GARAM MASALA FILE for STEP I, exellent for above 90 score

[FarEastGrapplerMD]

GARAM MASALA FILE for STEP I, exellent for above 90 score...

ever hear of it? people in USMLEforum.com are posting about it. what have you docs here heard about it?

thanks

[krisley2c]

Hi, I found this at usmle.net , I am not sure about all the material this author has but this is something I got from him.
I went to www.usmle.on.to where they are giving for free a CD of this guy but I bought something from goljian and they never offered me the Free CD, I will work about it.

Garam Masala part 3
Garam Masala and Golijian's Questions
long sentence complement fixation test
gene counseling
smoking cession carcinogen
bacterial transduction
anorexia
seborrhatic keratosis
schizophrenia.
passive-aggressive disorder
pyloric stenosis
psudomembranous enterocolitis.
Digeorge syn
CD40L(-)
G6PD(-)
narcorepsy, sleep apnea
stranger/separate anxiousty, social phobia,
rotater cuff syndrom.
cellebellar injury
Body dismorphic disorder , malingering,
pneumonia,
papilloma V infection.
prion disease
aspelgilloma
acute HAV infection
carpal tunnel syndrome.
major depression,
Pick disease.Parkinsonism
Tenporal arteritis,cluster headache ,migraine headache.
endometriosis,
Paget's disease
Berger disease,
PPH,
Erb-duchhene
VUR
proximal fracture of fibula-drop feet,
scalenous sindrome,
portal hipertension: left gastric vein - esophageal veins,
patient with parkinson where is the lesion in MRI, patient with
Huntington idem
Renal cell carcinoma
hypertrophy of rigth ventricle,
changes after a week in a MI,
images of CVA, herniation of temporal lobe witch cranial nerve is first
afected,
x-rays with osteosarcoma, rhabdomiosarcoma,
Barrets esophagus
squamous metaplasia in a smoker,
squamos carcinoma of the penis
CT scan of acoustic schwanomma
. FEMALE WITH ALL THE CLASSIC SIGNS OF ECTOPIC PREGNANCY, BUT IN THE
HISTOLOGY IS ENDOMETRIUM STROMA, THEY ARE TESTING HISTOLOGY INDIRECTLY.
. MAN FROM BRAZIL WITH DISPNEA AND CONSTIPATION AND BLOATING (CHAGAS
DISEASE- INSECT BITE),
. CHILD WITH RHABDOMIOMA IN THE HEART, WHERE EALSE DOES HE HAVE TUMORS-
BRAIN)
spinal cord lesions in polio, lesion of burdach tract, internuclear
opthalmoplegia. mechanism of action and side effects of penicillin,
vancomycin, aminoglicosids, quinolones,rifampicin, cis-platin, ketoconazole,
quinidine, propanolol, acetaminophen, aspirin, analize curves of steady
state and clinical studies..
internal and external genital development
1-thyroid gland development
2-epididymis developmen
3-head of radius fracture during pronetion which ligament effected?
anular ligament
4 amylotrophic lateral sclerosis
5-middle meningial artery effect in epidural haematoma
6- one mri gave me a arrow(that is sustaintia nigra) and told if 80%
lost which part of brain effected i picked striatum...don't know right or
wrong
7- occulomotor nerve lession
8-questions from ear gave the weber test result and say which part of
ear effect...
9 herpes virus,measles,lyme disease,..endotoxin shock gave a pic and
told which part cause shock
10 a pic of dna and told where helicase work
11 one pic ot trna and told where amino acid attach
12 blot testing,VNTR ,restriction fragment
13 they gave a X drug that cause asthma and increased blood pressure
what is Y dug that only decreased blood pressure.
14 acctaminophan overdose what would be happened if u don't give any
15 heroine withdrowl.side effect of haloperidal.what dantrogene does?
16 gastrin.CCK..
17 where hypoxia cause vasocontriction
18 idiopathic hypertrophic subaortic stenosis,question was a pl with
all symptoms of this,what u thing gave me 5 choice,like
congenital,idiopathic,immune and genetic
19 like BPH, then you had to figure out which structure on a labelled
pelvic CT
20 a case would be about meningitis, but would show you a histo slide
and then ask what is the component in the vaccination for that disease.
21 couple of Hardy Weinberg equations
22 actions of inhibin and that an athlete was takin anabolic steroids
etc.
23 anti neoplastic drug side effects ,( blemycin being Pulmonary
Fibrosis etc)
24 Urea cycle, label the place where in urea was formed!
25 What should you do if you have a pt (72) that became hospitalized
repeatedly and in deed need nursing home care? But the family does not
want that. Should you keep the pt admitted again, ask court to pick one
who will handle this, refuse or make a family meeting with patient. The
question also mentioned that the patient does not speak English
26 A patient (49) with 1A colon cancer does not want resection- says
that he will eventually die. Will you prescribe anxiolytic and then
discuss for consent or honor patients wish, D him.
27 Old Patient with diffuse metastatic lesion, when the report came
should you tell him directly or ask him if it is better to sit with the
wife together and discuss about the results.
the correct answer is to say "I need to talk to you, do you mind if
your family waits outside" and NOT "I need to talk to you, would you like
your wife present?" This way if he is ok with having his wife present,
he will override you and say its ok.If you say the second phrase, it
will pressure him to have his wife present if he does not want here there
when he hears the news
28 There was a photomicrograph of one patient died young due to
coronary atherosclerosis and in subsequent questions, another pt died young -
in field due to hypertrophic cardiomyopathy
29 one was about sudden death, obviously due to rupture aneurysm
30 Famous optic pathway block picture was there- question was about the
pat who had craniopharyngioma! Sudden loss of vision question came with
embolism hint of the central ret. artery.
31 got a Herpes Zoster slide- it did not ask what caused it rather
asked the mechanism for the blister formation
32 knee joint veiw arrow at med. collateral ligament.
33 Enzyme Kinetics- how substrate value change affect competitive
inhibition, they used G6PD deficiency question
34 a long sequence for point mutation detection
35 Foscarnet, Rifampicin
36 Humerus fracture shaft was the gross anat. question
37 CT of the Knee joint pointing at ACL, coronal section of abdomen
with pointer at pancreas were there.


