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Welcome to diabetes’s page.
Contributor score: 25


Comments ...

 +1  (free120#9)

if we know that dorsal coloumn ascending is medial and decussate in medulla and ascend contralaterally then we will choose c

cbreland  I was struggling with if the UMN would have crossed yet, but from what I remember, the cortospinal tract crosses at the bottom of the medulla. Also the CN XII has ipsilateral lesions ("Tongue licks the lesion") so that helped think through this problem. +

 +1  (nbme23#1)

the key here is (asymptomatic) the only amswer is anovulation


 +1  (nbme23#19)
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uppirlaly doatilin stei,hepyonr itcrac,sseuday,aerih ue,fwklsnaes rae atlicyp for htmnasaepmie .toxatiinionc


 -2  (nbme23#49)
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owh si dalnear duellma sah HAC nicticion trocpere wchih aer gtdna-aligde /Nak nelescanh ? cms ianuric HAC rpserctoe rae elpuco-te-onidGpr .oprrtcese

gdupgrant  epinephrine acts on alpha or beta adrenergic receptors which are all G protien receptors. muscarinic receptors are also G coupled but Acetyl choline wasnt an answer choice. In the adrenal medulla the chromaffin cells are kinda like modified post ganglionic neurons and have nicotinic receptors. +

 +1  (nbme23#44)
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brlotai forlo recfaurt dael ot epnetmantr of RIM degailn to pieldwaio,p nca ees ari in eth tiorb splu elpmntiscead of yee uessit dna the selmcu ni lmyxaalir isnsu .


 +1  (nbme23#7)
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nielgbde + rsserpue wond pluse+ pu elqua ilovehpyomc kcsho


 +0  (nbme23#15)
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mL/gg/l1m22M1= 21.0=08.910 /m 0/.1g8krhg5222=9.4 gyakmg/d/ eht setenra rasnnew si 8.82


 +1  (nbme23#4)
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nac osyodebm anilxep hwo eynger cpnooitudr yb iglysyscol aesrincd,e iescn cariebo csyolsgiyl recoudp 23 etn aT,epomcArP ot 2 ten PAT hgthruo roeacabin lyloscigys ?

diabetes  i think the stem should be "energy production by an anaerobic glycolysis " +3
blueberrymuffinbabey  yeah that's the bit that tripped me up too. i get that there would be increased glycolysis in general to compensate for lack of TCA function but...the fact that it says "energy production by glycolysis" is kind of misleading/confusing. +
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +1
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +
targetmle  i got it wrong because of this as i thought ATP will be decreased in anaerbic glycolysis, but proabably it was mainly 'glycolysis' is increased +1

 +1  (nbme22#50)
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i aws ehitaestd bteneew morbiuoirnsotfase y1tpe nda tesuburo oliscesrs te,h wto veha knsi + banir inoesls Dutb,A, eth tfsir sah 001% eapecrnent ,tciop simalog ,ndreimtehgppe utcflaei-aa- n,sosopt ero,ssuiez esdno is eht .raewsn


 +1  (nbme22#11)
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Teh amiprmipfno pulx,es tiarcelust r,raety icemctraesr r,ratey atyerr of eht tucuds er,enefds iamcpylht sessv,le isuraetltc ietcmsytahp e,vresn nad sducut rnseedef all run edpe ot teh raenltin casptimre ia.csaf The liiiignluaon revne usrn on the iepsclfurai aufesrc of teh raxteeln imaerptsc fhisTacae iliuginiaoln reevn si a yosesnr vneer ttah aeivnsnetr eht ksni vreo the nirog re,igon the lemdai cpates of het hht,gi the puper rpta of eht osrtumc nad eht elniep too.r It si aylmolnr tneuenroedc ridnug enpo erirpa of lauiignn .rhiean


 +3  (nbme24#44)
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nheW SZE is s,deecupts eht aitnlii stet mneodcredem si a ntsiagf ursme sgrinta S()GF eintamrteindo ni het ebscnae of rsercatyitnoe hryepta enSyits(vit-i –1%9800 ni SEZ natepsti vrioasu s e.irsel/aM5ehvsPow9slr/.//6pg7m8ww/ncmtCtt./ni:.niibc.h5c7p


 +0  (nbme24#13)
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BRC =ts=&s=agc;t loutnglrmisehiroep eth onyl nitoop ee.htr

thotcandy  I saw BUN/cr > 20 and instantly though prerenal --> ischemic pap necrosis due to analgesics. Are nephritic syndromes just excluded from that whole thing? FA says BUN and Cr are increased for nephritic syndromes but does the ratio just not matter? +1

 +3  (nbme24#18)
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htis qouiesnt teyh geva yuo het enawsr emisoliy.e)ott(s

snripper  fck, am i retarded? +11

 +2  (nbme24#17)
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mypsil eht oobld dienis eht SFC ocebem oecdlkb gohruht dnaicohar rngtnsuaiola ==&t;g seeecard baotnprsoi fo cg=tmcmi;=naniSo&tuFCg ad.ulypeocrshh


 +4  (nbme24#40)
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(t)UIU &t;=g= isesps ADE;ECRg&S&gIR=t=N=AS=;t eolrvaal laaplricy mtealbryieip ==;t&g mypeixaoh =;t=g& lvatierhtnnepoiy ac&ognh=pi;pt=ya

avocadotoast  This is correct. The patient doesn't have pneumonia, but sepsis from her UTI. Sepsis is a known cause of ARDS. ARDS can be due to extra-pulmonary tissue damage that leads to the release of inflammatory mediators, alveolar damage, pulmonary edema, and hyaline membrane formation. The hyaline membranes impair gas exchange and lead to hypoxia. +2




Subcomments ...

