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err try Ce Time Remaining: oo emia priereoertoed 4. A 35-year-old man who is an undocumented immigrant is diagnosed with tuberculosis. Despite feeling il, he did not previously seek medical care because he could not afford to lose time at work. He pleads with the physician not to report the diagnosis to anyone because he is afraid he will be deported. After empathizing withthe pationt, itis most appropriate for the physician to take which of the folowing actions? © A)Do not report the case and insist that the patient wear a mask at al times © B) Do not report the case as long as the patient agrees to isolate himself while being treated © €) Do not report the case because that would violate the patient's right to privacy and confidentiality, © 0) Donot report the cas, but beg contacting the patents fay members and wok se contacts cect to arange for ‘evaluation © E) Report the case to the health department but assure the pationt that no other indviduals will be notified © F) Report the case to the health department o ensure that family members and work site contacts are identified and evaluated © G) Report the case to the immigration and naturalization service 2. After an emergency lending in the wilderness, a 25-year-old pilot goes 3 days without food until she is rescued. Adipocytes play an Important role in maintaining homeostasis in this woman because of which ofthe following effects? © A) Glucagon activates glycerol utilization as a source of carbon for gluconeogenesis by adipocytes: (© B) Glucagon activates glycogen mobilization to form free glucose © C) Glucagon activates hormone-sensitive lipase © D) Insulin activates fatty acid synthesis © E) Insulin activates hepatic lipoprotein lipase i Peer rod 3. 60-year-old man develops pain, erythema, and swelling ofthe right great toe, Serum uric acid concentration is three times normal. Which ofthe following findings is most common in patients with this condition? © A) Absence of aminotransferase 8B) Absence of glucose 6-phosphatase © C) Absence of glutathione peroxidase © D) Apsence of hypoxanthine guanine phosphosbosyltransferase © E) No specific enzyme or renal defect rs BY ever Time Remaining prereset 4. A2T-year-old woman comes to the physician because of a 5-day history of a moderate vaginal discharge. Physical examination shows a thin, white, vaginal discharge that has a foul-smelling fishy odor. Vaginal pH is 6. A Pap smear shows clumps of bacteria on the ‘squamous cells. There are no leukocytes. Culture of the discharge is most likely to show an increased amount of which of the folowing? © A) Candida abicans © B) Chlamydia trachomatis © C) Gardheretta vaginalis © D) Mycoplasma genitalium © E) Trichomonas vaginalis i) cao oo Exam Section 1: em 6 of 80 eee cig Mark Comprehensive Basle Sclence Self-Assessment Preemie 5. A20-year-old man comes to the physician because of a 1-year history of progressive numbness of his arms. He recently burned his right thumb while cooking, but he felt no pain. Sensation to pain and temperature is decreased throughout both upper extremities and across the shoulders to the neck. Sensation is intact elsewhere. The most likely cause of his condition is a lesion in which of tha following spinal cord structures? © A) Anterior white commissure © B) Dorsal column © C) Intermediolateral cell column © D) Lateral corticospinal tract © E) Spinothalamic tract errr oo al Board of Medical Examiners ‘Time Remaining: ener Preeti 6. A40-year-old man comes to the physician for a routine health maintenance examination. There is a strong femily history of myocardial infarctions occurring at the ages of 40 