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NBME CBSE EXAM ACTUAL EXAM COMPLETE TEST BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ $27.99
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NBME CBSE EXAM ACTUAL EXAM COMPLETE TEST BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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  • NBME CBSE
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NBME CBSE EXAM ACTUAL EXAM COMPLETE TEST BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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  • November 15, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NBME CBSE
  • NBME CBSE

1  review

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By: Westlife • 2 months ago

avatar-seller
Nursequeen
NBME CBSE Practice

1. 2 day history of Acute Pancreatitis
abdominal pain.
condition deteri-
orates and death
in 5 days.
Biopsy: chalky
white lesion in
the mesentery
Histology: adi-
pose cell de-
struction and
calcium deposi-
tion

2. Less common 1) recent ERCP procedures
causes of acute 2) drugs - azothioprine, sulfasalazine, furosemide, val-
pancreatitis proic acid
3) infections - mumps, coxsackie, mycoplasma
4) hypertriglycerides
5) structural abnormalities of pancreatic duct
6) surgery
7) Hypercalcemia

3. decreased ceru- Wilson disease
loplasmin and in-
creased hepatic
copper contents

4. characteristic cirrhosis
findings of CNS involvement
Wilson disease Kayser-Fleischer rings

5. Hepatic an- associated with exposure to arsenic, thorotrast, and
giosarcoma polyvinyl chloride. Tumor cells express CD31 as a marker.
rare, aggressive vascular malignancy
presents in older men(>60)
Angiosarcomas are derived from endothelial cells which
express PECAM 1 on their surface.




, NBME CBSE Practice

6. Cavernous he- port-wine stains, involve larger dermal blood vessels and
mangiomas may last a lifetime
common benign vascular lesions
microscopy: well-circumscribed proliferation of dilated
vascular structures that are lined with endothelial cells
lacking atypia.
also express CD31 but patients are typically asympto-
matic

7. Cholangiocarci- Rare malignancy that originates within the larger bile
noma ducts (usually the common duct or common hepatic duct)
derived from bile duct epithelium

8. cholangiocarci- primary sclerosing cholangitis
noma risk liver flukes
factors thorothast exposure

TX: surgery with radiation

9. Hepatocellular benign tumor of the liver derived from hepatocytes
adenoma present in women of reproductive age and associated
with oral contraceptive or anabolic steroid use.

10. Kaposi's sarco- HIV-related cancer that causes the growth of purple/red
ma (KS) patches on the skin and other areas in the body
CD 31 positive

11. Zollinger-Ellison Peptic Ulcer Disease
Syndrome (ZES)
Pathophys = gastrin-secreting neuroendocrine tumors
(gastrinomas) within GI tract --> hypersecretion of gastric
acid
multiple peptic ulcers located beyond the duodenal bulb
pts typically experience abdominal pain and acid reflux.
sometimes have diarrhea as gastric acid damages intesti-
nal epithelial cells and inactivates pancreatic enzymes
preventing proper nutrient absorption.

FOILS:
(1) Pheochromocytoma --> HTN


, NBME CBSE Practice

(2) Carcinoid Syndrome --> tricuspid and pulmonary
valve abnormalities, flushing, bronchoconstriction, severe
diarrhea

12. Glucagonoma - Rare form of pancreatic alpha cell tumor, Malignant
- Mild Diabetes + raised erythematous rash affecting groin
( necrolytic migratory erythema)

13. Insulinoma a benign tumor of the pancreas that causes hypoglycemia
by secreting additional insulin
pts usually have a high circulating insulin/C-peptide level
and symptoms of hypoglycemia

14. Carcinoid syn- - Caused by neuroendocrine tumors originating in the
drome small intestine that have metastasized to the liver. the
tumors secrete serotonin and bradykinin
-Serotonin overproduction
- Tumor of serotonin producing cells in GIT ’ APUD (Amine
Precursor Uptake Decarboxylase) Cells
- Slow-growing but often malignant type of neuroen-
docrine tumor, originating in cells of neuroendocrine sys-
tem
- Most commonly found in the foregut (35.6% cases)
with lung, bronchus and trachea constituting 27.9% cases
from where they rarely metastasize (except in case of
pancreas).
- Sx = Cutaneous flushing accompanied by sweating, GI
hypermotility ’ causing diarrhea, Bronchospasm
- Increased 5-HIAA excretion of in urine
Tx- Octreotide a somatostatin analogue

15. Somatostatino- malignant delta-islet tumor -> diabetes mellitus, malab-
ma sorption, cholelithiasis( inhibition of CCK), achlorhydria,
diarrhea/steatorrhea( inhibition of pancreatic enzyme/bi-
carbonate secretion)

16. Vasoactive In- Stimulates secretion of intestinal glands
testinal Peptide Dilates regional capillaries
(VIP) Inhibits acid production in stomach
secreted by VIPoma, a rare neuroendocrine tumors of

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