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+--- Thread: plz solve six Q (from NBME form 1) - kumkum (/showthread.php?tid=352232)
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plz solve six Q (from NBME form 1) - kumkum - ArchivalUser - 10-23-2008
1Q. what will happen just after first few days of vasectomy?
#viable sperm comes out..
#erection problem
# scrotal sensory loss
# testicular atrophy
2Q. within a few seconds following coronary occlusion,for what consequence of metabolic actions does the mitochondrial swelling & depletion of glycogen granules occurs in the ischemic regional tissues ?
# due to ATP depletion ?
# due to influx of Na+ ?
# degration of membrane phospholipid?
#due to efflux of K+ ?
# due to accumulation of free FA?
3Q. A 50 Years age Pt with >10 yrs HTN. at his left lateral decubitus position, late diastolic sound is heard best with the bell of stetho at the apex of heart, What is the cause?
# AR
# AS
# MR
#MS
# TR
#Opening snap
# Pulm. insufficiency
# S3
#S4
4Q. A case of Female neonate with profund hypotonia with H/O polyhydromnios during gestational period. Mother has a lack of facial expression and weak muscles. But Mother had no significant childhood clinical presntation according to her statement. Which is the cause of the different presentation between mother and this neonate?
#anticipation
# delayed onset
# genetic heterogeniety
#incomplete penetrane
#pleotropy
5Q. A case of HTN due to 85% right renal artery occlusion. What is the best predictor indicating whether BP will becoming to normal after the operation.
# increased renin activity in the Lft renal artery vs. rt renal artery
# increased renin activity in the Lft renal vein vs. rt renal vein
# increased renin activity in the Right renal artery vs. left renal artery
# increased renin activity in the rt renal vein vs. Lft renal vein
6Q. From the values given in the table;
Which compound in the overall metabolic pathway VWXYZ will accumulate in the largest amount at equilibrium?
g0
---------------------------------------------------------------------------
option-a). VW -4.0 ?
option-b). WX +4.0 ?
option-c). XY -3.4 ?
option-d). YZ +3.5 ?
0 - ArchivalUser - 10-23-2008
6Q. From the values given in the table;
Which compound in the overall metabolic pathway VWXYZ will accumulate in the largest amount at equilibrium?
g0
---------------------------------------------------------------------------
option-a). VW = -4.0 ?
option-b). WX = +4.0 ?
option-c). XY = -3.4 ?
option-d). YZ = +3.5 ?
0 - ArchivalUser - 10-23-2008
6Q. From the values given in the table;
Which compound in the overall metabolic pathway VWXYZ will accumulate in the largest amount at equilibrium?
-----------------------g0 values
---------------------------------------------------------------------------
option-a) V to W = -4.0 ?
option-b) W to X = +4.0 ?
option-c) X to Y = -3.4 ?
option-d) Y to Z = +3.5 ?
0 - ArchivalUser - 10-23-2008
1. viable sperm come out
2. ATP depletion
3. S4
4. anticipation
5. increased renin in the right renal vein compared to the left renal vein
6. W
0 - ArchivalUser - 10-23-2008
Thanks friend,
can you explain hopingfor99 ...
why it is --
* viable sperm come out?
* anticipation?
I also gave ans to "ATP depletion" and found wrong according to the answers sheet coming out with respective NBME showing correct ans. as =degradation of membrane-phospholipid.
0 - ArchivalUser - 10-23-2008
1. it's a known fact that for about 2 wks after vasectomy, viable sperm can be ejaculated because sperm are present not only in the epididymis, but also throughout the vas deferens... that's why they advise to use some other form of contraceptive until it can be confirmed by an ejaculate collection that there are no sperm left... erectile problems and sensory loss are not known complications, and even if they do occur, viable sperm is more characteristic because it occurs ALL the time
0 - ArchivalUser - 10-23-2008
I did not know about this fact , thanks a lot..hopingfor99
0 - ArchivalUser - 10-23-2008
and...for the previous other q...
what is the diagnosis for that anticipation case?
0 - ArchivalUser - 10-23-2008
4. this is most likely myotonic dystrophy (a trinucleotide expansion disorder), but don't worry u didn't need to dx the dz to answer the question...
it's clear that both mother and daughter have the same dz, a form of muscle weakness... but the neonate has a more SEVERE and EARLIER presentation = definition of anticipation
0 - ArchivalUser - 10-23-2008
2. ATP depletion ---> pumps don't function ---> swelling
ATP depletion ---> breakdown of glycogen to provide energy