yoy hon sanghv

2
An investigator is studying the regulation 0f pulmonaiy lymphatic Àow using an ani mal model. Catheters are implanted in the femoral vein, pulmonary artery, and main lymphatic vessel draining the lungs in anesthetized, intubated, mechanically ventilated animals. Drugs may be injected directly into the pulmonary artery catheter and inspired gas mixtures a ltered at the ventilator ; timed collect ion of lymph from the catheters is used to calculate lymphatic Àow. Which of the following interventions will most likely increase the Àow of pulmonary lymph in these animals? A) Administration of endothelin-1 into the pulmonary artery B) Administration of phenylephrine into the pulmonary artery C) Decreasing the inspired oxygen concentration from 21% to 10% D) Increasing the inspired carbon dioxide concentration from 0.3% to 3% E) Intravenous infusion of 0.9% saline for 5 minutes a a a aaaaaa microscopy shows a poorly demarcated region consisting of poorly cohesive cells growing in sheets. The nucleus to cytoplasmic ratio approaches 1:1 and a prominent nucleolu s is observed. There is microscopic evidence of stromal invasion. She has no adenopathy. CT sca n shows no evidence of hepatic, pulmonary or bone metastases. These findings are most consi stent with which of the following? A)High grade, High stage neoplasm B)High grade, low stage neoplasm C)Low grade, high stage neoplasm D)LOw grade, low stage neoplasm 2)A new anti-platelet agent is developed for the prevention of recurrence of str oke. In a large randomized clinical trial with equal numbers of men and women, the rates of stro ke are lower in pts rceiving the new agent than in pts receiving the std treatment. Results are shown: Recurrent stroke rates per 1000 person years Std treatment New antiplatelet drug Women 0.12 0.04 Men 0.24 0.08 Overall 0.18 0.06 Based on the following which of the following is the absolute risk reduction in women? A) 8% B)12% C)16% D) 33% E)62% F)67% G)75% 3)A case control study is conducted to explore a possible association between ex posure to a herbicide and non-hodgkin's lymphoma. Controls are matched to cases by age, gend er and race. Exposure status is determined by interviewing the subjects. On matched-pair anal ysis, the odds ratio is 3.2 (95% CI: 1.4-5.4) Which of the following is most likely to affect t he validity of the study? A) Biased measurement of the condition B) Biased measurement of the exposure C) Confounding by age

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Page 1: Yoy Hon Sanghv

An investigator is studying the regulation 0f pulmonaiy lymphatic Àow using an animal model. Catheters are implanted in the femoral vein,pulmonary artery, and main lymphatic vessel draining the lungs in anesthetized, intubated, mechanically ventilated animals. Drugs may beinjected directly into the pulmonary artery catheter and inspired gas mixtures altered at the ventilator ; timed collect�ion of lymph from thecatheters is used to calculate lymphatic Àow. Which of the following interventions will most likely increase the Àow of pulmonary lymph in theseanimals?A) Administration of endothelin-1 into the pulmonary arteryB) Administration of phenylephrine into the pulmonary arteryC) Decreasing the inspired oxygen concentration from 21% to 10%D) Increasing the inspired carbon dioxide concentration from 0.3% to 3%E) Intravenous infusion of 0.9% saline for 5 minutesaaaaaaaaa

microscopy shows a poorly demarcated region consisting of poorly cohesive cells growing insheets. The nucleus to cytoplasmic ratio approaches 1:1 and a prominent nucleolus is observed.There is microscopic evidence of stromal invasion. She has no adenopathy. CT scan shows noevidence of hepatic, pulmonary or bone metastases. These findings are most consistent withwhich of the following?A)High grade, High stage neoplasmB)High grade, low stage neoplasmC)Low grade, high stage neoplasmD)LOw grade, low stage neoplasm2)A new anti-platelet agent is developed for the prevention of recurrence of stroke. In a largerandomized clinical trial with equal numbers of men and women, the rates of stroke are lower inpts rceiving the new agent than in pts receiving the std treatment. Results are shown:Recurrent stroke rates per 1000 person yearsStd treatment New antiplatelet drugWomen 0.12 0.04Men 0.24 0.08Overall 0.18 0.06Based on the following which of the following is the absolute risk reduction in women?A) 8% B)12% C)16% D) 33% E)62% F)67% G)75%3)A case control study is conducted to explore a possible association between exposure to aherbicide and non-hodgkin's lymphoma. Controls are matched to cases by age, gender and race.Exposure status is determined by interviewing the subjects. On matched-pair analysis, the oddsratio is 3.2 (95% CI: 1.4-5.4) Which of the following is most likely to affect the validity of the study?A) Biased measurement of the conditionB) Biased measurement of the exposureC) Confounding by age

Page 2: Yoy Hon Sanghv

D) Type 1 errorE) Type 2 error4) A 32 yr old woman, gravida 4, para 0, aborta 3, delivers a female new born at term withdysmorphic features and numerous organ anamolies. She had multiple spontaneous abortions,and this is her first live born child. Which of the following is the most likely explanation for theabnormalities seen in this newborn?A) AD inheritanceB) AR inheritanceC) gonadal mosaicismD) Submicroscopic delet