1. maple syrup urine disease
2. cherry-red spot- enzyme deficiency
3. ct of the thorax- identification of mediastinal structures
4. gross brain specimens- LOTS of them- sections at different levels
5. brachial plexus questions- muscular deficit given- identify lesion
on a diagram of the plexus
6. drug induced sle
7. prostatic ca
8. lyme disease
9. vibrio parahaemolyticus
10. parkinsons disease
11. chest x ***- showing aspirated object- identify which lobe of lung
it has lodged in
12. genetics- transposons... jumping genes! move readily from one site
to another,within a DNA or between DNAs in
bacteria,plasmids,bacteriophages… code for drug resistance enzymes,toxins,or a varity of metabolic
enzymes
13.CT of abdomen-at the level of pancreas
14. VITAMIN D/ calcium/ phosphate metabolism-rickets
15.mediastinal anatomy-
16.stroke localization
17.ethics questions- regarding elderly patient with dementia- and who
would make the decision about whether or not to continue icu care-
18. atrophic gastritis
19. vitamin b12 def....
20. thiamine def in alcoholics
21. syringomyelia
22. hardy-weinberg calculations....
23.alcohol metabolism. DISULRIRAM blocks the second step:
acetaldehyde dehydrogenase
24. drugs for osteoporosis
25. HRT
26. GBS-guillian barre syndrome
27. cimetidine.............effect on p450 and drug metabolism
28. sensitivity/specificity calculation
29. study design identification- clinical trial and case control is
what i remember
30. pulmonary embolism- 2 questions
31. duchennes muscular dystrophy
32. autism
33. affect of p53 deletion
34. benzodiazepines- mechanism of action/metabolism/changes in dosage
for elderly
35. PCO- history given- had to know gross
36. sensitivity and odds ratio
37.marfans syndrome
38.men1 and men2 syndrome 2 questions
39 congenital diaphragamatic hernia in a baby who died.origin of the
respiratory diffuculty: pulmonary hypoplasia
40 plycystic kidney and asked what other thing to look for (Berry
aneurysms).
41 One guy who looks up all the info about the disease he has on the
internet. What do you say when he confronts your medical treatment with
what he read.
42 The other one about the family that doesn’t want you to tell the
patient if his test result comes out cancer+, because they are afraid
he’ll get depressed.
43 one about a 70year old man who tried to kill himself, broughtin by
his wife. After you treat him, he doesn’t want to be admitted to
Psychiatry. What do you do? must admit because he is a threat to himself
44 They ask for prevalence from a 2x2 table, which is fairly easy (all
you have to do is count the ones with the disease!),and they ask about
the positive predictive value “what is the likelihood that this person
is really sick”.
45 what grade of Tanner has a girl in her growth spurt?
46 one where a girl had a neurotoxicity after INH for TBC prophylaxis.
What drug could’ve prevented that? B6
47 antineo for testicular cancer causes pulmonary dysfunction..
bleomycin
48 A woman with a clear case of SLE, and a list of drugs, with
Procainamide included
49 The mechanism of resistance to Acyclovir (T-kynase)
50 and what drug do you add to AZT and another transcriptase inhibitor
in a triple drug therapy? The protease inhibitor (only one on the list
of alternatives
51 What AB to use in a urethritis after ceftriaxone, if you suspect
Chlamydia? doxy.
52 arachidonic pathway
53 Where does sumatriptan act (which receptor).
54 At least a dozen questions on second messengers, where do drugs work
55 a lot of median nerve-brachial plexus-lumbar plexus, like it was
expectable. What trunk do you damage when you pull someone hard by the
arm; the case of a kid with a leg cast, and after a while, loss of
sensation on the dorsum of foot and foot drop: they didn’t ask the nerve, but
they asked where is the nerve likely compressed: it’s the fibular neck.
which tendons does the median nerve go between on its way to the hand?
Ans: in forarm between the humeral&ulnar heads of pronator teres
muscle,then between flexor digitorum superficialis&flexor digitorum
profondus.
What is the carpal bone that you fracture when you fall with
outstretched hand
56 a Brown Sequard, point the zone on the medulla where the damage is
57 A 2 yr old boy with a lesion on his cerebellum: CLEARLY a tumor, and
they ask what it is: only 2 primary brain tumors in the alternatives,
one GBM and one medulloblastoma.
58 A CT scan of the brain, showing the basal ganglia: where is the
lesion in Huntington?
59 A cut of the spinal cord: where is the lesion in a loss of
propioception of your left leg? Gracilis.
60 urea cycle
61 ezyme deficiency in Krabbe’s disease
62 which bonds change when you go from alpha helix to beta pleated
sheet.. INTRAchain hydrogen bonds convert to INTERchain hydrogen bonds
which are covalent, wich are disulfide, a lot of secondary and tertiary
structure questions about different proteins
63 action of lysyl oxidase in the making of collagen.. cross linking of
tropocollagen molecules
64 Asked about food poisoning with seafood
65 how to differentiate between S.aureus and other staphs
66 asked about the virulence mechanisms of some bugs
67 One malaria question
68 a CT scan of an HIV man with toxoplasmosis. Clearly toxoplasmosis.
69 sporotrichosis
70 The story of a 3 year old kid with meningitis: they show you the CSF
with four CLEAR G(-) rods… what vaccine could’ve prevented this? The
polysaccharide with a protein carrier.
71 MEMORIZE THE VIRUSES IN TERMS OF are they DNA, RNA, enveloped or
not, positive sense or not, ss or ds.
72 the lactose (+) and (-), the motile ones, etc.
73 Which cytokines help do damage in a sepsis by E.coli? IL-1 and
TNF-alpha.
74 A kid with the classic triad: eczema, bleeding and resp infections:
Wiskott Aldrich.
75 kid with clear meningitis: they showed you the CSF with a lot of PMN
and diplococcus and tell you that the brother had a similar case two
years ago. What is wrong with the family? Meningococcus, complement
deficiency (mb attack complex).
76 PAH in which the transporters were saturated (it reached the flat
line) and asked what is decreased at the flat line compared to the
secretion line? it was the clearance, that decreased until it becomes the
same as inulin clearance
77 MRI of the rectus muscles.
78 Horner's syndrome from CXR
79 pelvic CT
80 skull xray for maxillary sinus
81 hiatal hernia
82 thoracodorsal nerve
83 identify trigeminal on BW gross brainstem
84 pulm hypoplasia
85 duodenal atresia
86 ASD
87 biochem reg enzymes (show you the pathway and point where it is
88 pinworms and strongyloides
89 blood smears w/ anemia Q
90 treatment of gout, asthms, cardia drugs, INH on p450, ethosuximide
for absence seizures, mechanisms of action of ABx, colchicine,
griseosulvin, ampho B. 2 ques on arrow tracing in animal expt (give drug X, then
y, then x again). Also AUC, efficacy
91 pupillary dilation reflex
92 the corneal blink reflex
93 Someone could not evert or dorsiflex the foot, what nerve is
damaged? peroneal n.
94 the cardiac cycle and where the valves close and open.
95 few aortic pressure curves. know your heart murmurs.
96 drugs that increase or decrease P450 metabolism
97 hormonal control of metabolism
98 INH and hepatotoxicity
99 Pseudomones and CF
100 one horizontal CT and you had to locate thalamus vs. internal
capsule
101==one arteriogram showing circle of willis
102=leg innervation, abdominal blood supply
