Nbme Forum 2 Answers???

hey wasssup? i posted a bulletin before bout answers for NBME... but i accidentally said forum 1.... i really meant to say that i was wondering if anyone had answers to FORUM 2????

yur help would be much appreciated!

thanks so much!
Good luck studying!

"you've got to struggle before you bubble"

[Demarco]

This is someone's answer to NBME2 posted on this forum -- this is not my answer. I Please go over them carefully...

1. an obese 44 yo man w/ type 2 DM is unable to achieve---inhib of ATP-sens K+ channels.
2. a 67 yo man is admitted to the hosp b/c of worsening dyspnea over the past 6 hrs---sodium restricted diet.
3. a 3 wk old female infant w/ dehydration devel bilateral renal v. thrombosis---left ovarian.
4. a 48 yo man comes to his physician b/c his wife notices that his rt pupil "small"---frontal eye fields.
5. w/c of the fol immunosupp agents acts in the lymphocyte---cyclosporine.
6. an elderly woman has had gen bone pain and a loss of ht over last 5 yrs---disorderly osteoblastic & osteoclastic activity.
7. during DNA rep, w/ act---3' to 5' exonuclease.
8. when a cytogenetic abnormality is suspected in an infant---metaphase.
9. what is the major consequence of a hereditary defect---dec prod of ATP from glucose.
10. five months after initiation of chemotherapy---bleomycin.
11. a 78 yo man has had urinary retention---amitriptyline.
12. a healthy 25 yo woman who is 24 wks gestation---dec competency of LES.
13. a fluorescent molecule of 2,000 daltons---gap jxn.
14. 55 yo man being treat for CHF becomes confused a't his medications---inhib of Na/K ATPase.
15. a 12 yo girl is admitted to the hospital, anitistreptolysin O---myocardial edema w/ Aschoff bodies.
16. a 21 yo woman comes to dr b/c baginal discharge for past 2 wks---infertility.
17. an unimmunized 10 mo girl is brought to ED b/c temp of 40C---H influenza.
18. a patient who is taking probenecid---urate.
19. a 20 yo man ingests 1L water---down, down, up.
20. a 34 yo woman has had fatigue, irritability, intermittent lightheadness---microcytic anemia.
21. during w/c phase ventricular AP---phase letter C.
22. a 64 yo woman comes to the dr office b/c gradually worsening ab cramps---small intestines.
23. fetal and maternal erythrocytes---gamma chains.
24. three wks after being bitten by puppy---transport w/in the axons into CNS.
25. 50 yo woman comes to the dr b/c swelling of her left cheek for 2 wks---parotid gland.
26. eight hrs after ingesting 30g---hepatic necrosis.
27. an inc in activity of w/c of the G-6-P---glucokinases.
28. 32 yo man comes to dr for routine exam---Major Dep Disorder.
29. 46 yo man killed in an automobile accident---normal renal fxn.
30. benign prostatic enlargement---letter B.
31. after sampling red wine and cheese---tranycypromine.
32. a 27 yo man type 1 DM, stupor, DKA---infection.
33. PKU is AR---2/3.

1. during a marathon, 28 yo woman---beta endophins.
2. a.a. that contribute at least on nitrogen---ASP,Gly, GLUT.
3. a 60 yo man come to dr b/c of confusion & inability to conc---repeating a digit seq backward.
4. a male neonate has palpable mid ab mass---fusionof the metanephric masses.
5. a 3 wk old infant has milk intolerance---at the apical surfaces.
6. a 78 yo woman has a 2 mon of flailing movements---subthalamic nuc
7. a 14 yo boy devel a pruritic vesicular---IgE, mast, histamine, cytokines.
8. a 58 yo man devel acute coronary thrombosis---depletion of ATP.
9. w/c acting on phosphtidycholine---phospholipase C.
10. a 38 yo man, involuntary movements of the arm---huntingtons.
11. the absorption of calcium---1,25 dihydrocholecalciferol.
12. 23 yo woman, rust-colored sputum---strep pneumo
13. 24 yo man dies suddenly---potentiation of NE and blocking its presyn uptake.
14. endothelial cells of postcap venules---adherence.
15. a 2 yo boy has brittle dipigmented hair---collagen.
16. a 45 yo woman has a 3 month h/o persistent cough---dilated cardiomyopathy.
17. a 26 yo woman has Trichomonas vaginalis---wine.
18. a 4 yo boy dx by biochem testing---this sibling has MCAD def.
19. 28 yo woman, 37 wks gestation---compression of vena cava.
20. a 59 yo man undergoes repair of ab aortic aneurysm---karyolysis.
21. an 18 yo man has multiple bilateral angiomyolipomas---subependymal meningioma.
22. a previously healthy 19 yo woman, severe ab pain past 18 hrs---e coli.
23. an 18 yo man has nausea, parotid gland---ochitis.
25. a child born w/o limb---proliferation.
26. an obese 62 yo woman is brought to ED in a coma by EMT---glyburide.
27. a 16 yo girl has gen weakness and nocturnal leg cramps---renal tubular acidosis.
28. 38 yo woman has noticed the gradual devel goiter, antimicrosomal Ab--hashimoto thyroiditis.
29. 40 yo woman, auer rods---AML.
30. 31 yo black man w/ acute sinusits---penicillin.

