Kim! Hi! It’s your dad!πŸ‘‹ ▪ Khalilah, I’m proud of you for taking a risk for your dream.Everyone’s explanations tend to be so on-point, and the commiseration makes me feel better, too!Hi Hira. You are doing a good job!Hey Shariq! Doing a great job!                       want to add a fly-by? email us! 😊
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NBME 15 Answers

Question#6 (reveal difficulty score)
A 7-year-old boy is brought to the physician ...
Virion releaseπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A healthy 3-year-old boy has a cleft lip and ...
MultifactorialπŸ”,πŸ“Ί


Question#11 (reveal difficulty score)
A 9-year-old boy has mild mental retardation ...
Tuberous sclerosisπŸ”,πŸ“Ί


Question#19 (reveal difficulty score)
A 65-year-old man with a history of ischemic ...
33%πŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Interferon-gamma receptorπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 4-day-old male newborn who was born at home ...
FirstπŸ”,πŸ“Ί


Question#35 (reveal difficulty score)
One-half hour after an uncomplicated vaginal ...
OxytocinπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A 36-year-old man who is heterozygous for an ...
LDL receptorπŸ”,πŸ“Ί

Question#38 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Oculomotor nerveπŸ”,πŸ“Ί

Question#39 (reveal difficulty score)
An investigator is designing a study to ...
StratificationπŸ”,πŸ“Ί

Question#44 (reveal difficulty score)
A 59-year-old man comes to the physician ...
ImatinibπŸ”,πŸ“Ί

Question#46 (reveal difficulty score)
A 6-year-old boy with severe mental ...
0.2 to 0.5πŸ”,πŸ“Ί

Question#48 (reveal difficulty score)
A 22-year-old man is brought to the emergency ...
Deep fibular (peroneal)πŸ”,πŸ“Ί

Question#49 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
GlucokinaseπŸ”,πŸ“Ί


Question#3 (reveal difficulty score)
A 2-year-old girl is brought to the emergency ...
AtropineπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A 32-year-old man comes to the physician for ...
Schizoid personality disorderπŸ”,πŸ“Ί

Question#6 (reveal difficulty score)
A 56-year-old woman comes to the physician ...
Helicobacter pyloriπŸ”,πŸ“Ί



Question#14 (reveal difficulty score)
A 25-year-old woman with a history of ...
Streptococcus mitisπŸ”,πŸ“Ί


Question#20 (reveal difficulty score)
A 30-year-old man is brought to the physician ...
Porphobilinogen deaminaseπŸ”,πŸ“Ί

neuro
Question#21 (reveal difficulty score)
A 43-year-old woman comes to the physician ...
Complex partialπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 22-year-old woman is found to be HIV ...
Protein processingπŸ”,πŸ“Ί

Question#23 (reveal difficulty score)
A previous healthy 26-year-old woman comes to ...
Area labeled by letter 'E'πŸ”,πŸ“Ί


Question#28 (reveal difficulty score)
A 35-year-old woman, gravida 1, para 1, comes ...
Nicotinic acetylcholine receptorπŸ”,πŸ“Ί

Question#29 (reveal difficulty score)
A 2-month-old male infant is brought to the ...
Glycine receptorπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
A 24-year-old woman with Marfan syndrome ...
HypervolemiaπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 25-year-old primigravid woman at 25 weeks' ...
PrematurityπŸ”,πŸ“Ί


Question#39 (reveal difficulty score)
A 43-year-old man with a 10-year history of ...
Decreased glutathioneπŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
A 4-year-old boy is brought to the physician ...
CytoskeletonπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 45-year-old man comes to the physician for ...
Mitral regurgitationπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 37-year-old woman is brought to the ...
CardiogenicπŸ”,πŸ“Ί


Question#47 (reveal difficulty score)
A 75-year-old man with chronic obstructive ...
C5aπŸ”,πŸ“Ί

Question#49 (reveal difficulty score)
A study was begun in the 1950s to determine ...
Cohort studyπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 56-year-old woman is brought to the ...
LipopolysaccharideπŸ”,πŸ“Ί

Question#6 (reveal difficulty score)
A 50-year-old man comes to the physician for ...
MedullaryπŸ”,πŸ“Ί

Question#7 (reveal difficulty score)
A 1-year-old boy is brought to the physician ...
RNA splice errorπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A newborn undergoes surgical repair of ...
EndodermπŸ”,πŸ“Ί




Question#24 (reveal difficulty score)
A 28-year-old African American man comes to ...
EthnicityπŸ”,πŸ“Ί



Question#39 (reveal difficulty score)
A 42-year-old woman with multiple sclerosis ...
Medial longitudinal fasciculusπŸ”,πŸ“Ί


oncology hodgkin lymphoma mutation
Question#47 (reveal difficulty score)
A 2-month-old boy is brought to the physician ...
PeroxisomesπŸ”,πŸ“Ί

Question#48 (reveal difficulty score)
A paper says, "We chose the sample size to ...
5%, Type I errorπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 51-year-old man with a 5-year history of ...
HematuriaπŸ”,πŸ“Ί

pharyngeal_arch digeorge
Question#7 (reveal difficulty score)
A 17-year-old boy with chronic renal ...
HydronephrosisπŸ”,πŸ“Ί

Question#8 (reveal difficulty score)
A newborn delivered at 28 weeks' gestation is ...
Lung elastic recoilπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A 40-year-old woman with breast cancer is ...
Occipital lobeπŸ”,πŸ“Ί


Question#17 (reveal difficulty score)
A previously healthy 18-year-old woman comes ...
Ξ²-Lactamase productionπŸ”,πŸ“Ί

neuro
Question#25 (reveal difficulty score)
A couple has two children with osteogenesis ...
Germline mosaicismπŸ”,πŸ“Ί


Question#29 (reveal difficulty score)
A 45-year-old woman (III,7) comes to the ...
Incomplete penetranceπŸ”,πŸ“Ί


Question#32 (reveal difficulty score)
A 70-year-old woman is found dead in her bed ...
HypertrophyπŸ”,πŸ“Ί


Question#38 (reveal difficulty score)
A 25-year-old woman comes to the physician ...
ThrombocytopeniaπŸ”,πŸ“Ί


Question#42 (reveal difficulty score)
A 4-year-old boy with a karyotype of 47,XY+21 ...
Excess lymphoblastsπŸ”,πŸ“Ί

Question#44 (reveal difficulty score)
A 72-year-old woman comes to the physician ...
OsteomalaciaπŸ”,πŸ“Ί

Question#47 (reveal difficulty score)
A 31-year-old woman is treated for Plasmodium ...
Primaquine kills hypnozoitesπŸ”,πŸ“Ί


Question#0 (reveal difficulty score)
An investigator is studying Helicobacter ...
Slipped-strand mispairingπŸ”,πŸ“Ί

Question#0 (reveal difficulty score)
A previously healthy 26-year-old woman comes ...
External hemorrhoidπŸ”,πŸ“Ί




Question#0 (reveal difficulty score)
A 50-year-old man comes to the emergency ...
AnemiaπŸ”,πŸ“Ί

Question#0 (reveal difficulty score)
Following a stroke, a 68-year-old man has a ...
H (Wernicke's area)πŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
Influenza virus strains are characterized by ...
HAπŸ”,πŸ“Ί

Question#2 (reveal difficulty score)
An investigator conducts a study of the ...
ProteasomeπŸ”,πŸ“Ί


Question#5 (reveal difficulty score)
A 6-year-old girl is brought to the physician ...
GlutamineπŸ”,πŸ“Ί


Question#13 (reveal difficulty score)
A 24-year-old man develops recurrent ...
Sensory neuronsπŸ”,πŸ“Ί


Question#22 (reveal difficulty score)
A 30-year-old nulligravid woman comes to the ...
Estrogen in adipose tissueπŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 23-year-old nulligravid woman comes to the ...
Blockage of both fallopian tubesπŸ”,πŸ“Ί


Question#30 (reveal difficulty score)
A 43-year-old woman is admitted to the ...
HippocampusπŸ”,πŸ“Ί

Question#33 (reveal difficulty score)
A 45-year-old man with an ulcer in the ...
DiaphragmπŸ”,πŸ“Ί

Question#34 (reveal difficulty score)
A previously healthy 25-year-old woman comes ...
Germ cellsπŸ”,πŸ“Ί


Question#39 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
DyneinπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
A 22-year-old man comes to the emergency ...
MedianπŸ”,πŸ“Ί

Question#45 (reveal difficulty score)
A 70-year-old man has a 4-month history of ...
Pancreatic enzymesπŸ”,πŸ“Ί

Question#47 (reveal difficulty score)
A 50-year-old man is brought to the physician ...
"D" label in the image πŸ”,πŸ“Ί

Question#48 (reveal difficulty score)
A 60-year-old man is brought to the emergency ...
Reversible, dose-dependentπŸ”,πŸ“Ί



Question#4 (reveal difficulty score)
A 45-year-old man with chronic renal failure ...
25-hydroxycholecalciferolπŸ”,πŸ“Ί





Question#31 (reveal difficulty score)
A 13-year-old girl is brought to the ...
TranscriptionπŸ”,πŸ“Ί

Question#34 (reveal difficulty score)
A 23-year-old primigravid woman develops ...
Listeria monocytogenesπŸ”,πŸ“Ί


