nbme 2 q 4 - acebutol - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: nbme 2 q 4 - acebutol (/showthread.php?tid=328670) |
nbme 2 q 4 - acebutol - ArchivalUser - 08-15-2008 4. A 57-year-old woman comes to the physician because of a 2-year history of increasing menstrual flow. She has not had hot flashes, insomnia, or change in bowel or bladder function. Her last menstrual period was 2 weeks ago. Pelvic examination shows a normal-appearing vulva, vagina, and cervix. The uterus is consistent in size with an 8-week gestation. Bimanual examination shows a 4-cm, firm, nontender left ovary. An endometrial biopsy specimen shows atypical complex endometrial hyperplasia. Which of the following is the most likely cause of this patient's hyperplasia? A ) Adrenal adenoma B ) Brenner tumor C ) Carcinoid tumor D ) Granulosa cell tumor E ) Hyperthecosis F ) Islet cell tumor G ) Sertoli-Leydig cell tumor 0 - ArchivalUser - 08-15-2008 28.) A 32-year-old woman comes to the physician because of a 3-month history of increasing pain and stiffness in her wrists, hands, and ankles. During this period, she also has had progressive fatigue and morning stiffness lasting 2 hours. She has a 1-year history of rheumatoid arthritis treated with naproxen. Examination shows redness, swelling, and warmth over the wrist, hand, and ankle joints bilaterally. There are nontender subcutaneous nodules over the extensor surfaces of both elbows. X-ray films of the hands show diffuse osteopenia and erosions over several of the distal metacarpal bones. Which of the following is the most appropriate pharmacotherapy? A) Add oral cyclophosphamide B) Add oral gold C) Add oral methotrexate D) Add oral penicillamine E ) Switch to oral ibuprofen 0 - ArchivalUser - 08-15-2008 1) Granulosa cell tumor 2)Oral MTX 0 - ArchivalUser - 08-15-2008 1) Granulosa cell tumor 2)Oral MTX |