Download as pdf or txt
Download as pdf or txt
You are on page 1of 202

NBME 24

2 types ofradiation

ionizing non ionizing


v v
radiotherapy Sun
d d
free radical DNA
formation damage
d via pyrimidine
doublestranded dimers
breaks
distractor cause it alsocausesbroadbasedataxicgaitbutnosymptomsof
hemolyticanemia decreased hemoglobinincreasedLDH
0
anemia acanthocytosis muscleweakness
u deficiencycauseshemolytic
posterior column andspinocerebellartractdemyelination
pulmonaryFibrosis restrictivelungdisease
thickeningalveolarmembrane limitinggas
diffusion largerA a gradient
35prevention

320
prevention
Hehasgynecomastiaduetopuberty
Atestosterone estrogen
thepthas
Mostcommon cause ofrenalarterystenosis type DM
2ndmostcommoncause ofrenalarterystenosis
andalsopresents in younger women
Bethanecolactson NBreceptor

L S
treats exacerbates
issues
urinary herasthma
CFis autosomalrecessive
d
NEEDS 2 allelesfordisease
manifestation
REWATAt RULEOF FOURSVIDEO
anemiaofchronicdisease microcytic
GGPD hormocytic
dueto themesynthesis
microusticanemia
literallythedefinition
Bowman'scapsuleexertshydrostaticpressure of its
own thatpushesagainsttheglomerulus

J
9 pressure fromBowman's dpressurefrom
Bowman'scapsule
capsule AGFR
T GFR
d
ureterobstructions
causethis
Acutetubular
necrosis
to
damageto
proximal
convoluted
tubule
an 3
ON7
r ans
an 6
Cw8 a

2
ON10
typicallycausesexualdysfunction mostly UTI urinaryretention
doesNOT
s
look
these
up
medicines
TCAscancausecardiacarrhythmias

SSRI
administered
Volumeofdistribution drug
0.08g 20L
plasmadrugconc 0.00491L
Aurallentiginous
Deliriumtremens alteredmentalstatus sympatheticoverdrive

catecholaminesdirectlystimulateNatheATPase

transportsmore Kt
intocells
lessknowforbonemarrowsuppression

Zidovudine Zaps yourbonemarrow mostknownfor thissideeffect


M phase
arrest
sciD
0proliferativesyndrome
autoimmunelymph
TREgdysfunction
Lxrays
YYght
Suspensoryligaments ovarianvessels ovarianarteryt
ureter

cardinalligament uterinevessels uterineartery ureter


trauma
connectivetissuechangestoboneduringhealingalter
metaplasia

forms a fluctuantmassarter trauma


cachexiaandleukocytecountis low
clitorimegaly
Aniongap
135 110 15 10
a
normal
aniongap
metabolicacidosis
Likelihood ofmissing an association Type I Error B 10
Internalhemorrhoids
superiorrectalvein

Externalhemorrhoids
inferiorrectalvein
methotrexateis renally u
excreted andthusifits creatininevalueis
impaired coulddamage high sopossible
chemoprotectant impairedrend
kidneymore
toavoid system
methotrexate
toxicity
firstcommitedstepin FAsynthesis
methionine
turnshomocysteineinto
breakdownoffattyacidsaminoacids
Patienthassensoryissues
Patientis tooyoung

upperextremitiesonly
thisiswheretheadeninecomesin
O
desmosomesconnectkeratinocytes
Pemphigusvulgaris separationofsuprabasilarepidermis
butintactbasilarkeratinocytes antibodiesagainst
desmosomes similartothisquestion
notspecificenough
Trichinellalarvaeburythemselvesinmuscle sothiswon'twork
usedfor cysticercosis

bearwildboarbigcatsfoxes
horsessealswalrus
f
or
WallenbergSyndrome

basilar
Posterior Inferior artery internal carotid
or
cellular Artery posteriorcerebral
occlusion
superiorcerebellar

vertebral
artery
J
O

s s
s
Chronic HERO dhematocrit
kidney pitlcantactrightonkidney sppTH but dcacitriol
disease I 25dihydroxyVitD
6.7010
4.5
5.6
5.9
avg_5.58
5.2010
O

causing9in serum angiotensin I


A riskofrupturedspleen
Intercostal veinsdrain intoazygousveinwhichdrainsinto
SVC but some bloodfrom azygousveindrainsinto
Batson's vertebralVenousplexus howbreastcancer
metastasizes tovertebralcolumn
aorticaneurysm
Mak
B Bo

50
B BOB Bsopo
75 25
Female

B BB BOB 50
100
0

Causes of A lungcompliance
Compliance_pressure
Diffusepulmonaryfibrosis pneumonia neonatal
volume
respiratorydistress syndrome pulmonaryedema
pthast compliance
A
Restrictivedisease
aimis
caused
a
by
stimulusthatdoesnotnormally elicit
pain
Looks like
mostlyboys
arfected
Replication DNA
Transcription RNA
Translation Protein
ontremors
as we use B blockers toblocktremors soagonistsbring
enzymes tobreakdownfood viapancreaticenzymesin
O
Sclerotomies vertebrae
ABetty dTSH
7 thyroidactivity
NIodineuptake
Tyis convertedtoT3so
7 italsois elevated

SofreeTy is gonnabe A
s s
neuralcrestorigin
actson hypothalamus secreteGnRH pituitary butpthasNopituitary
s put A testosteronefromLeydigcells puberty
capsidthatcontainsviral

glycoproteins
envelope islipidbilayeraround
andhost cellproteins lipid bilayerissusceptibleto
inactivationbyorganicsolvents detergents dryheat enveloped
viruses are thus vulnerable
SO 1SO
196 C 246 3296
Lean 100 8406 16
3406 68 34
d P
50 84
Avoidantisdueto ANXIETY
pneumothorax
Echrglycoprotein likelaminin
specificallyinnucleus
Hemesynthesis
O thereare some non hormonal IUDs suchas copper IUD
2nodules
probably
meets

morecommon
thanprimary
lungcancer
O
primarymotor
cortex

thalamus sensory
conduit
info
pons

vermis centralbody
coordination

cerebellum sdysmetria
Intention
tremor
like a case study
O
Confidenceintervalcontainsmeltvalue 1 not significant
v
than
p valuegreater
Oo05
vascularpermeabilityoccurs at post capillaryvenule
bothmultifactorial
Hypoxia dOz tooxidativephosphorylation
d ATP

You might also like