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It was a protein that had to go inside the mitochondria to this its work. Probably a transcription factor. So the answer was RER.
As far as I can remember.
Agree ! that picture was drawn by a 2 yr old .

I chose RER too and it was correct .
1)63 yo man with mild emphysema has smoked 1 pack for 45 years sudden headache, myalgia and rising temperature. A dry cough develops, with chill and chest pain. Examination of gram stain of sputum disclose neutrophils, but bacteria are no evident. An X-ray of the chest is consistent with severe pneumonia. A culture of sputum is negative, but culture of bronchoscopy specimen on a highly specialized bacteriologic medium yields gram negative rods. The identity of these bacteria is confirmed by staining with specific fluoroscent antibodies. The patient respond therapy with macrolide Ab. The infection acquired from which of the following ?

A. Inhalation of aerosol from an environmental source
B. Inhalation of dust from bird droppings
C. Inhalation of respiratory secretion from an infected animal
D. Inhalation of respiratory secretion from another infected person
E. The patient normal flora

does anyone know the dx and mode of transmission here ?

2) A 28 year old man with ulcerative colitis comes to the physician for a follow up examination. He underwent a partial colectomy 6 months ago and his diarrhea and rectal bleeding have markedly improved. Current medications meselamine, hydrocodone and acetaminophen. he lives with his parents and his academic progress has been slowed by multiple hospital admissions. He is now attending college part time and has been working as a pharmacy technician at a local drug store. He says i"i have been taking so much of my opiate that i ran out and stole somo from my job. They caught me last week but i havent told y parents. which of the following id the most appropiate initial action by the physician

A. discuss treatment options and referral for detox program
B. Tell the patient he needs to find another physicisian as he broke the physician trust regarding his pain medication
C. contact drug enforcement administration an report misuse of narcotics
D. contact the patients parents an tell them about the theft
E. contact the police and report the patient
F. prescribe methadone for the patients opiate addiction


Do we refer this pt ?

3) 70 year old woman comes to the physician because of increasingly severe pain in the right knee over the past 3 months. She has fallen repeatedly. She has a 10 year history of symptomatic osteitis deformans. She has bowed tibia and tenderness of the proximal right tibia. an X ray shows a fracture of the proximal tibia with elevated periostium and sunburst pattern. an xray of lungs shows pulmonary nodules of various sizes. which of the following findings is most likely on biopsy

A. closely packed small round uniform neoplastic cells
B. clusters of mucin producing neoplastic cells forming glands
C. neoplastic chondrocytes filling lacunes
D. neoplastic plasma cells in sheets
E. pleomorphic neoplastic cells producing new woven bone


Is it E ?
1-A-Legionella
2-We actually do refer the patient to the detox after discussing treatment options
3. E it is

To the best of my knowledge
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