1. a sexually active 18 yo, fever, ab pain, purulent discharge, site of mass?

---ovary
2. 30 yo woman type 1 DM has inc vulvar pruritus and vaginal discharge ---candida albicans
3. 48 yo man, alcohol abuse has painless vomiting, cause of hemorrhage? transmission of
portal HTN to esophageal vein.
4. 32 yo man with AIDS has 6 wk prog weakness---toxoplamosis gondii
5. femal neonat has profound hypotonia---incomplete penetrance
6. vertebral angiogram from 40 yo man ---visual field defect
7. 31 yo woman admitted at 28 week's gestation---corticosteroids.
8. 67 yo woman has sudden onset of dyspnea and chest pain and dies w/in min----DVT
9. scatter diagram--+0.60
10. 22 yo pregnant woman w/ her 1st child comes to dr's office. size of uterus has inc very
little---renal
11.serious, possilby fatal, adverse effects---too few subjects to detect rare events
12. the table shows dist of spinal cord injuries ---1/12
13. 27 yo man, solitary thyroid nodule, thyroid scintiscan---follicular adenoma
14. 13 mo old girl has h/o bac infections. prod of 02-, h2o2, OH----myeloperoxidase
15.50 yo man has 10yr h/o poorly controlled HTN----mitral stenosis
16. from the values of delta G---letter W
17. 17 yo boy, tonic-clonic seizure---special ed beg 1st grade
18. during an experiment on the cough reflex---glossopharyngeal
19. a neonate w/ swelling of the neck has dec serum T4 --propylthiouracil
20. "ee" to "ay" ---lower lobe consolidation
21. the bar chart, theophylline---hepatic metabolism is faster
22. as the result of a fall onto a hard surface---adduction of all digits
23. 42 yo man w/ pneumococcal pneumonia has acute fibrinous pleuritis---collagenase
24. Osteoporosis as SE---prednisone
25.3 yo boy is suspected of having x-linked immunodef ---sister 2 is a carrier

1. An obese 82 yo woman, metformin---lactic acidosis.

2. 76 yo woman has pain on right side of trunk. T10-T12---double-stranded DNA.
3. 2 yo child has hemorrhage in lower GIT---gastric.
4. 2 yo boy ingests unknown quantity of iron sulfate tablets---gastric bleeding.
5. 22 yo woman comes to the ED b/c fever, dysuria, and flank pain---TNF alpha and IL-1.
6. The conc of sodium in the blood ---letter B (zona glomerulosa).
7.32 yo man has family h/o bleeding, ristocetin is absent---von Willebrand's
8. 26 yo woman has a 3 wk h/o joint pain and photosensitve rash---anti ds DNA.
9. 61 yo man has 3 mo of dull, aching pain---ask him for additional details about his chest.
10. A pharmaceutical company has devel a drug that prevents egress Mg---prevention of
CA2+ entry into the neuron and reduction of excitotoxin-mediated cell death.
11. 32 yo woman w/ pul fibrosis---Res freq high, TV low.
12. 23 yo man who recently emigrated from Costa Rica---passage thru pigs.
13. 35 yo woman has twelve 0.5 to 1.5 cm ---neurofibromatosis.
14. Nine months ago, a 60 yo man---fibroblast growth factor.
15. In mucolipidosis II---extracellular space.
16. A bacterium harboring a 15,000 bp---homologous recombination.
17. 5 yo boy is brought b/c pharyngitis, beta hemolytic G+---peptidoglycan.
18. 5 FU---inhib thymidylate synthetase activity.
19. 50 yo man who recently immigrated to USA---conjugation.
20. 4 yo boy has had constipation and painful defecation---neural crest migration.
21. an experimental drug is admin to a human subject---Atrial natriuretic peptide.
22. 60 yo woman w/ osteoarthritis---aspirin.
23. 53 yo woman comes to the clinic b/c of a 1 wk h/o pain and burning on urination,
inadequate diet---megaloblastic anemia.
24. 23 yo woman has had intermittent amenorrhea---pituitary necrosis.
25. an asymp 42 yo man w/ essential HTN in ACE-I---low, high, high (letter C).

1. 50 yo woman w/ a h/o HTN suddenly devel severe headache---brain death.

