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NBME 11 block 1 q 1 to 50 - maryam2009
#61
Q-10 D

To add

since E.coli acquires drug R plasmid by conjugation.
The plasmid transfer between bacterias needs cell to cell contact through conjugation.And E coli is notorious for that.

posted by gvdynamic and immune
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#62
19..DD
let's first to correct my wrong post regarding the AST and ALT...
In alcohol consumption AST and ALT both are high but AST is 2 times higher than ALT.

Nonalcoholic steatohepatitis or NASH is a common, often “silent” liver disease. It resembles alcoholic liver disease, but occurs in people who drink little or no alcohol. The major feature in NASH is fat in the liver, along with inflammation and damage. Most people with NASH feel well and are not aware that they have a liver problem.

Diagnosis

NASH is usually first suspected in a person who is found to have elevations in liver tests that are included in routine blood test panels, such as alanine aminotransferase (ALT) or aspartate aminotransferase (AST). When further evaluation shows no apparent reason for liver disease (such as medications, viral hepatitis, or excessive use of alcohol) and when x rays or imaging studies of the liver show fat, NASH is suspected. The only means of proving a diagnosis of NASH and separating it from simple fatty liver is a liver biopsy. For a liver biopsy, a needle is inserted through the skin to remove a small piece of the liver. NASH is diagnosed when examination of the tissue with a microscope shows fat along with inflammation and damage to liver cells. If the tissue shows fat without inflammation and damage, simple fatty liver or NAFLD is diagnosed.
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#63
Please help...
Can someone please send me NBME 11 Block 1 questions?
Thank you so much in advance.
dawls2003
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