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Old 02-16-2011
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Help Test is Tomorrow, please help with NBME 6 Q ..urgent !!

Again i cannot type out an nbme q here
but it is in nbme 6, block 2, q 16
Please answer v soon.
My test is tomorrow.
Thanks
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Old 02-16-2011
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I think its c- 12 capillary to interstitial space

here is how i calculated it
net force= (capillary hydrostatic+interstitial oncotic) - (capillary oncotic+interstitium hydrostatic)

=(12+15)-{20+(-5)}
=27-15
=12

So the net force forcing the fluid out of the capillaries is greater than the one keeping it in.

I might be wrong, but thats what I think how it is.
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Old 02-16-2011
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Quote:
Originally Posted by doctorsmonsters View Post
I think its c- 12 capillary to interstitial space

here is how i calculated it
net force= (capillary hydrostatic+interstitial oncotic) - (capillary oncotic+interstitium hydrostatic)

=(12+15)-{20+(-5)}
=27-15
=12

So the net force forcing the fluid out of the capillaries is greater than the one keeping it in.

I might be wrong, but thats what I think how it is.
yes you are right , it is C.. apparently I cannot do addition properly and I am less than a day from my test..

would you happen to know the answer to Q 25, block 2 , nbme 6??????
this one is an anatomy correlation and really confusing me.

Thank you so much.
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Old 02-16-2011
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ok I didn't get this one. I thought maybe B as usually hemorrhoids are painful when thrombosed but I googled a bit and found this thread
NBME Form 6 Questions that I got wrong
Goes in favor of D
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Old 02-16-2011
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Arrow This is not a NBME Q but similar

A 54 yr old man undergoes band ligation for prolapsing haemorrhoid.Few hours later he develops acute pain.What might be the possible cause?

a.The ligation involved mucous lining of the anal canal
b.Ligation stopped blood supply to the haemorroid
c.The ligation was done at the level of anal columns
d.Ligation was done inferior to the pectinate line
e.The ligation was done on an internal haemorrhoid

Test is Tomorrow, please help with NBME 6 Q ..urgent !!-hemorrhoid.gif
click image to enlarge

Correct ans is D) d.Ligation was done inferior to the pectinate line
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Old 02-16-2011
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Thank you so much.
I am noticing that I am missing q #26 in block 2, nbme6 for some reason ?
so you have that q?
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Old 02-16-2011
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This exact same question is on nbme 6! God I love this form, its like I'm constantly learning new stuff!! thanks to members like you!!
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Old 02-16-2011
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Arrow For this one

Q2-A 16 year old boy comes to physician for physical examination required for a lifeguard job at a local pool. Physical exam hs no abnormalities. which of following advice by physician is most appropriate???

A-Advise him to wear a wide brimmed hat,sunglasses n sunscreen
B-suggest him yo wear goggles when swimming in pool
C-tell him he cld make more money mowing lawns
D-tell him dat he z fine n to enjoy himself at pool this summer
E-warn him to wait about one hour after eating before going swimming

E) warn him to wait about one hour after eating before going swimming

b/c the basic premise behind this caution is that food digestion requires greater blood flow to the stomach. Yet, exercise at the same time requires greater blood flow to the arms and legs. This may deprive the stomach of a certain amount of oxygen, causing a muscle cramp, sometimes called a stitch, to occur. Most doctors suggest that these cramps are mild, and provided a swimmer doesn’t freak out in the water, some floating will help minimize any cramping, if it even occurs. Eating a huge meal and then swimming a triathlon is definitely not recommended because of the amount of blood supply needed for the arms and legs, and it could result in cramping and vomiting, but is very unlikely to result in drowning.
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just sent it to you in pm
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Help Shouldn't the be A?

Quote:
Originally Posted by aktorque View Post
Q2-A 16 year old boy comes to physician for physical examination required for a lifeguard job at a local pool. Physical exam hs no abnormalities. which of following advice by physician is most appropriate???

A-Advise him to wear a wide brimmed hat,sunglasses n sunscreen
B-suggest him yo wear goggles when swimming in pool
C-tell him he cld make more money mowing lawns
D-tell him dat he z fine n to enjoy himself at pool this summer
E-warn him to wait about one hour after eating before going swimming

E) warn him to wait about one hour after eating before going swimming

b/c the basic premise behind this caution is that food digestion requires greater blood flow to the stomach. Yet, exercise at the same time requires greater blood flow to the arms and legs. This may deprive the stomach of a certain amount of oxygen, causing a muscle cramp, sometimes called a stitch, to occur. Most doctors suggest that these cramps are mild, and provided a swimmer doesn’t freak out in the water, some floating will help minimize any cramping, if it even occurs. Eating a huge meal and then swimming a triathlon is definitely not recommended because of the amount of blood supply needed for the arms and legs, and it could result in cramping and vomiting, but is very unlikely to result in drowning.

I think the answer should be A...why would you say it is NOT A?
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Default A

I agree with noone123i on this one!

Why not E?
- he will learn soon enough about the cramping if he goes swimming directly after eating
- serious consequences are unlikely
- his mother already warned him about that when he was 8

Why A?
- this an opportunity for educating your patient that could pay off great health dividends in the long run when he doesn't get skin cancer
- for this one, the "what's the worst thing on there?" rule applies. Melanoma>>>>cramps>>itchy eyes>etc.
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Quote:
Originally Posted by Mondoshawan View Post
I agree with noone123i on this one!

Why not E?
- he will learn soon enough about the cramping if he goes swimming directly after eating
- serious consequences are unlikely
- his mother already warned him about that when he was 8

Why A?
- this an opportunity for educating your patient that could pay off great health dividends in the long run when he doesn't get skin cancer
- for this one, the "what's the worst thing on there?" rule applies. Melanoma>>>>cramps>>itchy eyes>etc.
Well Here's why it might not / cannot be A:

Swimming at a Local pool, now it doesn't really state if he's out in the sun which warrants a sunscreen / sunglasses lol.

E) is something that we all know, and that info has been passed down since we first went swimming (not to eat before swimming, take a shower before entering, not staying in the hot tub too long)

Who knows, general knowledge might be key here ..
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