to 50 years. Physical examination shows no abnormalities. Serum studios show: Cholesterol, total increased HDL-cholesterol normal LDL-cholesterol increased Triglycerides normal Following treatment with lovastatin, his serum total cholesterol and serum LDL-cholesterol concentrations decrease. The beneficial effect, ‘oflovastatin most likely occurs as 4 result of which of the following mechanisms? © A) Decreases absorption of bile acids in intestine © B) Increases hydrolysis of triglycerides: OC) Increases LOL-receptors © D) Increases lipoprotein lipase activity © E) Inhibits the secretion of apo B-48 0 BY a GC 6 la rere) National Board of Medical Examin Pa Comprehensive Basic Science Sl-Assossment Pr nnis 7. A60-year-old man comes to the physician for a routine health maintenance examination Physical examination shows no abnormalities. Urinalysis shows: oH 60 Spocificgravity 1.018 Blood 3 Glucose negative Protein + Microscopic examination of the urine shows atypical cells. A CT scan of the abdomen discloses ‘lesion of the right kidney as shown in the photograph. Which of the following compounds is the most significant predisposing risk factor for this patient's condition? OA) Arsenic © B) Borytium © ©) 2-Naphthylamine D) Nickel © E) Vinyl chloride reviews Pees c= coed ee Pecrereriy 8. A2é-year-old woman is brought to the emergency department 30 minutes after her father found her unresponsive on her bedroom floor. Hor father says that the patient had been despondent for 2 wooks because of the ending of a long-term relationship. She had recently ‘seen a physician seeking help for her emotional state. On arrival, she is unresponsive to painful stimul, Her temperature is 35.7°C (96.2°F), pulse is 52/min, respirations are S{min and shallow, and blood pressure is 85/55 mm Hg. Physical examination shows pinpoint pupils that are reactive to light. Neurologic examination shows no focal findings. This pationt most likely has toxicity from which of th following? © A)Carbon monoxide © B) Ethylene glyco! © C) Methanol © D) Opiates © E) Selective serotonin reuptake inhibitors © F) Tricyclic antidepressants o (3) 9. AS8-year-old man comes to the physician because of a 3-week history of {dull ef-sided chest pain, shortness of breath, weakness, and nonproductive cough. He also has had an 1-kg (25-Ib) weight loss during the past 3 months. He has worked as an insulation installer for 30 years. He is 185 cm (6 ft 1 in) tall and now weighs 70 kg (155 Ib); BMI is 20 kg/m?, His respirations are 26/min. Breath sounds are diminished on the left side. Achest x-ray is shown. A biopsy specimen shows an anaplastic, biphasic ‘neoptasm that expresses calretinin and cytokeratin but not carcinoembryonic antigen. Which of the following addtional structures is ‘most ikely in this patients lung tissue? © A) Birbeck granules © B) Dense care secretory granules C) Ferruginous bodies © D) Signet ring cells © £) Silica crystals reviews era) 10. An outbreak of multdrug-resistant Escherichia collin an intensive care unit is being investigated. The determinants of antibiotic resistance are thought to be carried on a plasmid that has been transferred among different bacterial strains. Which of the following ‘observations from in vitro studies best supports this hypothesis? © A) Lysogeny must precede transfer © B) Transfer is susceptible to DNase © C) Transfer requires a bacteriophage © D) Transfer requires cell-to-cell contact © &) Transfer requires transformation competent recipient strain ae c Pause cer 11. A2é-yeer-old woman comes to the physician because of a 2-week history of hoarseness and difficulty swallowing. She has a 14-year history of mild persistent asthma