By K. Domenik. Western Michigan University.

If there is no obvious mechanical problem with the graft you should obtain a biopsy Question 12 Biopsy shows acute tubulitis cheap 75mg venlor free shipping. The most appropriate treatment for a urine leak in most cases is stent placement across the ureteral anastomosis and percutaneous drainage of the fluid collection generic venlor 75mg otc. A patient with retained antrum after partial gastrectomy for ulcer disease Answer 16 D. It is considered a marker for breast cancer- in itself it is not premalignant C. If you find this when you are resecting a lesion for other lesions, you need to go back and get negative margins Answer 17 D. For the 1 10 kg, the rate is 4 cc/kg/hr For the next 10 kg, the rate is 2 cc/kg/hr For anything after that, the rate is 1 cc/kg/hr Question 20 Erythema multiforme is most likely with which of the following antibiotics? Intravenous octreotide Answer E - Pitressin induces cardiac ischemia, which can be offset by nitro - Octreotide is safer, acts by decreasing splanchnic blood flow 50 ug bolus, then 50 ug/h for 48-72 hours The modified Sengstaken-Blakemore tube. Note the accessory nasogastric (N-G) tube for suctioning of secretions above the esophageal balloon and the two clamps, one secured with tape, to prevent inadvertent decompression of the gastric balloon. Question 1 Regarding the management of Crohns disease, which of the following are not true? If you operate on a patient that you suspect has appendicitis and you find inflammation consistent with Crohns that does not affect the cecum, you should still do an appendectomy as the fistula rate will not increase B. Perianal abscesses in Crohns should be treated the same as other perianal abscesses C. A patient that is found to have granulomas, fissures, and submucosal fibrosis is more likely to have Crohns Answer 1 C is not true. All of the rest are accurate statements regarding Crohns disease Question 2 Which of the following regarding lung physiology is not true? Small cell lung cancer is the most common as well as the most likely to demonstrate neoplastic syndrome C. Pancoast tumors involve sympathetic chain and/or ulnar nerve Answer 2 B is not true. Although small cell neoplasms are the most likely to cause paraneoplastic syndromes, they are not the most common lung cancer Adenocarcinoma is the most common lung cancer Question 3 You perform a core needle biopsy in a patient with an axillary mass and it comes back as a melanoma. The patient has a primary somewhere that you cant find as some melanomas are not pigmented.

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The risk of recurrence of the phenotypic abnormality in subsequent pregnancies depends on the outcome in previous pregnancies order venlor 75 mg line. When one child is affected order 75mg venlor visa, the chance that the next child will be affected is 7%. When 2 children are affected, then the chance that the next child will be affected increases to 9%. Single gene disorders with nonclassic inheritance - are rare & are briefly mentioned here. Diseases associated with gonadal mosaicism Gonadal mosaicism can explain unusual pedigrees seen in some autosomal dominant disorders such as osteogenesis imperfecta in which phenotypically normal parents have more than one affected children. Fragile X syndrome - is the second most frequent cause of hereditary mental retardation next to Down syndrome. List the various types of mutations & discuss their effects by giving examples for each type. Explain the criteria, the pathogenesis, & give clinical examples for the 3 main mendelian patterns of inheritance. Explain the general pathogenesis of mendelian disorders associated with enzyme defects. Describe the karyotypes & the clinical features of Turner syndrome Hypofunction of which organ can explain these clinical features? Describe the cause, the karyotypes, & the clinical features of Klinefelter syndrome. Tesfaye is married to an unrelated woman called Tenagne, & has a 2 year old daughter, Mimi. Beletechs sister who is called W/ro Kelemuwa is the mother of W/ro Almazs husband, Ato Worku, who is 25 years old. What is the pattern of transmission of the of disease X, & what is the risk of disease X for W/ro Almazs next child? Have birds eye view concept on immunodeficiency states Before reading this chapter, the student is advised to review his/her immunology text or lecture note.

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