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Form 2

Section 1:
1. B
2. A?
3. B
4. H
5. I
Redo:
Section 1: 7 wrong.
1. C
2. B
3. B
4. B
5. C
6. F
7. D
8. C
9. I
10. H
11. C
12. A
13. G? - Arnold chiari Impedes CSF flow
14. D Always do US to confirm age who abnormal MSAFP level
15. F
16. B? Higher BUN with renal failure, tell them to avoid protein
17. B
18. F? (what is the other disease without the thymus? SCID which has low T cells, immunoglovulin
(A and M) and NK cells. B cells are actually higher)
19. E
20. D Lambert eaton is the presnaptic ca channel
21. B
22. D
23. B
24. E
25. D
26. D
27. A
28. A (Marfan syndrome aortic regurtation)
29. B
30. B
31. C Coarctation of the aorta Blood pressure greater in UE vs LE, Echo shows LVH and x
ray would shwo rib notching if done
32. C? gas in SI and none in the large intestine (because its basically obstructed at SI with no
movement) + Gas in billary tree/liver = gallstone illeus
33. C
34. A

35. B
36. E Germinal cell tumor Often noticed after trauma. Can rule out Hematoma because it
would have resolved by 2 months.
37. E? A key for Fragile X is macro-orchidism. MR and high set ears.
38. E Gray thinign is BV not trich. A women would notice trich which is green. Might not notice
Gray. PH over 4.5 is another. Answer was clue cell.
39. A
40. D
41. C
42. B Eczema with superimposed herpes is eczema herpeticum it is a medical emergency and
need to give acyclovir right away or hospitilization.
43. C
44. E Major depression is CI for a transplant because it may cause another sucide attempt.
45. A
46. D
Section 2 Wrong 4
1. D Decrease reflex and vibration sense are part of normal aging
2. D
3. A
4. D
5. D Erythema nodosum is an extraintestinal manifestation of IBD
6. E
7. F?
8. E
9. G
10. C
11. E
12. E? Nope. The MC cause of sinuitis is Strep pneumonia
13. A? Isolated/disporportionate GGT is increased by alcohol
14. E
15. C
16. D
17. G? What is conversion reaction? (apparently it ment the psych conversion disorder, regardless it
was orthostatic hypotension because of blood loss and I got it right)
18. E there is a debate. Either echo to dx cardiac temponade or if parencentosis is synomonious
with pericardeiocentesis. So?
19. H?
20. N
21. B
22. B (MMSE score of less than 24 indicates dementia)
23. E
24. E
25. E
26. C
27. D
28. E
29. A
30. A

31. A?
32. D
33. B
34. F
35. E
36. E
37. D
38. D
39. D
40. E
41. B? mammography yearly till 70. Stop pap at 65.
42. D
43. B
44. B
45. B
46. C Use calcium gluconate not insulin for hyperkalemia.
Section 3 Wrong 7
1. F
2. D? C
3. B
4. B CT for mastoiditis.
5. E
6. C
7. A
8. C
9. A
10. E
11. C
12. C
13. A + for the progestin/progesterone test means anovulatory cycle
14. I? gallstone pancreatitis?
15. D? Increased uterine size increases the risk for preterm labor.
16. A? Vegatative emboli from the heart to the brain increases the risk for? Abscesses
17. B
18. G
19. C
20. D
21. A? PE do pulm angiography first or start heparin right away? You start heparin right away.
Hence C.
22. A
23. A? ARDS is the MC complication after a drowning incident
24. C
25. C
26. C
27. A?
28. E

29. A??
30. B
31. B
32. B
33. E
34. B
35. A
36. E diabetes type 2 initially has an increase in insulin?
37. F Mistake, knew it was HIT, choose immune instead of adverse drug
38. B
39. A
40. D no reason to examine the patient or do tests
41. D
42. B LDL calc, LDL= Cholesterol HDL Triglyceride/5
43. E
44. D
45. B
46. G
Section 4 Wrong 9
1. N 1st line is fluid resitriction, if patient has symptoms like confusion, convulstion or coma
then you do hypertonic saline (5%?) then you do democycline has a last resort to decrease
ADH.
2. B Thyoma. SOB getting worse over the day. Double vision, slurred speech. MG
3. D
4. D
5. D
6. G
7. F
8. P Median nerve will also have a weak grip. Popliteal tenderness
9. B? I got lucky. Pompe disease is a muscle disease issue. Glycogen gets stored there so they
are all weak, so big heart and floppy baby (no strength) and big liver.
10. A
11. H
12. E? What causes libido in women? Testerone does, however for this question the patient was
taking estrogen (increased), which causes more binding protein for testerone which descreases
the libido
13. I
14. B
15. B
16. D
17. C
18. A Prohylaxis good for 4 days.
19. C Adrenoleukocdystrophy 6 year old with progessive loss of vision, hearing, writing
speech in the past 2 years. UMN signs. Excess fatty long chains. Chance to have adrenal
insufficency.
20. B
21. A
22. C

23. E
24. D
25. A
26. E
27. B
28. J Curtain coming down over eye and acute? Amurasosis fugax, do a US of carotid even with
stroke symptoms.
29. F Testing for Guillian Barre? Electromyography and Nerve conduction study
30. B Homemade wiskey contain lots of leak causing B6 def.
31. D
32. D
33. B
34. D
35. C-> Still not sure if right. Some agree or disagree that it is ibs aka impaired intestinal motility
36. G? Painless no mass with bloody discharge = papillary intraductal carcinoma. Need to rule out
with biopsy/mamogram. What is pagets? That is different. Discoloration of nipple/aerola from
DIC.
37. D need to look over PDA in first aid? Sounded like AR
38. E
39. E
40. B
41. B
42. C
43. B
44. E
45. F
46. D