successfully treated with daily administration cf inhalational fluticasone and albuterol as needed. A photograph of the tongue is shown. Microscopic examination of scrapings from these areas shows budding yeast Which of the following is the most appropriate pharmacotherapy for this patient's oral infection? A) Doxycycline B) Flucytosine ©) Nystatin D) Penicillin G benzathine ) Terbinafine BY fo ere) 12. Six weeks after undergoing an open carpal tunnel release operation, a 44-year-old woman comes to the physician because of new ‘symptoms of numbness of her right hand. When she is asked about the exact location of these symptoms, she points to the area over the right thenar eminence. Percussion of the area between the flexor carpi radialis and palmaris longus tendons at the distal palmar \wrist crease produces a painful sock ike sensation radiating into the affected area of the palm. An intraoperative nerve injury is suspected. Which of the following nerves is most likely injured in this patient?” © A) Dorsal sensory branch of the ulnar nerve © B) Lateral cutaneous nerve of the forearm © C) Palmar cutaneous branch of the median nerve © D) Recurrent motor branch of the median nerve © E) Sensory branch of the radial nerve 413. An investigative team is studying the physiologic mechanisms that explain increased exercise performance during 2 weeks at high altitude (10,000 feet above sea level) in experimental animals. These experiments are designed to distinguish between increases in arterial oxygen delivery to exercising muscle and unloading oxygen from blood into the tissues. Which of the following factors would be ‘expected to increase for the data to suppor increased unioading oxygen into the tissues with acclimatization to high altitude? © A) Artorial pH © 8) Arterial Po, © ©) 2,3-Bisphosphoglycarate © D)Hematoent © E) Net hemoglobin . type 2 diabetes melitus, and hypertension is brought to the emergency department by her son because of chest pain and agitation for 4 hours. She had smoked 2 packs of cigareites daily until the age of 70 years, when she quit. The son is not aware of the patient's medication regimen. Her pulse is 120/min, respirations are 32/min, and blood pressure is 180/100 mm Hg. Crackles are heard in both lung bases on auscultation of the chest. Cardiac examination shows a systolic ejection murmur at the apex and a requiar rhythm. An ECG shows ST-segment elevation in the anterolateral leads. A chest >xray shows a mildly enlarged cardiac sithouette. Which of the following is the most likely diagnosis? © A) Acute coronary syndrome © B) Acute poricaritis © ©) Bilateral pneumonia © D) Cerebrovascular event © E) Pulmonary embolism 15. An investigation is conducted to examine a new drug (Drug X) for the treatment of asthma. The drugs found to inorease cAMP in ‘smooth muscle colls. The mechanism of action of Drug X most closely rasombles that of whch of the following drugs? © A) Albuterol © B) Ipratropium © C) Montelukast © D) Nedoeror 0 E)Omalizumab ent) ee es a Ce ee Cee Pree cp 46. A52-year-old man comes to the physician for @ follow-up visit 2 weeks after being released from the hospital following a myocardial infarction. Since discharge, he has not had chest pain, dyspnea on exertion, paroxysmal noctumal dyspnea, orthopnea, or edema. He has smoked 2 packs of cigarettes daily for the past 35 years, except for the week he was in the hospital. When the physician asks him ‘about smoking cessation, he says he is not interested. Which of the following is the most appropriate next step to help the patient stop ‘smoking? © A)Ask the patient ithe has eny concerns about smoking and his health © B) Give him a prescription