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Comments ...

 +1  (nbme18#45)

Another thing to think about is Kaposi typically presents in HIV pts earlier, under a 500 CD4 tcell count, while bartonella angiomatosis presents <100. This patient was recently diagnosed. Kaposi is "A malignant spindle cell tumor caused by the human herpesvirus 8 that originates from endothelial cells"-amboss, give antineoplasic. We arent given anything on neutrophilic/lymphocytic infiltrates... so I assume this is more just straight up identifying- FA 2019 pg 469.

lIkE iF YeUr frM OhIO, ColLecTIng staTs N sTufF

Subcomments ...

submitted by seagull(1539),
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uto fo siryiucto, woh may ppolee enkw shit? nodt( eb hsy ot ysa ouy idd ro td?d)ni

My ptoyver otudeniac ddtni' iinnrag hits in em.

johnthurtjr  I did not +1  
nlkrueger  i did not lol +  
ht3  you're definitely not alone lol +  
yotsubato  no idea +  
yotsubato  And its not in FA, so fuck it IMO +1  
niboonsh  i didnt +  
imnotarobotbut  Nope +  
epr94  did not +  
link981  I guessed it because the names sounded similar :D +14  
d_holles  i did not +  
yb_26  I also guessed because both words start with "glu"))) +27  
impostersyndromel1000  same as person above me. also bc arginine carbamoyl phosphate and nag are all related through urea cycle. +1  
jaxx  Not a clue. This was so random. +  
ls3076  no way +  
hyperfukus  no clue +  
mkreamy  this made me feel a lot better. also, no fucking clue +1  
amirmullick3  My immediate thought after reading this was "why would i know this and how does this make me a better doctor?" +7  
mrglass  Generally speaking Glutamine is often used to aminate things. Think brain nitrogen metabolism. You know that F-6-P isn't an amine, and that Glucosamine is, so Glutamine isn't an unrealistic guess. +4  
djtallahassee  yea, I mature 30k anki cards to see this bs +4  
taediggity  I literally shouted wtf in quiet library at this question. +1  
bend_nbme_over  Lol def didn't know it. Looks like I'm not going to be a competent doctor because I don't know the hexosamine pathway lol +21  
drschmoctor  Is it biochemistry? Then I do not know it. +5  
snoochi95  hell no brother +1  
roro17  I didn’t +  
bodanese  I did not +  
hatethisshit  nope +  
jesusisking  I Ctrl+F'd glucosamine in FA and it's not even there lol +  
batmane  i definitely guessed, for some reason got it down to arginine and glutamine +2  
waterloo  Nope. +  
monique  I did not +  
issamd1221  didnt +  
baja_blast  Narrowed it down to Arginine and Glutamine figuring the Nitrogen would have to come from one of these two but of course I picked the wrong one. Classic. +1  
amy  +1 no idea! +  
mumenrider4ever  Had no idea what glucosamine was +  
feeeeeever  Ahhh yes the classic Glucosamine from fructose 6-phosphate question....Missed this question harder than the Misoprostol missed swing +1  
surfacegomd  no clue +  
schep  no idea. i could only safely eliminate carbamoyl phosphate because that's urea cycle +  
kernicteruscandycorn  NOPE! +  
chediakhigashi  nurp +  
kidokick  just adding in to say, nope. +  
flvent2120  Lol I didn't either. I think this is just critical thinking though. The amine has to come from somewhere. Glutamine/glutamate is known to transfer amines at the least +1  

submitted by moloko270(65),
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olMyrsbfii are espcodmo of rlelasm russutterc llcade eTerh aer tow nmia pytes of etnfmi:asl cthki minealsft dna inth ;nelfmista heac hsa tfniederf micsoonsipto dan .nlcooatsi cTkhi snfiamlet ccuor lnyo in eht A nabd fo a bomiyfril. hniT etmnlsafi atchat to a npteoir in teh Z sicd lecdal hnlaitcaip-na nad cruco scaros hte eeitnr lhgetn fo het I ndab and rawyapt oint teh A ab.nd


meningitis  isn't letter C the intercalated disc where the gap junctions are? +11  
chediakhigashi  The actin is bound to structural proteins at the Z-line, this was on u-world #1734 if i understood correctly +  

submitted by dentist(53),
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dofun tish esrpu esfluu okbo on zaoamn atubo id-huiCdBar kche(c otu the kcis oevc)r

llamastep1  Thank you for that +  
focus  hahahahaha. DEAD. +  
anjum  I endorse clicking that link +1  
azibird  Hahahahahahaha, that's a must click. Someone please buy it and let me know. +  
chediakhigashi  hahahaha +  
aakb  I don't know what I was expecting... +  

submitted by sympathetikey(1350),
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'hTtas a wne


sympathetikey  Makes total sense looking back. Just didn't know that was a thing :) +31  
sugaplum  Fun fact: Meredith from Grey's anatomy got her idea for Mini livers from a patient who presented with an accessory spleen.... and who said watching TV doesn't count as studying +26  
123ojm  have gotten at least 10+ NBME or Uworld questions correct because of grey's anatomy +3  
rongloz  LOL got this right because of Grey's anatomy too +  
chediakhigashi years old +