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(Sorry, another MUST READ b/c it answers 10 reader questions in my e-mail!) This post has both answers to reader questions and a case: Q) Why is FA not good enough for everything? And why is the students' mental processes in error? And what can be done? Q2) What is causing the flank pain? Q3) You find out that he is on a thiazide diuretic medication for these kidney stones and a uricosuric called probenecid because his last doctor thought/heard that thiazide diuretic treat kidney stones and since uric acid is the problem, he gave him PROBENECID? Do you agree with his last doctor (hint: he was an inexperienced sub intern)? Q4) Therefore, what do you change his meds to? And MOA of new drug please? Q5) What ENZYME does allopurinol inhibit? Q6) The NBME and USMLE give all the above in a case and then ask if anything else you should give him for prophylaxis that is NOT a prescribed drug? (VERY IMPORTANT) Q7) If I gave you a picture of the brain on MRI with arrows, which structure is affected in this dx? Q8) The NBME and Attendings LOVE to asks this in mult choice form: What is the genetics behind Lesch Nyhan?

QBank Subjects

Subject: Tommy's Concepts

Question

(Sorry, another MUST READ b/c it answers 10 reader questions in my e-mail!)


This post has both answers to reader questions and a case:

Q) Why is FA not good enough for everything? And why is the students' mental processes in error? And what can be done?


Q2) What is causing the flank pain?


Q3) You find out that he is on a thiazide diuretic medication for these kidney stones and a uricosuric called probenecid because his last doctor thought/heard that thiazide diuretic treat kidney stones and since uric acid is the problem, he gave him PROBENECID? Do you agree with his last doctor (hint: he was an inexperienced sub intern)?


Q4) Therefore, what do you change his meds to? And MOA of new drug please?


Q5) What ENZYME does allopurinol inhibit?


Q6) The NBME and USMLE give all the above in a case and then ask if anything else you should give him for prophylaxis that is NOT a prescribed drug? (VERY IMPORTANT)


Q7) If I gave you a picture of the brain on MRI with arrows, which structure is affected in this dx?


Q8) The NBME and Attendings LOVE to asks this in mult choice form:
What is the genetics behind Lesch Nyhan?

Answer

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