for bupropion © ©) Give him a prescription for nicotine replacement therapy © D) Have the patient set a quit date to stop smoking © E) Tal the pationt he will have another myocardial infarction if he continues to smoke © F) Tel the patient he will need to find another physician ifhe does net quit smoking rer) ee Picnic iy 117. During an experiment, the US11 gene product of cytomegalovirus is expressed constitutively after stable transfection in an experimental tumor cell ine. Its found that this gene product causes translocation of nascent class | MHC molecules from the endoplasmic reticulum into the cytosol, Which ofthe following is most likely to occur regarding the ciass | MHC products? © A) Association with invariant chain © B) Binding of peptides from the endocytic pathway © ©) Degradation by the proteasome © D) Formation of class | MHC/class II MHC hybrid molecules © E) Interaction with the T-lymphocyte receptor Exam Section 4 Mark c= men Pree t 48. Alesion of which ofthe following lettered structures results in lass of the pupillary light reflex in he left eye when light is shone into ‘either eye? ee re) oo National Board of Medical Examiners err ee ee Etre a bs 19. A.42.year-old woman comes for a routine follow-up examination. She has an 8-year history of hypertension treated with a thiazide superior vesical artery -> uterine artery Time Remaining: National Board of Medical Examing Phere re ‘Comprehensive Basic Science Salf-Assecement 42, A 16-year-old boy who frequently goes fishing is brought to the physician because of a 1-month history of a lesion on the front of his fight shoulder. He has blond hair and fair skin. Physical examination shows an 0.8-cm ulcerated, slightly raised nodule that is variably brown to black. Examination of a biopsy specimen of the nodule confirms a superficially invasive melanoma with features of regression, ‘Which of the following best explains the lesion's regression in this patient? © A) Antibody.depandent callular reaction © B) Antibody-mediated cellular dysfunction © ©) Arthus reaction © D) Complement- and Fe receptor-mediated response © E) THymphocyte-mediated cytotoxicity o co 43. A21-year-old woman is brought to the emergency department by her parents after they saw her talking to someone who was not there ‘earlier today. They report an 8-month history of changes in their daughter's personality. She has stopped socializing with friends, ‘spends most of her time alone in her room, and has recently begun to collect old newspapers and other garbage. Two months ago, she ‘stopped attending classes at community college and was fired from her job as a restaurant hostess because of excessive absenteeism. Her parents have tried to talk to her about her plans for the future, but she typically refuses to speak to them. They say that when she does talk, she does not make much sense. Vital signs are within normal limits. Physical examination shows na abnormalities. On. ‘mental status examination, she is quiet and withdrawn, When she answers questions, her thought process is disorganized and tangential, but she insists that nothing is wrong and that she wants to go home. There is no evidence of suicidal or homicidal ideation. ‘She appears to be preoccupied with internal stimuli. Urine toxicology screening is negative. Which of the following is the most likely iagnosis? © A) Bipolar disorder © B) Obsessive-compuisive disorder OC) Schizophrenia © D) Schizotypal personaly disorder © E) Social phobia 44, A.40-yoar-old man with type 2 diabetas melitus comes to the physician for a follow-up examination. He currently takes no medications, and his condition is being treated by diet. He has a sedentary