1. Ovarian tumor. AGE, location of mass, and unilaterality is the key. Goljan also told me. Haha
2. Angiogenesist. The picture was a cavernous hemangioma. As Dr. Goljan would say, don't do anything.
3. The most lateral rod on the right. The picture looks like a hot dog on the right arm. The arrow that points at the right bun is the MUSCLE somite.
4. Phosphoribosylpyrophosphate synthetase. This is a key regulatory enzyme. Know all of these including HGPRT.
5. narrow mediastinum due to lack of thymus, normal gamma globulins, and decreased t lymphocytes.
6. Anticipation. The tipoff was that the mother has a lack of facial expression and muscle weakness so you know she was has the disease. The hypotonia and facial expression is give away that the disease is myotonic dystrophy. Sorry Dr. goljan, there are more ways than shaking one's hand to find out if they have this disease. Key associations myotonic dystrophy -> triple repeat and anticipation. If you understand Goljan and can apply his lectures you will anhilate this exam. Most people when they listen to his lecture memorize what he says. The smart ones think about what he says and applies it. Example, pleural effusion vs lung consolidation. He talks about it in his audio, but you have to sit down and think about the differences due to tactile fremitus, egophony etc.
Those keeping score at home. I still have my answer key for the 770 so people can verify it when they take the test. I will post it on SDN in due time. I promise. Still debating whether someone like Hidden should have an advantage on this test because they are taking the exam after since people before him didn't have access to this. Whatever I choose, the class of 2008 will have access to my answer key to give everyone in next year's class a level playing field. Until then, if you have any other questions. I will answer NBME questions on form A and give you my rationale.
p53 is back. You Heard
