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* nbme 17 help ..
 #806004  
  usmle_step_123 - 04/26/15 22:49
 
  the question about which of the following compounds most likely stimulated hormone sensitive lipase in adipocytes that led to acidosis the last block question 10  
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* Re:nbme 17 help ..
#3212167
  rvusmle2013 - 04/26/15 22:50
 
  the blocks are diff for everyone.

this dude i remember. he had DKA. which mean decreased insulin.

usually insulin activates HSL...right?

since there is depleted insulin levels, epi is activating HSL
 
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* Re:nbme 17 help ..
#3212169
  usmle_step_123 - 04/26/15 22:57
 
  thanks rv once again you are sorting me out!  
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* Re:nbme 17 help ..
#3212170
  usmle_step_123 - 04/26/15 22:58
 
  but i think insulin usually inhibits HSL  
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* Re:nbme 17 help ..
#3212171
  usmle_step_123 - 04/26/15 22:59
 
  also you remember that 15 year old who had fam history of skin cancer.....what is the think about people her age group and compliance....is that she does the same as her peers?  
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* Re:nbme 17 help ..
#3212173
  rvusmle2013 - 04/26/15 23:12
 
  sorry i got confused.

decreased insulin levels will activate HSL.

in times of stress, Epi or Cortisol will activate HSL.

and yeah the teenager will apply sunscreen if all her peers start thinking its "cool"
 
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* Re:nbme 17 help ..
#3212175
  usmle_step_123 - 04/26/15 23:15
 
  Please another one rv..the question about pulse 130 and bp 80/60 up and down arrows about sym and parasym activity  
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* Re:nbme 17 help ..
#3212176
  usmle_step_123 - 04/26/15 23:18
 
  and the adnexa not palpable does that mean endometrial hyperplasia i  
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* Re:nbme 17 help ..
#3212177
  rvusmle2013 - 04/26/15 23:20
 
  Sym: UP
Parasymp: DOWN
b/c HR is up and BP is down


im not sure abt the endometrial hyperplasia one. i cant remember the exact question.
 
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* Re:nbme 17 help ..
#3212178
  usmle_step_123 - 04/26/15 23:26
 
  Thanks its the question where a 48 nulligravid has D and C shows abundant tissue. Interval bleeding and during menses,, no adnexa palapable..

endometriosis,
endomet metaplasia
endomet hyperplasia
 
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* Re:nbme 17 help ..
#3212179
  rvusmle2013 - 04/26/15 23:29
 
  oh yea. kk.

yup its endometrial hyperplasia
 
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