2. 25 yo woman, G 1 P 0, who is Rh-neg---anamnestic production of maternal anti-Rho(D)
Ig.
3. a married couple in their mid 20's, eval of infertility---ask the couple what they mean by
"sexual relations".
4. 72 yo man has difficulty initiating urination---glandular hyperplasia.
5. Four months after a cholecystectomy for removal of gallstones---loss of enteric inhibitory
motor innervation.
6. 24 yo man stabbed in the chest, 4th intercostal space---Rt ventricle.
7. 56 yo man has had fever and pleuritic chest pain for 1 day---autoimmune reaction.
8. 35 yo woman has had typ 1 DM 20 yrs---diffuse glomerulosclerosis.
9. 27 yo woman has a 1 wk h/o inc urinary freq, dysuria---G - bacilli.
10. 55 yo man is exposed to malathion---pralidoxime.
11. 22 yo college student has been treated for anxiety---amityiptyline.
12. 28 yo woman is brought to ED after motor vehicle accident---cardiac tamponade.
13. mutations in CFTR protein---Ca2+ activated Cl- secretion.
14. 23 yo man, he feels they will ridicule him---avoidant.
15. exam of lungs at autopysy shows nodular areas---sarcoidosis.
16. w/c drug is skel mus relaxant, direct action on excit-con coupling---dantrolene.
17. 2 yo girl brough to ED 90 min after ingesting a drug from mom's purse---naloxone.
18. 35 yo man who takes streets drugs IV, tricuspid valve---candida albicans.
19. A full-term 1 wk old male neonate w/ carniofacial deformity---enalapril.
20. 50 yo woman comes t dr b/c visible painless lump---heavy lymphocyte infiltrate w/
germinal center formation.
21. 17 yo boy, macro-orchidism---CGG repeat expansion.
22. 45 yo man has nausea, vomiting, ab pain, absent bowel sound---peritonitis.
23. after taking an OD of propranolol---glucagon.
24. compared w/ a person who follows a lacto-ovo vege diet---B12
25. a phys is in an elevator with 3 residents---remind the res that discussion a't pt kept
private.

1. w/c of the following components of 2nd messenger, release of intracellular stores of

Ca2+? inositol 145 trisphosphate.
2. progenitor of macrophage? microglia.
3. a clone on cancer cells is resistant---altered DNA polymerase.
4. 35 yo woman at 18 wks gestation has inc AFP---specificity of the test (SPin & SNout)
5. the ability of endothelial cells to inhib platelet---cyclooxygenase pathway.
6. 32 yo man has has malaise, a low-grade fever, 4.5 wt loss---marrow aplasia.
7. 68 yo woman has breast CA, tamoxifen---competition w/ cytoplasmic estrogen receptors.
8. 65 yo devel DVT---facilitation of inactivation of thrombin by antithrombin III.
9. Eight hundred motor vehicle collisions---150 per 600,000.
10. Antibodies from mother to fetus---IgG.
11. In family represented by pedigree, mtochondrially inherited, male child IV 9---0%
12. an asymp 65 yo woman comes to gynecologist, not present 1 yr ago---ovarian tumor.
13. 49 yo man has 1 wk h/o shortness of breat w/o fever---pleural effusion.
14. 25 yo man to ED b/c palpitations and anxiety---block of NT uptake at the presyn nerve
terminal.
15. 39 yo woman w/ RA devel proteinuria, fine granular deposits of IgG and C3---
membranous GN????
16. A pt (brain pic), hemianopia? ---homonymous.
17. tyrosine kinase---insulin
18. latent infection w/ w/c of the following, B lymphocytes---EBV.
19. 1N and haploid---spermatid
20. 36 yo man has acute pain in right upper arm and shoulder---adduction???
21.a full term male neonate is born w/ 4x4 mass---branchial cyst.
22. 73 yo woman has 1cm, scaly, raised lesion---sunscreen.
23. serinyl 5AGC3---5-ACG-3.
24. a neonate born with abnormality shown---angiogenesis.
25. 23 yo woman w/ h/o asthma, brochodilate and adenylyl cyclase---theophylline.
1. 47 yo man undergoes resection of entire stomach--B12
2. Fruc 2, 6 biphos---letter C.
3. 40 yo man exposed to ozone and nitrogen dioxide at factory---type II pneumocytes.
4. the binding spec for extracll matrix---integrin.
5. 70 yo man has severe atherosclerotic disease---splenic flexure.
6. sulfonureas exert---K+
7. normal healthy children are able to mount diverse antibody---recombination.
8. 37 yo woman has renal cell car---transversalis fascia.
9. 85 yo woman, 3 day ago for IM, anterior wall---LAD.
10. movement of Na+ and K+---3 Na out: 2 K in.
11. loss of pain and temp---spinothalamic tract.
12. 20 yo man has had incr severe muscle weakness---dystrophin.
13. 40 yo woman discovers breast mass during self-exam---poor communication b/w pt and
dr.
14. the graph shows action potential---Pna<Pk.
15. 45 yo man has fever, rust colored sputum, alpha-hemolytic---strep pneumo.
16. 55 yo man w/ 10 yr h/o poorly controlled HTN, slept sitting in a chair---a splitting S2.
17. over a period of 3 yrs, 40 yo man devel gen dystonic---atrophy of the caudate nuclei.
18. 19 yo college student devel hematuria and proteinuria, cellulitis---strep pyogenes.
19. 25 yo woman at 32 wk gestation, tremulous hands---beta 2 adrenergic.
20. the inc in the intracell conc of AMP in muscle---incr act ov adenylyl cyclase.
21. 28 yo woman devel tem 39.4C, gingivitis---G+ cocci.
22. in reversible hyposic cell injury, cell swelling---sodium.
23. 50 yo man who has has an MI , fam hypercholesteremia---25%.
24. understanding written and spoken language---letter G.
25. 5 yo boy w/ h/o of recurrent ear infection---immunoglobulin isotype switching.
26. 68 yo man heterozygous fam hyperchol, dec VLDL and LDL---Niacin.
27. 22 yo woman in study meas renal fxn---0.10.
28. 32 yo woman has 10 yr h/o chronic paronia---dopamine.
29. 27 yo man w/ recurrent peptic ulcer dz, should be treated---omeprazole.
30.brain struc, letter X on MRI---middle cranial fossa.
31. a new analgesic drug that will dec pain at sites of acute inflam---bradykinin.
32. 23 yo woman is scheduled to undergo surgical---nicotinic.
33. 14 mo old girl brought to dr by her father ---everything normal.
34. marked by X in freeze-fracture image---communication.
35. w/c drug, severe asthma, positive cardiac inotropic effects---theophylline.
36. the nucleotide sequence encoding four a.a. ---protein truncation.
37. an adults hem 98% sat w/ O2---an arteriovenous shunt.
38. 3 yo boy has an ab cryptorchid testis---malignancy.
39. actively dividing fibroblasts, 37 C, 0 C ice bath---tubulin.
40. 10 girl has fever, fatigue, and easy bruising---aplastic anemia.
41. an outbreak of acute pneumonia---legionella pneumophila.
42. 18 yo man attempts suicide 15g acetaminophen---oral admin of N-acetycysteine.
43. w/cagents admin orally of potentially serious syst infections---ciprofloxacin.
44. 42 yo woman reports fatigability---thyrotropin receptor.
45. healthy 32 yo man, mild nasal congestion---pseudoephedrine.
46. 60 yo man devel cirrhosis---letter C
47. 5 yo girl from sub-saharan Africa---dec plasma onc press
48. over the past 6 months, T12 to L1---letter E.
49. 32 yo woman, pellet-like stool---IBS.
50. excess accu of urate, Lesch-Nyhan---HGPRT

