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Comments ...

 +0  (nbme24#29)

My reasoning was 135/80 BP relatively normal.. in fibromuscular dysplasia I believe it would be higher due to increase in renin. Her hx of diabetes + low hemoglobin (damage to renal peritubular capillaries) also pushed me towards atherosclerosis.

also per FA2019 p298--> "usually seen in women of child-bearing age" this pt was 65


 +2  (nbme24#35)

Basically asking if you know Pemphigus Vulgaris. Separation of suprabasilar epidermis, intact basal keratinocytes vs Bollous pemphigoid--> includes separation of basal layer

subclaviansteele  This how I thought of the question...Classic histology photo of the "tomb stone" row of basal cells and the lifted keratinocytes.

 +3  (nbme24#7)

I don't know what's going on here because in name 23 I picked "cavernous vascular spaces" for strawberry hemangioma and it was incorrect, then they go and describe it here as "cavernous vascular channels" and they expect me to know it's a strawberry hemangioma also????????????!!!!!!!!!!

fenestrated  nbme23*

 +0  (nbme23#47)

What puts internal rotation over adduction? Subscapularis muscle does both

smc213  probably because the subscapularis m. is the only SITS muscle that does internal rotation & adduction along with the teres minor m. action being adduction & external rotation.

 +1  (nbme22#35)

For this one I think what you had to know is that Transcription (DNA-->RNA) is performed by RNA polymerase. It was not DNA polymerase because this one replicates (DNA-->DNA)

fenestrated  between increased or decreased binding I picked decreased because it was a mutation which affected the hydrogen bonds which is how nucleotides bind to each other




Subcomments ...

I don't know what's going on here because in name 23 I picked "cavernous vascular spaces" for strawberry hemangioma and it was incorrect, then they go and describe it here as "cavernous vascular channels" and they expect me to know it's a strawberry hemangioma also????????????!!!!!!!!!!

fenestrated  nbme23* +  


How do you know her pulmonary symptoms are due to pulmonary capillary leakage and not hypoventilation? Is pulmonary capillary leakage just another way of saying pulmonary edema?

sattanki  Hypoventilation in no way leads to pulmonary edema. +  
fenestrated  Hypoventilation would increased the PCO2 +  


For this one I think what you had to know is that Transcription (DNA-->RNA) is performed by RNA polymerase. It was not DNA polymerase because this one replicates (DNA-->DNA)

fenestrated  between increased or decreased binding I picked decreased because it was a mutation which affected the hydrogen bonds which is how nucleotides bind to each other +