Question#46 (reveal difficulty score)
The lymphoproliferative properties of the ...
Nasopharyngeal carcinomaπŸ”,πŸ“Ί

Question#47 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
SerotoninπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 3-year-old boy with chronic otitis media is ...
Low blood solubilityπŸ”,πŸ“Ί




Question#8 (reveal difficulty score)
A 14-year-old boy has fatigue, intermittent ...
Vitamin B12 (cobalmin)πŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 21-year-old woman at 30 weeks' gestation is ...
CyclooxygenaseπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 56-year-old woman is brought to the ...
1000πŸ”,πŸ“Ί

Question#45 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Collecting ductπŸ”,πŸ“Ί


Question#10 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Internal iliacπŸ”,πŸ“Ί

Question#20 (reveal difficulty score)
A 53-year-old man develops a fever and ...
Clostridium perfringensπŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 4-year-old boy has respiratory tract ...
Autosomal recessiveπŸ”,πŸ“Ί


Question#31 (reveal difficulty score)
A 50-year-old woman comes to the physician ...
EndothelinπŸ”,πŸ“Ί


Question#5 (reveal difficulty score)
An 18-year-old man comes to the physician ...
ProlactinπŸ”,πŸ“Ί



Question#17 (reveal difficulty score)
A 71-year-old woman is brought to the ...
Temporal arteritisπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 10-year-old girl with sickle cell disease ...
SalmonellaπŸ”,πŸ“Ί

Heme
Question#25 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Multiple myelomaπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
A 75-year-old woman comes to the physician ...
Lentigo malignaπŸ”,πŸ“Ί

Question#8 (reveal difficulty score)
A 27-year-old woman comes to the physician ...
Dilated cardiomyopathyπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 72-year-old man with poorly controlled ...
Decreased femoral pulsesπŸ”,πŸ“Ί


Question#36 (reveal difficulty score)
A food handler has a fresh furuncle on his ...
VomitingπŸ”,πŸ“Ί


Question#23 (reveal difficulty score)
An investigator who wishes to test the ...
ImmunohistochemistryπŸ”,πŸ“Ί

Question#25 (reveal difficulty score)
A 67-year-old man comes to the physician ...
BurningπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 54-year-old man comes to the physician ...
Major depressive disorderπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 23-year-old woman is brought to the ...
HeroinπŸ”,πŸ“Ί


Question#44 (reveal difficulty score)
An 8-year-old boy with moderate mental ...
Prader-Willi syndromeπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Thyroid folliclesπŸ”,πŸ“Ί

Question#25 (reveal difficulty score)
A 25-year-old primigravid woman at 12 weeks' ...
Partial hyatidiform moleπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Beta-thalassemia minorπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 19-year-old woman is brought to the ...
OlanzapineπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A 51-year-old woman undergoes dilation and ...
SuccinylcholineπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 35-year-old metal worker collapses after ...
Amyl nitriteπŸ”,πŸ“Ί

Question#26 (reveal difficulty score)
A 69-year-old man with benign prostatic ...
BethanecholπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 34-year-old woman who is a scientist is ...
Potassium iodideπŸ”,πŸ“Ί

Question#28 (reveal difficulty score)
A 19-year-old woman comes to the physician ...
DoxycyclineπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A study is conducted to assess a new prenatal ...
99%πŸ”,πŸ“Ί



aspirin
Question#9 (reveal difficulty score)
An 18-year-old woman is brought to the ...
Bleeding timeπŸ”,πŸ“Ί


Question#22 (reveal difficulty score)
A 32-year-old man has a 3-month history of ...
Decreased smokingπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 55 year old woman with colon cancer and a ...
ApoptosisπŸ”,πŸ“Ί

reproductive repro
Question#1 (reveal difficulty score)
A 26 year old woman comes to the physician ...
oral metronidazoleπŸ”,πŸ“Ί


Question#13 (reveal difficulty score)
A 24-year-old woman is admitted to the ...
Ectopic pregnancyπŸ”,πŸ“Ί

Question#12 (reveal difficulty score)
A 62-year-old man comes to the physician ...
MacrophagesπŸ”,πŸ“Ί

reproductive repro Repro
Question#35 (reveal difficulty score)
A 62-year-old man undergoes cystoscopy for ...
Ureteric orificesπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 21-year-old man is brought to the emergency ...
Antisocial πŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 55-year-old woman comes to the physician because
SupraspinatusπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 10 month old boy has an abdominal mass,10cm ...
Nephroblastoma (Wilms Tumor)πŸ”,πŸ“Ί

Question#1 (reveal difficulty score)
Four days following a hike in forest,lesion ...
Delayed type 4 HSY reactionπŸ”,πŸ“Ί

Question#26 (reveal difficulty score)
A 75-year-old man has a cerebral infarction. ...
LiquefactionπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 56-year-old woman is brought to the ...
LipopolysaccharideπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A 22-year-old basketball player who uses ...
PneumothoraxπŸ”,πŸ“Ί


Question#7 (reveal difficulty score)
A 26-year-old man develops loose, foul ...
celiac diseaseπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
an investigator is studying the age of ...
60 yearsπŸ”,πŸ“Ί


Question#13 (reveal difficulty score)
a 38-year-old man comes to the physician ...
omeprazoleπŸ”,πŸ“Ί


Question#4 (reveal difficulty score)
An 18 month old girl is brought to the ...
Parainfluenza virusπŸ”,πŸ“Ί

Recent comments ...

... andro made a comment on nbme15/block3/q#30 (13 yo boy, receiving chemotherapy for leukemia)
 +16 
submitted by andro(219)
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Ftrsi esqoutin : heyT eltl us ist a ticyohmpcyl umlkeaie

Sdecon nesotuiq : eDcnerigphi werethh ti si a B lelc or T ll.ce

hTe llcse avhe on rscefua obndu gI M gI, G or accmtolpisy ahsicn orf eseth oeiatbsndi , ubt ehav a gadneearrr eegn snmgte(e nmnaegi cavtie ) for eht T lecl repReoct . oS eht slleC era T Cells

Thdir uintsqoe : woN tath we onkw ahtt ythe aer T elCls , we nwta ot ownk tehrhwe thye rae 4CD ro DC 8 otiiepvs

The llcse ni eht ianllcci ntiveetg akcl tobh 4DC adn DC 8 ( ldoeub tneavegi ) ocicdr ngA to who T lsecl loalrmyn lovpeed - Tyhe asrtt of sa enibg ebolud tgeeiavn ( .ie ton xsegniepsr CD4 or DC 8) ni het rubcusasapl goneir nda glievpessoyrr ecombe
- seitopvi rfo btho CD 4 nad CD 8 in het rextoc
- nad nevaeullty qcreiau eht CRT dna DC3 by eht miet yeht tge to eth eumalld

seheT cesll fthroeeer must T ytloyhepmc mtsytechyo dilosaecl ot teh cxoret

i_hate_it_here  FA2020 pg: 102 +1
makingstrides  Yeah, that's what I chose too @dawgtor. But I think when the cells are made in the bone marrow, they don't have the MHC classes/ TCR either. When they get into the thymic cortex, they gain those and undergo positive selection. This is from FA2020 page 102. Correct me if I am wrong. +1
victorlt14  The thymocyte (T cell precursor, not T cell quite yet) gets in the subcapsular zone of the cortex with no CD4/CD8. It took me longer to be sure it was a cell of T lineage though. Looking back I think it should've been rather easy to recognise that since the cell line has a T cell receptor it is of T cell lineage. +
... cassdawg made a comment on nbme15/block1/q#10 (When compared to oxygenated blood, deoxygenated blood carries more carbon dioxide for a given PCO2)
 +15 
submitted by cassdawg(1446)
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boonheDgxiolmye has a ghheir Kap hant oehaxilmynbgo nda sthu llwi ctceap rodgnehy sino reom ealdryi. Thsi is opinttarm in hte iyiatbl to cyarr"" CO2 as teh nami iammnches fo 2CO trrtsonpa si lltaucya srcvnoinoe fo O2C ot -CH3O 2OC( + H2O -;&tg H-O3C + )+H, uths gohomyeliebxnad rcsraie eth +H hwlei CHO-3 si rdtaortensp in hte msaalp ot teh sgun.l mnoehnabriolCbaamgi is uycaaltl lyon baout 0%2 of eht CO2 ratnrtosp dna 2OC sdeviodsl sa C2O si ;%01 atoprnrst sa C-3OH si roudna 07% fo hte CO2 nortapr.ts

Heer is enoahtr geiam of het ropcess.

ehArtno paimrntot apcste fo eth resscpo ot atek oent of htat heyt keli to kas abuto is the lcdoireh .thfsi irhedolC semov eth pootesip eiitrcdon as HO-3C in hte C.RB hsuT ta ssuites ewreh ew era eaegnnritg HC3O- rfmo 2CO nad ende ot ppmu ti tuo of teh e,cll crilehdo vseom noti teh .leActl eth leailov rehwe ew deen ot ppum 3H-OC ckab otni eht CRB to nrut ti tion OC,2 hoidlerc voesm uot of eth lce.l

rtehO rse:wsna

  • 23G,BP ilwl dinb dna ltisiseazb emgoxhyeiobnald ikagnm ti sles tdrctatae ot ,oygxne gsnfhiti the meabohglin iosiidsntosa cuver htirg.
  • olhaynmobegxeDi ahs a rehghi ipctcyaa to ofmr emhaiambagclnroonbi
  • lboaogimeyhxneD sah a rghihe KpA atnh noayxgolbhemi ist(h si hyw ti can ateccp yednhgor oins reom erdla)yi
  • itpCienomto rof indbing iest is ont a moajr mhismcnea ofr teh ibtiayl to yrrca O2C sa tosm 2CO is radcr"ei" yb scrioenvon to -3HOC
  • Ntiric eidox gnbniid is ont a ehcsmiamn fo O2C rcy.ra
i_hate_it_here  <-- +5
pakimd  @cassdawg thank you for explaining so well along with explaining all the answer options. +1
... cassdawg made a comment on nbme15/block2/q#30 (A 2-month old male infant with a ventricular septal...)
 +15 
submitted by cassdawg(1446)
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eerH si ym :aetk a lcrenvruita atpsel fdeetc ni cnniafy awslol ofr tefl to rgthi htuinsgn fo obdol ni teh ne.ltservic shiT eucass an inasedcre seuprrse in hte tihrg eletrinvc e(du ot rmeo oblod ngieb sedhup toni )ti dna a rdcaedees ursreeps ni hte eftl ncvtrl.iee scBeaue etehr is rmoe olodb in teh yaomnuprl coarulincti morf eth uns,th I hnkit hte flte tilaar prrsseue dowlu asol eb esecdnrai in an lyrae SDV.

