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- NBME 23 Budd-Chiari syndrome (NBME Answers)
He now presents with scleral icterus, an enlarged liver, and some signs of portal hypertension Thrombosis of the only anatomical option presented that covers all of this is the hepatic vein ie our patient has Budd-Chiari Remember that Budd-Chiari will have a "nutmeg liver" appearance on gross pathology
- NBME 16 Pelvic parasympathetic nerves (NBME Answers)
NBME Answer (Retired!) Explanations — Updated daily nutmeg_liver Is penile urethra damage not a risk factor when doing the TURP procedure?
- NBME 23 3,4-Methylenedioxymethamphetamine (MDMA) (NBME Answers)
nutmeg_liver People tend to drink a lot of water on MDMA I just guessed the confusion was a result of hyponatremia (too much free water) but no idea if there's any data saying that people tend to become hyponatremic due to water over-consumption on MDMA lol +2
- NBME 16 First-graders whose parents had never worked at the foundry . . .
NBME Answer (Retired!) Explanations — Updated daily This is a cohort study It will compare groups with exposure experimental group (children whose parents worked at foundry for 5+ years) versus non-exposure control (children with no parents at the foundry)
- NBME 23 Liver (NBME Answers)
So I got this one wrong because I thought that since he didn't have hepatosplenomegaly and ascites his liver was still fine, but I guess if he already has gynecomastia, hypogonadism and the ever obvious spider angiomata he's definitely still ok Now that I think of it, you don't need hepatosplenomegaly to have alcoholic liver failure I believe
- NBME 23 Metastatic breast cancer (NBME Answers)
Liver abscesses are usualy singular, filled with creamy yellow pus, and may show a fibrous capsule Cirrhosis often shows a yellow color due to fatty change as well as regenerative nodules, which are not present here A focal nodular hyperplasia is a singular tumor of the liver, and this is multinodular Hepatitis B is a little harder to distinguish because from what I can tell it
- NBME 22 Avulsion of hepatic veins from the inferior vena cava (NBME . . .
Guessed on this one but if you look into pg 354-355 FA 19, you'l notice the structure of the IVC compared to the liver 1:IVC is retroperitoneal 2: if transected, (similar to an abdominal aorta) blood accumulates behind the peritoneum and causes severe hypovolemia 3: all other answers are either too far, or within the peritoneum
- NBME 23 Liver (NBME Answers)
Gynecomastia, spider angiomata, and hypogonadism (as well as palmar erythema) are all signs of excess estrogen The liver in patients with hepatic disease is impaired and so cannot clear estrogen sufficiently Six 12 oz beers daily (72 oz, or half a gallon) is too much, and is destroying his liver
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