First Aid step 1 2024 videos,books and qbank

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First Aid step 1 2024 videos,books and qbank

31 Dec 2024, 05:50

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26 0 0

First Aid step 1 2024 videos,books and qbank

26 May 2023, 19:49

Educational objective: Lesions of the jugular foramen can result in jugular foramen (Vernet) syndrome, which is characterized by the dysfunction of cranial nerves IX, X, and XI. Symptoms include dysphagia, hoarseness, loss of gag reflex on the ipsilateral side, and deviation of the uvula toward the normal side.

13.9k 0 4

First Aid step 1 2024 videos,books and qbank

26 May 2023, 12:47

A lesion involving which of the following anatomical structures is most likely responsible for this patient's symptoms?

So‘rovnoma

A. Cerebellopontine angle
B. Foramen magnum
C.Foramen ovale
D.Foramen rotundum
E. Hypoglossal canal
F. Jugular foramen

589 ta ovoz

12.5k 0 8

First Aid step 1 2024 videos,books and qbank

26 May 2023, 12:47

A 67-year-old woman with a known history of lung cancer comes to the office due to hoarseness and
difficulty swallowing. She has no disturbances in vision or hearing. On examination, there is loss of the gag reflex on the left side; when the patient is prompted to say "ah," the uvula deviates to the right side.
a right lower lobe lung mass and several osteolytic rib lesions. MRI of the head also demonstrates multiple Her left shoulder is drooped and strength is reduced during left shoulder shrug testing. Chest x-ray shows
lesions consistent with metastasis.

11k 0 6

First Aid step 1 2024 videos,books and qbank

21 May 2023, 23:57

Educational objective: Tay-Sachs disease is an autosomal recessive disorder caused by [3-hexosaminidase A deficiency, which results in GM2 ganglioside accumulation. Key clinical features include progressive neurodegeneration and a cherry-red macular spot. In contrast to patients with Niemann-Pick disease, those with Tay Sachs disease have no hepatosplenomegaly.

10.5k 0 2

First Aid step 1 2024 videos,books and qbank

21 May 2023, 17:56

Accumulation of which of the following metabolites is most likely present in this patient's tissues?

So‘rovnoma

A. Galactocerebroside
B. Globotriaosylceramide
C. Glucocerebroside
D.Glycogen
E. GM2 ganglioside
F. Heparan sulfate
G .Sphingomyelin

431 ta ovoz

10.5k 0 3

First Aid step 1 2024 videos,books and qbank

21 May 2023, 17:55

An 8-month-old girl is brought to the office for evaluation of irritability and regression of motor skills. Her birth was unremarkable and she appeared to develop normally, but she can no longer sit or roll over. Her parents have also noticed that she startles easily with loud noises. Head circumference measurement is consistent with macrocephaly. Bilateral funduscopic evaluation shows a bright red fovea centralis that is surrounded by a contrasting white macula. Peripheral vision is decreased. Abdominal examination is normal.

9.3k 0 2

First Aid step 1 2024 videos,books and qbank

21 May 2023, 17:52

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4.7k 0 7

First Aid step 1 2024 videos,books and qbank

20 May 2023, 22:27

Educational objective: Neisseria meningitidis can cause sepsis and circulatory collapse in previously healthy young individuals. Lipooligosaccharide, a virulence factor in the pathogens outer membrane, is the major underlying cause of disease severity.

6.6k 0 1

First Aid step 1 2024 videos,books and qbank

20 May 2023, 18:24

Which of the following microbial components is directly responsible for the severity of disease in this patient?

So‘rovnoma

A. Capsular polysaccharide
B. lmmunoglobulin protease
C. Lipo-oligosaccharide
D.Lipoteichoic acid
E. Superantigen exotoxin

347 ta ovoz

7.2k 0 3

First Aid step 1 2024 videos,books and qbank

20 May 2023, 18:24

A 16-year-old girl is brought to the emergency department after she became unresponsive. Temperature is 39.7 C (103.5 F), blood pressure is 70/40 mm Hg, and pulse is 130/min and thready. There is a diffuse petechial and ecchymotic skin rash. Laboratory testing reveals leukocytosis with left shift and evidence of disseminated intravascular coagulation and multiorgan failure. Despite aggressive interventions, the patient dies several hours after admission. Autopsy reveals hemorrhagic necrosis of many internal organs, including the bilateral adrenal glands.