OS henw uyo paierr teh S,DV teh flte cietrvnel rsuepser lwil eb aedenisrc amopcerd ot whne teh tunhs aws tpesrne (ti si no oegrnl snlgoi bo)lo,d eth tirhg rtnilceev psuersre illw be ecedeasrd ti( si no eonrgl igtegtn blodo rfmo het ut),snh and teh tefl ilarat esesrpur will be dceaseder e(tehr is on elgrno avledoor of het pnlyramuo tsysem negnurtri to teh tlef u.)mtari

02F02A 289p

epiglotitties  ily cassdawg +10
i_hate_it_here  epiglotitties πŸ˜‚ +
... cassdawg made a comment on nbme15/block1/q#45 (A 70-year-old man has a 4-month history of weight...)
 +13 
submitted by cassdawg(1446)
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hTe tnosicedirp nopist ot pieatnccra iecunincsffiy eud to atseehatror ta(f in eht o,oslt yllkie due ot cifeciniuynfs of atreaipccn )apelsi nda meculs frebi ni hte oslto i(whch snoitp ot lmnepetico rtnipeo gositdei,n lkylie ued to iicyucnffneis of ctcapaneri .)opastrsee

hrr,tuFe eh ash on niycecidef ni bodyaathcrer tniaopsbro as nivdeecde yb eht o-sxeylD estt wh(hic iedtsnica an tnatci acmuso orf torinspoab nad oesd tno uqirere eigsvtdie zymn,ees 0A22F0 37;)p3 and eh ahs on maraesnliibto no sbpoyi of hte i.sentntie

,usTh the pimryra uises si tceipaancr ifccisiynfune nad aonttmpsnpeielu of tcicraaenp ysemzen is mtso ulfphe.l

cheesetouch  FA2018 P375 +2
... cassdawg made a comment on nbme15/block3/q#41 (A 56-year-old woman is brought to the emergency...)
 +12 
submitted by cassdawg(1446)
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,reeH we wtan ot nwok nloigad soed hiwch si aeuql ot the omevul fo iisuitordnbt x agettr oirttacnonnce ni mlaasp.

oS rou aigndlo dseo = L118k/g. x 10gm = m1g/.kg81

eSh si a k5g5 noersp so 1mg8k./g1 x 5gk5 = 5995. gm hwich treaxasppoim ot 1000mg otlat aloding eod.s

opmrantIt raPhm tonauisqE ot Rmeeebmr

cassdawg  10mg/L * sorry +1
cheesetouch  fa2018 p229 +2
... cassdawg made a comment on nbme15/block3/q#25 (A 67-year-old man comes to the physician because of...)
 +12 
submitted by cassdawg(1446)
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Tshi anm lekliy has ecidabit preauhtoyn nda huts uowld have ipuntcoreha ian.p chNuiaproet nipa si irsbcdeed as a guirnbn pani sa mdepcroa to teh rthoe sknid of p.ian

rHee rae esmo nfdieceserf ebweent nepovocicite adn iapunoetcrh pnai.

Hree is a atrch of prdsoicsetr sued fro nrtauiecpoh v cpcinieoveto pani.

trazobone  I appreciate u cassdawg +1
... cassdawg made a comment on nbme15/block3/q#18 (27 yo man, 3 hours nausea, cramping abdominal pain, diarrhea)
 +11 
submitted by cassdawg(1446)
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20F02A p144

nA LEMUS ebltstae catf baotu alleomslna sspieec si thta ciitantobi eus tayacull prolnsog eth nxeotcrei of eth gmarinso. uFn )?afct( rfo nrazmtemoiio as reeth si no carel awrnes as to why that I oulcd nfdi.

hiroshimi  Have a card in Zanki saying this using abx with salmonella can cause HUS so may be it's linked? +
... cassdawg made a comment on nbme15/block1/q#21 (A 20-year-old woman comes to the physician because...)
 +11 
submitted by cassdawg(1446)
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0220FA p 162 ash aleyr atfel eed.penlovmt reHe are the lsnpnoitaxea rfo teh ens:wasr

iallacysB, evne thoutwi nnkoigw lla eht aexct sdya fo eevnepdml,to smot ewnsasr acn eb iatmeenlid aesbd no vhiang teh veestn ni hte rtcicneor redro ro ghnvia an ntccreior paestc aubto ntelpdmvoee e..i( eht tplrcbihosstayotyon sromf cteconrnur whti teh bohta,ocprstyto 3 rgme raysle era rsteepn afrte naotgiu,ralst het yomber is nvree lrtuy nsetatris to atrnseetog taefr p,toamntniail eht metcrosleo somfr mrfo msioets os tesmios hvea to emoc t.i)rsf

eHre si a elnrega oreivevw fo het ftsir terhe ewesk of teeemlnpdov erfat nttozfaileiri.

erHe is onthera eon if atth 'oesndt do it for ya.

cheesetouch  FA18 p 594, 599 (syncytiotrophoblast) +
... cassdawg made a comment on nbme15/block3/q#3 (A 3-year-old boy with chronic otitis media is...)
 +10 
submitted by cassdawg(1446)
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apomItrnt apetscs of ilveaotl sg)a( sa:etinscteh (0F20A2 p94:5)

  • MAC unimm(im aarlveol ocnntcertonia): saentyellsi the E05D ofr leanhid esitean,htsc shit is the imnmimu natrcooecnitn fo antihsctee htat casesu a eropessn ni 05% fo teipnsta
  • WLO ACM nmaes HHGI ceytonp - meor eopntt usdgr owudl veah a rlowe mmmniiu unmato eeednd to eb esnetrp ni teh alivloe ni rdroe to xreet terhi tf.eefc
  • WOL AMC is aetlder to HGHI ipild lubtlsioyi hherg(i sloag/i attpnoiir )eiffencotic - emro iipld oulslbe nagest entd ot be eorm otetpn beeasuc of ierht nrseaeicd iytlbai ot scros the BBB
  • MACs are ivadetdi ..e(i eon gas at 15. CAM = wto sasge at 0.57 ihter vsritpecee sMC)A
  • gl/aoosBd nrioitatp fofecnictie: na pesieonrxs fo oib;ylisult tsectenisah iwth a olw olbdo gsa itntprioa coiffetenci veha a irpad o/efftentoss
  • .i.e SLSE lspama olueuslb acthieenst = RTESAF t/oonfsestfe
  • hTis si aueescb less alpsma elosbul estnag lwil fi"ll "pu retih xmumima unaomt ni teh loodb rrievoesr eqrucki nda thsu aer eshudp nodw rtieh cnaeocnnitotr idanrteg oint the aibrn rciquek; i..e yeth ylcuiqk astatrue eht bolod nda lwil eovm no to gnfiafcet hte anibr rqcieku
  • CMA and oadbsglo/ npratoiti feoicnfceti lsoa tend ot eb seiylrven retdlae -- hrghei MAC = woelr dlso/ogba tpraointi ecniffiecto nda iecv ve;asr tush mnay fo eht oerm optnet ntecehsitsa veha a grelon etim rfo stffoosteen/
cheesetouch  FA2018 P532 +1
randi  FA2019 p536 +
... specialist_jello made a comment on nbme15/block1/q#33 (75 yo woman, 1 day fever and back pain)
 +9 
submitted by specialist_jello(26)
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FNBK si in tis ntceiiav atste nodub ot KB.I sA a rtpa fo eht sicaalcls whaty,ap balietcra eatsingn idnb to RTL nda itavctea KBI nia,eks eika(sn os)lospetphhrya

  • IKB is tunibeqdiua nda adereddg

  • FNBK eretsn nseulcu nad snssteishey hte nritmayfmoal usftf

wU :DQI 15159

... cassdawg made a comment on nbme15/block3/q#47 (2-month-old boy, hypotonia and poor feeding since birth)
 +9 
submitted by cassdawg(1446)
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Pesriomxose ear reweh tardagnedoi fo eyrv lgno cniah tatfy sadic cusocr s(a lwle sa naitychp ihhwc si a ndhbaecr hnica ytatf dica dan pcipceiol ihhcw is na plhaa mnoai daci) AF2[020 ]47p

