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Divine Intervention Episode 1 PDF

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Divine Intervention Episode 1

Some MS4
1

Most commonly occluded vessel in an MI.


Infarcted vessel causing AV block. Papillary
muscle most susceptible to rupture.
Coronary vessel dominance.
2

First line treatment of psoriasis and acne.


15:17 translocation association. Pregnant
women. The sun and skin cancer (UV ray
types, blocking agents).
3
Hyponatremia, hypotension, and
hyperkalemia in a patient with a history of
a recent, severe, N. Meningitis infection.
Most common cause (MCC) of this
disorder in the US/developing countries.
Skin, acid-base, and CBC anomalies in this
disorder (w/mechanisms)
4
Skin and K balance findings in secondary
adrenal insufficiency. Sequential testing for
adrenal insufficiency. ACTH and
11-deoxycortisol levels in selected disorders
with metyrapone exposure (normal,
primary and secondary AI). Tx of primary
and secondary AI.
5
7 day old with a prenatal history of a screening US
revealing increased nuchal translucency has failed
to pass meconium. Diagnosis? Pathophysiology?
Layers of the GI tract. Distinguishing features of the
duodenum, terminal ileum, and esophagus (muscle,
serosa/adventitia). Increasing the surface area for
absorption in the small intestines.
6
A 7 year old child in a developing country with a
recent history of treatment of severe meningitis
presents with pallor and fatigue. A predominance of
adipocytes is observed on bone marrow aspiration.
Diagnosis? Cause? Retic count and EPO levels?
Other drug causes? Aplastic crisis in a sickle cell
patient. Cafe au lait spots + small head + hypoplastic
thumbs + Type 2 RTA. Diagnosis?
7
Recurrent UTIs in a patient on chronic tx for
T2DM. Pathophysiology? Shared xtic b/w the PCT
and the small intestine. The role of PTH and
Angiotensin 2 in the intestinal brush border. RTA
associated with Dorzolamide use.
8
Infarcted CNS structure in a chronic alcoholic (+
syndrome). Atrophied CNS structure in a patient
with a CAG trinucleotide repeat disorder. Arterial
ischemia associated with contralateral loss of all
sensory and motor function. Lucid interval and
subsequent coma in an athlete hit in the head with
a bat. Crescent shaped lesion in a “shaken baby”.
9
Proximal muscle weakness + skin findings in a
smoker with new onset hyponatremia and a CT
detected thoracic mass. Diagnosis? Poly vs
Dermatomyositis (skin findings, involved cells,
histology findings, age distribution). Associated
autoantibodies. Elevated serum markers. Diagnostic
testing (2). Treatment strategies.
10
Pleural inflammation (w/pain and w/o pain).
Transudative vs exudative effusions
(pathophysiology, Light’s criteria). Sudden onset
chest pain in a patient with a history of emphysema.
Dullness to percussion w/chest drainage revealing
fluid of high lipid content. Recent victim of a stab
wound -> auscultation reveals dullness to
percussion and decreased tactile fremitus.
11
The 3 zones of the prostate. Overgrowing zone in
BPH (driving hormone, pharmacological mgt).
Common location of prostatic malignancy. Blood
supply to the prostate. 55 yo M with a history of
treated prostate cancer presents with low back pain.
MRI/bone scan reveals a singular lumbar lesion
(Diagnosis, pathophysiology, treatment strategies).
12
45 yo M presents with 10/10, sudden onset
abdominal pain. EKG reveals an irregularly
irregular interval. Diagnosis? Pathophysiology?
Most commonly involved vessel? Branches of this
vessel? Differentiating Nutcracker and SMA
syndromes.
13a
Comparing means of 2 groups (of 3 groups?).
Calculating differences b/w categorical variables.
When are confidence interval results insignificant
(in mean difference and relative risk comparisons)?
Discussion of the mean, variance, standard
deviation, standard error of the mean, confidence
intervals (with interpretation and calculation).
Correlation coefficients.
13b
Assuming a class mean score of 80 on Step 1, a
sample size of 16, and a standard deviation of 5.
How many students scored above the 95th
percentile? This value falls outside how many
standard deviations? How can the power of a study
be increased?

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