+- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com)
+-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1)
+--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2)
+--- Thread: good for those whos exam is near - rizowana (/showthread.php?tid=340380)
0 - ArchivalUser - 10-15-2008
nbme q 120
#137631
myusmle - 11/10/06 21:39
A 39-year-old woman with rheumatoid arthritis develops proteinuria after treatment with penicillamine. Examination of tissue obtained on renal biopsy shows diffuse fine granular deposits of IgG and C3 in the glomerular basement membrane. The most likely diagnosis is
A) focal segmental sclerosis
B) Goodpasture's syndrome
C) IgA nephropathy
D) membranous glomerulonephritis
E) minimal change disease
Report Abuse
* Re:nbme q 120
#554064
rmansour - 11/10/06 21:41
DDD
Report Abuse
* Re:nbme q 120
#554199
eu_phoria - 11/10/06 22:27
D...
Report Abuse
0 - ArchivalUser - 10-15-2008
nbme q 98
#137603
myusmle - 11/10/06 21:31
A 35-year-old woman has had twelve 0.5 to 1.5-cm lesions on her neck, trunk, and limbs for the past 5 years. A lesion on her arm is shown. Which of the following is the most likely diagnosis?
A) Chronic hepatic disease
B) Cushing's syndrome
C) HIV infection
D) Melatonin excess
E) Neurofibromatosis
Report Abuse
* Re:nbme q 98
#554132
myusmle - 11/10/06 21:54
E -- neurofibromatosis
sorry cud`nt post the pic it`s a cafe au lait spot
Report Abuse
* Re:nbme q 98
#554198
rmansour - 11/10/06 22:25
YES I AGREE WITH YOU
0 - ArchivalUser - 10-15-2008
* nbme q 119
#137630
myusmle - 11/10/06 21:39
A 40-year-old woman has recurrent calcium-containing renal calculi. Which of the following strategies is most likely to decrease her risk for forming additional calculi?
A ) Administration of a thiazide diuretic
B ) Alkalinization of the urine
C ) Ingestion of a high-oxalate diet
D ) Ingestion of a high-protein diet
E ) Restriction of fluid intake
Report Abuse
* Re:nbme q 119
#554061
rmansour - 11/10/06 21:40
I'll say A
Report Abuse
* Re:nbme q 119
#554186
eu_phoria - 11/10/06 22:17
A... fits best
Report Abuse
* Re:nbme q 119
#554196
myusmle - 11/10/06 22:24
yes thiazides for calcium stone formers
0 - ArchivalUser - 10-15-2008
please please .please. please . CAN U SEN THIS PAGE TO MY E_MAILE PLEASE MY E_MAIL IS( agulmian)
0 - ArchivalUser - 10-16-2008
Q.who dint taken NBME2, better dont look this now
#349174
power99 - 10/16/08 02:13
Hi there!!
Plz answer this and explain if possible.
Thanks,
================================================
45 y/M comes to physicians office, because his wife noticed that his right pupil is "small".
Physical exam shows that rt. pupil is constricted and does not react to light. Left pupil is normal, This finding is due to lesion involving which of the following structures on the right?
A) cervical spinal cord
B) Frontal eye field
C) Lat. Geniculate body
D) Optic tract
E) Visual cortex
------------------------------------------------------------------------------------------------------
Which of the following drugs vasoconstriction that is not blocked by prazocin and bradycardia that is blocked by scopalamin--
1. Amphetamin
2. Angiotensin
3. NE
4. Phenylephrine
------------------------------------------------------------------------------------------------------
20 y man took 1L water over 1 hour. Which of the following sets of changes will occur at the end of 1 hour?
plasma ADH Urine osmolarity Urine flow
------------- ----------------- ======
a) increase increase increase
b) increase increase decrease
c) increase decrease decrease
d) increase decrease increase
e) decrease decrease increase
f) decrease increase increase
g) decrease increase decrease
h) decrease increase decrease
===============================================
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1514581
harsh - 10/16/08 05:06
aa...cervical spinal cord
bb....angiotensin
cc....decr decr increase
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1514606
250 - 10/16/08 06:26
last Q e dec,dec,inc
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1515787
power99 - 10/16/08 16:49
Answer given in NBME form 2 :
D.Optic tract..
2.Angiotensin
B. increase-- increase-- decrease
My points:
eye q: asks lesion on the right...so from given option spinal cord might not be best choice...
Water intake Q: how to explain: over 1 hr period, body systtem will response to this change, How?? might be by changing the water clearance?? right? so, hypotonic solution intake, like water, ECF volume expands, osmolarity goes down, macula densa senses it as hypotonic, gives signal to increase Na+ reabsorbtion from kidney tubules(PCT & TAL), --> DCT flow would become hypotonic--> but when tubular fluid pass through DCT to medullary CD, urine osmolarity should be matched to medulary osmolarity (1200 mosml/L) ---> , to make that equal, ADH secretion should be high...to make urine concentrated..
