NBME Form 11 // NBME 11 questions & answers graded A+

NBME Form 11 // NBME 11 questions & answers graded A+ Male with erectile dysfunction with spontaneous nocturnal erections? - ANSWER-Psychological problem Male with erectile dysfunction without spontaneous nocturnal erections? causes? *associated pathology that can cause erectile dysfunction? - ANSWER-Organic (internal problem) - meds (SSRIs, B-blocker) -prostate or pelvic surgery causing nerve damage - artery problem from DM or atherosclerosis *Peyronie disease: fibrous plaque within tunica albuginea causing abnormal curve on penis How does pregnancy affect thyroid hormones? Which hormone directly influences the changes? - ANSWER-inc. in estrogen causes inc. production of globulin transport proteins (TBG) which bind T3/T4 --> TSH to inc. making more T3/T4 which get bound by TGH but eventually normalize the TSH= normal and T4= high Child in daycare presents with vomiting, diarrhea, oligouria...dehydrated...contagious...what is the virus? Type of genome? How does it damage the body? - ANSWER-Rotavirus -dsRNA - destroys villi causing atrophy leading to dec. absorption of Na+ and loss of K+ Who is commonly infected with CMV? *type of genome? *what does CMV cause thats clinically significant? *what do you see in smear? *Rx? - ANSWER-immunodeficient, chemotherapy, post transplant, AIDs - DNA - esophagitis and retinitis in AIDs patients -mononucleosis (kissing disease) in EBV (-) - inclusion bodies -gancicylovir, foscarnet Herpes Simplex virus 1 causes? 2 causes? clinical symptoms? Rx? - ANSWER-1- lip ulcers+ vesicles 2- genital herpes *painful *Acyclovir Patient with fevers, chills, weakness, myalgias, athralgias, cold like symptoms? Whats the bug? What's the patients diagnosis? *Whats a bug that causes the common cold? - ANSWERInfluenza virus *Rhinovirus causes the common cold with only cough and rhinorrhea What virus causes conjunctivitis and febrile pharyngitis (strep throat)? Type of genome? - ANSWER-Adenovirus DNA Which hepatitis is fecal-oral? Which of them short and resolves? - ANSWER-A & E *A Which hepatitis is transmitted thru IV/sex? Which of them leads to cirrhosis? What happens after cirrhosis? What will be shown in the labs? Which hepatitis is directly progresses to a cancer? which type? Hep B vs Hep C in terms of genome? - ANSWER-B & C *C --> cirrhosis--> hepatocellular carcinoma--> inc. ALP *B directly progresses to hepatocellular carcinoma B: DNA C: RNA What can painless jaundice mean? - ANSWER-pancreatic tumor or cholangiocarcinoma RUQ pain, jaundice, ascities? - ANSWER-Budd chiari syndrome RUQ pain, jaundice, fever? - ANSWER-ascending cholangitis where do you see inc. GGT? - ANSWER-alcoholic cirrhosis