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 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...
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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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...