1. 40 yo woman has recurrent calcium-containing renal calculi---admin of a thiazide

diuretic.
2. 45 yo man devl fever 4 days ago after ab operation---wound.
3. 30 yo woman has a 10 mo h/o whitish discharge from both breasts---pituitary adenoma.
4. 22 yo woman is concerned a't risk for devol DM---inc peripheral insulin resistance.
5. beta hexosaminidase is made up---0%.
6. the genotype of chorionic villi---fetal.
7. 63 yo woman has pain in the back, vertebral compression---osteoporosis.
8. 10 yo girl has acute facial swelling---dec conc of C4.
9. a sexually active 18 yo woman, rt lower quad bimanual exam---ovary.
10. 30 yo woman type 1 DM inc vulvar and vaginal discharge---candida albicans.
11. 48 yo man long h/o alcohol abuse has painless vomiting---transmission of portal HTN to
esophageal veins.
12. an alcohol dependant 40 yo woman who is health care ---surreptitious use of insulin.
13. 65 yo man dies of bronchopneumonia---eosinophilic inclusions (Lewy bodies) in neurons
of sub nigra.
14. a homeless 38 yo man, consolidation and cavitary lesions in apices ---epithelioid cells,
multinuc gian cells, caseation necrosis.
15. activationof T lymphocytes is initiated, phos C---diacylglycerol.
16. in gout, hyperuricemia resulting from overprod---phosphoribosylpyrophosphate
synthetase.
17. 80 yo woman comes to dr b/c 2 wk h/o mild constipation---diphenhydramine.
18. 35 yo woman comes to physician for initial visit---"i can see that u r upset. please tell
me what's bothering u".
19. 45 yo man, vasectomy---presence of viable sperm in ejaculate.
20. relative to normal values for parameters that govern cap exchange---inc mean cap
hydro press.
21. 4 mon old boy, h/o tetany---normal, dec, narrowed.
22. 50 yo man, nitroglycerin---stim of cGMP formation.
23. 82 yo man lives w/ daughter---notify social services of potential abuse.
24. stillborn fetus w/ cleft---sex-linked???