//// in a nutshel, 1L water intake over 1 hr, ADH will be increased, urine flow to be decreased? urine osmolarity to be normal ??
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1515921
upinthesky - 10/16/08 17:39
water q: ffff...
the increase of water in the body should not be kept there... and second, the ADH is one of the most important mechanisms in FAST regulation of body fluids..
increase in water intake: decrease in ADH, decrease in urine osmolarity ( since water is excreted) and increased urine flow...
for a private medical condition, i expierince that everyday... i'm supposed to take lots and lots of water... and that first: makes me go to the bathroom hundreds of times a day ( increased flow) and produces a very dilute urine!!! :-))
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1516106
agulmian - 10/16/08 19:28
ATTENTION PLZ****FIRST Q .FIRST IM TRYING TO EXLAINe u the wrong choice.if lesion in cervical ganglion the eye will dialated but react to light thi y this option is incrrect.option b is also incrrect bcz fron eye field play role in volatery horezantal congugate gaze area #8 neuron from there axon synapse with( pprf)mean pramedian pontin retecular formation from there axon reache to abdocence nucleus and othre axon goes in form of medial longetudinal fassicl synaps with occulomotor nucleuse which is inevat.medial rectus muscle and from abducense nucleuse to lateral rectus muscle.which has no role in pupel contraction,the explenation will take to much time .the crrect answere isC FOR 2.ANS IS 2,FOR 3RDE IF U HAVE DOUGHT ABOUT ANS#3 WHEN U WILL ASK BCZ ITS WILL TAKE TIME TO EXP.
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1516107
agulmian - 10/16/08 19:28
I NEED RESPONS PLZ ABOUT MY ANSWERE PLZ
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1516498
taurus13 - 10/16/08 23:36
For first question...
the answers is optic tract.. because the left eye is normal..both direct n indirect light reflex are presnt.. but the rt eye is not able to react to the light so the posb lesion is optic nerve...ie before Lateral geniculate nucles.. according options optic tract is correct one, if it affect LGN both dirct n indirect reflex could effect....llt eye could effect.. so i put the answer optic tract...
iam not correct but i eliminate the optionss..
cervical spinal cord effect only miosis but it will able to react light...i think so...
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1516511
taurus13 - 10/16/08 23:43
second one...
durg is not blocked by alpha blocker so u can eliminate the last two options..
angitensin causes vasoconstriction (it doesnt have alpha receptors,,,no action by alpha blocker)..
vasoconstriction cuases bradycardia that can be blocked by M blocker..scopolamine
if same situation if the drug is blocked by alpha blocker and bradycardia is blocked by scopolamine then the ans is NE
Report Abuse
* Re: Q.who dint taken NBME2, better dont look this
#1516517
taurus13 - 10/16/08 23:50
ADH is released in two consition..
1) increase osmoloarity
2) decrease in blood volume
so above ques.. 1 liter of water so the ADH is not released so,,,, plasma ADH decrease..
has increase intake so more excretion so increase in urinary flow...as increase in urinary vol urinary osm is decrease///
this question is nothing but primary polydipsia case...
0 - ArchivalUser - 10-16-2008
Great Site 2 practice image quizzs,try it guys
#349358
romeo007 - 10/16/08 13:31
http://image-challenge.nejm.org/default.aspx?mode=js#04062006
0 - ArchivalUser - 10-16-2008
* some sample questions for usmle
#349539
perseverence - 10/16/08 20:22
any thoughts on the following would be appreciated:
1) Schizo woman (in her 20s) who is hospitalized on the psych ward gets a deep leg wound requiring operation. She states that "I know I take meds for a mental problem, and I know that if I don't say yes for surgery the wound will worsen, but I don't think I will die." She requests to wait until her parents come before making a decision. What is the next best step for a physician to do?
a) respect the patient's wishes and confirm if parents are on their way
b) go ahead and operate because patient is in psych ward (therefore mentally unstable)
2) Patient is found wandering around park - naked and confused but alert. She is brought to the hosp by police that morning and when asked if she had eaten anything she states "Oh yes! They gave me a big sausage and cheese gourmet meal here for breakfast!" After which she starts chowing down on the food placed before her. What is this an example of?
a) confabulation
b) narcissism
3) IHSS - is it a hypertrophic problem or ischemic?
4) decreased cd4 and mhcII - due to which of following scenarios?
a) 2 days before final exam
b)1 week after recovery from virus
5) where does repolarization end of an ekg tracing?
a) end of Twave
b) beginning of Twave
c) at qrs sequence
6) phallus present, scrotum developed due to fusion of labial folds..due to what?
