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Yeah this makes a lot of since. The anterior pituitary produces FLAT-PiG (FSH, LH, ACTH, TSH, Prolactin, and Growth Hormone). Pituitary adenomas are most commonly prolactinomas in the anterior pituitary.
He is just now noticing the effects of not having LH and FSH, infertility. So we need to replace those, aka give gonadotropins.
It says no pain or drainage on the stem, this is how I eliminated the answer choices of infiltratiom (neutrophil, lymphocyte)
I am sorry bus this is soo funny!! I hope your's spontaneously regresses too
Not sure exactly but my guess is that it doesn't impinge upon any major nerve (yes it can probably impinge some superficial branches of the radial)
Possibly Multiple Myeloma. That is classic for an older person with back pain and lytic lesions in the back.
osteolytic- multiple myeloma, Osteoblastic- Prostate; dont think beyond this for this exam, i have never seen a question in NBME or uworld they tried to fool us off on this concept so far.
I'd like to reiterate what's stated above... dx NOT MM in this question because MM is PRIMARY not METASTATIC @ bone (answer reads: metastatic carcinoma)
All primary bone cancer - mc seen in age b/t 20-40 peak at 25.
Prostate adenocarcinoma - mc seen age >50 yr old.
Sometimes instead of osteoblastic they say osteosclerotic that's synonym of Osteoblastic.
For multiple myeloma it's always osteolytic.
she doubled her triiodothyronine not levothyroxine, so she took a bunch of T3 -> feedback inhibition of TSH and therefore decreased T4
D’oh didn’t even read that just assumed it was levothyroxine. Thanks!
NBME's give you very few buzzwords, read it super carefully!! questions like these are free points
I believe it's that this muscle everts the foot + runs over the lateral malleolus
.. But the phrasing on the question is odd
I didn't actually know this one. I just ruled out everything except the fibularis muscles, and then to be quite honest, I think I had never heard before of the tertius one, so...I chose brevis.
@angelaq11 same here :D
hahaha true that, overthinking is the reason for getting so many questions wrong
I believe they were asking what the most common effect of statins, which is GI upset (including diarrhea). Rarely you can have hepatotoxicity and myopathy but neither of these are a side effect in the answer choices. Hopefully this helps!
Theyre asking about the most common side effect of Orlistat - which is really fatty diarrhea
Orlistat is not a statin drug, it basically inhibits pancreatic lipase so that you absorb less fatm drug is used for weight loss. So when you are not absorbing fat you are inviting diarrhea.