terion ete tres inert 2 x tp oe oeten AD NUT wi a 22, A24.yoar2id man cones othe amexgancy Sapatneet because ofan 8-nou histor of dominl pan, raya, ere vmiin. He aks no madicabons He has ata story ot pancreatts ar typaripemia Hs terpe‘ture 37°C (08 5F) pulses "mi, and bloc pressures 12338 mm Hg AbCorinal examinaten stews Mid terion 2 cuse tenuomess wleiro rebound lendziiess Dowel sounds ate decroased. Serum suis show a ucessconconaton cf 90 Mgt. nyentide concertion ot 3500 mG. ad pase cancenveiof 400 UIL(N=14-260, ne serun appears miky, Tho most kel cause OBas pai’ contin s @defcercy cf wich of i folowing? 1) Apo 8.100 B) ApoE ©) Hormone serstvotoase ) LDL recepier ) Upoproan naseterion ete tres inert ptm 20, A 15yearcid gee brew the pyseian by er moar because fa day her of arash on na face, sms, andlegs. Soe frst noticed ho rash tours ao she sperma Stina beach on sunny day She ae been recening antioke Herp for aene Pye examination shes dee snythera and mir edema ave te face an extern ‘ich efthe ela arate he ost kay Cause hes NPs? 1) Asiteomycin © B) Cephtenn 2) Croton ) Donycyetne 5) Linezoitterion ete tres inert = x tp ove vee ATONE 24, A20.year2ié man bough to physican ty hs mother because of baste Dohaviot or 8 months. Ahounh be hac alnays Daan age stuert, he fale a his clases at Celiage as terme no Ergot sheets or shaves. ands appearance has become dave and unkempt He appears dard fhe Deganing of the eran art on tec takin nonstop to mnseen people hfe Cover of he exerng oon is moter leeks Upsala sap, seas ashes Hoang veces al fete Now Healy Scar Cu fay” Wich ofthe eloning ital esponses by he plystaen & most anprcprate? |) "He muse scrizeptveie. Does scizepvenia un m your nusbants lay cr yous” 8) "He neces take ashowar Have you ted stig down wih a antl to um aout aang ats caaof hse” ©) "How tighering for you'e see your son lth, Do you have any idee abcut what might bo eusing his bohavor” ) "lam concerned he mist boon drugs. Do you know anything abeut he fends hos hanging out with now?” ) "Was he under ary unusual tess a home oat school od he nave any piclems wit often when allot is taeterion ete tres inert 2 x tp oe ieten tA NUT wi a 25, A:35.yoarcid man comes the physician because aa 6.morth hry of burg abdominal pan thet occurs 110 2 hou flor ho ets He alo has ad bia stele fer 2 days Use overne-counter antares ar histamine? (H)fecepar Docking agen tas ot bean afiacave fi alcurg his symptoms. He s sweating rrosaly ares i= epoexness wren i stasis Bb pressure STO men 49 whi sting Physical examreson shows spgasic tenderness CT scan of he abckanen shes am mass Inthe pancroas,nmurehstochemeallabelng efneopas cls a bopsy specimen‘ ost aly ( iveve Be use arubodesdrectd to whch f te felling sbstencas? A) Amyase 8) Gastin ©) Gucagon } Hur pancraic papeptde ) insuln F) Upase 6) Seren H) Sematositin 1) Vasoactive nesta! ptypetit>terion ete tres inert . . tp oe tieten tA NUT 26, Aprewousty heathy 16.yesrold gis brought ta ho physician by her 18.yearold ster Recause o 2-day hielo oa hick, yatow vaginal ischarge and burg wth urna ‘She does not want Fer pavers fo kn et she sual acne Hor erpertur i 37°C (8.6), pulses Om, and ce possi is 110/70 mmm Ko. Exarinaten shows 8 Icopuruan discharge a he cerdeaos and bi ofty2c>Nd. The urs sel, andre There ae no nel masses: exkztal vagal sins. Gra Slain ofthe dscharg sows gram-neclie dplococctin pars end eat tha 30 lukcoyespt, Urinalysis is wihin noma inf, Tsing fr Nessena gororrivege and Chomjete vactomatsts verad. When of the ‘alowg the most apropnicl couso of acion? ‘Ay Dono’ rescbe anbiotes ut esting resuts are avaoke 8) Oban wren consent tom a patent Delere prescnbing anubiies ©) Onlin writen corsent om har sstr before prosrbing anatintcs ) Prescbe enbictes and ety hr parents ) Prescite aniotes witout noting fer parentsterion ete tres inert 2 x tp oe tieten tA NUT wi a 27, A45.yoarcié woman who i inhidted and mechanically vonbaed develo fngemia wih Candida alicars urna a prolongs hosptal stay, Treatment wih caspotungn Stated Wich fhe floweg feares of fhe causal ergarism