NBME 16
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NBME 16 Block 1 and 2 (Answered) Verified Solution Lab values in Sarcoidosis 1.Elevated ACE levels- from granuloma 2.Elevated CD4/CD8 counts in BAL. 3.High Calcium 4.HIGH 1,25 DIHYDROXYCHOLICALCIFEROL (Due to increased production of 1 alpha hydroxylase that converts Vit D to its active form -nbme) 5. Low PTH Histology of Sarcoidosis : 1.Epithelioid granuloma - Granuloma with foreign body giant cells (means Giant cells with disorganized nuclei) Type 4 HSN. 2.Asteroid body - Star sha...
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NBME 16•NBME 16
20 yo woman with 8 yr hx of intermittent HA's, flashing lights in right visual field, f/by unilateral THROBBING headache with NAUSEA, vomiting, with menses Ans ~ MIGRAINE HA-rmbr "POUND"--Pulsatile, One-day duration, Unilateral, Nausea, Disabling. pulsating pain with N/photophobia/phonophobia/aura. Avoid TYRAMINE-containing products intense periorbital pain, tears, rhinorrhea, smoker, for 15 mins-3 hours Ans ~ Repetitive brief HA',s Excruciating periorbital pain with lacrima...
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NBME 16•NBME 16