103 which cranial nerves are belonging to which region (midbrain, pons,
medulla, etc....)
104==sporothrix ,aspergillus ,trichophyton
105=-ventral midbrain or weber's syndrome [ image - and point to the
site of lesion
106=-radial nerve [ basically they gave the clinical signs of radial
nerve injury and asked for the fracture that could cause it - shaft of
humerus #] ,common peroneal nerve injury ...
107=hypertensive patient given a drug that causes hyperglycemia and
hyperuricemia [ thiazides] ,drug contraindicated in hypertensive with
asthma [ beta blockers] ,mechanism of action of vancomycin , cisplatin
,calcium channel blockers ,enzyme blocked by aspirin , side effects of
acetaminophen ---
108=main risk factor for ovarian carcinoma, main risk factor for Renal
cell carcinoma
. ovarian cancer:age>45yr,BRCA1 gene,FH+,number of lifetime
ovulations,caucasian or asian,nulliparity,infertility or late menopause,industrial
society,perineal talc use
. RCC:cigarette smoking,obesity,acquied renal cyst in ESRD,gene
deletion in chromosome 3 that's associated with VHL
109==competitive inhibition , pka , lesch nyhan syndrome
110==questions on MHC class 1 and MHC class 2 --- whether in lysosomes
or ER etc - interleukin that stimulates CD8+ lymphocytes [IL 2] ,Di
george syndrome , SCID ...
111==history of a person with one sided headache plus rhinorrhoea plus
lacrimation ---and past history of a similar attack which didnt last
long --- answer :cluster headach
112==Vitamin K deficiency
113==hamiballismus, where is the lesion,wallenburg's, where in the
medulla is the lesion
114==usual mi enzyme ?-old man found dead,2 weeks,what'll u look for
115==couple of graphs-one on transport maximums,couple of a/v
curves,heart block,kawasakis,asthma-zafirlukast,paraneoplastic syn,wilm's,cns
tumor in kids-whether infratentorial and commonest,pckd and berry
aneurysms
116==warfarin/ anticonvulsants/ antipsychotics/
erythromycin/vancomyxin/atropine/epinephrine reversal graphically/ ccs and nccs tumor
drugs/their routes of action/ interferon/ anitiarrythmics
117==.fungi/ hot tub folliculitis (P.aueroginosa)/ diabetic external
otitis/ gardener's hand inf/ deer hunter's hand inf-tularemia/ wood
cutter with vague respiratory s/o-blasto/ ohio guy with routine xray showing
stuff-coccidio-will i treat-no i wont cos he is asymptomatic/
leptospirosis/human bite and usual impetigo/ meninigococci/trichomonas/
pneumococcal vaccine/ klebsiella
118==q on michaelis mentin eq, two q's on fructose2,6 biphosphate and
its allosteric regulation of gylcolytic pathway. another q was like,
glutamine dehydrogenase catalyzes the reaction for the synth of ,... urea,
purine and pyramidine nucleotides. ans is purine
119==common carotid artery develops from which aortic arch ( 3rd) ,
neural crest cells give rise to which part of the heart......aortico-pulm
septum.
120==bilateral renal agenesis was diag in utero. if the baby is born
alive, whats the complication with which it would die. choices that were
close were anuria and pulmonary immaturity. answer was pulm immaturity.
121 erythropiesis occurs in what part in first trimester… yolk sac
122==raa system. b12 def. calcium metabolism
123=mlf lesion, ct showing epidural hematoma, asked which vessel was
damaged. another brain ct asking me to point substantia nigra.
124==xr with ant shoulder dislocation, asking for the nerve damaged.
another q on fracture of shaft of humerus, and its effect. ( extensor m
paralysis due to radial n palsy)
brachial plexus, asking ulnar n to be identified. blow on lat aspect of
knee joint and which action would be lost (dorsiflexion ) woman could
not raise extended leg against resistance, what n injured?
125==source of bleeding in a cirrhotic pt with hematemesis.
126==second messenger for glucagon
127==site of action for all diuretics. another q on haart theray.
128==Be familiar with vaccinations (i.e. live-attenuated vs. killed),
and understand the molecular basis of the four different types of
hypersensitivity reactions. Know MHC Class I & Class II (locations of peptide
loading), CD4 helper, CD8 cytotoxic, and the Th1/Th2 profiles.
129==Knowing where all of the NTs (Ach, Dopamine, 5-HT) are located in
the brain
NE:locus coeuruleus/serotonin:raphe nuclei/Ach:through the brain,highly
concentrated in substancia innominata/dopamine:substantia
nigra,midbrain,hypothalamus
133===Cardiac cicle question (like in Qbank), PAH excretion diagram,
one very weird question of acid-base balance in a person who is
mointains, experimental question with cardiac muscle (simple to work out),
arachidonic acid cascade
134===change MAP if change systolic or diastolic pressure with diagrams
to point out as an answer. One Cardiac output calculation. One tumor
marker q (erb-2).
135 p from china with 5-month history of nose bleeding and cervical
limphadenopathy, the biopsy of limph - EBV found, what is diagnosis …
nasopharengeal
136==Lithium poisoning, Indometacin and Aspirin
137== woman who took anticholestemic therapy and now have muscle cramp,
which couple of drugs is used. statins,gemfibrosil,clofibrate
139==rifampin mechanism
140==where renal loop system is given and the question is where does
amynoglicoside have their nephrotoxic effect(proximal loop)
141==one q with an image of parasite with clearly injested erythrocites
143 Parathyroid vascularization
144 antibody against myosin of striated muscles is elaborated that
disrupt miosin connection from cell membrane. Indicate on image where this
distrapted myosin is ?
145 identify endo reticulum, which follicle has the antrum (graffian
follicle)
146 one CT of the abdomen that wanted you to locate the spleen
147==radiograph of the skull to locate where the pituitary gland would
be.
148==thyroid tissue with arrow , which arrow shows c cell? Adrenal
tissue showing Zona glomerulosa
149==mediatinum cross section with ascending aorta.
150==Know Meig's syndrome (woman with fibroma,ascites,pleural effusion
except they didn't mention pleural effusion!
151===.what codes for the aminoacid sequence in a polypeptide chain.?
152.what does homeobox genes code for? in fetus
development,substitution of one body part for another is called homeotic mutation,the,these
genes contain a 180-base pair sequence:that called HOMEBOX:it encodes a
60 amino acid long region:homedomain,homedomain binds to DNA segments
153.mechnism of action of streptomycin?
154.str of tyrosine?
155.infection in total parental nutrition? candida
156.woman with AIDS IS at a risk of developing....cns lymphoma by EB
virus
157.what increases in the marrow following
hemorrhage...bilirubin,ferritin,erythropoietin,ami nolevulinate?
158.mec action of cmyc oncogene?
159.mec of action of insulin receptor?
160 man having an old MI,anterior wall and what would you find
pathologically
161.bladder ca ,what defines the malignant
potential...papillary,superficial spreading,adeno...
162.complication of BPH?
163.14 yr old and mother come for physical exam before the kid goes to
summer camp and mother insists on staying in the exam room with the
daughter,what will you say next?
164. whom can you involve in a research study....scizophrenic on
treatment or an elderly person with alzhimer's or a person with picks dis...?
165.identification of pineal gland in ct scan
166.identification of caudate nucleus in ct...given a question abt
clinical features of huntingtons chorea
167.brachial plexus injury....erb's palsy,radial nerve injury
MORE...