lfestyie. He Is 178 cm (5 ft 10 in) tall and weighs 104 kg (230 Ib): BMI is 33 kg/m?, Physical examination shows no other abnormalities. His fasting serum hemoglobin A, (s 9%. Treatment with glyburide is staried. This drug is most likely to have a beneficial effect in this patient by which ofthe following mechanisms”? © A) Blocking an ATP-sensitive potassium channel in the pancreatic beta calls, © 8) Blocking the conversion of sucrose to glucose in the liver © C) Inhibiting @ cytochrome P450 enzyme that degrades insulin © D) Interfering with the absorption of glucose from the gastrointestinal tract © E) Stimulating insulin uptake by the liver by promoting the formation of caveolze in the membrane @ oO o Cy en i Exam Section 1: em 45 of 60 Examiners ‘Time Remaining Mark ee eee ener bs 48, An 18-year-old man develops a fever 6 days after retuming to Wisconsin from a trip to India. He did not take antimalarial prophylaxis, A peripheral blood smear shows numerous intraerythrocytic forms of Plasmodium vivax. He Is treated with chloroquine, and his symptoms resolve. Six months later, he again develops fever, and his blood smear again shows intraerythrocytic forms of P. vivax. He has not traveled since his trip to India. Which of the following is the most likely explanation for the recurrence of symptoms in this patient? © A) Activation of exoerythrocytc forms: © B) Dual infection with P. falciparum © ©) Poor compliance with antimicrobial therapy © D)Reinfection © E) Resistance to chloroquine ty © errr = Piceniy yey 48. 67-year-old man comes to the physician because of tingling and numbness of his hands for 10 days. He has non-Hodgkin lymphoma treated with cyclophosphamide, doxorubicin, prednisone, rituximab, and vincristine. Sensation to pinprick is decreased over the hands and foet. Which ofthe following drugs in this patient's medication regimen is the most likely cause of these findings? © A) Cyclophosphamide © B) Doxorubicin OC) Prednisone © D) Rituximab OE) Vincristine errr) National Board of Medical Examiners ‘Time Remaining or Comprehensive Basic Science SeltAssessment eceny bs 47. A 28-year-old man is brought to the emergency department because of blurred vision, faligue, and severe thirst 20 minutes after being found wandering along a deserted farming road. He reports that his car had run out of gas 3 hours ago, and he had walked approximately 7 miles toward his destination without water or shade from the intense summer heat. His current body weight is 92% of the value listed on his driver's license. His temperature is 39.9°C (103.8°F), pulse is 105/min, and blood pressure Is 95/60 mm Hg, Physical examination shows pale, dry skin. He is occasionally incoherent. He is placed supine on a bed, and intravenous fluids are ‘administered. Within 60 minutes, the patient is able to take fluids by mouth and provides additional information about his next of kin before falling asleep. At the time when the man was found on the road, which of the following physiologic parameters would have been decreased compared with normal values? © A)Plasma renin activity © B) Renal f-adrenergic receptor stimulation © C) Renal arteriolar pertusion pressure OD) Renal sympathetic nerve activation © E) Serum angiotensin it concentration ‘Time Remaining: Preemie ‘kin test? on OB) ec) oD) of i ee ed os 48, In immunocompromised patients, the case definition of a positive tuberculin skin testis changed from 10 mm of induration to 5 mm of induration. This change in case definition will have which of the following effects on incidence and prevalence of a positive tuberculin Incidence Prevalence 1 1 t 1 4 1 4 4 BY rs Go e m Section 1: Item ee 7 Poorer 