USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Classifieds
 
Archives
 
 
  <<   < *  Step 2 CK   *  >   >>  

* to doc foofoo
 #136704  
  sheena2005 - 11/08/06 18:27
 
  in answer to this question..

3. Over the past 4 years, a 40-year-old woman has
had increasing
episodes of loss of urine and difficulty emptying her
bladder. She has
had no dysuria. She has a 30-year history of type 1
diabetes mellitus.
She weighs 66 kg (145 lb) and is 175 cm (69 in) tall.
Pelvic
examination shows a moderate cystocele. Postvoiding
catheterization yields 700
mL of clear urine. Which of the following is the most
likely cause of
the patient's genitourinary symptoms?

A
) Carcinoma of the bladder

B
) Detrusor instability

C
) Neurogenic bladder

D
) Urethral diverticulum

E
) Uterine prolapse


u chosed neurogenic bladder and why not uterine prolapse when the patient has a clear cystocele and history of urine loss.
 
Report Abuse

 
 

* Re:to doc foofoo
#549754
  sheena2005 - 11/08/06 18:34
 
  and also this can u eplain this question too. i could not understand the symptom relation ship with decreased gluconeogenis.


A 2-month-old boy is brought to the physician because
of a 6-week
history of persistent diarrhea and vomiting, most
pronounced after formula
feedings. He has had a 113-g (4-oz) weight loss since
birth. He
currently weighs 3100 g (6 lb 13 oz) and is 51 cm (20
in) in length. He
appears irritable. Examination shows jaundice. The
lungs are clear to
auscultation. No murmurs are heard. The liver is
palpated 2 to 3 cm
below the right costal margin, and the spleen is
palpated 1 to 2 cm below
the left costal margin. Laboratory studies show:


Serum
Glucose 35 mg/dL
Bilirubin (total) 2.3 mg/dL
Urine
Glucose negative
Reducing substances 3+

Which of the following is the most likely mechanism of
these findings?

A
) Decreased gluconeogenesis

B
) Decreased insulin secretion

C
) Increased glucagon secretion

D
) Increased gluconeogenesis

E
) Increased insulin secretion

F
) Insulin resistance

 
Report Abuse

* Re:to doc foofoo
#552232
  docfoofoo - 11/09/06 23:20
 
  for the first one i chose neurogenic bladder due to her obvious history of DM....although I am not sure if I am right.
for the second one i picked dec gluconeogenesis because obviously the liver is involved and the patient is plus look at the glucose levels
can you explain ur choices.....i might be wrong sheens!
thanks =)
 
Report Abuse

          Page 1 of 1          

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
 
 

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Classifieds
LoginUSMLE LinksHome