eht eetarns wnensra is 288.


 +1  (nbme23#4)
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cna moobsyed ixalpen who yernge odounticpr by iscloslygy a,isdercne seinc ecibora slyygloics odrpceu 32 ent aoPmcpAe,rT ot 2 ent APT hrhguto beacorina iylcslgyos ?

diabetes  i think the stem should be "energy production by an anaerobic glycolysis " +3
blueberrymuffinbabey  yeah that's the bit that tripped me up too. i get that there would be increased glycolysis in general to compensate for lack of TCA function but...the fact that it says "energy production by glycolysis" is kind of misleading/confusing. +
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +1
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +
targetmle  i got it wrong because of this as i thought ATP will be decreased in anaerbic glycolysis, but proabably it was mainly 'glycolysis' is increased +1

 +1  (nbme22#50)
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i swa eeasihtdt teebwen oimnotefurisarobs peyt1 nda ouertbsu srsesolic hte, otw hvea iksn + abrin ieoslsn ,tD,Aub teh itfsr has 01%0 eeectanrpn o,iptc gsmialo pmeh,ptigrdene cutf-el-aaai psoonst, usrize,soe deons is the wa.resn


 +1  (nbme22#11)
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heT nirmiofmppa usle,xp tecutrlsai rertay, crremeicats re,arty rretay fo eth udutsc se,efndre hyptcalim lssee,sv ecuitltras eshcattpmiy vese,nr nad udsutc edeesfnr lla unr pede to teh rniatenl esmcparit aa.isfc ehT inialinlgiou rneve srnu on hte pfialcueirs fscaure fo eht rtlenxea irtpamsce e aifacThs llioaniungii enrev si a srynsoe vreen thta areetninsv eth ksni over teh nrogi irego,n the laeimd ascept of hte h,igth the rupep tapr fo het rtomucs and teh neiepl ro.to tI si lrymonla ercntondeeu idrgun nepo airrep fo inanigul hraen.i


 +3  (nbme24#44)
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When EZS si utceedsp,s eth tniiali etst rmdceomdeen is a nftgsia musre tgnasri G()FS rnomidteneati ni teh eebancs of nertareoiytcs phateyr (ttsiiy-vneiS 9–0081% ni SZE ptasetni soariuv .rse eisglarnwiwpcsl.sh8pmwtt9t/6P5/iC.5cim:co77./b/M//vhn.en


 +0  (nbme24#13)
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BRC stg=t=sa=;c& lihmrgirluotesopen teh noly pinoot ethe.r

thotcandy  I saw BUN/cr > 20 and instantly though prerenal --> ischemic pap necrosis due to analgesics. Are nephritic syndromes just excluded from that whole thing? FA says BUN and Cr are increased for nephritic syndromes but does the ratio just not matter? +1

 +3  (nbme24#18)
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hits ntqouise eyth avge you the rewans osio)myteiet.(sl

snripper  fck, am i retarded? +11

 +2  (nbme24#17)
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iymspl eth obldo ensdii hte SFC ecbemo kecobld hthuorg ahnardioc ritglsnnaoau g=t=&; rdsaecee irpantobso fo mcgaiSFi;mt&nCg=ot=cun chusoh.eydpalr


 +4  (nbme24#40)
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U)U(It t=&g;= sepssi A;tSI=N=ECgAt=&R&DS=E;Rg levraloa acyarilpl leaibmtrpyei tg=&=; ixhmayeop ;=t&g= teovyrientnahlip ta&y;nhpi=gao=cp

avocadotoast  This is correct. The patient doesn't have pneumonia, but sepsis from her UTI. Sepsis is a known cause of ARDS. ARDS can be due to extra-pulmonary tissue damage that leads to the release of inflammatory mediators, alveolar damage, pulmonary edema, and hyaline membrane formation. The hyaline membranes impair gas exchange and lead to hypoxia. +1




Subcomments ...