49. A 12-month-old gir has a large extended family and is cared for by numerous relatives. According to her mother, the child does not ‘spend much time on the floor because "somebody always seems to be carrying her around.” Under these circumstances, this child is most Ikely to have problems with which ofthe following aspects of her development? © A)Cognitive B) Fine motor © .C) Gross motor © D) Language © E) Social 50. A82-year-old African American man comes to the physician for a routine health maintenance examination. He feels well and has no history of serious liness. His brother received the diagnosis of anemia at the age of 20 years. The patient's pulse Is 76/min, respirations. are 1/min, and blood pressure is 128/68 mm Hg. Examination shows no abnormalities. Laboratory studies show: Hemoglobin gia Mean corpuscular volume 70 um’ Red call distribution width 13%. (N=13% 189%) ‘Serum Ferritin 200 ng/mL Iron 150 vole. ‘Ablood smear shows hypochtomic microcytc erythrocytes with occasional target cells. Which of the folowing is most Ikely to confirm the giagnosis? © A)Hemogiobin electophoresis © B) Measurement of serum thyroid-stimulating hormone concentration © ©) Measurement of serum vitamin 8, (cobalamin) concentration © D) Colonoscopy © £) Bone marrow biopsy LABORATORY VALUES “Included in the Biochemical Profile (SMA-12) [BLO00, PLASMA, SERUM REFERENCE RANGE JBIREFERENCE INTERVALS ‘WRianine aminotransferase (ALT, CPT at 300) _B-20 U/L 20 UL lAmylase, serum 5-125 WIL 25-125 UL "Aspartate aminotransferase (AST, GOT at 30 C)B-20 U/L, -20 UL [Bilirubin, serum (adult) Total #/ Direct [B.1-1.0 mgidL i 0.0-0.3 mgidL 2-17 moll ff 0-5 pmol “(Calcium, serum (Ca”") 410.2 mglal. 2.1.2.8 mmol. "Cholesterol, serum Reo:<200 mg/dL. 5.2 mmol [Cortisol, serum fosoa h: 6-23 gid [138-635 nmol L [1800 h: 9-15 pgidL 2-413 nmol. ooo h: < 60% of 0800 h [Fraction of 0800 h: < 0.50 Creatine kinase, serum jale: 25-90 UML. bs-80 WIL ‘emale: 10-70 UL j10-70 Un ‘Creatinine, serum 5-12 mofdL 2-106 ume. [Electrolytes, serum Sodium (Na*) [136-145 mEaM. [198-145 mmol/L Chloride (Cr) 5-105 mEq 6-105 mmoatit_ ‘[_Potassiom (7) beso meq 5.0 mmol Cietbonate (160,) bach neat fo. molt Magnesium (Ma*") [1.5-2.0 mEq/L [1.52.0 mmol, [Estriol, total, serum fin pregnancy} [Estriol, total, serum {in pregnancy) 0-170 ng/mL 1/ 60-280 ngimb 24-28 wes if 33-36 wh, [104-600 17 208-970 nmol 28-82 wes If 36-40 wks. (0-220 ng/mL 1 80-360 nail. [140-760 1/ 280-1210 nmol Ferritin, serum ale: 15-200 ngimL [15-200 pg ‘emale: 12-150 noi. [12-150 gil. Follicle-stimulating hormone, serum/piasma Male: 4-25 mlU/mL 25 Ui ‘amale: premanapause 4-20 miimit-20 U/L mideyele peak 10-00 mimL 10-80 UiL, postmenopause 40-260 miU/mi 40-250 U/L |Gases, artaral blood (room air) pH [735-745 {H*] 36-84 nmol. POO, 345 mm Ho 46.0 kPa PO, [75-105 mm Ha [10.0-14.0 kPa ‘(Glucose seum ating: 70-110 mgidl B84 mama. -h postprandial: < 420 maid 6.8 mmol |Growth hormone - arginine stimulation fasting: <5 ngimL 5 git ative stimuli: > 7 ngimL Tugit [Fmmunogiebuline, eoram IgA [76-390 mg/dL. b:76-3.90 git IgE 380 Iii p-3e0 Kiva Ig 550-1500 maid pets ot igh 0-345 mala. p36 gi fron 50-170 pgidt -30 pmol aclate dehydrogenase, serum kis-90 Ui 6-50 WL tuteinizing hormone, serum/plasma ale: 6-23 miUimL 23 Un ‘emale: follicular phase §-30 mlUImL{s-30 U/L joyele 75-150 miUimL [75-150 Un. tmenopause 30-200 milimL 0-206 un. Denouity coum Bi75.205 mOsmolheg 75.295 mOamalhg Lactate dehydrogenase, serum 5-90 ua. 5-90 Ui, Luteinizing hormone, serumiplasma fale: 6-23 miUimL jeza un ‘emale: follicular phase 6-30 mlU/mU5-30 U/L ideyele 75-4150 mllmL [75-150 Un. tmenopause 30-200 milimi 80-200 UL JOsmolality, serum brs-295 mOsmolikg 