B4 C

You might also like

Download as pdf
Download as pdf
You are on page 1of 10
41. An 8-year-ld gi is brought to the physician by her mother 1 hour after her cat scratched her on her right arm. The mother says tha the patient developed bright ted streaks along her arm within minutes of being scratched. The scratches were pinful, and the palent was crying when she showed the injury to hor mother. Examination of the right forearm shows tho surface linear streaks with intact skin, but there Is no blood, The appearance ofthe rod streaks. ‘most key indicated which of the folowing host responses to ths injury? © Ay Bacteria-generated capilary congestion © B) Complement-activated coagulation © ©) Histamine-stimulated vasodilation O D) Ig€-mediated eosinophil degranuiation © E) Trauma-induced arteriolar hemortiage 42, 60-year-old woman dies of a myocardial infarction. Inckental ridings on examination at autopsy include multiple 0.5- to 1-cm stooH fled autpouchings of the sigmoid colon alongside the taeniae col The autpouchings protrude through the muscularis propria. Microscopic examination of a lesion shows a thin wal consisting of attenuated colonic mucosa and submucosa. Which ofthe following mectanisms best explains the formation of these lesions in the colon? © A) Abnormal development of the muscularis propria © B) Atrophy of the muscularis propria © 6) Hyperpiasia of the columnar epithelium © 0) ineressed intraluminal pressure O E) Neoplastic proliferation of the columnar epithelium 43, A16-year-old git with acute myslogonous leukemia undergoes a bone marrow transplant procedure. Her 19-year-old brather I the donor. Blood group and human leukocyte antigen (HLA) typing of patient and donor leukocytes are Patient Donor Blood Group AB, Rh-positive A, Rh-positive HLA 23 23 HAS. 57 5.19 HLADR 25 25 ‘Three weoks later, she develops a temperature of 374°C (98:3; adifuse, erythematous rash over most ofthe body, including the palmar and plantar surfaces; and watery diathea. Serum studies show an AST activity of 120 U/L (N=5-S5) and ALT activity of 180 U/L (N=5-45). Which ofthe following isthe ‘most likely diagnosis? © A) Acute rejection O 8) Cytomegalovirus infection O ©) Grat-versus-host disease O D) Hepatitis ¢ © E) Hyperacute rejection O F) Leukemia recurrence © 6) Serum sicxness 44. Ahoalthy 21-year-old woman i concerned that her son will develop familial neurologic disorder. Her older brother dio atthe ago of 45 years ater

You might also like