(if answer is androgen insensitivity syndrome, can it be also said as: increased maternal androgens crossing into placenta?)
7) blood in urine, patient from egypt -- what bug is it due to?
a) shistosoma hematobium
b) ecoli
c) proteus
8) child started throwing up on new feedings when fed fruits and starts trembling etc - - what enzyme deficient?
a) Fruc 1,6 bisphosphate aldolase
b) fructokinase
9) baby with jaundice and kernicterus - what enzyme missing?
10) Left kidney picture with it cut open ..showing a cord coming out that is twisted...what will this cause?
11) DVT in calf of person - what is lacking?
a) antithrombin III
b) fibrinogen
c) platelets
12) what drug given for atypical pneumonias?
13) Jamaican man on a diet of natural fruit juices, fruit, and regularly smokes marijuana because it is in his Rastafarian religion...what will you see?
a) Fe Def anemia with 10% sickled rbcs, 90% regular rbcs
b) Fe def anemia with normal rbc's
14) folate needed in which part of homocysteine metabolism?
15) abscence of which will lead to ovaries being produced embryologically?
a) abscence of SRY gene
b) abscence of anti-mullerian hormone
16)is painless hematuria over several occasions = bladder cancer?
17) do transcription factors attract rna nucleotides?
18) patient with MI history in his family , is a smoker, what is best advice physician can give to prevent an MI in this patient?
a) stop smoking
b) regular cardio exercise
19) patient who smokes and passed a kidney stone - what advice should physician give to prevent further incidences?
a) stop smoking
b) drink plenty of fluids
20) swelling of ankles and feet , protruding belly - due to?
(can it be increased circulating serum aldosterone? )
21) Down's patient has ASD - is it due to endocardial cushions defect or septum primum/secundum problem?
22) if snuffbox damaged...what structures will be damaged?
23) narcolepsy - do you see any brain damage here?
24) precursor to megakaryocyte?
25) picture of lower lip ulceration - due to patient being a smoker - deep necrotic looking ulcer.
a) squamous cell ca
b) basal cell ca
26) patient has neoplasm with increased Calcium in his serum - due to?
a) small cell lung ca
b) squamous cell lung ca
27) facial flushing with alcohol intake.. what enzyme inhibited?
28) foul smelling leg wound ..due to what?
a) staph aureus
b) cl. perfringens
29) patient presenting with jaundice, asterixis, - what vein or artery affected?
30) patient is alert but confused after Overdosing on a drug in the med cabinet at home. She is tachycardic, and has increased activity elsewhere. liver tests are normal. what drug was it?
a) aspirin
b) ibuprofen
c) opioid
d) diphenhydramine
e) acetomenophin
31) CF patient has steatorrhea...explain reason for steatorrhea ?
32) grapelike structure with increased HCG?
a) choriocarcinoma
b) hydatidiform mole
33) rectal bleeding and multiple diarrheal episodes - what gi problem is this?
a) UC
b) crohns
c) appendicitis
34) 6 wk old boy with copious vomiting..due to?
a) pyloric stenosis
b) hirschsprungs
35) pelvic xray given: what arteries if cut would bleed the most?
a) anterior internal iliac and pudendal
b) posterior internal iliac and pudendal
c) uterine and ovarian
36) xray of broken arm at elbow level - what dysfunctions will be seen?
37) elderly woman who found mass while doing a self breast exam..what can it be?
a) phylloides
b) fibrocystic
c) fibroadenoma
0 - ArchivalUser - 10-16-2008
Everyone copy and paste this link
#349386
letsallget99 - 10/16/08 14:15
http://www.punisher.byethost16.com/
Password : punisher
Remember sharing is caring..... Pass it on to everyone..... United together we all will succeed...
0 - ArchivalUser - 10-16-2008
* Great site for Neuro... Cross sections/ pathways
#349471
letsallget99 - 10/16/08 17:23
http://thalamus.wustl.edu/course/
Report Abuse
* Re:Great site for Neuro... Cross sections/ pathway
#1515891
hysty - 10/16/08 17:25
for CNS patho
http://library.med.utah.edu/WebPath/CNSHTML/CNS191.html
0 - ArchivalUser - 10-16-2008
* Re:Need NBME offline downloaded forms
#1514393
sas21 - 10/16/08 00:21
> http://rapidshare.com/files/124682007/imp_Part_1.rar>
> > > >
> >
> http://rapidshare.com/files/125936206/imp_part_2.rar>
> > > >
> >
> http://rapidshare.com/files/125938655/imp_part_3.rar>
> > > >
> >
> http://rapidshare.com/files/124682264/Imp_part_4.rar>
> > > >
> >
> http://rapidshare.com/files/125934572/Imp_part5.rar> >
> > >
> >
> http://rapidshare.com/files/125940023/imp_part_6.rar>