7.1k 0 2

First Aid step 1 2024 videos,books and qbank

5 May 2023, 00:35

Educational objective: Amyotrophic lateral sclerosis (ALS) causes both upper and lower motor neuron lesions. Loss of neurons of the anterior horns of the spinal cord (LMN lesion) causes muscle weakness and atrophy. Demyelination of the lateral corticospinal tract (UMN lesion) leads to spasticity and hyperretlexia.

9.1k 0 4

First Aid step 1 2024 videos,books and qbank

4 May 2023, 23:34

The patient most likely suffered from which of the following?

So‘rovnoma

A. Amyotrophic lateral sclerosis
B. Poliomyelitis
C.Rabies
D.Huntington disease
E. Friedreich ataxia
F. Vitamin 812 deficiency

356 ta ovoz

8.8k 0 2

First Aid step 1 2024 videos,books and qbank

4 May 2023, 23:34

A Caucasian male who suffers from a severe neurological disease dies of an overwhelming respiratory infection. Autopsy shows an atrophic precentral gyrus and thin anterior roots of the spinal cord. Light microscopy reveals a severe loss of neurons in the anterior horn of the spinal cord and in the hypoglossal and ambiguous cranial nerve nuclei; corticospinal tracts stain only faintly, indicating demyelinization.

6.8k 0 3

First Aid step 1 2024 videos,books and qbank

30 Apr 2023, 18:18

Educational objective: Clostridium botulinum is a spore-forming, gram-positive, anaerobic bacillus that synthesizes botulinum toxin, which prevents the presynaptic release of acetylcholine from the nerve terminal at the neuromuscular junction. Botulinum toxin can be used to treat focal dystonia and other disorders of abnormal muscle contraction.

6.6k 0 4

First Aid step 1 2024 videos,books and qbank

30 Apr 2023, 08:05

The substance administered to this patient is derived from bacteria that most likely demonstrate which of the following characteristics?

So‘rovnoma

A.Antigenically hypervariable pili
B.Antiphagocytic capsule
C. lgG-binding outer membrane protein
D. Intracellular polyphosphate granules
E. Subterminal spore formation
F. Type Ill secretion system

246 ta ovoz

6.2k 0 3

First Aid step 1 2024 videos,books and qbank

30 Apr 2023, 08:04

A 40-year-old woman is evaluated for neck pain that has gradually worsened over the past several months. The patient reports a pulling sensation in her neck that causes difficulty in keeping her head straight. She has had no trauma and has no other medical conditions. Physical examination shows a spastic and thickened sternocleidomastoid muscle causing head tilt. The patient is diagnosed with idiopathic torticollis. She is treated with injections of a bacterial product into the affected muscle, with significant relief of her symptoms.

5.6k 0 3

First Aid step 1 2024 videos,books and qbank

29 Apr 2023, 18:04

Educational objective: Lacunar infarcts are small, ischemic infarcts (usually

5.5k 0 2

First Aid step 1 2024 videos,books and qbank

29 Apr 2023, 08:04

This patient's condition is most likely caused by which of the following?

So‘rovnoma

A. Cardiac embolism
B. Carotid artery atherosclerosis
C.Hypertensive arteriolar sclerosis
D. Hypertensive encephalopathy
E. Hypoxic encephalopathy
F. Saccular aneurysm

272 ta ovoz

5.4k 0 4

First Aid step 1 2024 videos,books and qbank

29 Apr 2023, 08:03

A 58-year-old man comes to the emergency department due to sudden right-sided weakness. He has no sensory loss, problems speaking/swallowing, or difficulty with balance. The patient was previously told that he has elevated blood pressure, but he does not routinely follow up with his physician. He takes no medications. Examination shows intact cranial nerves and sensory function. The patient has 3/5 muscle strength on the right side. Initial CT scan without contrast reveals no abnormalities. Four weeks later, repeat brain imaging shows a 9-mm, fluid-filled cavitary lesion in the left internal capsule.

5k 0 5

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