... cassdawg made a comment on nbme15/block3/q#6 (A 45-year-old man has a 2-day history of severe...)
 +9 
submitted by cassdawg(1446)
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eaBsd no hte sohytri iounomtpnc(s of glare oamunts fo hlolaco nda laetdvee rsuem laspemaaiey/ls tiwh yhc),ipolmaeca hits nam kleily sah cateu ciatrptasien 0A2F0(2 3p79). neO fo hte rmaoj cmiipslocanot si nogeutdsiioat of ustsi,se hsuc sa ahtw si esen in eht iagem.

cheesetouch  FA2018 P391 +
epiglotitties  Can anyone explain/describe the image? I got it right based on the info from the question but would like to know anyways just for future reference +3
randi  FA2019 391 It's also not alcoholic hepatitis because this "requires sustained, long term consumption" of alcohol and this patient consumption over the last few days. FA2019 395 +1
hecticsurreyguy  @epiglotitties this is purely a stab on my part but... I'm seeing variation in size and consistency of the adipocytes in the image, along with vesicular changes in several of the adipocytes in the bottom right hand corner of the figure. These would point towards lipolytic reaction being undergone in these adipocytes. +
... cassdawg made a comment on nbme15/block4/q#22 (A 32-year-old man has a 3-month history of episodic...)
 +9 
submitted by cassdawg(1446)
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I iinlyeeftd ddi not nkow ,iths ubt napparteyl smkingo can wsroen DREG deu ot cyetnned of nciniote to sucae nileaoaxtr of eht woler apehgoaesl i.sercnpht okmSngi is slao nldiek ot ahtmsco clurse deu to reenrtnfecei iwht crtsgia acumos nda ciad oirtdu.opcn suJt tdn'o eksom ski.d otnD' od srugd. Stay ni hsoloc ererfov ikel med etnusdts.

i_hate_it_here  don't tell me what to do +
trazobone  Don’t you just love it here +2
victorlt14  What about caffeine and fatty foods? +
... cassdawg made a comment on nbme15/block1/q#50 (25 yo man participates in study of muscle function)
 +8 
submitted by cassdawg(1446)
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slituBom xitno cats iva aesprtose ttha caleve SRNEA nda terpvne ytnceieaohlcl arleese at het oerulasrnumcu tnniujoc 02F0A(2 )32p.1 husT, ti edos ton ydcreilt taffec eht isntay-otpsprc muelsc lce.l If ouy add latrenxe cel,oitehylnac uoy oduwl lltsi vhea a epoyllmcte malnro roes.pnes shTi semnlatiie all ubt owt s.anersw

ehT dne ptela niolaeptt P)E(P luowd be edcfeaft yb limbtsuo xoint ceauesb eht ned tpale nateiptlo is eht hcneag ni atvgloe ttha rcusco at het yscanpioptst useclm toorm lpadeent rftae an ctoain iottanepl in het tmoro rnoeun onxa srgitreg ealsree fo amny cohialntyelec cvseisl.e lNrly,mao na ticoan lepaotnti ni eth toorm nourne lwli auecs ulfnxi of liumacc taht dslea ot soifun fo chA vecislse i(uniqregr ERS)NA nad sso,xicoeyt esleangri leagr etnqsuiait fo hAc into het neyspas hhciw nca nthe bnid dan etggrir na PEP in eth clmues. ihtW ilt,osmbu osinuf of eht chA seveclis si ehibindti os sesl hcA is edselare dan teh PPE si ndbtl.ue oyblat,N eht vglaeto si the mase sa het PPmE hiwch is teh eloatgv tfrea rnmado nuocrcerce fo hAc reelsea see( )b.eowl

A enmaiiutr nde aeltp enolttaip E)PPm( si eth evaglto haencg ttah ccsour wneh one eviscle of yacnetllehoic is aeds.eerl heTes crcou y.drmonal PPmE owdul tno be dcfetaef by smlbuoit notxi bcaeuse ti si the rcdeopu of ardomn onusfi fo a cvlesie hchiw udlco tlisl cruco featr oiaitidsnatrmn fo itlsmubo .txino

erHe si na eimga nmiingerd the ecffierend newteeb PEP adn mPEP.

... andro made a comment on nbme15/block4/q#26 (65 yo woman, follow-up examination, DEXA scan shows decreased bone density)
 +8 
submitted by andro(219)
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siFtr ptes si to kmea hte stvprmeepiu anisgsodi fo esoirsoposot omrf hte ccainill eegtinvt . ( hTe pdssouep yubtsep ni uor tintaep si umsesaopalotnp roo)ispotssoe

eftrA tish het xent teps si ot kmea an aiinoctosas iwth teh lab nfngdiis he T ipymrra cdteef is a incdyeefci of roesengt .mlNalroy gretsoen aeecredss coottesasl ivtitayc by

  1. ugndcnii sopipatso
  2. rcaesdeni nfairotom fo negsootrioertep a coedy ucelmloe wchih hbistiin cviaatonti fo AKRN rcretpeso

eNt ecffte fo songil eonsgert is csnieerda eootssatcl iiyvtcta n,da in hist eisutqon yb xoensneit NKRA L ienrcaottnonc .

EOTN : PLA hhiwc si na codnatrii fo slsobottae iaticvyt sedo tno /hegacn ineersac in reospsootsoi , sa schu oiavd lal onptsoi tiwh na serecina in sbaelttsoo iivtatcy

brise  But wouldn't you need osteoblasts to have RANK L? +7
cassdawg  You still have osteoblasts, they just aren't doing their "build bone" job so their primary activity is decreased. Rather, they are stimulating osteoclasts by increasing RANKL. Similar to how parathyroid hormone stimulates osteoclasts through osteoblasts --> the osteoblasts are involved but not in doing their "build bone" job; however you would never say you increase osteoblast activity with PTH even though they are necessary for PTH function. +6
... cassdawg made a comment on nbme15/block4/q#5 (A 6-year-old girl is brought to the physician for a...)
 +8 
submitted by cassdawg(1446)
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LT:R;D vEne twih Tyep I ro II leanr urtlbau sodiaics eth ioesnamsaemngi ofmr miutagenl si tno eamidpri dan tsuh is hte amni uocser of m.amnoia

eeHr si my aek:t Bdase no erh rhotyis adn adesurem maapls va,lseu stih iglr likely sah one of eth w"lo tasoui"psm erlna lutbrau s,icesoad hitree eTpy I or ypTe II (see thsi hatrc rfo aionnersg sbaed no rduseame lsvuae ro thsi eiagm rof fnu ofullocr raeln ubtualr cisasodi dan 002AF2 p35)9

T,neh ew aer tlod atht ehs has a eectfd in smm.a"nnegos"iaei In het ralen be,lstuu minaoma si aertgeden in otw ipramry wyas: vai idcret enrnocsiov of nitemgaul to naioamm ni teh orampixl eubutl whchi is hetn cesetred tnoi the utelu,b ro by 3HN iicgbnmon wthi ithw +H in teh ciclnelgto uebtlus hcw(ih I egsus htey era srdgncioine a eeatasrp aegnsesmmioain haatypw vene hghotu ist lal kndia r)da.e?lte See tish irdmaag or shti airadgm

nsimAusg uor rigl sah yeTp I rlaen ulutbra iaisc,osd hteer iwll be edcsedaer ialitaablviy fo hndyrgeo onis ni eht elnar seubtlu to iemobcn hwti H.N3 ,usTh het mpiaryr sreouc fo oimanam oiouptcdnr ni siht patteni wlli be tunegliam hcih(w is teh aromj ucsoer of amenaogmssenii in a omnarl rsonep nwaya.ys)

hFterru anosgrein - epyT I is imraiepd eictonrse of ydergohn inos oitn eht eun,ml so eetrh will be ssle ronyghde snio ealbavali. Seh lkieyl sah yept I aubcese stih si arprmliiy deaertt wtih ausipmsto atcrtie (htob to bfreuf nda ot npveetr enalr stsone wihch ear a mconom atconic.oil)pm veEn if seh ahd Tpye II het resnaeicd oneetxcir fo cbiarb owdul aols fbfure omer H+ eivgnal sesl rof mnoignassimaee ni hte HNH/+3 tnbcmiaonoi shinaof.

nr,lyrotaiC epTy 4 anler uutlrab discaosi ch)aekmil(yrpe uertsls in reeddsace styshsnie of noimmaa ni eht prxiomla buutl,se ihcwh ew nokw hes esdo tno vhae uecsaeb fo reh wol om.spstaiu

cheesetouch  Cassie you're a god. Simple/stupid approach to make a good guess - if she cannot make ammonia in the kidney, main ammonia source probably from an exogenous form like amino acids -> Glutamine! +3
pakimd  thank you @cassdawg, you're amazing! +
... cassdawg made a comment on nbme15/block3/q#23 (An investigator who wishes to test the hypothesis...)
 +8 
submitted by cassdawg(1446)
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srIcimoeuhoishtmytmn essu lnsocuelyertf ggtade isntbidoea to bdni eifspicc igetsann no sts.uies nI isht eacs, na tyidnboa oludc be tdreiedc nasatgi 1D4vC04 niavtar tipneor uesd ot agt eht cllse ni teh saplsem thta psesxre eth rat.navi Tish si aols usfleu ecsuaeb ti can eb oden no sedils of frpanaif mdbdedee s.tiues

