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Welcome to fenestratedโ€™s page.
Contributor score: 32


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 +1  visit this page (nbme24#29)
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My reasoning was 135/80 BP relatively normal.. in fibromuscular dysplasia I believe it would be higher due to increase in renin. Her hx of diabetes + low hemoglobin (damage to renal peritubular capillaries) also pushed me towards atherosclerosis.

also per FA2019 p298--> "usually seen in women of child-bearing age" this pt was 65

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 +13  visit this page (nbme24#35)
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Basically asking if you know Pemphigus Vulgaris. Separation of suprabasilar epidermis, intact basal keratinocytes vs Bollous pemphigoid--> includes separation of basal layer

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subclaviansteele  This how I thought of the question...Classic histology photo of the "tomb stone" row of basal cells and the lifted keratinocytes. +3

 +7  visit this page (nbme24#7)
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I don't know what's going on here because in name 23 I picked "cavernous vascular spaces" for strawberry hemangioma and it was incorrect, then they go and describe it here as "cavernous vascular channels" and they expect me to know it's a strawberry hemangioma also????????????!!!!!!!!!!

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fenestrated  nbme23* +1
madden875  Your answer is incorrect; it's not a strawberry hemangioma. one of the biggest points of difference is that a strawberry hemangioma is raised or nodular, but this patient presents with a flat lesion. This presentation is more representative of a nevus simplex. Boards and Beyond describes this well. +2

 +0  visit this page (nbme23#47)
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What puts internal rotation over adduction? Subscapularis muscle does both

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smc213  probably because the subscapularis m. is the only SITS muscle that does internal rotation & adduction along with the teres minor m. action being adduction & external rotation. +1

 +8  visit this page (nbme22#35)
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For this one I think what you had to know is that Transcription (DNA-->RNA) is performed by RNA polymerase. It was not DNA polymerase because this one replicates (DNA-->DNA)

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fenestrated  between increased or decreased binding I picked decreased because it was a mutation which affected the hydrogen bonds which is how nucleotides bind to each other +1
makinallkindzofgainz  this is how I got it right +




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submitted by fenestrated(32), visit this page
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I don't know what's going on here because in name 23 I picked "cavernous vascular spaces" for strawberry hemangioma and it was incorrect, then they go and describe it here as "cavernous vascular channels" and they expect me to know it's a strawberry hemangioma also????????????!!!!!!!!!!

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fenestrated  nbme23* +1
madden875  Your answer is incorrect; it's not a strawberry hemangioma. one of the biggest points of difference is that a strawberry hemangioma is raised or nodular, but this patient presents with a flat lesion. This presentation is more representative of a nevus simplex. Boards and Beyond describes this well. +2


submitted by ankistruggles(18), visit this page
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How do you know her pulmonary symptoms are due to pulmonary capillary leakage and not hypoventilation? Is pulmonary capillary leakage just another way of saying pulmonary edema?

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sattanki  Hypoventilation in no way leads to pulmonary edema. +
fenestrated  Hypoventilation would increased the PCO2 +1


submitted by fenestrated(32), visit this page
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For this one I think what you had to know is that Transcription (DNA-->RNA) is performed by RNA polymerase. It was not DNA polymerase because this one replicates (DNA-->DNA)

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fenestrated  between increased or decreased binding I picked decreased because it was a mutation which affected the hydrogen bonds which is how nucleotides bind to each other +1
makinallkindzofgainz  this is how I got it right +


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