N.B.M.E challenge! - pepsi00

[ArchivalUser]

4.

A newborn is born with a hypoplastic mandible[THIS IS A embyro indirect QUESTION,you had to think mandible and malleus r interconnected with the 1st arch).Which of the following structures is also likely
to be affected? TENSOR TYMPANI-When tensed, the action of the muscle is to pull the malleus medially, tensing the tympanic membrane, damping vibration in the ear ossicles and thereby reducing the amplitude of sounds.( IF WE DO NOT HAVE IT, Malleus get destroyed)

A.Cricoid cartilage
B. Greater cornu of the hyoid bone
C. Malleus{The malleus or hammer is a hammer-shaped small bone or ossicle of the middle ear which connects with the incus and is attached to the inner surface of the eardrum, It arises from the cartilaginous portion of the auditory tube and the adjoining part of the great wing of the sphenoid, as well as from the osseous canal in which it is contained.
tensor tympani- Passing backward through the canal, it ends in a slender tendon which enters the tympanic cavity, makes a sharp bend around the extremity of the septum, and is inserted into the manubrium of the malleus, near its root}

D.Stapes
E. Thyroid Cartilage
"This arch divides into a maxillary process and a mandibular process, giving rise to structures including the bones of the lower two-thirds of the face and the jaw. The maxillary process becomes the maxilla (or upper jaw), and palate while the mandibular process becomes the lower jaw. This arch also gives rise to the muscles of mastication."

[ArchivalUser]

5.

A 31 year old man with AIDs is receiving highly active antiretroviral therapy. Labaotory studies show significant myelosuprression and a decreased plasma HIV- mRNA burden. To counteract this toxicity,he begins tx with a hematopoeietic growth factor. 30 mins later,he develops dyspnea,severe muscle pain,vomiting and sinus tachycardia, his blood pressure is 80/40 mmHg. Which of the following hematopoietic growth factors most likely caused
these new findings?

A. Erthropoietin
B.Filgrastim
C. Platelet derived growth factor
D.Sargamostim
E. Thrombopoietin

[ArchivalUser]

its D , sargamostim is a GM- CSF, SE include hypotension, tachycardia ,muscle pain are common when its administered for the first time, which is called first dose effect. but later administeration does nt tend to produce these symptoms. i am i right pepsi???

[ArchivalUser]

but filgrsam also shows similar presentation so which one is right

[ArchivalUser]

First dose effect is to deal with PRAZOSIN.ALPHA blocker-thats how u get hypotension and tach reflex.

[ArchivalUser]

A 31 year old man with AIDs is receiving highly active antiretroviral therapy. Labaotory studies show significant myelosuprression and a decreased plasma HIV- mRNA burden. To counteract this toxicity,he begins tx with a hematopoeietic growth factor. 30 mins later,he develops dyspnea,severe muscle pain,vomiting and sinus tachycardia, his blood pressure is 80/40 mmHg. Which of the following hematopoietic growth factors most likely caused
these new findings?

CSF2 - Granulocyte macrophage colony-stimulating factors (also called GM-CSF and sargramostim)
CSF3 - Granulocyte colony-stimulating factors (also called G-CSF and filgrastim)-
MYELOSUPRRESION-BONE MARROW IS SHOT,DONT U WANT A DRUG THAT CAN STIMULATE EVERYTHING LIKE FILGASTRIM?

[ArchivalUser]

6. A healthy 28 year ol single mother of three children recently started emplyment as a secretary at a local corporation. She has a variety of health care plans from which to choose. Which of the following types of plans is most likely to have the lowest out of pocket cost fot this patient and her family?

A. Fee for service
B. Health maintenance organization
C. Personal tax exempt health care account
D. Point of service
E. Preferred provider organization

[ArchivalUser]

5.side effect of filagastrim- The most commonly observed adverse effect is mild-to-moderate bone pain after repeated administration and local skin reactions at the site of injection.

[ArchivalUser]

HMO

[ArchivalUser]

E??