  • nififtAy cumnol praroyamtochgh is dseu to staeeapr a biihmaccelo eirmutx esbda on otinanctrie eneebtw nyttnio/a,aebnidg nzeue/m,srsyeattb epidn,ctrrgolea/ ce.t but udlow not be ulefsu ni deepb-merded tusssei or shti caes
  • iDytsen nrtgdiae niarftcueonigt is dsue on mxertuis ot eatpeasr ethm inot nenmoscopt dna is aacrluitylpr uuself ni taegnipsra lelc ossnp,usenis uhcs as in atirangsep lodbo iotn learys ot tge het fbfuy caot hitw WCBs
  • noterNhr tblo is rof RNA dan cryotfsuelnle tgas a pecei of RAN prstnee ni a seplma
  • RCP si rof tpdilgfnyniiynf/iieang a AND meengts
  • reRsvee ctstrneirpasa R(T) PRC is tcallpyyi duse to aemesru xoseersinp llseve fo an RNmA
  • hetuSorn ltob is ofr dgniiynfiet a DNA engtmes in a igdset
... fruitkebabs made a comment on nbme15/block1/q#35 (30 yo woman, uncomplicated vaginal delivery, delivers placenta but continued heavy blood loss)
 +7 
submitted by fruitkebabs(23)
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eUentir toyna si the omst cmmnoo seuca tmsopptaur ehmraoehrg ude ot rulaefi fo teh uteurs ot eivfcletefy ortatncc dan rrcttae afrte ryelvdei. It si tteread ihtw uenrtie essaagm nda ctonioxy.

... ergogenic22 made a comment on nbme15/block2/q#36 (72 yo woman, admitted to hospital for acute myocardial infarction)
 +7 
submitted by ergogenic22(360)
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hiTs etoqinsu is gsniak awht ltef doanintm acicilrntou e.nams I pspseou it awnts us ot rnfei taht het DAP si gislnyupp teh mdpagairh feucasr dan AV .ndoe

tI is nngcuisof to em bcseuea mraynoll teh tgRhi amnrglai rytrea piusspel hte aagpmtciarhdi eodbrr tuca(e mg)airn fo teh t.erah 'mI ont rseu htat ti agnehcs in etlf tndnioam .aoiculirtnc eFhrroruemt ti oduwl not ncarbh off hte D,PA hlagothu aebym srpta fo ti rae uspidple yb eth DPA

Aslo het VA doen si lpsdieup yb teh vatuteroiilAcnrr dlaon try,era hhiwc acn be a ahnbrc off fo hte LCA or eth tXbLu C ont aylrel het DPA

3sbec:/ianMg.mt953v/hiP19w.sto.l./ihpt7l//mCcnpcwn/wr

os usnciogfn useoitqn rof em btu hte noitp is to kown teh ucrseo fo tfle ninmdoat ctuilcioanr to eht DPA

epiglotitties  What the heck is it with this scrambling?😑 +1
5thgencephalosporin  you need to be a member to have total access to the content +
... cassdawg made a comment on nbme15/block3/q#10 (5 yo boy stung on foot by bee)
 +7 
submitted by cassdawg(1446)
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heT yripram ancshimem of aannomifitml o"rmt"u ro leinglws is esiaerdnc ebleiipatyrm fo hte neoemlhditu hwhci slade to aageelk of sflidu (2F2A00 21)3p

srmtn  why not vasodilation? +2
... andro made a comment on nbme15/block4/q#33 (During normal skeletal muscle twitching, ATP concentration does not fall significantly.)
 +7 
submitted by andro(219)
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A teon ot slfe : nareietC esothphpa si a horts emrt nreyeg sruoce ni mcelus . stcA by nogtidna aepshthpo grospu to reenergtae APT .

eti*nraCe si idrdeve mrof inrAigen and dtblieoeams to nieinCraet ( hwhci is rxceedet by eht ekisynd )

cheesetouch  ATP on FA2018 p74 to annotate book +3
... lola915 made a comment on nbme15/block0/q#0 (A 50-year-old man comes to the emergency department...)
 +7 
submitted by lola915(46)
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  • arlAiert: o2Pc 30 mm H,g Po2 69 mm Hg
  • tleAirar 2O ctnotn:e 12 ovl% )N–11=%7%2(
  • xeMid osnuve P2o 36 mm Hg
  • eMxdi ousevn O2 tetcnno 8 lv%o 0N%%=6)11–(

  • A) amAnei - ttePnai sha ln 2OPa dan eeeadrscd 2O .eotnctn Also nptaite si etlregnivhaptniy and CO2 is hsut ol.w

  • )B dcerdunuDig- leoaarvl ovtiniotnphylae - lAtreria 2OP ldowu be maCpwol;O2& hhig
  • )C sdeeiRecn at a ighh eiladttu - reAtlrai P2O would eb low
  • D) Sveeer iegoalrn nghistmmaci of levaoral ltoiaevntni nda oymrnlpua arlclaiyp ofnipsrue - nyuamrPol obusmlE doulw cusae a rascedee ni rteaailr P O2 )E rtlyVnoua oayvniietterhpln - ariAterl 2O% nctteno ldwuo be ln

ianmAe ucssae xahoiyp wtutoih imyeaxo.ph iannegM olw 2O yleevrdi ot tesisus tbu ton olw O2 roaastintu fo het lb.doo heT sunlg nac auqedyatle eilvred 2O ot the elaasrrit so O2aP is on.amrl inaAem casseu wol 2O tocnten aesbcue ouy ahve taeeviyrll wol tonmuas of bH ot cryar ne.xyog

O2 ncnteto = (1.43 Γ— Hb Γ— aS)2o + 00.30( Γ— 2Pao)

meow  I still don't really get it +
... cassdawg made a comment on nbme15/block1/q#13 (A 24-year-old man develops recurrent vesicular...)
 +7 
submitted by cassdawg(1446)
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Tihs si elkliy repsHe xpeimSl Vsiru 1 da(ebs on hte clvuaiesr ilesons on het )ilp ihwhc raminse nmdarot in enryoss ainlgga, tmso lmcnomoy hte mgnaliiert gnnolgia 20(20AF p)14.6

... cassdawg made a comment on nbme15/block1/q#43 (A 35-year-old metal worker collapses after exposure...)
 +7 
submitted by cassdawg(1446)
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Teh nubtr alnmdo llems dan naycinonoct padneys is iaithaerccrcst fo aciynd oiinngops. ednCyia niioosgnp is atdeert wtih snitietr uacbsee tsierint dizexio loeobnimhg ot morf bhmmtnaieogol cwhhi nbids yeicn,ad allngowi less itxti.coy liousTahtfe is tfone dadde ot niseerca alnre eniotrexc sa eycntai.aoth nyaeiCd yictoitx may oals eb eatretd twih nhay,oclbixrydmo chhwi isbdn eacdi.ny

0F022A 667p ahs ofanftndieetrii of dyceian frmo OC i.gniposno

drippinranch  is there a circumstance where you would treat cyanide poisoning first with hyperbaric oxygen before hydroxy/nitrates/thiosulfate? +1
prosopagnosia  If the patient had concomitant carbon monoxide poisoning, then I think the hyperbaric oxygen would help. But in order to reverse cyanide poisoning, hyperbaric oxygen will not help because the cells are unable to use oxygen since the cyanide directly inhibits oxidative phosphorylation. +1
i_hate_it_here  Another thing to know about this is that unlike with CO poisoning, your O2 saturation of hemoglobin, total O2 content, and oxygen-hemoglobin dissociation curve would all be normal. FA2020 pg: 666 +3
trazobone  Thank you i love it here +
cheesetouch  FA18 p 648 +
chaosawaits  In reality, I believe, 100% oxygen would be provided in order to maximize the amount of oxygen dissolved in the plasma which, although small, can make a difference between life and death. However, I believe hyperbaric oxygen is very unlikely to be used rather than just a NRB mask and of course you'd still apply amyl nitrite because applying oxygen is going to do absolutely nothing for the hemoglobin problem. +
... ergogenic22 made a comment on nbme15/block2/q#21 (43 yo woman, 6 months altered consciousness)
 +6 
submitted by ergogenic22(360)
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Seh ash roomt nda ysorsne sstmyopm. iThs or/ tbho sdkin fo slp.mei reH srziseue era ont idbderesc as tclnoncoci/i ms,oetnvme adn inlucde eiosdpr fo reaipdmi snss.ecouncosi hisT lesru uot lergzieedna ctoonlin./cic ereTh is a la-pistoct tea,ts atth urels uot bnaesce.

soAl het pli cnaimksg si acctertihicars fo utsitmmoaa, hihcw is ndouf in emlpocx parlati rzessuei

bbr  Isn't is just motor symptoms, thats why its Partial? Maybe Im conflating things here. But complex partial decoded would be: Complex (lose consciousness) and partial (just 1 area of the brain, just motor). +7
euchromatin69  simple seizure wont have altered cociousness....alt. concious = complex or generaliised +
i_hate_it_here  What's the difference between a complex partial and an absence seizure? +
kaf  Absence - they just gaze off as if they're daydreaming. +2
... ergogenic22 made a comment on nbme15/block2/q#26 (47 yo man, admitted to hospital for myocardial infarction)
 +6 
submitted by ergogenic22(360)
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tceAu MI and lrtiam guegrr rfom( eht mr)mruu elads ot LV iufrael nda wflaokbc fo lodbo inot teh .sglun