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TPH si nearcedis eascbue mures uccmali is .low auBseec THP is r,saeciden ohupsrpohso si seadedecr. The onwam ni lnubea to arbbso tivamin D a( taf ebuslol imatniv,) so liolictrac si dsraeeced o(n iintvma D ofr the ikendy ot atvctiae iton tocc.)alilri

gabeb71  What does this have to do with the Celiac Sprue? +1  
medpsychosis  I believe they were explaining the reason for the mentioned "mild osteopenia" in the pt presentation. +  
meningitis  No, I think this person got confused with another question about celiac sprue, PTH, Calcitriol, and Vit D (it was an arrow type question). +  
diabetes  explanation for decreased bone density . +  


submitted by hello36654(5),
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os wyh si ostenia"sc of sfta laanox trn"orapst rgn?wo toDn' etliaeynmd ,nsxoa by i,tfnienido eavh tafs undenc?taocc oS eiytdlemdean soxan uwlod evha en"stsioca of fast noalax atst",nrrop chhwi is the earsnw ,A ghri?t

diabetes  i think it slows down ,no cessation . +  
gdupgrant  Because fast axonal transport refers to the transport of vesicles containing neurotransmitters or some kind of cell product up and down microtubules in the axon. It isn't related to actual electrical signal transduction. +6  


submitted by diabetes(25),
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nac bysoomde xplenia hwo nregey idotucornp by clsygsloyi sceniedr,a sinec aoeribc igsolsycly crudepo 32 net aeoTrApm,Pc to 2 net APT urghhot ibancoare lyyslgosic ?

diabetes  i think the stem should be "energy production by an anaerobic glycolysis " +3  
blueberrymuffinbabey  yeah that's the bit that tripped me up too. i get that there would be increased glycolysis in general to compensate for lack of TCA function but...the fact that it says "energy production by glycolysis" is kind of misleading/confusing. +  
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +1  
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +  
targetmle  i got it wrong because of this as i thought ATP will be decreased in anaerbic glycolysis, but proabably it was mainly 'glycolysis' is increased +1  


submitted by keycompany(296),
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ranyriU cttar oitnfsneic aer hte smot ncmoom eiqaudrc cseua of oVrusieiectc ufRxel R()V in h.crdeinl VR anc aeld ot xlRfue ehpyNhtraop, chhwi is caartedhrzcie by ocnirch uilutioletrabtsint mfmaiianlnto hwti srisifob dan gna,icsrr inlaedg to nlrea feur.ali

lancestephenson  Can someone please explain what's going on in this picture? This is the SAME PICTURE used in NBME 20 and 21 with one of them being a 66 y/o with urothelial cell carcinoma and the other being tubular atrophy. I just don't know anymore +42  
spacepogie  I'd be happy to send them a gift card to purchase more stock images of kidneys for use in future exams... +17  
diabetes  i think VR should lead to bilteral kidney damage and here only left kidney is affected.should we suppose that right kidney also is affected ? +1  


submitted by neonem(550),
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hisT pttneai tsni' neaiyptglnthvo,i rtyhe'e viiE,gnPnHYRtalet heecn the C2OP tl;& 04 mm Hg.

sL'te awkl it rwa:adskcb hTye rae vleniypihaengttr ot mpcatnoese orf eht toabmciel ssicdoai udaecs yb wdeirdpsae yahpoi.x inltntiHeeyrpvga oslawl uyo ot bolw fof oemr .C2O

yWh era tyhe icoxp?hy eTh pnoesr is ocxihyp due to fmtaolaniimn and eatcu apyertisorr tdsisers semydron ofmr eht ounnema.pi llA het soicekynt romf eth irynftmmlaao escll aucse arinedsce oyunamrlp cyilalarp eagea,lk whhci kbslco pu het roeavlal memaerbn os ttah O2 tna'c etg ghtrouh ot the obl.do

Wyh od thye eavh boilcemta iocdisas ni eth rtifs ?pcela No ongeyx tg-;-& no lnroteec osrntaptr ianhc nad on CTA &-g;t- taccli sci.doais

diabetes  no pneumonia it is UTI +3  
makinallkindzofgainz  The infection from the UTI spread to her lungs +  
makinallkindzofgainz  this is essentially urosepsis, one of the leading causes of sepsis +1  
cmun777  UTI -> Sepsis -> ARDS (exudative pathophysiology d/t increased pulmonary vasc permeability) +11  
peqmd  urosepsis +  
snripper  lmao I read it as upper respiratory tract infections, too. +2  
thisshouldbefree  she has an increased A-a gradient. +