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Appleton & Lange's Review for the USMLE Step 3 by Samuel L. Jacobs

By Samuel L. Jacobs

This entire assessment comprises over 1,000 questions with designated motives, subspecialty lists and up to date references.

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Treatment with chloroquine resulted in marked improvement of the patient. 32 1: Basic Sciences Review 136. A middle-aged, male, immunocompromised patient, living in an area infested with pigeons, is admitted to the hospital. He has fever, headache, stiff neck, and disorientation. His spinal fluid is clear, but it has mononuclear cells. An india ink staining of the spinal fluid and culture on Sabouraud’s agar at 37° C following staining show encapsulated yeast cells. Questions 137 through 139 (A) variable regions of light and heavy chains (B) constant regions of light and heavy chains (C) constant region of heavy chain (D) J chain (E) hinge region (F) HLA-A (G) HLA-B (H) HLA-C (I) C5a (J) Fc 99.

C) Under anaerobic conditions, such as intense muscular activity, the rate of formation of pyruvate during glycolysis exceeds its oxidation by the citric acid cycle. As a result, pyruvate is converted to lactate by the action of lactate dehydrogenase. This enzyme employs NADH as a cofactor. Phosphoenolpyruvate, 3-phosphoglycerate, and 2-phosphoglycerate do not accumulate under these conditions. (Stryer, pp 490–491,497–498,577) 64. (C) The ingestion of candy leads to increased blood glucose levels, which in turn stimulate the α cells of the pancreas to release insulin.

42. 43. 44. 45. 46. 47. 48. 49. 50. Autonomic nervous system Muscular system Skeletal system Digestive system Special senses Autonomic nervous system Lymphatic system Cardiovascular system Cardiovascular system Cardiovascular system Cardiovascular system Cardiovascular system Cardiovascular system Cardiovascular system Biochemistry Ira Schwartz, PhD DIRECTIONS (Questions 51 through 76): Each of the numbered items or incomplete statements in this section is followed by answers or by completions of the statement.

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