USMLE Forum - Largest USMLE Community
plz help me diagnose exam on monday - dowite11 - Printable Version

+- 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: plz help me diagnose exam on monday - dowite11 (/showthread.php?tid=671279)



plz help me diagnose exam on monday - dowite11 - ArchivalUser - 04-13-2012

its in nbme 3-4
question 19
the woman feel very weak and lethargy after the says "too much stress on life" after the martial seperation, a job change, need to relocate and son's asthma excerbation. physical exam show no abno, what will be the lab findings??

what is the diagnosis...


2. a prolectinoma in male, how will that effect testosterone, FSH and LH....and how????



0 - ArchivalUser - 04-13-2012

ANSWER IS A


0 - ArchivalUser - 04-13-2012

thanks for the reply..... i know the answer i want to know what is the diagnose for that....and how is it A


0 - ArchivalUser - 04-13-2012

stress increase the stress hormone secretion (cortisol) which lead to increase protein breakdown and catabolism also decrease protein synthesis .
antibody also proteins ...thats why it is a

that is what i understand from the q but exact dx i do not know good luck in your test...


0 - ArchivalUser - 04-13-2012

thanks for the explaintion and for the prolectinoma????


0 - ArchivalUser - 04-13-2012

1-Always feeling Depressed and STRESSED:

can cause a decrease in the ability of the immune system to fight disease.


2-Hyperprolactinemia ----> Inhibit GnRH pulsation

so
GnRH--------- Dec
FSH----------- Dec
LH ------------ Dec
Testosterone- Dec

Estrogen------ Dec







0 - ArchivalUser - 04-13-2012

thank u sarim....seriously my heart is giving you lot of dua....you are always there for everyone....Smile i thank u


0 - ArchivalUser - 04-13-2012

Smile

All the Best .