1. Farmer comes in with increased salivation, muscle spasam, and
bradycardia- Treatment(Tx)?
2.Patient treated for hernia by surgery, develops muscle pain-why?
3. Smoker has wrinkles/pigmentation below eyes-Tx?
4. What drug is used to treat spastic component of MS?
baclofen,GABA(B)agonist
5. Mechanism of Bromocriptine in migraine ? ergotamine with
vasoconstrictor action
6. Mechanism of resistance of Acyclovir? altered or deficient thymidine
kinase&DNA polymerase… CMV resistant coz it lacks a specific viral
thymidine kinase
7. Pt. on warfarin has decreased PTT at home but not at hospital? pt.
is taking something else that increaes the metablism of warfarin i.e
cyt.450 inducer perhaps alchohol.
8. Main Se of TCA drugs?
9. Sx of aspirin toxicity?
10. 17 yo girl, bullimia nervosa, takes excessive laxative- SE?
Melanosis coli
1. WHAT TYPE OF BOND IS INVOLVED IN SICKLE CELL ANEMIA?
2. CLINICAL HISTORY OF PATIENT WITH PORPHYRIA. WHAT PROTIEN INVOLVED?
heme
3. CLINICAL HISTORY OF PATIENT WIHT LACTASE DEFICIENCY, WHAT TYPE OF
DIARRHEA? osmotic
4. SOURCE OF AMINA ACIDS FOR GLUCONEO? Alanine and all essential AAs
except lysine&leucine
5. COMPOUNDS ALL HAVE SAME NUMBER OF CARBON ATOMS, WHICH HAS THE
HIGHEST ENERGY-O2, H2, N2, SULPHER
6. WHY INFANTS WITH BROWN FAT HAVE MORE HEAT? Brown fat is thermogenic,
and has more mitochondria
7. PATHWAY OF LDL, WHERE IS CHOLESTOROL RELEASED?
8. 40 YEAR OLD PAT WITH BP 128/80, DECR. LDL, DECR CHOL, DECR. HDL.
WHAT IS HE AT RISK FOR?
in familial alpha-lipoprotein defeciency:Tangier's disease:absence of
apoA:AR,serum cholestrol,HDL low, not LDL, TG normal or elevated
clinical presentation: enlarged, yellow-orange tonsils,
hepatomegaly,splenomegaly,neurologic defecit
patients are unable to eliminate cholesterol from cells, leading to its
buildup in the tonsils and other organs, they r at risk of coronary
artery disease
9. PANCREATIC DAMAGE. WHAT ENZYMES ARE MOST AFFECTED? LIPASE,AMYLASE
10. WHAT IS THE FORM OF CO2 MAINLY CARRIED BY BLOOD? HCO3
11. HUMANS HAVE 30,000 GENES, AND ONLY 300 AA ? rearrangement of AA
12. PCR FUNCTIONS AT WHAT ORGANELLE?
13. MECH OF ACTION OF C-MYC ONCOGENE? helix-loop-helix protein
14. MECH OF ACTION OF CARCINOGENESIS OF ROUS SARCOMA VIRUS?
oncogene:src,protein tyrosine kinase
1. A patient cant stand up while sitting , damage to what muscle and
nerve? g maximus..inf gluteal n
2. Origin of cauda equina of spinal cord?
3. CT. of brain, show defect which gives loss of sensation to the
abdomen?
4. CT of spinal cord, show lesion which causes loss of sensation to
upper arm?
5. History of patient with horizontal nystagmus, what cranial nerve is
involved?
6. Diagram of kidney , with dilated ureter, where is the stone?
7. Male with ambiguous genitalia, what is the embroyological
abnormality?
8. What supplies blood to the proximal ureter?
9. Siamese twins have monochorion or monoamnion? both
10. if an object is swallowed it will enter right lobe, but what part
of right lobe?
11. carpal tunnel case, what nerves affected other than median?
12. what is the watershed area of circle of willis?
13. what is the best way to palpate the spleen? 2nd best way?
14. Lungs grow embryolically into what space?
1- what is the most important risk factor for suicide? Previous attempt
2. what is the most important risk factor for depression?
3. which drug has the worst effect when give with alchohol:cocaine,
heroin, LSA, barbituates? barbiturates:excessive sedative effect
4. Newborn with excessive salivation, lacrimation. what drug is
involved: cocaine, heroin, alcohol? heroin,newborn in withdrawal phase now!
5. patient with history of panic disorder, treatment?
6. Patient with hospital history of 10 admissions for pain but no
pathology, what should you do: refer to psych, decr. visits, incr. visits,
admit again? should make visits (regularly
7 Odds ratio calculated for what type of study: case control, cohort,
cross sectional?
10 Kid, out of school, doing fine, starts school, starts hallucinating?
seperation anxiety
11. Child with problems reading but no problems with math or social
studies? angular gyrus
1. What side effect will procarbazine cause 3 years after
discontinuation of use? AML
2. MOA of cascara? laxative,contains emodin which stimulates colonic
activity
3. stool softener drugs? docusate sodium, mineral oil, glycerin
suppositories
8. Digoxin effect on K? HYPERkalemia (HYPOkalemia is a P.F for
toxicity)
9. How prostglandins vasodilate?
10. Drug of choice for hyperthyroidism?
11. Primaquine is used in liver stages of Malaria bc?
12. What drugs cause avascular necrosis. corticosteroids
1. What is the common cause of diarrheal illness in children during the
Janaury month.
rota virus
2. What happens if you eat a diet deficient in phenylalanine;
(Ans:negative nitrogen balance, TYROSINE BECOMES AN ESSENTIAL AMINOACID)
3. translocation in AML (t15:17); In one test item there was this
karyotype and I was asked the result of this translocation. Another
question: peripheral blood smear with a lot of Auer rods and was asked, what is
the mutation.
4. Mechanism of action of hormones and neurotransmitters ,What happens
to the if cAMP is depleted; what happens if a step is blocked or if
there is a genetic defect in the receptor ie defect in the pathway of the
mechanism of action.
5. normal anatomy in CTs and MRIs
6. identify the cranial nerve in the given photograph of the brain
stem.
7. starry sky appearance (Burkitt's lymphoma.)
8. clincal presentation of right parietal lobe infarction.
9. gross image of a single large parieto-frontal defect and was asked
as to what is the likely organism that can cause this in AIDS.
10. slide from male genital system and asked to identify the androgen
secreting cell.
13. a polypeptide is cleaved to result in so and so fragments and
attachment of these with so and so (palindrome and sticky ends)
14. Which structure is affected if an ulcer on the posterior aspect of
the descending part of the duodenum is perforated .{Pancreas , Lesser
sac and panc duod vessels}
15. If you stand with one leg on the ground and with the other leg off
the ground and bent at knee which muscle you are stretching. quadriceps
16. Which drug stops translation at the polypeptide stage.
17. Where exactly do the aminoglycosides act to cause nephrotoxicity ie
the part of the nephron that gets damaged.
18. Alpha and beta agonists , antagonists. Epinehrine reversal
