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+--- Thread: nbme 1 - rizowana (/showthread.php?tid=641259)
0 - ArchivalUser - 12-24-2011
what is this?E?
0 - ArchivalUser - 12-24-2011
21...bb.....crepitus
0 - ArchivalUser - 12-24-2011
24......EE....LAB IS NORMAL ,,,,,ADEQUITE FLUID
0 - ArchivalUser - 12-24-2011
25. A healthy 55-year-old man comes for an initial health maintenance examination. His last visit to a physician was over 10 years ago. He does not smoke and drinks only on social occasions. Examination shows no abnormalities. Which of the following immunizations should be administered?
A
) Hepatitis A vaccine
B
) Influenza virus vaccine
C
) Measles-mumps-rubella vaccine
D
) Pneumococcal vaccine
E
) Diphtheria-tetanus toxoid
0 - ArchivalUser - 12-24-2011
it should be E, b/c flu and pneumovax after 65 recommended
0 - ArchivalUser - 12-24-2011
26. A 19-year-old man comes to the physician because of frequent nosebleeds over the past 3 weeks. He has bipolar disorder currently well controlled with lithium carbonate, bupropion, and valproic acid. Physical examination shows no abnormalities except for dried blood in the nares. Mental status examination shows an anxious mood and slight motor restlessness. Serum studies show a lithium carbonate level of 1.3 mEq/L (therapeutic range=0.6–1.2), and valproic acid level of 77 μg/mL (therapeutic range=40–100). Which of the following is the most appropriate next step in management?
A
) Measurement of serum aspartate aminotransferase (AST, GOT) activity
B
) Measurement of serum bupropion level
C
) Platelet count
D
) Discontinuation of lithium carbonate therapy
E
) Discontinuation of valproic acid therapy
0 - ArchivalUser - 12-24-2011
i think its C, ITP, mucosal bleeding
0 - ArchivalUser - 12-24-2011
27. An asymptomatic 32-year-old man comes for a routine health maintenance examination. He has a 10-year history of frequent sinus and pulmonary infections. He had an anaphylactic reaction to a blood transfusion following a motor vehicle collision 3 years ago. His temperature is 37 C (98.6 F). Examination shows mild erythema in the posterior pharynx. The lungs are clear to auscultation. A complete blood count and serum protein electrophoresis are within normal limits. Which of the following is the most likely cause of the frequent infections?
A
) Colonization with Streptococcus pneumoniae
B
) Common variable immunodeficiency
C
) HIV infection
D
) Selective IgA deficiency
E
) X-linked agammaglobulinemia
0 - ArchivalUser - 12-24-2011
27. An asymptomatic 32-year-old man comes for a routine health maintenance examination. He has a 10-year history of frequent sinus and pulmonary infections. He had an anaphylactic reaction to a blood transfusion following a motor vehicle collision 3 years ago. His temperature is 37 C (98.6 F). Examination shows mild erythema in the posterior pharynx. The lungs are clear to auscultation. A complete blood count and serum protein electrophoresis are within normal limits. Which of the following is the most likely cause of the frequent infections?
A
) Colonization with Streptococcus pneumoniae
B
) Common variable immunodeficiency
C
) HIV infection
D
) Selective IgA deficiency
E
) X-linked agammaglobulinemia
0 - ArchivalUser - 12-24-2011
this is easy, its D