7+ Year Member
- Jun 11, 2012
- Pre-health Advisor
These are just my opinions man!Here are some more:
1. A 63 yr old woman comes to the physician b/c of a 2 month hx of a drooping left eyelid, intermittent pain of her Lt. eye, and an unusually large pupil. Her husband has told her that the eye appears to be "looking sideways." Ophthalmologic exam shows ptosis, lateral strabismus, and mydriasis of the Lt. eye. An MRI of the brain shows an aneurysm of the Lt. post. communicating artery. The function of which of the following muscles is most likely remain intact in this pt?
B. inf. oblique
C. inf. rectus
D. pupillary constrictor
E. superior oblique - She has a CN III lesion. SO is the only one that is not controlled by CN III
F. superior oblique
--> So the fact that the eye is looking sideway, I thought lateral rectus was intact, so I went for F since that does give you sideway movement.... Any clue?
2. A 5 yr old boy is brought to the physician by his mother b/c of progressive clumsiness and fatigue during the past 6 months. He says that his legs are tired. He was delivered at term after an uncomplicated pregnancy. He has met all developmental milestones, although there was some delay compared with other children his age. He is alert. He has difficulty rising from the chair; he uses his arms to push himself into a standing position. He is unable to jump with both feet together. Physical exam shows hypertrophy of the calf muscles. The pt most likely has weak hip adduction as a result of dysfunction of the muscle inserting onto the femur from which of the following locations?
A. anterior sacrum
B. iliac crest
C. iliac spine
E. lateral ilium
3. A 43 yr old man comes to the physician for a routine health maintenance exam. He is 170 cm tall and weighs 86 kg. BMI is 30. Physical exam and lab studies show no other abnormalities. He tells the physician, "My older brother just got diagnosed with diabetes. I don't want that to happen to me. What should I do?" Which of the following diets is most likely to be effective in decreasing this pt's risk for type 2 DM?
A. low calorie
B. low carbohydrate
C. low cholesterol
D. low protein
E. low sodium
--> I chose B and got it wrong. I have no clue....
I would guess B too but since that's wrong, the best answer would be A since more calories = fatter = higher risk of diabetes
4. A 52 yr old man comes to the physician b/c of a 3 month hx of epigastric abdominal pain. He also has had an unintentional 6.8 kg weight loss during this period. He has osteoarthritis treated with naproxen as needed. He immigrated to the USA from Japan 6 months ago. He eats mostly traditional Japanese food prepared by his wife. He has smoked 2 packs of cigarettes daily for 30 yrs and drinks three to four glasses of wine daily. He is 170 cm tall and now weighs 82 kg. BMI is 28. Physical exam shows epigastric tenderness. Upper gastrointestinal endoscopy shows a 4 cm ulcer in the stomach. Exam of a biopsy specimen of the lesion confirms adenocarcinoma. Which of the following is the strongest predisposing risk factor for this pt's condition?
A. alcohol use
D. naproxen use
E. tobacco use
--> So I was debating between A and E and chose E. So is A the answer? Or perhaps C???
According to that other thread, highest risk is tobacco
5. An executor of an estate consults with a physician concerning the terms of a will. The deceased woman was a philanthropist who was active in addressing disparities in health care. She designated that a large sum of her money be used to educate the public about the leading casue of death in women. The most appropriate use of this money would be a program addressing which of the following dz?
A. breast cancer
B. cardiovascular dz
C. cerebral infarction
D. cervical cancer
E. ovarian cancer
--> So I fell into the trap "women." Chose A and got it wrong. So it has to be B right?
I believe it is B. Highest incidence of cancer in women is breast.