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+--- Thread: nbme 2, block 1 - rizowana (/showthread.php?tid=643896)
nbme 2, block 1 - rizowana - ArchivalUser - 12-31-2011
4.) A 4-year-old girl is brought to the physician because of pallor
and jaundice for 2 days. She had previously been well, although she was
treated for jaundice with phototherapy for 2 weeks while a newborn.
Her mother and two additional maternal relatives underwent splenectomy
during childhood for unknown reasons. Examination of the patient shows
jaundice. The spleen tip is palpated 4 cm below the left costal margin.
Which of the following blood smear findings is most likely to explain this
family's condition ?
A) Elliptocytes
B) Howell-Jolly bodies
C) Schistocytes
D) Sickle cells
E) Spherocytes
0 - ArchivalUser - 12-31-2011
E
0 - ArchivalUser - 12-31-2011
spherocytes....HS usually is transmitted as an autosomal dominant trait, and the identification of the disorder in multiple generations of affected families is the rule
Anemia or hyperbilirubinemia in neonatal period ca be mild , moderate or sever and sometimes it is not present. Splenomegaly is the rule, and palpable spleens have been detected in more than 75% of affected patients.
0 - ArchivalUser - 12-31-2011
5.) A sexually active 20-year-old woman has had fever, chills, malaise, and pain of the
vulva for 2 days. Examination shows a vulvar pustule that has ulcerated and
formed multiple satellite lesions. Nodes are palpated in the inguinal and
femoral areas. A smear of fluid from the lesions establishes the diagnosis.
Which of the following is the most likely causal organism?
A) Chlamydia trachomatis
B) Haemophilus ducreyi
C) Neisseria gonorrhoeae
D) Streptococcus pyogenes (group A)
E) Treponema pallidum
0 - ArchivalUser - 12-31-2011
i dont have no 1,2, and 3 q of this block, can someone post these three q here in this thread please.
0 - ArchivalUser - 12-31-2011
In USMLE, there is only 2 painful ulcers : Haemophilus "do cryiiiii" ahd herpes....Thus the answer should be B.
0 - ArchivalUser - 12-31-2011
6.) A 5-year-old boy is brought to the physician 1 hour after
urinating bright red blood. He has been taking ibuprofen since injuring his
right flank while wrestling with friends yesterday; he also has been
taking penicillin for 3 days for streptococcal pharyngitis. His
temperature is 36.7 C (98 F), blood pressure is 90/48mm Hg, pulse is 108/min,
and respirations are 18/min. Examination shows purple ecchymoses over
the shins and right flank; there is tenderness of the right
costovertebral area. The abdomen is nontender. Genital examination shows no
abnormalities. There is no edema. Urinalysis shows gross blood;
microscopic examination shows 5–10 leukocytes/hpf and erythrocytes that
are too numerous to count. Which of the following is the most likely
explanation for this patient's hematuria?
A) Acute pyelonephritis
B) Ibuprofen-induced acute papillary necrosis
C) Post-streptococcal glomerulonephritis
D) Rhabdomyolysis
E) Traumatic injury to the kidney
0 - ArchivalUser - 12-31-2011
what is the answer? E?
0 - ArchivalUser - 12-31-2011
5-B
6-E
0 - ArchivalUser - 12-31-2011
7.) A 16-year-old girl comes to the physician for her first prenatal
visit at 12 weeks' gestation. She has not had any immunizations since
the age of 5 years. She has received the following immunizations at the
recommended ages:
5 Diphtheria-tetanus-pertussis
3 Hepatitis B
1 Measles-mumps-rubella
4 Oral poliovirus
Examination shows no abnormalities. Which of the following is the most
appropriate immunization to administer at this visit?
A) Diphtheria-tetanus-pertussis
B) Diphtheria (child)-tetanus toxoid
C) Diphtheria (adult)-tetanus toxoid
D) Haemophilus influenzae type b
E) Hepatitis B
F) Inactivated poliovirus
8.) A 12-year-old boy is brought to the physician because of
temperatures to 40.2 C (104.4 F), lethargy, and a stiff neck for 2 days. A
diagnosis of pneumococcal meningitis is made, and the child is admitted to
the hospital for antibiotic therapy. Serum studies 24 hours after
admission show:
Na+ 117 mEq/L
Cl– 89 mEq/L
HCO3– 25 mEq/L
Which of the following is the most likely explanation for these findings?
A) Excessive cortisol release
B) Hyperaldosteronism
C) Inappropriate secretion of ADH (vasopressin)
D) Increased production of leukotriene C4