2275-295 mOsmol/kg Parathyroid hormone, serum, Neterminal 230-630 pain. [230-840 ng [Phosphatase (alkaline), sarum (p-NPP at 30 C) 0-70 UA. 20-70 [Phosphorus (inorganic), serum 04.5 maid. [1.04.5 mmol Prolactin, serum (hPL) 20 ght 20 gil [Prateins, serum Total (recumbent) Bove git [60-78 git ‘Albumin bess ob [35-65 g/L Globulin bass oat [23-35 [Thyroid-stimulating hormone, serum or plasma [.5-5.0 wU/mL [p5-5.0 mun [Thyroidal iodine ('2*1) uptake 30% of administered dose/24 h__)0.06-0.20/24 b [Thyroxine (T,), serum brzuga fb4155 moi [Triglycerides, serum 5-169 moval [4-181 mmol [Triedothyronine (T,). serum (RIA) 15-190 natal }.8-2.9 nmol [Triiodathyronine (T.) resin uptake bs-as% hososs ‘Urea nitrogen, serum (BUN) [7-18 mg/l. [1.2-3.0 mmol urea ‘Uric acid, serum 0-8.2 maid [18-048 mmol biamcrsstan Tie ee tat PRT TET [HEMATOLOGIC lune aca, serum 0-82 mofo .18-0.48 mmovL, |BODY MASS INDEX (BMI) REFERENCE RANGE |SIREFERENCE INTERVALS Body mass index faciuit: 19-25 kat? [CEREBROSPINAL FLUID REFERENCE RANGE [51 REFERENCE INTERVALS cell count b-§ celle/mm? 5x 10% |Chionde 718-499 mEgiL Hi8-122 mmol. [Gamma globulin B-12% total proteins 030.12 [Glucose 0-70 maid. 2.23.9 mmol. pressure [70-180 mm H,0 [70-180 mm 4,0 Proteins, total fe40 mala 40 git, REFERENCE RANGE |SIREFERENCE INTERVALS [HEMATOLOGIC REFERENCE RANGE [SI REFERENCE INTERVALS [Bleeding time (template) BT minutes [2-7 minutes erythrocyte count| fale: 4.3.5.9 miliantme 260% 10% Female: 9.8-6.5 milion/mm? 555x107, [Evyinrocyle sedimentation rale (Wesleraren) _ Wale: 0-15 man ma Female: 0-20 mm/h 20 meat Rematoent ale: 41-53% 41-058 Female: 96-40% 36-0.48 [Remagiobin Aye 0% 6%, Hemagicbin, blood jae: 195-17.5 ga. f2.09-2.71 mmov. f.86-2.48 emmoU 116-0.62 mame Hemoglobin, plasma LLeukocyle count and diferontal Leukocyte count 544.0% 10° ‘Sogmoried noutophla 540.82 Bands j.08-0.05, Eesinoahie fpo-0.09 Basoohis fpoco7s Tymphooyiee jp25.0.59 Monosylee f.03-0.07 han corpuscslar hemegiabin 5.4.948 ego 30-0 54 falc hear corpuscular hemoglobin covcortation [1-26 %4 Hevea! 81-5 58 mol HTL hiean corpuscular volume 100 pm? 10-1004 Prialtromoonlasin time (achat) fs.a0 seconds [250 seconds [Platelet count '50,000-400,000/mm* l150-400 x 10% Prothrombin ine 1-15 seconds [t-15 seconds Retculooyte court 5.1.5 of red cols 00500015 [Tirombin time seconds deviation Femoral [e@ seconds deviation For cont oun Plasma ae: BEB oh GEORG Female: 26-45 mL/kg 0280.045 Lika Redeall ile: 20-36 mUkg (020-0.038 Likg ‘emale: 19-31 mLkg 019-0.031 Likg Plasma fale: 25-43 mLikg .025-0.043 kg ‘emale: 28-45 mLlkg .28-0.045 Likg Red cell fale: 20-36 mLikg .020-0.036 kg ‘emale: 19-31 mLlkg .10-0.034 Likg [SWEAT REFERENCE RANGE |SI REFERENCE INTERVALS. [chiens 1-35 mmout 36 mma [URINE REFERENCE RANGE |S REFERENCE INTERVALS: [Calcium 100-200 ma/24 h R.5-7.5 mmoli24 h |Ghierde Naries with intake janes with intake |Creatinine clearance Pe oer [Estrol, total {in pregnancy) ‘30 wks 18 moi24 [21-62 wmol24 h 35 wks 5-26 mgi2éh 11-97 pmol/24h aD wks 342 magiaa 5-146 pmoll24 h 7-Hydrexyeorticosteroids fale: $.0-10.0 mg/24 h emale: 2.0-8.0 mgi24 A 12-07.8 wmol24 h 622.0 moll24 fr 17-Kelosteroids, total jale: 6-20 mgi24 h ‘emale: 6-15 mgi24 h [28-70 umol/24 h 21-82 umoli24 h osnoany 0.1400 mOsmolig JOxalate 40 noimt 10-446 umollL. Potassium [aries with diet, fares with diet Proteins, total 160 mgi2t h 15 94h [Scour Hares with diet janes with diet [Use acid Rarias with diet fares with diet NBME 11 Block 1 key . Cis wrong . C 1 2 3. Dis wrong 4 5A 6. Bis wrong 72¢ 8 D 9, Eis wrong 10. Cis wrong 19.D 20. D is wrong 21.B 22. Cis wrong 23. Cis wrong 24. Dis wrong 25.E wrong

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