NBME 4 doubts --Sarim/psychmledr - wsams

[ArchivalUser]

Block 2

Q26. A 15 year old boy comes to the physician because of nervousnes.....

Block 3

Q30: A 54 year old man comes to the physician because of a 3-month history....
Q49: An otherwide healthy 8- year old man is scheduled for endoscopy.....

Block 4

Q13: A 16 year old girl is febrile & incoherent.....
Q40: A 6 year old girl who is recovering from a severe step throat.....


I need the correct answer with explanation please..


Thanks in advance...

[ArchivalUser]

Anyone please?

[ArchivalUser]

26, it's a hallucinogen use, since there is no other explanation to his symptoms.
block 3
30. it's A. the patients has sciatica. considering his age, and and given symptoms. Other choice could be considered(it's compression), but the pt will have local tenderness and it's usually in much older patients or prostate cancer.
49. D. Elderly patients are more sensitive to the sedative action of midazolam than young patients, and the sensitivity is caused by age-dependent pharmacodynamic alterations.
block 4
13 A Septic abortion is cause by Bacterioides, and well as postpartum women with sepsis should be suspected to have Bacterioides infections, with foul-smelling discharge.
40. C mesangial cells: 1) phagocytize large protein molecules & debris, which may accumulate during filtration or in certain disease states; 2)can contract, thereby decreasing the surface area available for filtration; 3)possess receptors for angiotensin II & ANP

Hope it helps. Good luck

[ArchivalUser]

#26 DX: "Hallucinogen Persisting Perception Disorder"(HPPD)

u can read about it on wiki.

[ArchivalUser]

Thanks a lot lovetest & Sarim...