need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

Retired NBME 22 Answers

nbme22/Block 4/Question#47 (reveal difficulty score)
A 56-year-old woman comes to the physician ...
Maintenance of basement membrane integrity 🔍 / 📺 / 🌳 / 📖
tags:

 Login (or register) to see more


 +14  upvote downvote
submitted by bubbles(79)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$379$49

atBmeesn rmbaeenm yntitgrei is hte iradtteemnn of llfu guln yrcoevre wglfloion mplyonaur isn.tul

mmSrauy:

1() ossl of esmetnab abrnemem gntyeitri si cirtlica ni emniderignt hte iotn“p fo no er,nrtu” and osrnctiebtu to eth iiailbnyt to isbrhseatle rmlnoa lnug erciratheuct ihwt porotomni fo bf;soiris

()2 loss of tailielphe ell,sc tlndhoeleai sllec, and msbeante emmnareb eiryntigt in lausu itnltaiirets anumneopi eostdisaca tiwh icioadthpi rplynmuoa ibirfoss desla ot seddoytre ungl aeurhctietcr and eprulepat ;obrssiif

3() rnftoisgrnma wghtor orta-βcf si crnaseeys, tub otn tlreniye ftiies,fncu ot oremopt anrmentpe oirss;ibf

(4) senrpttesi yii/tntngarnjeiiarrunt/ is actilirc ofr the arnpoptgoia of isofisr;b

(5) tiioihacpd amlyuprno ibrssiof is an maepelx of a cosepsr rtaleed to the ierpsesetcn of an gs(n“,”)nieta nchirco ,nlmiaitaonfm nad irs;sibfo nda

)6( eunqiu lcels era rcclitai lclaleur yprelsa ni eht ranteugloi fo rsis.ifob

tiaintc: ocinh4.irnPvi/6:sltoMtstc/wgb/w5.ph/.e/2mm4n/12aCwpc.l

unscramble the site ⋅ become a member$379$49
kernicterusthefrog  Llvoye +
endochondral1  any AF or atmoaph or luword ecaorilnrot? +
endochondral1  or saw htis a nmrdo?a +
taediggity  pTye II noceustyepm ervse as het stme clle rss,rouercp uw/to eohts ou'ery eorm or lsse dufek:c FA 0220 pg 616 +4

Quoting Dr Sattar, if an injury or cut is too deep so as the regenerative/stem cells are removed/damaged - then healing can only occur by repair. Thus, in this case, the stem cells of the lung aka Type 2 pneumocytes reside in the basement membrane - so, injury to basement membrane would damage type 2 pneumocytes and would NOT allow restoration of normal lung architecture. That's why maintenance of basement membrane integrity is the most important determining factor to distinguish whether tissue will heal by regeneration (restore normal architecture) or repair (fibrosis/scarring). Same concept can be applied to skin (basal cells) and intestines (crypt cells).



 +11  upvote downvote
submitted by drdoom(1206)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$379$49

uoY evah ot itknh ouatb ti isht ya:w teh nebtsaem raemmben is eth fs“lcdoignaf” no hiwch vti]aerrs[toe ilenahg .rccous oS, ,esy mest lcels (tyep II tsm)cnepuyoe odulw be nldvoevi ni that hglneia rssocep utb yeht o’ndcltu erotres the ronlma rcheuaretict “(on iltseor”amani)b hwuoitt teh leeksn’to‘ of het eteanbms bmmraeen lnelgti ehtm erwhe to ,og ni athw enioicrdt ot og,wr which yaw is ,pu”“ .ect fI hte enbmsaet mremeabn si or,tdsdyee you acn lislt tge gnehlai, btu it notw’ be nozerdgai hligena -- ll’ti eb edgidszroani iahn,gle ichhw sdeo ton ppaear as monarl .ssuiet zgDsni(rdaeoi agelnhi si ertebt hnat on gli,eanh utb twhuiot a M,B eth ergrgateenin clels ’tdon veha nya o”“idctiern nad ferherteo tcan’ oreerst hte mnalro eitcrure)c.hat

unscramble the site ⋅ become a member$379$49
drdoom  yb vri"otersa"te i aenm hlgaein ihhcw oseetsrr eht ovesrpiu an(d lronm)a sstuei ucetrcreth.ia ofr tath ot nh,pape you need an cnitta atbnesme bmn!emrae +2
nwinkelmann  es,Y tihs a taerg umyarms ot eth stop by bube@sbl adn hte eractli eh sp!dtoe rAethon yaw to htikn of eht suetoqni si on,t atwh suaces ipare,r utb hwat caeuss serleibirevr rjunysii.iobrf/s htaT tileacr neiexpadl na ieepexrtnm htat ohsdew bFTtGea- asw cyassenre ot eiaittin sfbio,rsi but fi BM asw tacitn nda -teFTaGb aws rv,meoed eth ofsisirb ndd'ti ip,rtses i..e cnaitt MB is ipeoetrvtc sgintaa -FteTb.aG .C6.hMhbc/P/p/w.tnla.to/snc25p/1nwesl/wtmg4micvi:r2i4 +1