19. All of autonomic system is high-yield.
20. Types of bladders are important ie neurogenic, automatic;where the
lesion in each.
21. Chemical mediators of inflammation is another area of GOLD MINE
..,mediators in ashthmatic response
22. Large tongue, lethargy, poor feeding --Hypothyroidsm or Down's ?
Hypothyroidsm
23. Patient is on warfarin and is given metronidazole and what happens
to PT ; How does metronidazole act here; MICROSOMAL ENZYME SYSTEM
INDUCERS AND INHIBITORS AND VARIOUS DRUG INTERACTIONS ARE GOLD.
24. Mechanism of action of thipentone and side effects and what
happened at the cellular level and treatment of malignant hyperthermia is also
GOLD.
25.Gross pathology changes in Parkinson's, Huntington's ,Wilson's, ALS,
B12 deficiency.
26. What happens in a patient on a pure vegetarian diet ..,
27. A fall backwards in an old patient caused a countrecoup injury ;
gross appearence changes of brain with aging; Normal and abnormal aging
changes.
28 What happens on adminstration of epinephrine if cAMP is blocked.
29. Cardiac cycle and the aortic curve and the atrial changes; When
does each valve closes and opens is important.
30. Frank-Starling graph is GOLD.
31. What happens if cranial nerve IX or the X is sectioned at the
carotid body.
32. Hardy-Weinberg law.
33. Memory pathways; Role of hippocampus in indexing; role of temporal
lobe ,frontal lobe;
34. "Alpha feto protein elevated in" where type of question was there.
35. VSD and transposition of great vessels embryogenesis is important.
36.Common cause of subdural hematoma in an elderly patient.
37. Lateral wall MI ---Which is the vessel involved; which leads show
up; which lead looks at which best;what does abnormality in each lead
means;
38. Von Hippel, Li Fraumeni syndrome.
39. Oxygen radicals and defects in NADPH oxidase; The pathway here ie
H2O2 genesis to O2 minus (superoxide) to HOCL minus is important.
40 Hydatiform mole and choriocarcinoma --differences, gross appearances
and genetic make up of each is important.
41. Parathyroid hormone--mechanism of action .
42. Water shed area of brain and colon.
1. know your mediators (IL-2, IL-456, IL 10, TNf,TGF, IFN)
2. know cd 16 and 56 are killer cells
3. where both clotting pathways meet
4. acute MI what the gross and histo look like at all stages,
5. brachial plexus
6. know 2nd messengers-oxtyocin, alpha 1
7. herpes pneumonitis, with giant cells
8. splenic infarct, from where?
9. cardiac tamponade
10. go over jamie's sheets- 10 icm type q's
11. know the arachadonic acid pathway and enzymes and inhibitors
12. t(9;22) cml
13. lat rectus on mri
14. wilsons- they showed the kleiser fleicher ring
15. cystic hygroma- turners syn
16. mitochondrial inheritance -2 q's
17. know everything about digoxin 4 q's
18. pku
19. b-cell def- no germinal centers in LN
20. know the cyto p450 inducers and inhibitors - 6 q's
21. scleroderma- ab against?
23. bph and prostate cancer- drugrs, recepters, - 3q's
24. ebv in Aids cancer- lymphoma
25. know your endocrine physio- hormones up and down
26. know the resp. curves in first aid, where would fibrosis be?
27. know histo of the hepatocyte- fxn of organelle- I had mitochiondria
28. histo of kidney- pct, dct, loh- where glucose is reabsordeb, where
vit d is activated
29. restrictive cardiomyopathy
30. p. carinii -know what it looks like
31. marasmus
32. carcinogens in bladder cancer
33. schistosomes in bladder cancer
34. ASCVD-2 q's
35. prinzmetal angina- drugs, recepters, -2 q's
36. endocarditis-viral, bacterial
37. India ink-crypto
38. ida, anemia of chronic dz
39. vwb dz- whats up?
40. henoch-scholheim purpura on the leg-vasculitis
41. pathogenesis of TB
42. alzheimers
43. hand foot mouth dz- coxsackie
44. cherry red macula and European-hexoaminidase a2
45. gauchers
46. tuberous sclerosis, know it is assoc. w embryonal rhabdomyosarcoma
and calcifications in brain
47. cancer met. to colon
48. crohns dz
49. hirshprungs dz- failure of neural crest cells
50. know your gi physio- 5 q's
51. moa of omeprazole
52. moa of vancomycin
53. moa of neostigmine
54. causes of malig. Hyperthermia
55. pathogenesis of spider angioma
56. malig. Htn- pic
57. min. change dz- vignette was classic
58. pid-chlamydia
59. carnitine def-s/s
60. transformation- dnase
61. fracture to fibula- loss of deep peronial nerve- loss of
dorsiflexion- 2q's
62. damage to base of penis-blodd flow is lost in which part of urethra
(weird q)
63. hypertinic bladder-whereis lesion?
64. where does seminoma drain?
65. know your fractures- what muscles pull them where- 3 q's
66. fracture to lt. 9-11 ribs- spleen
67. cavernous sinus thrombosis- fxn's lost
68. av nicking , banking- learnit well ,2q's
69. myasthenia gravis- 2 q's
70. hashimotos= 2 q's
71. dermatomes
72. 6-8-10, 8-10-12, lung -pleura relationship
73. rt. Atrial hypertrophy on cxr
74. paradoxical emboli
75. brca met. via axillary nodes
76. soft tissue sarcoma
77. hemoglobin c
78. hla b27- reiters syn
79. proteus- uti stones
80. pathogenesis of gall stone-supersat. Of cholesterol
81. acute panreatitis vignette-inc. amylase
82. nodular glomerulosclerosis in D.M.
83. know your vaccines, and active and passive immunizations
84. cohort study, case series
85. epidem. (ppv, spec, sens)
86. pid
87. endometriosis
88. 2 bitemp. Hemianopsia's
89. know your goiters- toxic, hot, cold, non toxic, multitoxic
90. brached hyphi- dermatophyte
91. hyper -PTHism
92. cushings syn
93. addisons dz
94. duchenne's musc. Dystrophy- pedigree
95. osteo sarcoma
96. comparing osteomyleitis and osteo chondritis- weird q
97. pseudo gout
98. neuro syph- arguile robinson pupil
99. vitamins- b12, pyridoxine, and vit c
100. desmopressin in diabetes insipidus
101. know your murmers. How thy look normally and on a wiggers
103. salmonella
104. mhc 1- tap protein
105. cavernous hemangioma, is it bad?
106. lot of angio tension -renin stuff- 4 q's
107. ipratropium in copd
108. colchicine in acute gout
109. filtration fraction up and down..why?
110. acid-base stuff …alcoholic that vomits and had diarrhea
111. know your lesions in the CNS- whats ipsi whats contra
Captopril side/eff: Cough
Ifosfamide side/eff: Hgic Cystitis
Contra-ind for Metformin
Mech. of action: Acyclovir, tetracycline
Picture of HSV: what is Drug of choice
Prolactinoma/Pit adenoma (3 quest): diagnose, drug of choice
Organophosph poisoning treatment
