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nbme 28 Exam Questions and Answers 100% PASS

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nbme 28 Exam Questions and
Answers 100% PASS

when a patient has a renal condition, a lot times it can present as flank pain. but but what is

the difference in the presentation between the pain and radiation of a pt with a ureteral

calculus vs a renal infarction?—ANSWER-- when a pt has a ureteral calculus, there is colickly

unilateral pain that radiates to the groin (groin - T10 to L2)


- when a patient has a renal infarction, there is constant deep pain with no radiation.


yellow, 50/50


what type of causes would lead to a renal infarction (or associations)—ANSWER-some kind

of thromboembolic disease, or renal artery dissection, or hypercoaguable state.


but also note, a renal infarction is pretty rare.


yellow


kidney is flank, groin is uretral, and suprapubic indicates which organ is invovled?—ANSWER-

the bladder.


green


what structure in the brain is responsible for unconscious proprioception, vs conscious

proprioception—ANSWER-unconscious is from the cerebellum, specifically the anterior lobe.

,conscious is from the medial leminiscus within the primary sensory cortex.


green, pure 50/50


what are the functions of the biceps! (2)—ANSWER-to supinate the forearm and flex the

elbow


gold, correct


when ganciclovir is used to treat cytomegalovirus, what enzyme is this drug inhibitiing—

ANSWER-DNA polymerase


what is the class and function of ganciclovir in treating virus—ANSWER-it is a guanosine

analog that inhibits nucleic acid synthesis. its formed by the CMV viral kinase and cellular

kinases


red -- concept extension for this drug


what is important about the prodrug of ganciclovir, vanganciclovir?—ANSWER-it has a better

oral bioavaliability.


orange, didnt know this


which condition is known for having owl eye intranuclear inclusions?—ANSWER-CMV (also

known as HHV-5)


green


which condition is known for utilizing a thymidine kinase?—ANSWER-herpes simplex virus /

varicella zoster virus-- and the target is still dna polymerase bc all herpes viruses are DNA

viruses



© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald

, yellow


which cells in the female body make androgens (just the production) which gonadotrophin

stimulates these cells?—ANSWER-theca interna cells


green-- stimulated by FSH 50/50 distinction


chat said think theca T for testosterone (bc its an androgen)


which cells in the female body take androgens and convert then to estrogen through

aromatization? which gonadotrophin stimulates these cells


(androstenedione to estrogen)—ANSWER-granulosa cells-- FSH stimulates these cells


chat said think G for girl hormone to make this intro estrogen


green 50/50 distinction


NAD comes from niacin, which is vitamin B3 (when deficient, leads to pellagra) but where

does niacin come from, what molecule?—ANSWER-tryptophan


yellow, 50/50


what condition is associated with a deficiency in tryptophan transporters in the proximal

renal tubule and on enterocytes?—ANSWER-hartnup disease


photosensitive dermatitis, diarrhea, and neuropysch symptoms


orange


what is the inheritance of harntup disease? what kind of symptoms present—ANSWER-

autosomal recessive. there are pellagra like symptoms associated, as well as neutral

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