1. the graph shows an isovolumetric press-flow curve---expiratory effort.
2. 45 yo man has fref HA, diffuse arthralgias---acromegaly.
3. ater sev courses of tx for non-hodgkin's lymphoma---cyclophosphamide.
4. a 23 yo woman has prolonged episodes of wheezing...---leukotrienes.
5. 45 yo wman says that her feet hot---somatic cutaneous afferent.
6. what is principle site of aspirin---letter G.
7. an examiner strokes a wisp---trigeminal.
8. 3 yo, blue slera---type I collagen.
9. 25 yo man, 100mL CCl4--severe hepatotoxicity as consequence.
10. the largest, NE---locus ceruleus.
11. 37 yo man spiking fever, C difficile---metronidazole.
12. 12 yo boy brought to ED b/c of vomiting and rapid breathing---beta hydroxybutyrate.
13. 55 yo man w/ DM, dysesthesias---substance P.
14. the photograph, occupation---asbestos.
15. CSF, magendie---letter G.
16. a 7 mon female infant , tonic-clonic seizure---biotin.
17. 42 yo woman 3 mo h/o intermittent reddish-brown---intraductal pailloma.
18. 50 woman has myalgias, nervousness---dec the dose of levothyroxine.
19. 42 yo man begins drug therapy for HTN---enalapril.
20. 41 yo woman remains hosp and in bed---pul infarct.
21. a previously healthy 2 year boy has 1x2cm mass---thyroglossal duct cyst.
22. 73 yo woman has bronchopneumonia, 5HPETE---5-lipoxygenase.
23. a mother reports that her 1 yo male infant---Duchenne's
24. the prevalence of a dz town A and B---the case fatality rate is twice as high in town A.
25. 20 yo woman, ibuprofen + misoprostol---spontaneous abortion.
26. 59 yo man, GGT activity inc---"how much do u drink in a typical wk?"
27. 58 yo man comes to dr b/c blood in urine---inc natural killer cell activity.
28. the recombinat vaccine used to immunize---HBsAg.
29. a 2 day old male neonate, intense cyanosis---transposition of great vessels.
30. 82 yo woman has become increasingly disoriented over past yr---multi-infarct dementia.
31. 35 yo married woman ---"i'm sorry, but i will need your husband's permission to discuss his care w/ u".

1. 45 yo woman who has acute diverticulitis devel severe hypotension, tachypnea, and tachy---degranulation of mast cells.
2. 4 yo girl has had inc difficulty climbing stairs---skewed X inactivation.
3. 2 yo boy brought to physician---motor and language-normal.
4. renal dz, long term admin of ---aspirin.
5. 16 yo boy brought to ED b/c of resp distress---hodgkin's dz.
6. a stressed myocardial cell that has no calcium---cell death.
7. a neonate has murmur at apex---tell the parents that this finding is normal but offer a cardio consultation.
8. the table dist of spinal cord injuries---54/101.
9. 65 yo man w/ inguinal adenopathy undergoes a lymph node biopsy---low-grade, high stage neoplasm.
10. a 3 yo boy has a 5 wk h/o of wt loss---atrophy of villi and microvilli.
11. 20 yo woman dx w/ clear cell car---diethylstilbestrol.
12. two months after renal transplant, 47 yo man has inc dyspnea---CMV.
13. a 3 yo boy w/ CF is eval for acute onset of uncontrolled nosebleed---carboxylation of prothrombin.
14. 61 yo woman has a10 yr h/o prog pain in hips, knees, and hand---osteoarthritis.
15. 27 yo man uses heroin, tricuspid valve---s aureus.
16. 35 yo woman has 1 mo h/o intermittent ptosis and diplopia---atropine.
17. normal cycles of ciliogenesis in oviduct---synthesis of cytokeratin.
18. a 45 yo woman has 7 mo h/o mod ab pain---chronic pancreatitis.
19. 40 yo man has the recent onset of right side chest pain---neutrophils, inc vascular perm, edema.
20. diagram, NO---letter E.
21. 26 yo man who is executive has 1 mo h/o ---panic disorder.
22. 65 yo man, delusional ideas a't landlord---dementia.
23. 75 yo man who is being tx for a fib---propranolol.
24. 68 yo man has bradykinesia---dopamine.
25. 52 yo woman, posterior lobe of pit gland---ADH.
26. the primary struc protein---tubulin.
27. w/c of immunosuppressive agents, epsilong chain---OKT3 monoclonal Ab.
28. 29 you, cough, flushing, diarrhea---bronchial carcinoid tumor.
29. 20 yo man, Meckel's ---gastric mucosa.
30. 56 yo man w/ extensive coronary a atherosclerotic dz---stim of cGMP accumulation.
31. the diagram conc Ca and PTH---letter A.
32. 50 yo woman, auscultation discloses a low pitched---malignant spindle cells.
33. 5 yo boy in ICU startled by beepers---classical conditioning.
34. a young couple has been unable to achieve viable pregnancy---implantation into the uterus.

Thank you so much Demarco (sorry if i spelt that wrong) You saved me alotta time! i was actually looking up all the answers online...cuz i had the questions... Thaaaaaaaaaanxxx!! yes, i'll go thru them carefully since its not garunteed that the answers are correct.

I really appreciate it Demarco, you've been very helpful to me...same with md90... YOU GUYS ARE THE BEST! i totally owe both of you!

"you've got to struggle, before you bubble" - Mr. Capone -E

[qazplm]

where do you go to get the nbme q after doing the exam. can you pm them to me...i have my exam soon

tx

I noticed some of the answers are wrong.(or at least i think they are)

#21-A patient with bilateral angiomyolipomas would most likely develop hamartomas. Both are associated with tuberous sclerosis.

#20-The only reversible cellular change would be cellular swelling. Karyolysis is irreversible cell damage.

#33-A boy who gets startled the first time but doesn't after a few times would be habituation, not classic conditioning.

These are just a few, there seem to be more....I might be mistaken on these, please correct me if i am...

[step1sucks]

Does anyone have form 1 answers?