Thsi aedsl ot rescaiend opmrlnyua tacothridys playcaril sr.euserp hiTs llwi adle ot esxces vlmeou kainelg rfom teh ymlnrpuao sillprciaae tino eth teitalnsriit nda hits liwl mensitfa as pymunlaor emead )a(ccls.ekr

aPnuryolm edema lliw rteneefir hwti sga cexheang eladnig to eoihampxy.

medstudent  Doesn’t this also result in decreased alveolar ventilation since the fluid blocks air from getting to the alveoli? +4
cassdawg  ^I would agree, but I think the primary cause of hypoxemia in pulmonary edema is actually the diffusion defect rather than strictly the decrease in alveolar ventilation so the better (more NBME) answer would simply be the increased pulmonary capillary pressure as this is the root cause of all of the issues in this guy's oxygenation. +1
cassdawg  Another way of saying this is that if the defect was purely due to a decrease in alveolar ventilation, the A-a gradient would be unchanged and CO2 would be increased. However, since it is edema, the A-a gradient is increased because there is a diffusion defect, and CO2 is not significantly increased. +5
... trazobone made a comment on nbme15/block2/q#26 (47 yo man, admitted to hospital for myocardial infarction)
 +6 
submitted by trazobone(64)
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etcuA IM and ailrtm ugregr frmo eth mururm dales ot VL frleaiu dan kfacoblw of doolb toin eth ul.sgn

siTh esdal ot ridceesna mpnoyalru hyrtstacoid aylaiclrp eepurrss. ishT lliw lead to scexes levomu elnagik mofr teh yarnmoupl pcraiisllea into teh ittelinarist dan ihst wlil ateimsnf sa runpayolm mdeea s)l(a.crkce

maourPyln dmeae iwll tfernerie tiwh ags xehcgena ielngad to mhoyxep.ia

... cassdawg made a comment on nbme15/block1/q#22 (A 30-year-old nulligravid woman comes to the...)
 +6 
submitted by cassdawg(1446)
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ihsT oamwn sah tcyyPlosic anaoivr nromsedy. ishT cna be cuddede ubseeac fo eth hghi HH:SLF aotri t(),2g;& ighh I,MB nda neserecp fo dwwitarlha bigdlene ni a geoetnrpoers dtlawwhira estt. nI otscpyyilc oaivarn srdmyneo, ether si idsreanec eeesalr fo nsraodeng morf chtae ranteni lce.ls ehesT aegrsdonn anc uscae stmoysm lnomocmy eaitdcossa hiwt OCPS rsuiimht,(s )aenc tub can olas be emoarzitad to sroneget in epoidsa tssuei. heT scnpeeer fo neotgerss in stih rfom essuac ncottsna ieeavtgn cbdkeafe no the ypsathloahum nad urdoignyltase in teh prreipoatap evlesl of eht ditnsooaopnrg ees( eher nad eerh)

rHee si a anpscormoi rhpag of het rmehono elvlse ni a nrolam eltsranum cecyl to POCS.

A rpogrotseene twdhirlawa tets si dues to hlep intdrmeee hte scaue of rr.aihnemao fI wlidathra ildebeng cucos,r ti nesam eth tianetp hsa eftcnifuis irlasdteo nda eth aaromrnhie is due ot nvoula.aiotn fI on idlwhaatwr gendelib cco,urs it manse hte tntapei retieh sha cncihor aooninvault wuiotth eosr,negt a iacenroevtn mrtueemnod,i or a plmoreb ithw eetunri l.foowtu In rou ptna'tsie ,ceas hes has wrhiwaadtl dbnegeli os ehs hsa ulvnit,aoaon a cnmmoo mptsymo fo ylsocypict oranavi .dysrnemo

... cassdawg made a comment on nbme15/block1/q#31 (A 75-year-old woman comes to the physician because...)
 +6 
submitted by cassdawg(1446)
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Legonit lgnmiaa is a yept of meoamanl FA0202( 4)84p, neehc hwy ti si potmirtna hte selino is bk/lobwcnar thwi alireugrr bsorred dna ragelgnni (lla sarlalhkm of o.m)amelna heT isybop pstrdeicino soal tifs etgnilo lmiaang, tbu veen fi yuo aer otn a osltpigatho teh etinpioscrd thta isft cacnre dna dan ca"lypiat taolemnecys" dlshuo ponti ouy ot iltngeo m.glnaai

  • Ashcsatnio nigrcians si ehngcniikt (acsaniosht nmsae pedlirmea ayahi)slprep and rnndgikea fo skni in dsflo nad csseera ioecatdass htwi nsiniul itesncrsea
  • tniiccA irostseka is a lpnantieamrg nlsieo htat is a masl,l ugo,hr oemhetteruas ro bionrhws ea/alppupuqle
  • dnupomCo nuesv si a etpy fo lome ttha is lhtlsyig ae,tevdle rnbwo ro hiltg wnbo,r and hsa raulrge dsb.rreo tI is ton f.gs-iaotwrgn
  • eeirhSrboc saoerstki ear "-nksot"uc flt,a eysgar, enigpmdet asumsuqo paleeliiht iilraopeftnor fo miuraemt ksencrtaiotye with fdneirlkelita- s.cyts pidRa oesnt fo utlpleim tndcsiiea olbssepi GI .anilmyganc

F022A0 ,8p42 747 dan 484

cheesetouch  fa2018 p 469 melanoma +1
randi  FA2019 p473 +
... cassdawg made a comment on nbme15/block1/q#11 (9 yo boy, mild mental retardation, 4 years increasingly frequent major motor seizures)
 +5 
submitted by cassdawg(1446)
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oeuTubsr ilsocsesr is trridehcaeazc by OAMHMAASTRS ra[tmasoHam in SCN dna iks,n Abamoirsfgino , airMtl ingru,irttaoge Ah-afesl tssop , idcacar Rohma,yabdmo oru(bsuTe lcsiro),ses aoltsoamu ;atndOnim aletMn eidoartrant teluleantl(ci yiati)d,silb lrane npiAmylomogoia , zSs,eeiur rhgneeSa atpceh,s 2F20A0 ]5p25

If oyu d'tidn kwno hwat amohrsamat oolk elik i(e.. m,)e rhee is a teriupc fo wath yteh reew cnigibsred. hTye asol disrbcee res,uezis dsebmypunlea cilifadce dounsle (lielky amsrmahtao of hte C,S)N and a carcaid m,ass cwhhi si liekly a rmmbaay.odoh Tseeh aer iesracctthicar fo ebTsuuor r.eoSslics

rnoWg nsrewa noais:ntpxeal

  • aimiallF iyorrctphhep iaoyamtcrdoyhp si sacoseidta htiw udneds adeht ni haelt,est not eezrusis nad ahramstoa.m
  • nredraG reSndyom si olas alledc fmilalai eoccaotrll lspospioy adn si a form of lmlaiaif tmdoanueoas lssoypiop.
  • yGglcnoe raegsto dseeais Type I is onV ekeriG ,daeessi hhwci pessrten twih gnseeoeataplopymhl adn seerve gsntfia ohleapygyimc itlpaylyc in any.cfni
  • ipluetMl cnreoEndi eNiaasolp pyTe I is ceaitaodss ithw all eht s'P -;gt& Piat,cncare ha,Priorytda adn iaytuPtri accpi(aertn crdeenino ort,smu hrayotdrapi moeaad,sn nad utpatryii rmt)uos
... ergogenic22 made a comment on nbme15/block2/q#9 (67 yo man, 2 days double vision and drooping left eyelid)
 +5 
submitted by ergogenic22(360)
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eH sha a dnow nda uto ,lppui udasec by NC III .lsapy His zeag si edu ot ppousoedn nicota of eth arlleta eurtsc dan upsriero buqi;ole sipots ude ot nervotedani of tavorel lebraeapp sesoiiupsr.

hTe ynol uiyjnr ilstde htta ocdul eacsu a NC III slypa is muysnrea fo hte APC spciensmgro teh ocratouorml e.ucnusl

cheesetouch  Compression of superior cervical ganglion -> Horner's syndrome -> ptosis, miosis, anhidrosis, would NOT have dilated pupil. +2
jmd2020  Aneurysm of the PCA would compress the oculomotor NERVE, not the nucleus (just fyi) +2
trazobone  I appreciate u cheesetouch +
... cassdawg made a comment on nbme15/block2/q#11 (48 yo man, brought to ER, 1 hour nausea, crushing chest pain)
 +5 
submitted by cassdawg(1446)
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isTh 'owansm raadcci teasrr csdaue a oripde of loss fo lobod lfow nda iiashcem in eth dyneki htta sah led to cueta urblaut .snociser In NAT terhe si an itiingcn veetn nteh na ocgiruli .easph nI T,AN ereht si dteha of laner utrlbua liateihelp elslc htta gloush fof adn mrfo ydmud wnrob uarlrnag cssat. eepK in nimd het oxaiplmr elutub and ictkh icgnsnaed lmib rea teh artp fo eth iynkde tmos cseubitpsel to opcxyhi uri.ynj 0AF0[22 ]p206

... cassdawg made a comment on nbme15/block3/q#7 (1 yo boy, 4 weeks progressive generalized tonic-clonic seizures)
 +5 
submitted by cassdawg(1446)
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heeTr aer a wfe ysaw ot etg ot teh nsewar of hte esipcl r:eorr

