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Subject: Tommy's Concepts

Subject: Tommy's Concepts
Tommy's Concepts for the USMLE Step 1

Question

YOU MUST know this question which is a “recall question”<br />
q) An 11-year-old boy named Shaq O’Neil come to YOU with tall stature and decreased exercise tolerance over the past 1.5 months. He states that he used to play two games of soccer with no problem, but he now can play only one game. On physical examination, his weight is at the 25th percentile, and his height higher than the 95th percentile. He is thin and has a gangly body habitus. <b><i><u>His fingers are long and thin</u></i></b>. There is a deformity in his chest. <b>His joints are hyperextensible</b>. An ophthalmologic examination reveals mild <b>subluxation of the lens</b>.   OK, I gave too many hints…What is the disease, and second, what is the most likely finding on an ECG?  And third, is this famous disease autosomal recessive or autosomal dominant or X linked recessive?  And fourth, what is the name of the protein that is abnormally affected? (I asked this last part about 2000 concepts ago, I just want to see if you all remember it)   Finally, what else that is NOT among the answer choices regarding heart defects is this patient going to have also?  Finally finally, do you wish to give a beta blocker for this or digoxin???  <img src=
1-Mitral stenosis
2-Aortic stenosis
3-Tricuspid regurgitation
4-Aortic dilatation
5-Aortic valve calcification
6-Pulmonary hypertension
7-Pulmonary stenosis
8-Pericarditis, chronic form" title="YOU MUST know this question which is a “recall question”
q) An 11-year-old boy named Shaq O’Neil come to YOU with tall stature and decreased exercise tolerance over the past 1.5 months. He states that he used to play two games of soccer with no problem, but he now can play only one game. On physical examination, his weight is at the 25th percentile, and his height higher than the 95th percentile. He is thin and has a gangly body habitus. His fingers are long and thin. There is a deformity in his chest. His joints are hyperextensible. An ophthalmologic examination reveals mild subluxation of the lens. OK, I gave too many hints…What is the disease, and second, what is the most likely finding on an ECG? And third, is this famous disease autosomal recessive or autosomal dominant or X linked recessive? And fourth, what is the name of the protein that is abnormally affected? (I asked this last part about 2000 concepts ago, I just want to see if you all remember it) Finally, what else that is NOT among the answer choices regarding heart defects is this patient going to have also? Finally finally, do you wish to give a beta blocker for this or digoxin???
1-Mitral stenosis
2-Aortic stenosis
3-Tricuspid regurgitation
4-Aortic dilatation
5-Aortic valve calcification
6-Pulmonary hypertension
7-Pulmonary stenosis
8-Pericarditis, chronic form" />

Answer