ul est nel targeted by ths anug? 1) Fungal ANA polymoreso 8) B-Chucen cerbohyrates in the cell wel ©) Lanosteotin te cytoplasmic montane ) tagyenseases swotvod in capsule syiness ) Porn proteins n tho cuter membrane 3 er |terion ete tres inert tp oe tieten tA NUT wi a 28, A27-yearcid man cones the physician because of wecknast of Nl hans Se 3 weeks. Ho fa proessonal aie and nies a bicycle forte TO hous daly Ho hasbeen tnetle ¢grasp the handlebar win hisnovmalstengi, making ec tan for atday. He has no pan or numbness. Physical earranaten shows mld waakness wth fstocion and aducton ate lagers, Hats unable to Haid pie f paper between Ine ee thee of tet tage (eronent Sen) Serato ntact Ti ost ely Cause these frelngs fs compressor af which ofthe lowing Siucures? |) Deep branch ofthe ulnar nerve a the Reck othe namate bore 8) Long tndons coursing trough the carpal tunel 0) Modian nerve eevsed ty cslbeation ofthe una bone ) Recurert branch ef the eden ner nth pl ) Una neve as courses vouch te Nor carpi as muscleterion ete tres inert 2 x tp etna AA 28. A’5.yoa-ok woman des 6 mons er the onset savers Heataches. Her brain as Seen a autopsy s shawn te phon: Vie othe folowing I ha most Kay cl oF rg otis reopen? Ay Aster 8) Encetetat ©) Molaneyte ) Moningoa! ) Squemous pital 3 erterion ete tres inert 2 x tp oe oeten AD NUT wi a 40, Asoy ig conductes to en hoathy woman a sk for cardivasclsr sca Because sheroslatees i an intaramatory process, fs concenraton of plas Caco prota (CRP), a mater of rilarmeten s moasifed. Te plasma CRP coacentsto sneveacadin neren who subsequonay develop covonary ary dsease Wich efthe {owing iste most kay soot C-eacive prota lesyiness? AN) Bore marow 8) Heart 2) Liver ) Spleen ©) Thymus plana 3 er |terion ete tres inert Beeman mo 1, A'i.yearcid man brought he omergoncy deparimert bacause he has had savere chest pa racing to the back fr the past 30 mites tas ofthe chest lo ps show ‘wa2ning ete aota Aerie angogrerhy Shows an eta men nthe mada tthe poem aera Which 3 tha folowing s harmst lly cause os fncing? 1) Diabotos mots 2) Firomuscuer hypeesie ©) Hyberension 1) yperrophiccaromnyopathy ©) Syphisterion ete tres inert 20, ASt.yearcid man doveloos daphores, achycatca, anda bod pessure of 158/100 mm Hg 24 nous lar undergoing an abceminal operation, Two Reus later, he has ‘ereraized tone-clorieseuure Which of ta folowing most kal resporsible for hace adver ectsin ts patent? 1) Aesto renal fake 18) Alcohol withrewet (©) Anaphyicicreaction ) Narcote pan mecaten ) Sepsis rom a gram postive organism 3 er |terion ete tres inert tp ovevetenn ATONE n £8, A'S5.yoarcid man cones othe physician bocauso ofa 2-mort Mistry of decreased appette; ho also has had a .k9 (208) weight ss an an rtexmitont rash ding hs penod Physical exarinaton stews recroljc mraesy anthems ovr fe alla and gran Labersory strtes show a sri puiase concentration ot 780 mee ana pasa ‘lucagor cencantaten of 1500 poi. (N=20-100) ACCT stan of he cosomen shows mass Al he fad the pancreas, Wel cthe tabu processes ss! ay OcuTNg Irth patents Iver? |) Decrease actu of carntne aciyitanserase 8) Gycagan syrthess 0) Increased actly ef aco. Coh carbene ) Inniton ckekogonens ) Partial oicaton of taty acts 3 erterion ete tres inert = x tp ove vetenn TDAH 4, Aprewousty heathy 37-year-old woman cemes io the prysian because of 5.monn story of fag, she has has an 18k (40) weight gan duong ths paiod Hor terporature 976°C 09), pulse asin, respeaiors are Timm, and ocd pressure 1905 rom Hg. Prysea sxarinatn Shows a ound ees and urea obesity There ‘are pub sttee ove the abdomon and Monk and erchymnoses over the ears afd ower attemiles,Pevl-oxarinaton shows no atrermales, Mer pest adenocortcaverc former (ACTH) concertaton fs tess than 5 pal (N<1Z0) Hor serum crs concent does ol Decor suppressed Kllwiy aanstaon of ow ahd Hej Coss Of exarecthasero, Nich of Bo along isto most italy cause of hase Mndngs? AY Ectopkc ACTH production 8) rusty bascpiic adenoma ©) Tomar of he atteras zona tesceuta D) Tomar ofthe adierat20re gloreraoss ) Tumor ofthe attra zoratetculs|