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Welcome to poisonivy’s page.
Contributor score: 30

Comments ...

 +0  (free120#31)

also, guys, if she is receiving morphine via a patient-controlled pump, it wouldn't allow her to get more than what she should be getting, so I think tolerance would be hard to develop in this scenario + opioids are completely justified in this case

 +9  (nbme21#19)

this is actually a UW question (14992) Peripartum cardiomyopathy manifests as a dilated cardiomyopathy, can occur during last month of pregnancy or within 5 months after delivery, pathogenesis poorly understood, but may be related to impaired function of angiogenic growth factors (e.g VEGF) or predisposed by mutations in cardiac structural proteins.

 +2  (nbme21#30)

question #15553 in UW explains this one well. Basically, C5 branches innervate Deltoid (abduction) and Infraspinatus(external rotation) and C6 Biceps (forearm flexion), so the right option should be abduction of the upper extremity.

I got it wrong though lol

 +4  (nbme24#48)

per UWorld Id 2127:

PCA supplies CN III and IV, thalamus, medial temporal lobe, splenium of the corpus callosum, parahippocampal gyrus, fusiform gyrus, and occipital lobe.

Besides the contralateral hemianopia with macular sparing... a PCA stroke can cause contralateral paresthesias and numbness(involvement of lateral thalamus), dyslexia, visual agnosia (impaired visual recognition of objects) and prosopagnosia (inability to recognize faces)

 +1  (nbme24#12)

can we consider the overdose as a suicidal attempt? if so... wouldn't she be considered as without decision-making capacity?

em_goldman  People who are suicidal still have decision-making capacity; it's not equivalent to advanced dementia or other situations where decision making is impaired. Laws vary by state; I know in my state that the maximum time for holding someone against their will is 48 hours unless a court has deemed them incompetent and designated another person as their legal decision maker, including people who are actively suicidal. My understanding of the law as a layperson is that her living will was signed along with people bearing witness to the fact that she was the one who signed it, and it was what she wanted. Ethics aside, it would be almost impossible to prove that she legally initiated a DNR in a state of suicidality that was intense enough to interfere with her decision-making capacity in that moment. +1

 +0  (nbme20#15)
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Pre dW;oUrl cinaiapsc oundf ni lihic prpespe ueacss eexeicvss catonivtia fo V1RPT b(renmnsraatem leahnnc,) chwhi rssieaecn nitulrlaarcle amclciu htta ruslste ni glngoslnt-ai nnotisuycdf fo tcvpeniceio erevn bfsrei aitz.tni)nfuodinlc(aoe tI laos uacsse earlese and odeelpnti fo natuescbS ,P gaisnuc ta frsti nbgunir dan rteymahe tub eorv meit suceas eeaercdsd anpi ntsa.niseo

chandlerbas  also topical Rx for post herpetic neuralgia +

 +5  (nbme20#15)
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rPe Wl;odUr icnsaiacp uofdn in hliic sepeppr usceas xssveceie niitatvaoc of R1VTP maebert(rnasmn nn)hl,aec chwhi encsasrei icrrenatullal camuicl tath lusestr in t-laglnisong fnuistnycod fo evcinopciet rvnee risbfe aioanedo(zli.ct)inutfn It aols scsaue leaerse dan epldtnoei of tscbaSenu ,P gasnuic at ftisr gruinnb nad yhtearme utb revo teim ussace edcearesd inpa sn.itosnae

Subcomments ...

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be aeawr htta hte xa-sxi for sthi intuseqo is ont "K"m it6vB( is not eht tathetut rss'ba /1B[i6tV.] ot ym,ifisp beseacu het mxVa is ngoan saty the smae, uyo sujt nede to escniare v6iB[t] to teg eht asem amxV aak( ihsft ot rtghi no het sa-ix.)x to'D n be eodlfo roudna yb the nqeustoi we.ritr

poisonivy  this makes sense to me, X cannot be Km!! because if it was Km then line B would be showing a "competitive inhibitor" effect, which cannot be the case since they state that the enzyme activity increases to normal after B6 administration so it favors the reaction instead of decreases it. I got this one wrong of course, too tricky for me! +  

submitted by hajj(0),
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anc onynea nlxpiea h?ist i know animde orf y is ghihre by aaloncucitl ubt x sah tow dosme os owh emco y ahs ihhegr ?doem

