USMLE Forum Archives - USMLE Step 2 CK - Internal med Q-what you think?
Internal med Q-what you think?
HIV - 01-02-08 13:02
26) The 18-year-old son of an Arab Sheik is flown to a hospital in the United States after his local doctor discovers an abdominal mbutt. The young man had a two year history of weight loss accompanied by production of malodorous stool with excessive flatulence. Duodenal biopsy with histopathologic examination demonstrates villous atrophy and mbuttive infiltration of the lamina propria by lymphocytes, plasma cells, and immunoblasts that do not morphologically appear overtly malignant. Biopsy of a mesenteric lymph node shows node replacement by a similar infiltrate. Which of the following is the most likely diagnosis?
A. Heavy chain disease
B. Macroglobulinemia
C. Monoclonal gammopathy of undetermined significance
D. Multiple myeloma
E. Myelodysplastic syndrome
HIV - 01-02-08 13:02
26) The 18-year-old son of an Arab Sheik is flown to a hospital in the United States after his local doctor discovers an abdominal mbutt. The young man had a two year history of weight loss accompanied by production of malodorous stool with excessive flatulence. Duodenal biopsy with histopathologic examination demonstrates villous atrophy and mbuttive infiltration of the lamina propria by lymphocytes, plasma cells, and immunoblasts that do not morphologically appear overtly malignant. Biopsy of a mesenteric lymph node shows node replacement by a similar infiltrate. Which of the following is the most likely diagnosis?
A. Heavy chain disease
B. Macroglobulinemia
C. Monoclonal gammopathy of undetermined significance
D. Multiple myeloma
E. Myelodysplastic syndrome
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#6
Re: Internal med Q-what you think? InSitu - 01-02-08 21:56 
posted by annasam on 01-02-08 21:47
Don't know explanation
Don't know explanation
We may have the author give us an explanation...lets wait and see.
#8
Re: Internal med Q-what you think? 8401glacieres - 01-11-08 13:50 None of the options r correct.
This guy has features of both tropical and celiac sprue. Villous atrophy going in favour of tropical sprue and foul smelling sprue in favour of celiac sprue.
#9
Re: Internal med Q-what you think? InSitu - 01-13-08 02:38 posted by 8401glacieres on 01-11-08 13:50
None of the options r correct.
This guy has features of both tropical and celiac sprue. Villous atrophy going in favour of tropical sprue and foul smelling sprue in favour of celiac sprue.
None of the options r correct.
This guy has features of both tropical and celiac sprue. Villous atrophy going in favour of tropical sprue and foul smelling sprue in favour of celiac sprue.
HIV please give us your explanation. thanks
#11
Re: Internal med Q-what you think? InSitu - 01-17-08 00:28 posted by HIV on 01-16-08 00:54
A is the right answer
A is the right answer
do you have any explanation? :)
#12
Re: Internal med Q-what you think? 8401glacieres - 01-26-08 21:50 posted by HIV on 01-16-08 00:54
A is the right answer
A is the right answer
Kindly tell us the explanation.
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