Hey needed help with a Few Qs .........
Qs 1) kidney transplant pt asking for a relatives kidney rather than cadaveric ???
Qs 2 ) a child that avoids eye contact , and social relations but watches weather forcast channel ???
Qs 3 ) 70 ys depressed female whoes husband died ??? i thought living with a relative would be a right ans ?????
Qs 4) Vmax of enzyme 1 = 300 and second Vmax = 30 ....... km ??? is Km of 1 greater than 2 ?????
Qs 5) AD inherited disorder with wild allele ???? due to ???? insertion of line sequence , recombination , single nucleotide polymorphism , tranduction ???
Qs 6 ) RA joint aspirate ....... is the Ans dec in complement , inc neutrophil , inc IL1 , inc TNF ??? ....... should there be a dec in TNF and IL1 or inc ???????
Qs 7) After cholecystectomy , pt has swelling and redness of great toe ?? also past H/o of great toe swelling ???
Qs 8) Diagram of RER and mitochondria for glycosylation of protein to be exported ......read in earlier page that ans is A ........ but A is mitochondria ??? how can glycosylation occur in it ??
Qs 9 ) Diagram of spinal cord .... F or G ??? why please do explain ??
Qs 10) Fracture of fibula ..... pain distal or proximal ??? marked B and got it wrong ??
Qs 11) Another CNS brainstem diagram .... a woman with ringing in her ear and dymetria of UL and LL ..mass compressing what ?? CP angle tumor ??
Qs 12) Cochlear implant stimulates ??
Qs 13) 12 yr boy with PAS stained glomerulus ???
Qs 14) amenorrhea after 2yr of child birth , with inc FSH and LH ????
Qs 15 ) 54 yr male with 30 mins of Respiratory distress and chest pain ..... with a Xray ......with options of dec or inc osmotic and hydrostatic pressure ....???
thanks ....🙂
1) Ask him to explain his concerns about the kidney transplant. Open ended question, you want to know why he wants a relative txp.
2) Asperger's
3) Her husband has only been dead 3 weeks -- you should reassure her that her depression is normal. "Living with a relative" isn't the right answer because that's very situational advice -- maybe it would help in some cases, maybe not in others -- but it's not medical advice. The "trick" answer to that one is giving her an antidepressant, but she hasn't been depressed long enough.
4) Can't determine. Km is the substrate concentration for 1/2 Vmax, but it has to do with the affinity of the enzyme for the substrate -- you can't determine that solely from the Vmax.
5) Recombination. If two alleles are close together (and thus don't sort in a Mendelian fashion aka randomly), the only way that someone could end up with a mix is via recombination during meiosis for the germ cell.
6) Decreased C3, increased everything else. RA is a type III HSR, where you have immune complexes activating complement and then products of the complement pathway (C5a, etc) attract neutrophils/lymphocytes that produce the other components.
7) I don't remember this Q, so I'm not sure. Do you remember any more of the stem?
8) The answer is the arrow that points to the inside of the RER. Whoever told you it was the mitochondria was incorrect.
9) The answer was the more lateral of the two points in the anterior horn since she was having weakness of the intrinsic muscles of the hand -- the hand is more lateral in the anterior horn (you know it's a LMN disorder (and thus not corticospinal tract) since she's having weakness/atrophy and not spasticity/hyperreflexia).
10) She has pain proximal, no pain distally -- fracture of the fibular neck injures the common peroneal nerve, so she'd have foot drop and anesthesia over the dorsum of her foot/leg.
11) The labels were L/R MLF, L/R corticospinal tract, or L/R nuclei section of the brainstem -- I'm not great on neuroanatomy, but you know it's not MLF or corticospinal tract, so then you just have to figure if it's left or right. Since it's hearing loss, it should be ipsilateral, so it's whichever side she had symptoms.
12) Auditory nerve. It replaces the hair cells.
13) Minimal change disease. The PAS stain showed a totally normal glomerulus to light microscopy -- since he has nephrotic syndrome, the only explanation would be something you can't see on LM i.e. MCD. It's also the most common cause of nephrotic syndrome in kids.
14) I'm not sure exactly which question you're talking about, but I think it was primary ovarian failure. If her FSH and LH are elevated and she's not menstruating, it has to be an ovarian problem. The only ovarian path on there was primary failure.
15) Increased hydrostatic pressure in the pulmonary venous circulation. He was having a classic MI with sudden-onset pulmonary edema. Most likely cause would be left ventricular dysfunction from ischemia which leads to increased pressures in the pulmonary venous circulation from backup = pulmonary edema.
I didn't do feedback for mine so I don't know for sure that these are all right -- but I think most of them are correct.
