+- 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: NMBE 6 questions help! - studentjv (/showthread.php?tid=783398)
NMBE 6 questions help! - studentjv - ArchivalUser - 07-15-2014
an asymptomatic 57 yo man comes for rutine health examination. He has smoked one pack of cigarettes daily for 37 years. BP 180/112, pulse 82, abd exam shows a bruit in the RUQ and no masses . hto 42%, urea 23, cr 1,4. which is the most likely cause of this patient's bruit?
a accumulation of lipids in the areterial wall
b hypetrophy of the arterial wall media
c infiltration of areteial wall by giant cells
d infiltration of round cells in the arterial wall
e reflex vasodilation
I choose b and it is wrong. Which one is the correct option and why?
0 - ArchivalUser - 07-15-2014
A
0 - ArchivalUser - 07-15-2014
A
bruit in older person - MCC is atherosclerosis
younger pt. --> fibromuscular dysplasia --> b
0 - ArchivalUser - 07-15-2014
sorry what is MCC?
0 - ArchivalUser - 07-15-2014
A
0 - ArchivalUser - 07-16-2014
MCC is most common cause..i think
0 - ArchivalUser - 07-16-2014
mistletoe247 got it right.