  • heT aouimntt ecdsua kin"ppgis" fo na eonx. picilgSn is eth scsepro rwehe tsiornn rae celpsdi otu nad senox are slcpdie tegteorh brfoee rpgoitnex teh AN.Rm ainRtdee nrntsoi ro kpsingip fo na oxne is ekllyi a rultes fo an rorer ni s.lpcinig
  • eTh ontmiuta tflsise si GT ot TA. In ANR this wdlou eb GU to U.A GU si a oknwn neponmotc of hte '5 lsiepc tsei A,p02022F()4 os isth laos pinost ot icselp itse amt.ioutn
  • oeNn of hte rohet otnsaimut euyeladatq secierbd hyw na noex ulwdo be psdkepi. ouY ucold eranos a snnsneeo iotmanut a( ntutioam htta isnudrtoec a tops ncood) uldoc ""skpi eth salt nxoe or os eeascub it rutctuatnes het r.eopnti rwoeeHv, eth aitotmnu does otn tif nay ttah diuenotcr a tpso ndoco e(ht stpo osocdn era U,AA ,UGA dan ..UGA. enon of thees veah UA in )m!hte

hrtOe :nfio hsit byo hsa ,tleniaenrohypuk huhogt melutlip insamtotu cna ldea ot iths os ti odwul nto lphe ni ngnweiras itsh .unstqoei

... cassdawg made a comment on nbme15/block3/q#24 (28 yo African American man, 3 months mild fatigue, weakness, 4.5 kg weight loss)
 +5 
submitted by cassdawg(1446)
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I nt'od ekil hsit siqntoue ofr nmya s,oasren but acbyaills he sha iasioocssdr gnenisotaa(cn mauasonlrg twhi no gehatopn dfoun no bips)oy chhiw aogdircnc to isFrt Adi si reom mmncoo in rAcnrmciafi-neaA .emeslfa nSeic eh is fcniAAn-ecmirara that is hsi rski roaftc A(00F22 )667p.

cheesetouch  FA2018 p658 +
i_hate_it_here  Questions like this let me know that the ideals of racism have never left the medical system. Ok, so he's "African-American", is he of actual African descent? Is sarcoidosis just increased in american found black people, or is it black people of African descent, what about Jamaican? Afro-Latino, Europeans?? I hate that they teach us things like this and we're suppose to take it at face value. +1
kaf  agree...medicine is full of racism, sexism and so on. Some meds work differently and diseases present differently etc...for ex., ACE inhibs in AA vs white...or MI presentation in women vs men. +1
... cassdawg made a comment on nbme15/block3/q#48 (A study finds a statistically significant difference between two groups when, in reality, there isn't one. What is the name of this statistical error?)
 +5 
submitted by cassdawg(1446)
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In hopsetysih sngtiet, eth alpha lvuae si het rliiybtpaob fo nimakg a eTyp I .reorr siTh is eth ptey of rroer eiedtnmno in hte es.ountiq

  • eypT I rrroe - uoy find a reednecfif whne a fdrfenecie ntso'ed ealyrl siet.x
    • Oen ywa of ebigeenmmrr siht is atth htis si hatw sinstiestc awn"t" ot am:ke yhet anwt ot find a iaitsnicfng reeicfedfn in rehit ,tdaa uhts it si het if"str kemist"a yht'ed amke.
    • phAal si eht boiaybpritl you rea lwnligi to eacctp thta you oclud eahv daem a ypte I eorrr e..i( na aplah eavlu fo 0.05 neams hteer si a 5% biablpoyrti you oludc emka a tyep I reror nad etrcej eht lnlu ehihpsstoy nweh you udlsho ot)n

  • Tepy II orrer - yuo do not idnf a edrecefifn hewn you hudlos eavh uesebca a urte nedirfceef ellary eisstx
    • Btae is eth pialbbroyti ahtt oyu meka a ptye II orerr
    • ewrPo si euqal to (1 - a)etb
    • Pwero acn eb eeardcnsi yb nsagiicnre pesalm sze,i dan huts ithw a glrera saeplm ouy have a rloew itoybapirbl of kmgian a peyT II reorr
    • Poewr can salo eb canrdesie yb grsniceian dxepeetc ffecte isez or nrcanigsei nesprioic. tI si iegetnnsirt ot otne cycraauc hsa on ftecef on pew.ro

20A02F 23p6

cheesetouch  FA2018 p258 +
... cassdawg made a comment on nbme15/block4/q#38 (25 yo woman, 1 week general malaise, facial rash)
 +5 
submitted by cassdawg(1446)
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Bsade on hte qonuesti emts and eht oabeitoadntisu ingev ytefrbu(lt hras mdcbneoi ihtw nDN-phn/odsmaiin,i/idtaltS)pip-htaosA hist mwoan ahs csslica lsup.u ESL is stdesiaaoc tiwh tpicys,neao os aetctominrooypbh si het tseb hcicoe fo het lbaaveial rw.asnes irnTyphcatoebmoo si mnomoc ni suupl AF(2002 p704)

  • HUS si eistaocdsa hwit Elcio. ro elgaShli nicteiofn dan nto puu.Ls Luspu dyknie iedsaes si ufdiefs eiptoevlrrafi ehnlsopeigut.mlrrio
  • ytcaocMicr ieaman si ialtclpyy eudacs yb B12 ro toalfe iediynecfc and ont itcdseosaa thwi .uspul puusL iaeman is pyilyaclt aemnai fo ccnrioh sdaiees, hwchi is tnorcymioc, ro deu ot enuatdeaqi BCR doiurncopt ro noir nie,cciyfed wichh si .rcocmyitci
  • elupMlti eltncadue tyescrtyhroe are fdnuo in smauleike wenh the BRsC aer einbg hps"ude" uto of teh ebon ,rowmra ro in edsasesi eewhr eht oebn oarmrw si iyhghl sseresd.t usupL sdoe otn atplylcyi eacsu h.tsi
  • I am ont %010 ruse hyw luxeaor tfaoirnmo is ,grown useaebc as afr sa I dantneusdr yan ocdtniion thta eisecsran nloocomnal sbA nca suaec uulerxao moifatonr, tbu I ma msagsnui it si ujst nto sa i/mck,nleomoly henec cmhotooypbreaitn hchwi si eyrv cmoonm is eht beetrt wnarse
cheesetouch  FA2018 P458 +2
randi  FA2019 p462 +
... cassdawg made a comment on nbme15/block4/q#40 (18-month-old boy, severe combined immunodeficiency syndrome)
 +5 
submitted by cassdawg(1446)
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rFmo ahtw I acn tel,l hte tgis fo sith oieusqnt is tath he ash SCID adn niesc teh CISD clidh sha caibalysl no emumni tyssme (ytaallpiurcr beeuacs het clka fo Tlecl- )ymtnmuii ehter si a ihegrh hcaenc of ntusfosdr-eaaascsnoiit fgtra svrues ohts aesdesi A)-HTGD(V so loodb sportdcu haev ot be .ertdiirdaa

reeH is a daepscme efeercnre whit hwo eeurqris draaertidi CRsB edu to ecrndeais sirk fo VTD-AHG rof ruoy guisrpen.

i_hate_it_here  Just curious, are you a student? Your answers are always much appreciated. +4
... baja_blast made a comment on nbme15/block4/q#48 (Study of effectiveness of cough medication in children)
 +5 
submitted by baja_blast(159)
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nI stih udts,y a ecpalbo si ton dues no hte tlconor .ogrpu Teh lmieerpnaxte rgoup gset edoohmpanerthtxr ewilh the ctrnloo rguop tges no" teetart"m.n sThi srtsleu in rcredopeu bais, as ctjuesbs in derientff sugrop rae tno etdtare het sae.m Binlingd adn use fo a cabolpe ercude the luneencfi of nsaraiptctip and eacesershrr on erucpeosrd adn irinroatpetent fo ousemcot sa heinret rae aarew fo urpgo etia.snnssmg

eeS bealt on iasb nad sudty orsrer ni FA 1029 p 620.

... hungrybox made a comment on nbme15/block0/q#0 (An investigator is studying Helicobacter pylori...)
 +5 
submitted by hungrybox(1133)
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sEescx netarpt tpresea adel ot dartsn prsepesrgo/rila eud to na tuesnbla igneor (in itsh csae, sscxee Ctidyein ).asesb

It luodc be a eadetrep tpreant as well ei( eth itrcnutieoled eatrpe AGC in tgisonnu'H.tn)


eserh' a meor in dehpt ieaaxntpnlo rmof( idiiaepwk ltaerci no ledtianS-sdrpp rsiingmiap:)

A asegppli vneet nlyaolrm corcsu newh a enqcesue of rietetipev iclenstdueo tedn(ma a)tserep are oufdn at the stei fo ecotipnlri.a Tmenda asrpeet are ubatlnse oseirng fo the enegmo ehrew fteureqn isntnrosie and osteidenl fo ntlodieeucs cna ekat ,place egsutrnil ni oemnge renrstna.eamger

hungrybox  Anyone know why it's not Transposon insertion? I was thinking maybe because transposons have to be longer than one nucleotide, but I'm not sure. +7
bingcentipede  @hungrybox I think it's because transposons are usually gene segments rather than a single nucleotide insertion - plus w/ what you said about the repeated pattern, I think slipped-strand mispairing (which is a concept the NBME loves) more likely. +24
i_hate_it_here  cool so why do I need to know this +3
... cassdawg made a comment on nbme15/block1/q#27 (A 50-year-old man comes to the physician because of...)
 +5 
submitted by cassdawg(1446)
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yKe ctesspa fo the oeiqtun:s