Infliximab (new monoclonal antibody): mech.of action
3 ques on ACh-NO-cGMP system
CT scan abdomen - identify the mesodermal derivative.
Osteo Imperfecta defect of? Collagen
Marfan's defect of? Fibrillin
Calculate probability of having disease.
DNA/RNA questions. tRNA mischarging, codon/anticodon, mutations
Sensitivity, Specificity, Odds Ratio, Relative Risk, Confidence
Interval calculations
CO posioning, Amitryptaline Overdose, Aspirin OD and mixed acid/base
disturbance
Propylthiouracil
5 questions on Aldosterone- synthesis, effects, disturbances
Broca's Aphasia
Visual field defects
Growth hormone vs IGF-1 2nd messengers
Nephrogenic Diabetes Insipidus
Achalasia by esophageal manometry
Phenoxybenzamine alpha-blocking
Methyldopa and Clonidine as alpha-2 agonists
Glioblastoma multiforme
Most common malignancy in children? Leukemia
Diagnose Transitional cell Ca on histopath
Slide showing Spherocytes --> Autoimmune hemolysis.
Picture of hypersegmented neutrophil --> Vit B12 def.
Vit A deficiency
Vitamin-dependent coenzymes
Regulatory mechanisms for Beta-oxidation, Glycolysis, Fatty acid
synthesis
Picture of liver lobule. Fibrosis will cause what? Portal Hypertension
Ulnar, radial, common peroneal, median nerve injuries.
Ant. Cruciate ligament injury
Some simple micro stuff - lobar pneumonia etc.
Beta-hemolysis - Strep pyogenes toxins
C Difficile colitis
Strep viridans (optochin resistant)
Drug-induced Lupus
A couple of CVS graphs - where is the first heart sound, second heart
sound etc.
Chest wall/lung compliance
Renal handling of K in a high-K diet
Volume depletion/ pre-renal azotemia.
Patient with SBP gets hypotensive - why? Endotoxemia
Poison Ivy rash... what cell will be found?
Parkinsonism. what will be histpathology findings? Lewy bodies
C. botulinum and S. aureus food poisoning
Alcoholic with cirrhosis has displacement of stomach and colon. why?
Splenomegaly
Tourniquet application leads to edema. why?
NSAIDs cause renal failure in which patients? Volume depleted
Coractation of Aorta
Acute Rheumatic fever findings
Picture of chest - which murmur will be heard where?
Warfarin poisoning
Ventilation/perfusion in lung areas
Which zone of lung affected most by TB?
India ink stain of Cryptococcal meningitis
Pictures of Basal cell carcinoma, Actinic keratosis
Bruton's agammaglobulinemia
Polycythemia vera
Preganglionic vs Postganglionic neurons. Also Sympathetic vs
Parasympathetic
Pharmacology:
1. antipsychotic absolutely contraindicated for a person with a heart
condition? thioridazine
2. best medication for a newly Dx Type II diabetic? (metformin or
troglitazone?)
3. Woman with vasospastic angina by history. Most appropriate med?
4. Experiment. asked order for Dobutamine in terms of receptor
activation and efficacy.
5. Mechanism of rifampicin.
6. Mechanism of griseofulvin
7. Girl has allergy to dog, immediate relief by (Zafirlukast or
Corticosteroids ?) steroids.
8. Patient on griseofulvin is now sterile. Problem with sperm?
(motility, griseofulvine disrupts microtubules)
9. antifungal has mech which inhibits fungal wall synthesis..
(ketoconazole.)
10. Mech’s of antivirals.
11. Case where farmworker comes into ER with lethargy, nausea, and
HALLUCINATING. Typical is salivating, lacrimating, etc., associated with
insecticide poisoning. This presentation was different because actually
was insecticide with anti-nicotinic activity. Answer, though, is the
same- Atropine.
12. man previously on maintenance meds for antihypertension, DM,
something else. Had a UTI, or something, treated with aminoglycosides. The
most likely complication?
If he was taking Furosemid before then the most likely complication -
hearing loss
13. Mech of alprazolam.
14. ID Teratogenic effect of tetracycline.
16. Drug of choice for DM complaining of neuralgia of one leg. since
neuropathic pain, they can use gabapentin /tricyclic antidepressants
17. Mech of action of opiods in cough suppression… respiratory center
depression
18. Woman walks into ER with swelling of upper lip, dyspnea with
cyanosis. (angioedema) What is her antihypertensive med? (Captopril)
19. Kid with ALL has renal failure with findings of urate on biopsy
after treatment
Behavioral science:
Knowing your biostats and epidemiology pays. Know grief, depression,
and suicide really well.
1.Know formulas for PPV, NPV. They can give you a case where they gave
you PPV and NPV or some value like that and asked for RR.
2.difference between kidney fxn in elderly vs young; decreases GFR and
creatinine cl
3. Given a test in which 95% of the time results are normal, what is
the formula to compute the chance of getting one ABNORMAL value on eight
consecutive tests?
4.Distribution curve. Given SD, what percentage is likely to be above?
(68% pop in one s.d., so, 32% outside, 32/2=16%)
5.Identify the study and give the appropriate stat given an
experimental procedure.
6.Identify Lung CA for women on epidemiology graph. (only one
increasing)
7.Exceptions for given culture. Indian girl sees recently departed dead
grandpa. Is she schizo? Communication with deceased relatives is a part
of native American cultures
8.Suicide attempt, past medical treatment (post hemoD), denies problem,
family denies problem. Do you ask for consult, take a psych history, or
kick em out?
Take a psych history! He is a danger to himself! It does not matter
what he says or wants
9.Migraine patient exhausts Butorphanol meds in very short period of
time, calls you up asking for refill. Do you: a) tell them to consult ER
b)deny, stating it is a regulated med c) fill their prescription?
B... He used it up too quickly, so he abused the drug.. Refilling will
add to his addiction, telling to consult ER is like telling the patient
to go away, and not taking responsibility.
10. Post hip replacement surgery patient in 4th month of rehab and is
uncooperative, cries, doesn’t sleep well, doesn’t eat. Do you medicate?
( “…adjustment disorder is relatively normal…”, but…)
11.2 months Post MI patient suffering from low mood. Consequences of
not treating? Do you treat them at all?
12.Narcolepsy (no doubt). What do you give him? (stimulant)
13.Husband lost for days, remembers children, doesn’t remember wife,
couldn’t remember his own name. with history of accident. Is it fugue or
is it subdural?
14.Couple schizophrenic questions. ID problem based on hx.
15.Ego defenses. For sure these will always show up.

