A32-year-old woman is referred to you by her dermatologist for further evaluation. She developed these changes gradually in the last year. Her hands are seen in Figure. What other associated disease is most likely?
Answer(s): E
Up to 30% of cases of acquired vitiligo are associated with thyroid disease, especially Hashimoto's thyroiditis. It also may occur with pernicious anemia, diabetes, and other autoimmune disorders. Vitiligo has not been reported with AIDS. Addison's disease, lymphoma, and biliary cirrhosis can be associated with hyperpigmentation.
Which of the following is a useful clue to the diagnosis of Legionella pneumonia?
Answer(s): A
The spectrum of infection with Legionella organisms ranges from asymptomatic seroconversion to Pontiac fever (a flu-like illness) to full-blown pneumonia. Cough is usually nonproductive initially. Malaise, myalgia, and headache are common. The diagnosis of Legionella infection is suggested by extrapulmonary signs and symptoms, including diarrhea, abdominal pain, azotemia, and hematuria.
A60-year-old previously healthy man presents with massive rectal bleeding. Which of the following is the most likely diagnosis?
The causes of lower gastrointestinal (GI) bleeding include hemorrhoids and anal fissure diverticulosis, carcinoma, vascular ectasia, colitis, and polyps. Carcinoma of the colon usually causes chronic GI bleeding, resulting in anemia. Diverticulosis and vascular ectasia are common causes of massive GI bleeding in the elderly patient. Inflammatory bowel disease can also cause massive GI bleeding but is more frequent in younger age group patients. Most patients with ischemic colitis will be quite sick and will have had symptoms before the onset of bleeding.
A 24-year-old man runs a marathon on an unusually hot and muggy day. Several hours later he becomes ill with fever, weakness, and painful swollen legs and passes dark brown urine. Which of the following is a common finding with this disorder?
Answer(s): C
The clinical features of the patient described in the question are characteristic of rhabdomyolysis with myoglobinuria. Skeletal muscle injury releases large amounts of myoglobin into the circulation, and myoglobinuria produces a positive orthotoluidine reaction. Because myoglobin is quickly cleared from serum by the kidneys, the serum does not turn pink, as it does with hemoglobinemia. Muscle damage leads to elevated creatine phosphokinase levels and hyperkalemia. Myoglobin does not bind to haptoglobin as does hemoglobin, so serum haptoglobin levels are normal. The major complication of rhabdomyolysis is acute renal failure.
A 70-year-old man presents with shuffling gait, tremor, masked facies, and rigidity which have progressed over the last 9 months. Parkinson's disease is diagnosed. In this patient, which neurotransmitter deficiency primarily is responsible for his symptoms?
Answer(s): D
Deficiency of dopamine primarily is responsible for the signs and symptoms of Parkinson's disease.Specifically, the loss of dopamine from the substantia nigra is thought to be primarily responsible for the akinesia and rigidity. Tremor, akinesia, and rigidity are the classic triad of signs seen in Parkinson's disease. The tremor typically is a resting tremor; often a "pill rolling" tremor is seen in the hand. Well over 90% of patients with Parkinson's disease do have a good initial response to levodopa
Share your comments for USMLE STEP2 exam with other users:
i am thrilled to say that i passed my amazon web services mls-c01 exam, thanks to study materials. they were comprehensive and well-structured, making my preparation efficient.
please upload latest ibm ace c1000-056 dumps
if only explanations were provided...
yes .. i need the dump if you can help me
good morning, could you please upload this exam again?
hi please upload sre foundation and practitioner exam questions
the exam is listed as 80 questions with a pass mark of 70%, how is your 50 questions related?
all questions are so important and covers all ccna modules
q 44. ans:- b (goto setup > order settings > select enable optional price books for orders) reference link --> https://resources.docs.salesforce.com/latest/latest/en-us/sfdc/pdf/sfom_impl_b2b_b2b2c.pdf(decide whether you want to enable the optional price books feature. if so, select enable optional price books for orders. you can use orders in salesforce while managing price books in an external platform. if you’re using d2c commerce, you must select enable optional price books for orders.)
"cost of replacing data if it were lost" is also correct.
pls upload the questions
good questions
question 182 - correct answer is d. ethernet frame length is 64 - 1518b. length of user data containing is that frame: 46 - 1500b.
i need this exam pls
its required for me, please make it enable to access. thanks
seems good..
took the test last week, i did have about 15 - 20 word for word from this site on the test. (only was able to cram 600 of the questions from this site so maybe more were there i didnt review) had 4 labs, bgp, lacp, vrf with tunnels and actually had to skip a lab due to time. lots of automation syntax questions.
no comments
nice questions bring out the best in you.
really helpful
question #50 and question #81 are exactly the same questions, azure site recovery provides________for virtual machines. the first says that it is fault tolerance is the answer and second says disater recovery. from my research, it says it should be disaster recovery. can anybody explain to me why? thank you
iam thankful for these exam dumps questions, i would not have passed without this exam dumps.
some of the answers seem to be inaccurate. q10 for example shouldnt it be an m custom column?
are the question real or fake?
thank you for providing such assistance.
nice questions
my 3rd purcahse from this site. these exam dumps are helpful. very helpful.
found it good
excellent material
very helpfull
well explained.
i need the pdf, please.
a good source for exam preparation