lispectedwumbologist  The mode in X is 32 and the mode in Y is 80 +  
lispectedwumbologist  The mode in X is 70 and the mode in Y is 80* +1  
hajj  Thank you! +  
hungrybox  Just checking in so I could feel smart about getting this right despite bombing the rest of the test lmao +4  
usmleuser007  can someone please explain the median in this +  
nala_ula  The median can be known by first assembling the numbers in order from least to greater. If it's an uneven number set, the number in the middle is the median (for example: 4, 10, 12, 20, 27 = median is 12 since this is the number in the middle); if the numbers are even then you have to take the two values in the middle, add them up and divide them by 2 [for example: 4, 10, 12, 12, 20, 27 = (12+12)/2 = 12]. Page 261 on FA 2019 explains it as well. Not sure if I explained it well... good luck on the test, people! +  
dubin johnson  Can someone please explain how the mode for Y than X. Not sure how we got the values above. Thanks! +  
dubin johnson  I mean how is the mode for Y greater than mode for x? +1  
sgarzon15  Mode is the one that repeats the most once you list them in order +  
usmile1  Median would be the BP value that the person in the 50th percentile of each group would have. So for group X, to find the 50th percent value, I added 8 + 12 + 32 = 52, which is right above 50, so the median would be 70 mmHg for group X. Doing the same thing for group Y, 2+8+10+20+ 18 = 58; the 50th percentile would fall in group that had a BP of 90 mmHg. which makes the median higher for group Y. hope that isn't wrong, and helps someone! +4  
poisonivy  I did it the same way! not pretty sure if it is the right way to do it, but it gave me the right answer! +  

submitted by cr(3),
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why tno ?C. ´tIs nto euosps thta it mpoiver the cvfeyteiit fo ?lnsiniu

yb_26  thiazolidinediones (pioglitazone) increase insulin sensitivity (in muscles and liver) through activation of peroxisome proliferator-activated receptor-gamma (PPAR) I think they are asking about primarily mechanism of action, that's why it is E +  
cienfuegos  UW explanation regarding the genes upregulated 1. GLUT4: insulin responsive on adipocytes/skeletal increases G uptake 2. adiponectin: cytokine secreted by adipocytes increases # of insulin responsive adipocytes and stims FA oxidation 3. PPAR family also plays significant role in pathogenesis of metabolic syndrome +1  
poisonivy  Also, I think the word uptake shouldn't be right when speaking about insulin, it does increase insulin sensitivity and therefore glucose uptake +6  
brotherimodu  @poisonivy That's why I didn't choose C and went with E since it was more specific +  

submitted by lsmarshall(393),
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nA nepaterimxel siengd ro etnerlepiaxm sdyut stum eavh an nntientoveri, by fodten.iini olCrocae-snt sduiest aer inooatlvaersb uetdiss, tno lmtaepirxene. sThi nesoitqu is ehyanccltli nice.tcror eyTh neadtw to emak a ipnot that rtlao-escocn uiedtss ear emti and otcs ftcfeinie eincs tyhe ndo't eqeuirr nofoiwllg ptansiet oerv emit or yan uoeercsrs idebsse igreeagvwihtrineng/ esCa eessri lcoud ton stte isth teihsp.yhos

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bigjimbo  classic nbme +1  
poisonivy  totally agree, I dont understand why the right answer is Case control since that is not experimental +1  
howdywhat  am I subject to this kind of poor wording for the day of the exam? +  
ajss  I bieleve so +1  

submitted by dr_jan_itor(70),
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Cna onyaen arensw wyh siht oen ncat' eb F. eaBt esaaltiham jam?ro I swa nitiknhg ubeasec of shi nmaiea dan the era"enopu dsetcen" wchhi sdeinucl hte mdrinaitenea .snpeoeura sUenls BMNE sweitrr inthk that arnuoeep ylno easmn het oens thwi rtxea etiwh poelpe llo

dickass  European implies northern european (they even specified the patient was a person of pallor), mediterranean descent is usually implied by country of origin or by straight-out writing 'mediterranean'. +  
poisonivy  The MCV is normal, thalassemias are microcytic anemias, that hint helps to rule out the thalassemias. However, I got it wrong, not sure why it cannot be a homozygous mutation in the ankyrin gene +2  
adong  @poisonivy, other commenter pointed out it's autosomal dominant so best answer would be heterozygous +