NBME#1 block 1 Q1-----------Q10 - maryam2009

[ArchivalUser]

please choose and the Qs answer in order from 1 to 10 with a brief explanation.

[ArchivalUser]

Q1.B
Secondary Tuberclosis.due to reactivation of a previous primary TB ,involves one or both apics in upper lobs.Caseous necrosis and granolums are characteristic.

[ArchivalUser]

Q2.C
Potenial abuse in elderly and children must be reported.

[ArchivalUser]

Q3.B
Stage IV cancer and bedridden for 2 months,sudden onset of dyspenia and chest pain.......DVT

[ArchivalUser]

Q4.E
maryam2009 - 03/05/11 14:02

the location of the inflammation (distal 3 cm of the esoph.)indicates the problem is in the esophagus ,especialy after having meal and at night in lying down position the symptoms get worse ,so Barret's (GERD) E....
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usmle360 - 03/05/11 14:10

but E is more related with relaxation , I dont agree, D talks about hypersecretion, more appropiate answer.

[ArchivalUser]

Q5.C
Is there any idia about the ATP deplition?

[ArchivalUser]

Q6.?

[ArchivalUser]

Q5.
45 y/o f has an acute coronary oclusion,within seconds the ischemic region shows mitochondrial swelling and deplition of glycogen granules,which of the folowing metabolic events in the most likely cause of these cellular changes?
A.accumulation of free FA
B.ATP depletion
C.Degadation of memberane phospholipid
D.Efflux of K
E.influx of Na

[ArchivalUser]

b-previous discuss

[ArchivalUser]

I think so,but the answer was C