 +1  upvote downvote
submitted by shaydawn88(8)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$379$49

I wdoul htkin itrouolsne ovvsenli eht emst eclls ptey( II )eusynpecotm. sI eth ctntai nbmtsaee beeramnm hte ernwas aubcese ti ilsmit rades?p

unscramble the site ⋅ become a member$379$49
aesalmon  I udolw alos ekil ot nwko if ayonen nca nwsrea sith itsqneou - I asw ti as a Satrat "neo dy,a one e,wke one m"ntoh knid fo qneositu. stI oabylpbr eyrv epilms tub I tilsl 'tdon get it +
bubbles  I tsepdo a enw enmcmot nlae:pignxi mbsenate nemrambe rietinygt is eht ergttsons nmtnideerta fo lulf xf yveocrer gnwoiolfl prauomlyn tsulni ): +5
drdoom  You evah to ihntk btauo ti sthi w:ay eth sbtmeane beeanmmr si het “fnsai”dcofgl no ihwhc eeo[tasitrr]v eganilh socurc. o,S ey,s semt cells t(pey II mptnyeos)ceu uwlod eb loevivnd in atth ligeahn eporcss ubt yhet toudl’nc eestror eht a*mlonr* athritcucere (n“o nrim”eslib)otaa ithotwu eth kstoe’nle‘ of eht enseabmt eammrben llngeit ethm erewh ot ,go ni htaw ricniotde to ow,rg wihhc ywa is ,u”p“ .tec fI eth aneesmbt aernembm si yeeodtr,sd you can tlisl gte ihalne,g utb it ’owtn eb ranodezig hnlgiae -- ll’it be gizo*ndsaedi*r n,hegila chiwh dose ton pearap sa onrlma ess.iut doriD(saingze anlghei si rtbeet than on in,agleh tub httiowu a ,MB eht tnnrgeegraei esllc no’dt vhea any no”tdic“rie and hretofree ’tnac oeerrts teh amonrl crtaehtr.ue)ic +9
nwinkelmann  sY,e shit a great uramyms ot hte tops by ube@bslb and eth itleacr eh pots!de hAonter wya ot ntkhi of hte oqnuitse is ton, hwta asecsu errap,i tbu ahwt scsuae erbiesirerlv frosibjyn.si/iru hatT ireactl exaidelnp na irmxteneep ttah wsoehd btGeF-Ta saw enscarsey to itnieiat iso,rbsfi utb fi MB wsa atitcn adn FaeTG-bt aws reom,dve the isfriosb dntd'i psietrs, i.e. itcnta BM si tvecepiort agniats .-GtTaebF w/1sv/t/6m..bcshMh:CgP4c.//5irntlwice2o/wnapp.i4m2ltn +



 +1  upvote downvote
submitted by ls3076(92)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$379$49

can nyoena naiplex ywh D)( iaealtpsam si croir?cnte

unscramble the site ⋅ become a member$379$49
angelaq11  beaeucs spaatmeila dlowu eb a irrmasnnoaftto fo teh onraml curttcieaerh fo het rtosarerpyi iuphlteiem to neo that seod otn ongble ,teerh ni posresne ot cocrhni ia.tionitrr hsiT woanm hda mleuccpnocao uoenamnip that aws roctlyerc n(da I dare ays )prypmtol ettda,re os ehs uedefsrf na tcuea hrater nhta a ocnirch n.isutl +
blueberrymuffinbabey  csebeua mlatpiasae isn't woh eth moranl lgieerg/oehinaeartnn soesrpen pehsapn ni eht aievl.lo teh tpey 2 oumytcenspe evser sa mtes ce/spucoesrslrrl ot htob pyet 1 nad 2 ucetpomesny so eth aneereoigntr si ont pmalstiaea. +1



Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
mcl on Area labeled ‘D’
liverdietrying on Release of stored thyroid hormone from a ...
kernicterusthefrog on Displacement
keycompany on Negative nitrogen balance
joha961 on Displacement
imgdoc on Area labeled ‘C’ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
yotsubato on Phase variation
bubbles on Acute retroviral infection

search for anything NEW!