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NBME 11 block 3 q 1 to 50 - maryam2009
#31
can any kind soul send me answers for nbme 12 and 11. at ahla2@live.com. exam in 2 weeks.
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#32
This post is just for NBME's answer,please do your request in a separate post.TY

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35.DD

Secoundary Hypeparathyroidism.....due to chornic renal failure...causes secoundry hyperplasia of parathyroid due to dec Calcium ion absorption and inc.phosphorous

HYpocalcemia,Hyperphosphatemia,high Alkaline phosphatase,high PTH

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#33
Q28..Answer should be DD..
Characteristic of rapidly redistributed drug..At first the drug is rapidly redistributed so the plasma level falls suddenly.This is followed by normal elimination which causes the characteristic change in the slope..
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#34
36.BB

The cold agglutinins test is used to confirm the diagnosis of certain diseases that stimulate the body to produce cold agglutinins.

mycoplasma pneumonia, a form of atypical bacterial pneumonia, and is related to cold agglutinin disease.

This species lacks a peptidoglycan cell wall. Instead, it has a cell membrane that incorporates sterol compounds, similar to eukaryotic cells. It obtains these sterols from the host serum, allowing it to retain a simple structure.

Lacking a cell wall, these organisms are resistant to the effects of penicillins and other beta-lactam antibiotics, which act by disrupting the bacterial cell wall. Antibiotics with activity against these organisms include certain macrolides (erythromycin, azithromycin, clarithromycin), fluoroquinolones and their derivatives (e.g., ciprofloxacin, levofloxacin), and tetracyclines (e.g., doxycycline).

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#35
@gvdynamic
Hi
Thank you for posting the answer...

37.CC

Persons with component deficiencies in the final common complement pathway (C3,C5-C9) are more susceptible to N. meningitidis infection than complement-satisfactory persons, and it was estimated that the risk of infection is 7000 times higher in such individuals. In addition, complement component-deficient population frequently experience frequent meningococcal disease.
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#36
38.EE

Menopause is a term used to describe the permanent cessation of the primary functions of the human ovaries.

It is the result of the eventual depletion of almost all of the oocytes and ovarian follicles in the ovaries. This causes an increase in circulating follicle stimulating hormone (FSH) and luteinizing hormone (LH) levels because there are a decreased number of oocytes and follicles responding to these hormones and producing estrogen.
This decrease in the production of estrogen leads to the perimenopausal symptoms of hot flashes, insomnia and mood changes. Long term effects may include osteoporosis and vaginal atrophy.

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#37
39.AA

Alprazolam is a potent short-acting drug of the benzodiazepine class.
It is primarily used to treat moderate to severe anxiety disorders (e.g., social anxiety disorder) and panic attacks, and is used as an adjunctive treatment for anxiety associated with moderate depression.

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#38
40.EE

Cleft lip...failure of fusion of the maxillary and medial nasal process ...formtion of primary palate

Cleft palate.....failure of fusion of the lateral palatine processes ,the nasal septum,and/or the median palatine process......formation of secoundary palate
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#39
41.DD

Drug X is an alpha1 blocker
NE.....alpha1>alpha2>beta1.......has high alpha1 agonist power.....after using drug X ......force dec. fom 15.1.....6.8
Isoproterenol.....is a nonselective beta agonist........after using drug X.....there is no significant change
Phenylephrine.....is an alpha agonist...alpha1>alpha2......after using drug X.....there is a significant change....dec. force from 13.....to....5.5

So drug X must be an alpha 1 antagonist......between choices Prazosin is an alpha 1 antagonist
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#40
42.DD

43.DD

the difference O2 saturation% between right atrium ..75%....and right ventricel... 83% shows there is a openenig/shunt between two ventricles that causes to move oxygenated blood from left to right ventricle....so VSD....Holosystolic ,harsh sounding murmur..loudest at tricuspid area
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