  • iekipHoysns fo eth rritopose ltfe niceretvl htiw aeigicrnns yttiavic elvesl - in my ionnopi sthi si the myiarpr cuel ot ointsess fo het rhtgi carnroyo e.artyr hiTs is aucsbee teh oepsortir aethr is eppdiuls by teh teroospri ndicdegnes etay,rr wcihh in smot olpeep ohw hvea gtihr mntndaoi ycarorno calcuintrio si a chanbr fo het rhtig aycnroor y.rarte
  • W"neh nligmbci irs"ast nda the hisonisypke bengi reetpsn on tssers sittnge - shit slpeh ouy ot wokn eht nocidtion is lnoy ebreeatxdac in ceiex,rse and itsseosn of eth CAR sargneete osmmpyst in eeisrcxe aecsbeu in sxceeersi teh raieencs ni engxyo dandem piycylatl secaus adilinot of hte acoroyrn vlsssee ot do.meatcaac ehnW hetre is to,sinses het elssev nconat aeitld adn tush ereth is rseiattnn ihiesamc fo teh aera teh sveels eussppli (isth is ptnloityeal ectbaedaxer yb eht ronacyor alste emnpnenooh ni a sersts sett hwich can crocu whit anoiditnirasmt of idr)otlassova 0A220F p403

eIrcsaen in nogxey mnoinutposc is eht anrmol presenso to ecreexis dan loean is tno phaitoc.lgo sxvrtucalaarE nmeicroopss fo hte onryocar siraeter is lsao iosenerddc nrloma dan gnipholc;oaotn isth is yhw omts oronrayc ldobo oflw cosucr rignud ldtasieo dan hyw het edmuronacdi is smot cesisetuplb ot msheicai.

euchromatin69  but isnt stenosis gonna cause m.infarction? we have not been told any percentage of stenosis +
shieldmaiden  If it completely cuts off blood for too long, then yes, but as you mentioned, they don't tell us how much stenosis, so with his clinical presentation and echo, we can say it's stable angina. Like @cassdawg mentioned, here a case of transient ischemia +
... cassdawg made a comment on nbme15/block2/q#24 (An 82-year-old woman with alcohol dependence is...)
 +5 
submitted by cassdawg(1446)
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shiT nwmao hsa teh lsccisa nigss fo aimnitv C cyeef,ndiic or :syurcv yase bgsni,uri heeiitpca, oiallelrrcfpui sghmoarehe,r gum saeesid, adn losw noduw ginhea.l itamVni C is scyresaen ofr orrppe arxonhdylitoy of lnoierp nda inyesl in elo.alcng 0(FA202 96p in)[c]e

... cassdawg made a comment on nbme15/block4/q#25 (A 25-year-old primigravid woman at 12 weeks'...)
 +5 
submitted by cassdawg(1446)
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Thsi is a tlpiaar mleo aesbuce fo the seeenrpc of faelt pastr. mCtelpoe lemos ehav on lafet tspr,a ilaartp lmoes eahv aeltf pl(triasPTARa = atfel .TRP)As 2(0AF20 p64)2

cheesetouch  FA18 p 622 +
... andro made a comment on nbme15/block1/q#24 (3 yo girl, 2 weeks of diarrhea)
 +4 
submitted by andro(219)
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e:toN I-L12 peetrorc ic,cendyief ro a eftecd ni the enoerfrntI maamG epercrot
nhiTk isamisDndete retMablaciyoc and gnFlau ifInnetcso . Alos naollmlsea *

cassdawg  Disseminated mycobacterial infections occur more often with interferon gamma receptor or IL-12 receptor deficiencies due to impaired ability to form granulomas (IL-12 and IFNgamma are the main cytokines involved in granuloma formation). +4
cheesetouch  FA2018 P 116 under il-12 receptor deficiency +4
cheesetouch  Also on FA18 p 102 related to Th1 response +1
... ploy901 made a comment on nbme15/block1/q#38 (23 yo woman, 3 days drooping right eyelid)
 +4 
submitted by ploy901(11)
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eTh cuooolrmto erenv naervienst yvere raluoc ulmces xcteep ofr altarel esruct nda orirepus bqeioul ,mseucl os a elnois ot hsit erven liwl rsentep tiwh a nowd and out y.ee tI olsa sntoolcr tironntcciso of eth i,sri os a siolen ot eth eenrv ilwl rpenste htwi an mlnabayrol talided p.puil In hist ,otqusein s'ti birecedds sa eth ttipane giavhn a yirsoht fo lauvsi tdcforomsi ni tibhrg t.hslgi

a ensloi ot het ndeubsca eesnptrs twhi a yilmdlae vdtideea eye

a iloesn to eth FLM seretpsn hwti nrnecualteir mtlpoaohi,hepalg iwhch lwdou be an yee atth td'soen /tdabucda ptas eth dmieln,i tub illw od os on moooiccdmnaat tnetg.si koosl leki tihs

t'si ton the soprieru rlviceac nolnigag caebesu ttha whlei atht sola reetnsps hwti stpiso, uyo dslhou aevh iomiss, as ewll as saiosdihnr

a sloein ot teh racleorth eevrn setsrpen as a abd eey rieds hhgi sineol

... ergogenic22 made a comment on nbme15/block2/q#3 (2 yo girl, brought to ER, 20 minutes after ingesting insecticide)
 +4 
submitted by ergogenic22(360)
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taslvi and dene to eb etaertd ifsrt, os orpnaeit and hent p.rldexmioia

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tritanmop ot ento ttha gsosahpapnoehotr eebcom briielrseerv ta a naeicrt ntoip so adlipxomire soed itsll eend ot be inevg yreal

... ergogenic22 made a comment on nbme15/block2/q#28 (35 yo woman, gravida 1, para 1, 2 months generalized weakness and fatigability)
 +4 
submitted by ergogenic22(360)
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cislsca mhaeaintys asvgir uetripc. nWroses thiw e.us xS ludiecn ldpip.oai roeInvtmmpe wtih .AECh

Aosl dies teno, dno't fsouc on teh nynagcrep asttsu, tub ewnom ohw aer in eht ptuoartmsp iedor ear ta layatirpucrl hihg rski fo dplgivneoe imenyhsata asrigv

pakimd  why are answers unscrambled on here? +
... cheesetouch made a comment on nbme15/block2/q#31 (24 yo woman, Marfan syndrome, positive home pregnancy test)
 +4 
submitted by cheesetouch(205)
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cynagrenp sacesu eh,yrpmvaeloi dna hhrieg lbodo fov/mlowelu rgthuho the aerth lwil niesecra umrmrsu (rcioat e)g.rgur

... cheesetouch made a comment on nbme15/block2/q#36 (72 yo woman, admitted to hospital for acute myocardial infarction)
 +4 
submitted by cheesetouch(205)
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Left imontnad utrloiicacn - poesorirt icendedgsn eryrat P(AD) hcwih uplepiss VA odne etc si oicngm romf hte *flet xuecifmrlc. moPrpt assy ti is docelk.b To gte to ehrte, hte orrctec acomtaanil whpatay si tfLe onaorryc r,etyar lumrxecicf rryat,e eoptrisro crtinrvnealtruie D.)AP(

sihT acn be drasnoee by orcsesp fo eilniaointm 1 ot-o. ivenG the etLf nimatndo ,uclictranoi we acn liaeimnte htpsaayw enigngnbi at het thrgi a c-orrony.2 oT teg elcogakb at reoptrsio fo reath, ew will TNO eus aniotrer rrttnaivlnreiuec erat,ry so you cna telimeain the 2 ontsopi tlgisin sh3 t.eo - hTe xluerficcm aretyr ievgs seir to eth AP,D btu si nto teh fainl yraret in uro ahtp ot eth gblakoce s(o acn nieimlate hrntoea t)osTwi.h lsodhu vieg uyo het oertrcc ra.enws

cheesetouch  FA2018 P277 heart anatomy drawing +
... cassdawg made a comment on nbme15/block3/q#3 (56 yo woman, brought to ER, 2 hours fever and shortness of breath)
 +4 
submitted by cassdawg(1446)
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lraiscc,doopeiyLpah or ,SLP si eht iayrmpr nioendxto riaotmed fo arg()-m ssipes dngaiel to ceipts hksc.o sTih nwmoa klelyi has sspies rfom E. l,ico a gamr ngeitaev aetrcibmu cihhw doeprscu ,PSL asebd no erh rtoyish citignndai a U.IT Elco.i rea teh stmo mcnoom seacu fo UTI. A2F0(02 13p)3

cheesetouch  FA2018 p145 +6
... ergogenic22 made a comment on nbme15/block3/q#6 (50 yo man, routine health maintenance examination)
 +4 
submitted by ergogenic22(360)
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ylMualder rtoidhy maonicarc is neefdid a:s

a inmanlgat fetpioriraoln of foluailarcrlap C"" lscel htta eretsce nnitaccoil

ooylstghi ohwss atnnamigl murot cells hiniwt npik lhin,)y(a aylmido oratms

aaa1  ^I un-scrambeled the above answer Medullary thyroid carcinoma is defined as: a malignant proliferation of parafollicular "C" cells that secrete Calcitonin Histology shows malignant tumor cells within pink hyalin +3