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Question 1
Incorrect
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Which intercellular connections are responsible for fastening the cells to one another?
Your Answer: Hemidesmosomes, focal adhesions & gap junctions
Correct Answer: Hemidesmosomes, zonula adherens & desmosomes
Explanation:There are three major types of cell junction:Adherens junctions, desmosomes and hemidesmosomes (anchoring junctions),Gap junctions (communicating junction) &Tight junctions (occluding junctions)
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This question is part of the following fields:
- Cell Biology
- Medicine
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Question 2
Incorrect
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Select the correct statement about the microanatomy of the thyroid gland.
Your Answer: Each follicle is lined by two layers of epithelial cells.
Correct Answer: The capillaries adjacent to thyroid cells have a fenestrated endothelium.
Explanation:Fenestrated capillaries have a very thin endothelium, which is perforated by numerous fenestrations or pores. Hormones are usually released into these capillaries, reaching their target cells through the circulatory system.
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This question is part of the following fields:
- Endocrinology
- Medicine
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Question 3
Correct
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Question 4
Incorrect
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A 28 year old female presents to the rheumatology clinic for review. She has a history of adult onset Still's disease and complains of joint pains and persistent skin rash despite undergoing treatment with methotrexate and etanercept. On examination, an erythematous macular rash and active synovitis is noted. CRP is high (95 mg/dl). Which of the following interventions would be most appropriate?
Your Answer: Rituximab
Correct Answer: Anakinra
Explanation:Adult onset Still’s disease (AOSD) is an uncommon systemic inflammatory disease on the clinical spectrum of autoinflammatory disorders. Its presentation and clinical course may result in several well-differentiated phenotypes: from a systemic and highly symptomatic pattern to a chronic articular pattern. Overproduction of numerous pro-inflammatory cytokines is observed in AOSD. Anakinra, a human interleukin (IL)-1R antagonist, has recently been approved in the treatment of AOSD. Denosumab is a RANK ligand inhibitor used in the treatment of osteoporosis. Mepolizumab is used in the treatment of severe asthma with elevated eosinophils. There is some evidence to support the use of tocilizumab, an anti-IL6 monoclonal antibody in adult onset Still’s, but there is stronger data favouring the use of tocilizumab in the treatment of rheumatoid arthritis. Rituximab is usually reserved for patients who are unresponsive to anakinra.
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This question is part of the following fields:
- Connective Tissue
- Medicine
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Question 5
Incorrect
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Question 6
Correct
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The following is true in relation to coronary venous drainage?
Your Answer: Most venous return ultimately drains into right atrium via the coronary sinus
Explanation:Most of the venous blood returns to the heart via the coronary sinus and the anterior cardiac veins. Apart from these there are other vessels that drain directly into the heart chambers
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This question is part of the following fields:
- Cardiovascular
- Medicine
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Question 7
Incorrect
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The axons of which neurons serve as the only output from the cerebellar cortex?
Your Answer: Stellate
Correct Answer: Purkinje
Explanation:The cerebellar cortex consist of 3 layers. The molecular layer, the granule cell layer and the Purkinje cell layer in the middle. The Purkinje cells project into the deep cerebellar nuclei. They are the only output cells of the cerebellar cortex.
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This question is part of the following fields:
- Medicine
- Neurology
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Question 8
Incorrect
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A cohort study is being designed to look at the relationship between smoking and prostate cancer. What is the usual outcome measure in a cohort study?
Your Answer: Odds ratio
Correct Answer: Relative risk
Explanation:A cohort study is a particular form of longitudinal study that samples a cohort (a group of people who share a defining characteristic, typically those who experienced a common event in a selected period, such as birth or graduation), performing a cross-section at intervals through time. The relative risk (RR) or risk ratio is the ratio of the probability of an outcome in an exposed group to the probability of an outcome in an unexposed group. Relative risk is used in the statistical analysis of the data of experimental, cohort and cross-sectional studies, to estimate the strength of the association between treatments or risk factors, and outcomes.
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This question is part of the following fields:
- Medicine
- Research Skills
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Question 9
Incorrect
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Cholinergic nerves from the vagus innervate the SA and AV nodes via which receptor in the heart?
Your Answer: B1 receptor
Correct Answer: M2 receptor
Explanation:M2 receptor is found in the heart. M3 and M4 are associated with smooth muscle.
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This question is part of the following fields:
- Cardiovascular
- Medicine
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Question 10
Correct
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Which statement about the 2nd heart sound is true?
Your Answer: It is caused by closure of the aortic and pulmonary valves.
Explanation:The second heart sound is produced due to closure of the aortic and pulmonary valves. It is a high pitched dub sound.
Normally the aortic closure sound (A2) occurs prior to the pulmonic closure sound (P2), and the interval between the two (splitting) widens on inspiration and narrows on expiration. With quiet respiration, A2 will normally precede P2 by 0.02 to 0.08 second (mean, 0.03 to 0.04 sec) with inspiration. In younger subjects inspiratory splitting averages 0.04 to 0.05 second during quiet respiration. With expiration, A2 and P2 may be superimposed and are rarely split as much as 0.04 second. If the second sound is split by greater than 0.04 second on expiration, it is usually abnormal. Therefore, the presence of audible splitting during expiration (i.e., the ability to hear two distinct sounds during expiration) is of greater significance at the bedside in identifying underlying cardiac pathology than is the absolute inspiratory increase in the A2–P2 interval.
The respiratory variation of the second heart sound can be categorized as follows: (1) normal (physiologic) splitting; (2) persistent (audible expiratory) splitting, with normal respiratory variation; (3) persistent splitting without respiratory variation (fixed splitting); and (4) reversed (paradoxical) splitting.
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This question is part of the following fields:
- Cardiovascular
- Medicine
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SESSION STATS - PERFORMANCE PER SPECIALTY
