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NBME 13 discussion - mr821
#71
a 54 year old woman comes to the physician because of a 5 day history of severe mid back pain. Physical examination shows point tenderness over the T6 vertebra. drum studies show calcium concentration of 13.4mg/dl urinalysis shows bench jones proteins. Which of the following is the most likely cause of this pt's hypercalcemia.

a/ excessive PTH production
b/ excessive PTH-related protein production
c/ increased fractional calcium gastrointestinal absorption
d/ local IL-1 and tumor necrosis factor effects
e/ unregulated 1,25 dihydroxycholecalciferol production (WRONG)

I think its multiple myeloma alms 100% sure but none of the answers fit. Can someone explain. THANKS!!!!!
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#72
i am selling the new videos ,qbanks and books of USMLE 2012 (kaplan,usmlerx,DIT...etc)
also Videos of FA 2012 , like falcon first aid 2012 videos , usmlerx first aid express , kaplan HY

Also i have the new dit 2012 full package ( videos,workbook,dit qs...etc)
new kaplan high yield videos 2012 , and qbank...etc

the prices are very cheap , with samples

email me : jordialba99

ask for what materials and for what step?
thank you
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#73
1st q- I answered E (wrong), don know correct ans
2nd q-- d is correct ans . yes it is MM and non of the rest matches
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#74
this nbme 13 was rare for me because i have 62 % in world QB, and i get 169 in this nbme, i will like to know if someone really know the answer.
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#75
nepb how do u know that ur answer is wrong?
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