336 mile marathon - pepsi00

[ArchivalUser]

ya ddddd

[ArchivalUser]

A 20-year-old prostitute presents at a local
clinic with fever and abdominal tenderness at
day 2 of her menstrual cycle. Gram-negative
diplococci are seen in a Gram stain of vaginal
secretions with many of the bacteria inside
PMNs. Which of the following is likely the
most important virulence factor necessary for
this organism to initiate infection?
(A) capsule
(B) endotoxin
© hyaluronidase
(D) pili
(E) protease

[ArchivalUser]

u still there?

[ArchivalUser]

ddd

[ArchivalUser]

yes---

[ArchivalUser]

A 26 year old female presents to the physician after falling and injuring her hand in a squash game. The physician notes that the patient is of short stature and obese. In addition, the physician is able to elicit twitching of the facial muscles after tapping the patient's cheek right in front of her ear. The physician suspects an underlying genetic condition. Which of the following laboratory abnormalities is this patient likely to have as a result of the genetic condition?

A. Excess growth hormone
B. Hypercortisolism
C. Hypoaldosteronism
D. Hypocalcemia
E. Hypophosphatemia

[ArchivalUser]

dd

[ArchivalUser]

This patient likely has pseudohypoparathyroidism, an autosomal dominant genetic disorder in which the kidneys are unresponsive to parathyroid hormone, leading to hypocalcemia, and hyperphosphatemia. The cluster of obesity, short stature, shortened 4th and 5th metacarpals and hypocalcemia is characteristic of pseudohypoparathyroidism. The physician was able to elicit a Chvostek sign (twitching of facial muscles after tapping the facial nerve just in front of the ear) which is a sign of hypocalcemia. (Choice D)


Can High calcintonin cause this same thing?

[ArchivalUser]

both ddd...

if the patient has a ulcer in front of her ear then where do u check ?? (i meant equivalent of chvostek n i didnt mean the other sign seen - trosseau)

[ArchivalUser]

and wat is the sign seen in pseudohypopth??