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THP is arsicdene cabeseu ermus lauccmi is wlo. cueBase TPH is riea,endsc ppohsouhros is ds.edreeca Teh naomw in enbula ot bobsra imantiv D (a tfa lsuboel n)mi,tiva os ccllaroiti si scdeeedar o(n vtimain D ofr het eikynd ot ttvaicea toin i)r.laoclcti

gabeb71  What does this have to do with the Celiac Sprue? +1  
medpsychosis  I believe they were explaining the reason for the mentioned "mild osteopenia" in the pt presentation. +  
meningitis  No, I think this person got confused with another question about celiac sprue, PTH, Calcitriol, and Vit D (it was an arrow type question). +  
diabetes  explanation for decreased bone density . +  


submitted by hello36654(5),
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so hyw si n"sicestao fo satf xloaan "trsrnpota ?grwno t'nDo miaetnlyde osa,nx by ftn,iiienod heav tfsa otneaudn?ccc oS nieeaytldedm aoxns wdolu veha asenc"tiso of staf nlxaoa tspor,anrt" chwih is eth sawren ,A ?trgih

diabetes  i think it slows down ,no cessation . +  
gdupgrant  Because fast axonal transport refers to the transport of vesicles containing neurotransmitters or some kind of cell product up and down microtubules in the axon. It isn't related to actual electrical signal transduction. +6  


submitted by diabetes(25),
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acn sboedomy apelinx ohw ergyen pcuoionrtd yb cossyyglil drsani,ece icens ireobca gyissylolc eprudco 23 tne pTec,PoAmar to 2 ten PAT orhthgu braneoaci ssgcoyliyl ?

diabetes  i think the stem should be "energy production by an anaerobic glycolysis " +3  
blueberrymuffinbabey  yeah that's the bit that tripped me up too. i get that there would be increased glycolysis in general to compensate for lack of TCA function but...the fact that it says "energy production by glycolysis" is kind of misleading/confusing. +  
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +1  
thotcandy  technically, glycolysis is the reaction that happens in the cytosol that generates pyruvate and 2 net ATP. after that it's TCA and Oxidative phosphorylation, which occur in the mitochondria. By definition, glycolysis is anaerobic - which is why they hammer the fact that RBC undergo glycolysis only into our heads. +  
targetmle  i got it wrong because of this as i thought ATP will be decreased in anaerbic glycolysis, but proabably it was mainly 'glycolysis' is increased +1  


submitted by keycompany(301),
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rarUyni ttcar istnneicfo aer eth tmos cmomno edqurcia scuae fo oeutrVccisei ueflxR (RV) in rlhec.din VR nac dlae to fxluRe yeaNthrhppo, iwhhc is ecaiehrrdatcz by oircnch tintuibtuelisatlro aifnomnlmait whti bisfrios adn anc,isrgr idngael ot reanl u.lifare

lancestephenson  Can someone please explain what's going on in this picture? This is the SAME PICTURE used in NBME 20 and 21 with one of them being a 66 y/o with urothelial cell carcinoma and the other being tubular atrophy. I just don't know anymore +42  
spacepogie  I'd be happy to send them a gift card to purchase more stock images of kidneys for use in future exams... +17  
diabetes  i think VR should lead to bilteral kidney damage and here only left kidney is affected.should we suppose that right kidney also is affected ? +1  


submitted by neonem(556),
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Tihs ipnaett 'snti novnt,peahgiyilt theeyr' gi,HtnnPYelitEvRa ncehe teh P2OC ;lt& 40 mm gH.

stL'e akwl it rsab:cwakd hyeT aer vpatnngrheiytile ot comtnepsea ofr the tlomecaib diosisac cudsae yb widasrpede hapxy.oi tegilipntnvyarHe laowsl yuo ot bwlo ffo erom CO2.

hWy rea ethy ?xcpyiho heT rnpseo is pcixyho ude ot anfiaimontml and ateuc airrpstoyre trdsssie nmesrdoy ormf eht .upmaonnie lAl eht yteokicsn mofr eth lytnimaomfra clels uecsa adeincrse uyopnamrl larylpiac al,gekea hhciw sboclk up het lvlraeoa ememrnba os htat 2O atnc' etg grhuhto ot het lod.bo

Wyh do ythe evah bcilemtoa isacisod ni eht tfirs ep?lca No oenxyg &t-g-; on crnteole ptrnorsta anihc and on TAC t--;&g iccatl .scsiiaod

diabetes  no pneumonia it is UTI +3  
makinallkindzofgainz  The infection from the UTI spread to her lungs +  
makinallkindzofgainz  this is essentially urosepsis, one of the leading causes of sepsis +1  
cmun777  UTI -> Sepsis -> ARDS (exudative pathophysiology d/t increased pulmonary vasc permeability) +13  
peqmd  urosepsis +  
snripper  lmao I read it as upper respiratory tract infections, too. +2  
thisshouldbefree  she has an increased A-a gradient. +