NBME 16 COMPLETE1 ANSWER = A LH:FSH RATIO > 2:1 TESTOSTERONE IS HIGH INSULIN IS HIGH BECAUSE OF HYPERGLYCEMIA 2 3 4 . 5 . 6 . 7 . 8 . 9 . 10 . does not regulate proteins ANSWER = E 11 .CFTR IS A CHANNEL not a receptor. 12 . UTI. or churgg-strauss 13 .ANSWER = D interstitial nephritis – Not ATN which was wrong. Drugs can cause both… wikipedia says eosinophiluria is either TIN. 14 . ANSWER C = Physostigmine PHYXES ATROPINE OVERDOSE (CROSSES BBB) Accidentally hit the PAUSE button… never do that during the exam… 15 . A STRAIN IS TEMP SENSITIVE = NOTE HOW GROWTH IS TERMINATED IN THE PRESENCE OF THE L SEGMENT ANSWER = A 16 . ANSWER = B ANSWER = C 17 . ANSWER = C (CHRONIC PYELONEPHRITIS) BLUNTED CALYCES WITH SCARRING ANSWER = D (CROSS SECTIONAL) 18 . SMALL CELL CARCINOMA = SIADH ANSWER = F JEJUNUM IS SUPPLIED BY SMA ANSWER = C 19 . 20 . Since peripheral vasodilation is not an option. the most accurate answer will be evaporation of sweat. it doesn't cause heat loss. near the skin) that causes heat loss. It is the peripheral vasodilation (cutaneous.ANSWER = B LABETALOL & CARVEDILOL ANSWER = B Although central vasodilation increases blood flow to organs. ANSWER = AMPHETAMINES (STIMULANT) MOA: BLOCKS REUPTAKE OF NE & DA ↑NE = ↑HR (b1) ↑ BP (a1) MYDRIASIS (a1) ↑DA = PSYCHOTIC PARANOIA DYSKINESIA ANSWER = CHRONIC INFLAMMATION FROM LYPHOCYTIC INFILTRATION 21 . ANSWER = FACIAL CN7 LOSS ANSWER = C 22 . ANSWER = MYXOMA Heterogenous pedunculated mass in L atrium ANSWER = RENAL PAPILLARY NECROSIS 1ST AID PAGE 554 SAAD PAPA SICKLE CELL DISEASE ACUTE PYELONEPHRITIS ANALGESICS NSAIDS DM PAPILLARY NECROSIS 23 . they have to be modified by ubiquitination. ANSWER = E 8 MONTHS = NORMAL GRIEF ANSWER = A (SCHEDULE APPOINTMENTS TO MONITOR) 24 . In order for proteins to be degraded via proteasomes.INCREASED PROTEIN DEGRADATION = increased polyubiquitination in the muscle cells. VINCRISTINE MECHANISM = MICROTUBULES FOR AXONAL TRANSPORT ANSWER = A ANSWER = E CENTRAL RETINAL ARTERY IS A BRANCH OF RIGHT OPHTHALMIC 25 . 32 = 968 3.TUBULIN IS AN INTRACELLULAR TARGET OF VINCRISTINE ANSWER = J 32/1000 = 3.2% 1000 .2% X 968 = 31 ANSWER = C 26 . 27 . 28 . 29 . ANSWER = A INFERIOR MESENTERIC IS THE BLOOD SUPPLY FOR SIGMOID COLON 30 . 31 . 32 . Bulimic girl who is sad and wants to lose weight. give her the happy pill: SSRI = Fluoxetine ANSWER = A 33 . KIDNEY CLEAR CELL CARCINOMA CAN PRODUCE EPO = POLYCYTHEMIA ANSWER = B 34 . 35 . 36 . 37 . 38 . GHRELIN GAINS 39 . 40 . 41 . INCREASED FSH = Fast path to MENOPAUSE ANSWER = D 42 . ANSWER = B SMOKING #1 43 . 44 . 45 . ANSWER = E USE INTERPRETER ALWAYS 46 . 47 48 ANSWER = B LAMELLAR BODIES ARE SECRETORY GRANULES 49 ANSWER = C ATROPHY 50 . 51 . 52 . ANSWER = B microglial = macrophage in brain 53 . 54 . 55 . 56 . 57 . 58 . 1ST order elimination = CONSTANT FRACTION 12.5 = 0.20) = 2 10 – 2 = 8 mg/L 59 .5 – 10 = 2.5 / 12.2 or 20% ELIMINATION 10 X (0.5 is the concentration eliminated in 2 hours 2. 60 . 61 . 62 . 63 . 64 . 65 . 66 . 67 . 68 . ANSWER = B alcohol displaces uric acid from the binding site 69 . 70 . 08 or 8% 71 .12 – 0.04 = 0.0. 72 . 73 . 74 . 75 . 76 . 77 . ANSWER = E THIS IS VIRAL INFLUENZA. not Haemophilus NON-PRODUCTIVE COUGH is the key with muscle pain and headache 78 . 79 . 80 . 81 . 82 . 83 . FLOW = AREA x VELOCITY FLOW = 2 cm2 x 20 cm/sec = 40 cm3/sec = 40 mL/sec (now convert to desired units L/in) 40 mL/sec x 60 sec/min x L/1000 mL = 2.4 L/min 84 . 85 . 86 . 87 . 88 . 89 . ANSWER = E DAMAGED CST = CorticoSpinal Tract. Right sided paresis 90 . motor deficit is ipsilateral. 91 . 92 . BUDDING YEAST 93 . 94 . 95 . 96 . 97 . ANSWER = E Grade 4/6 holosystolic murmur best heard over the left lower sternal border and cardiac apex Key: MI & PAPILLARY MUSCLE RUPTURE leading to MR + CHF 98 . 99 . SARCOIDOSIS = HYPER VITAMIN D (LOW PTH AND HIGH VIT D) ANSWER = D 100 . ANSWER = A ALPHA AGONISTS PRODUCE VASOCONSTRICTION IN NASAL MUCOSA BETA AGONIST IS OF NO BENEFIT INITIALLY 101 . 102 . 103 . 104 105 106 INCIDENCE = 200 new cases / 2000 at risk = 10% 107 . 108 . 109 . 110 . 111 . 112 .” Luke 6:31 Listen to the song SUCCESS by the New York band INTERPOL Then buy the album: EL PINTOR and their self titled album.“Do unto others as you would have them do to you.