1. general patho , most important is apoptosis and know which genes do
what ? ie Bcl-2 ? Bax, etc., metastatic calcification, examples of
hypertrophy, hyperplasia
2. Arnold chiary malformation, clinical picture was given .
3. Know the tumor markers, when is vimentin, desmin used? In which
tumors?
4. Important difference in carcinoma from benign condition, one most
important difference is metastasis….eg, if bowel ca then metastatic cells
in serosa is the most important differentiation then anaploidy or even
rapid turn over.
5. Know where are carcinoma in situ located, eg Cervix, what is
Bechet’s disease, and it predispose to what? In male and female both.
6. histopathology of tumors like neuroblastoma, ewing tumor,
medulloblastoma.
7. factors associated with coagulation and one’s which prevent it, eg
thrombomodulin , Fibrin does what? Alteplase acts on what, streptokinase
acts on what?
8. Schwannoma and what will u see in histopath, shawaan cell or
oligodendrosites.
9. Clincal picture of hypothyroidism and was asked the diagnosis, in
the answer was given choices with TSH, t3,t4, and other tings with aroows
going up and own
10. Selectins and integrins are very very important. Know what play
what role
11. complement deficiency and how it is manifested in clinical
scenarios.
12. complication of ASD , paradoxical emboli, I was given a clinical
scenario of that.
13. Commonest complication of VSD, it’s associations with other
diseases. Is in Down’s .
14. heart’s morphology of Fallot’s tetralogy was given and was asked
the diagnosis.
15. Know cyanotic and non cyanotic heart diseases.
16. PDA, continuous murmur and what is given to keep it patent or close
it + MOA.
17. Cystic fibrosis, why fat malabsorption is given? Lipase/amylase
deficiency?
18. Severe combined immune deficiency, cell markers of immature and
mature b cell.
19. tumors of lungs well and it’s syndromes ( hypercalcemia, ACTH,
serotonin )
20. Know pancoast syndrome, horner’s syndrome? And what level of
sympathetic denervation will lead to horner’s syndrome in sympathetic trunk.
21. Cavernous sinus thrombosis? And what will be the first to be
affected? Sympathetic trunk, then abducent nerve and internal carotid artery.
22. Asbestosis, where will u find the pathology in lungs first and what
does it predispose to?
23. exposure of Ccl4 leads to what?
24. Patient comes to u with thyroid cancer? What will be the most
likely cancer? And what relevant history would u take from him/her?
(exposure of radiation)
25. know what are the mature immunoglobulins out of IGg, Igm, IgE, IgD.
26. know the perineal pouches and what happens to the urethera in
different situations? Eg, after RTA, no urine but blodd present on urethera
and scrotum is ecchymosed…where is the damage, ? ie which part of
urethera?
27. Gap junctions, tight junctions and all the filaments used in order
to anchor them…ie where is actin filament used to adhere? When is
desmosomes used and where? How a cell can acquire the residence from cell to
cell (gap junction) which one is the most tight and do not allow any
leak what so ever? They are very very important.
28. function of sertoli cell and leydig cell and how they are inhibited
and activatied.
29. Know well the cardiac cycle and cardiac function curve….very very
important.
30. Where are S3 and S4?
31. know Actions of aspirin, Bradykinins, ziferlukast,
ziluton,flumazenil,flutemide.
32. Know the Barriers, Blood brain, blood testis, Blood lung?
33. Know the mode of actions od AntiDm drugs and it’s important side
effects.
34. Know the graph of female hormonal changes of FSH,LH,progesterone,
estrogen.

Garam Masala part 1
1 cleft palate: failure of fusion of LATERAL PALENTINE, NASAL SEPTUM
2 cleft lip: failure of fusion of MAXILLARY, MEDIAL NASAL.
3 Case of alcoholic pancreatic AST>ALT, ALT>AST in viral h.
4 Oocyte arrested in prophage of meiosis 1 for years until ovulation.
5 Case of infant of missing kidneys è oligohydramnios.
6 girl who has loss of eversion and lifting whole leg to walk,nerve?
common peroneal
7 Loss of sensation of lateral digitsè median n.
8 Tumor compressing renal vein, what is result? (edema in lower leg or
varicocele?)
9 Blood supply to descending colonè Inferior mesenteric artery.
10 man with bloody diarrhea, biopsy shows psuedopolyps è ulcerative
colitis.
11 What participates in late wound repairè collagen type 1.
12Ø Gross photo of brainè oligodendrocytes in CNS.
13Ø Boy with DM type 1èabsence of B cells in pancreas.
14Ø Section of lymph node, arrow at paracortexè houses T cells.
15Ø Transection of Reticular Nucleusè loss of consciousness.
15Ø Gross photo of brainstem, where is cranial nerve 5?
17Ø Visual field defect of homonymous hemianopsia, where is the
lesion?è
past the optic chiasm.
18 Knee jerk reflex arc.
19 Where do the cerebral veins drain intoè find on angiogram.
20 Case of asthmatic given O2 and then PO2 drops from 75% to 60%, CO2
retention drops, what happened? I put diffusion problem.
21˜ Gross pic of boneè find epipyseal plate.
22˜ Histology of muscle fiber. Where does ATP and mysosin work?
23˜ Graph of chemical synapse. Included receptors alpha and beta,
Dopamine, Acelyacholine, Norepi and Epinephrine. What drug would activate
beta 1 receptor?
25 woman going into res. Distress and dies, what happened?è pulmonary
infarct.
26Ø Case of sensitivity and specifity.
27Ø One case of mode. è most appearing score.
28Ø One case of cohort study.è forward in time
29Ø One case of clinical studyè compares 2 or more treatments.
30 Case of pt having psychotic symptoms, weight loss, agitation,
dilated
pupils, what drug abused? Amphetamine.
31˜ Case of premature delivery. Parents don't want child. What do you
do? Deliver and attempt resuscitation even if prognosis is bad.
32 Pt tells medical student not to tell anyone about his homosexuality,
what do you do?è make note in chart for treatment team.
33Ø Deteriorating alcoholic pt told neighbor DNR if hospitalized, what
do
you do? Choice is not to or resuscitate. resuscitate.
34Ø Case of grieving widow. Depression normal up to one year.
35 Case of alcoholicèthiamine def, destruction of mamillary bodies.
36 What neurotransmitter does cocaine effect?
37 Case of pessimistic, stressful, overly critical man most likely to
dvelopè MI or gastric ulcer? Gastric ulcer more than MI
38 Case of denial..Man who doesn't want to exercise after MI says that
he'll run the marathon after doing nothing after MI.
40 Case of 6 year old boy starting to wet bed after birth of younger
sister. Mom brings him to Dr. Dr. doesn't give meds but rather asks
questions about problems in family and tells mom she should spend more time
with boy.
41 Case of father bringing 10 year old boy to Dr. cuz he's worried he's
a homo cuz his best friend is another boyènatural process.
42 Cognitive changes in elderly.
44 Case of pregnant woman having seizures and vomiting, hypertension,
protonuriaè eclampsia.
45 Case of virgin having symptoms of UTI, what is pathogen?è E. coli
46 Case of boy having bloody diarrhea after eating hamburger?è E. coli
47 Case of hyperthyroid man with normal TSH, normal radioactive Iodine
uptake, normal thyroid size, what's the problem?è exogenous dose of
thyroid
48 What does haloperidol act on?è dopamine receptors.
49 Pic of DNA replication, where is helicase?è at the fork unwinding.
50 Few cases of modes of inheritance.
51 One Hardy-Weinberg population genetics problem.
52 Case of pt taking anti-depressive eats cheese and wine having
headache è MOA inhibitors + tyramineè hypertensive crisis.
53 Case of G6PD deficiencyè decrease in NADPH leading to hemolytic
anema.
54 Case of McArdle's dis. What is deficient? Glycolosis or
Gluconeogenisis? Ans: Glycolysis (glycogen phosphorylase is defficien--> glycogen
not degradated--> no glucose--> no glucolysis in muscle--> no lactate in
blood during exercise)
55 Case of PKU
56 Case of Alkaptonuria è dark urine.
57 Case of Lesch-Nyhan syndromeèhyperurisemia, def. In HGPRT.
58 Case of elderly woman who doesn't have marked osteoporosis, why?è
elevated serum estrogens.
59 What does estrogen do to lipid profile?è increase HDL and decrease
LDL.
60 What is evident in lung section of fetus with Respiratory Distress
syndrome? è no surfactant, I chose amniotic fluid. .. atelectasis ?
61 Na pumpè 3 Na out, 2 K in.
62 Case of megalobalstic anemia without peripheral neuropathiesè
folate def.
632 Case of cytic fibrosis with infectionè Pseudomonas aeruginosa.
64What causes goose bumps?è pic of hair follicle. Look for erector
pili muscle.
65 What organism survived boiling?è Bacillus sp. Spore former.
66 Case of child with hematuria after sore throat, what titer is
elevated?è ASO
67 What can cause shock?è endotoxin
68 Staph is CATALASE +
69 Case of cellulitis, cocci in chainsèstrep
70 Case of enteritis after eating Mexican cheese, gram +
coccobacillusè staph.?
71 What organism causes pneumonia and grows of charcoal media?è
Legionella
72 Infection in burn pt.è pseudomonas sp.
73 What can give most lasting treatment for ulcerè antimicrobials.
74 woman in camping trip having sex with friend now having sore
wrists and ankles with multiple lesions on trunk and arms, aspirate of
fluid
show spirochetesè lymes dis.
75 Case of meningitis in AIDS pt.è cryptococcus sp.
76 Alpha 1 antitrypsin def., What causes destruction of lung?è
unopposed
action of elastase.
77 Most effective vaccineè live attenuated?
78 Case of DiGeorge synd.
79 One problem of Complement-Fixation test.
80 Case of asthmatic taking drug to improve FEV1è broncholilator.
81 Case of Down Synd.è meiotic DISJUNCTION of HOMOLOGOUS chromosomes.
82 Case of Duchenne's Ms Dystorphyè defect in dystrophin gene which
results in hypertrophy in calf muscle, replaces with fat. Dx with
biopsy.
83 Case of Marfan's Synd.è autosomal dominant
84 ACE inhibitors cause renal damage.
85 Case of elevated alpha feto-protein in 16 week of pregnancy. Maybe
possible overestimation of fetal age.
86 STAGE has more prognostic value than grade.
87 Case of man having backpain and difficulty in urinationè prostatic
adenocarcinoma-metastisis.
88 Case of man with diff in urination, enlarged prostate but normal PSA
è
chronic prostititis or Benign Hypertrophy ?
89 M spike on electrophoeresisè multiple myeloma
90 Case of mega colonè Hursprung's dis
91 Pt with resting tremorèsubstantia nigra. Parkinson's
92 Temporal arteritis can lead toè blindness.
93 Case of girl getting sick after drinking alcohol, what drug is she
on?è metronidozole, disalfuram like effect.
94 Griseofulvinè interferes with microtubual function, distrupts
mitosis.
95 Mechanism of action of Acyclovir
96 DOC for CMVè ganciclovir, Foscarnet is gancyclovir fails.
97 Case of pt taking nasal decongestant,what receptor is activated?è
alpha 1.
98 Side effects of Lithiumè hypothyroidism and nephrogenic DI.
99 ACE inhibitors will INCREASE renin due to reflex inhibition.
100 Man with high lipids and hypertension having muscle pains and
myalgias, which drugs are causing symptoms?è
lovastatin and loop diuretic.

[IMG SURVIVOR]

This is an interesting tread.

[geniusmd]

Is this garam masala still gud for step-1 or not? let me know thanx.