Maxemo EMREE 26-27
A 55M with resistant hypertension, carotid bruits, and peripheral artery disease has hypokalemia and elevated plasma renin activity. These findings are most consistent with which condition?
💡 EXPLANATION:
Widespread atherosclerosis with resistant hypertension and high renin levels suggests renal artery stenosis causing renovascular hypertension. Primary aldosteronism typically suppresses renin.
The underlying pathophysiology of iron deficiency anemia involves:
Anonymous Quiz
32%
Hepcidin mediated block of iron release from macrophages
0%
Reduced globin chain synthesis
0%
Defective DNA synthesis in erythroblasts
68%
Impaired heme synthesis due to lack of iron
Maxemo EMREE 26-27
The underlying pathophysiology of iron deficiency anemia involves:
💡 EXPLANATION:
Iron is essential for heme synthesis. Deficiency leads to reduced hemoglobin production and microcytic hypochromic red blood cells.
A stable 30-year-old woman with pain and bleeding at 8 weeks amenorrhea has ultrasound evidence of a right adnexal mass and no intrauterine pregnancy. Beta hCG is 1200. What is the most appropriate management?
Anonymous Quiz
27%
Administer methotrexate
64%
Repeat beta hCG in 48 hours
9%
Laparoscopic salpingectomy
0%
Expectant management
Maxemo EMREE 26-27
A stable 30-year-old woman with pain and bleeding at 8 weeks amenorrhea has ultrasound evidence of a right adnexal mass and no intrauterine pregnancy. Beta hCG is 1200. What is the most appropriate management?
💡 EXPLANATION:
This is a confirmed ectopic pregnancy meeting criteria for medical management with methotrexate due to hemodynamic stability, low beta hCG level, and small adnexal mass.
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🔬 Today's Test: ENDOCRINOLOGY
👉 https://app.maxemo.app/s/dft-emree
Yesterday's Ranks🏆
EMERGENCY MEDICINE
1. Piyush Patel
2. Samyak99
3. Faizan
4. Rahul_md
5. Rizwan H
6. Ahmed
7. Sara
8. Basil
9. Mohammed Aramin
10. Samira
⏳ Test Ends at 07:00 PM
Join channel 👇
https://t.me/studywithmaxemoemree
A patient with Graves disease develops a subtle high frequency tremor of the outstretched hands. This finding represents which complication?
Anonymous Quiz
12%
Coarse tremor
0%
Pretibial myxedema
20%
Exophthalmos
68%
Fine tremor
👍2
Maxemo EMREE 26-27
A patient with Graves disease develops a subtle high frequency tremor of the outstretched hands. This finding represents which complication?
💡 EXPLANATION:
Hyperthyroidism produces an adrenergic state leading to a high frequency low amplitude fine tremor, best seen with hands outstretched.
A patient with an inferior STEMI develops hypotension after nitrates with clear lung fields. What is the most likely cause?
Anonymous Quiz
9%
Papillary muscle rupture
45%
Right ventricular infarction
3%
Ventricular free wall rupture
42%
Cardiogenic shock from left ventricular failure
👍1
Maxemo EMREE 26-27
A patient with an inferior STEMI develops hypotension after nitrates with clear lung fields. What is the most likely cause?
💡 EXPLANATION:
Inferior STEMI may involve the right ventricle. Nitrates reduce preload and can precipitate hypotension in right ventricular infarction. Clear lungs argue against left ventricular failure.
A 45-year-old manager newly diagnosed with diabetes on metformin has persistent polyuria. Labs show absent C-peptide and positive GAD antibodies. What is the most appropriate initial step?
Anonymous Quiz
9%
Add an SGLT2 inhibitor
4%
Increase metformin dose
87%
Stop metformin and initiate insulin therapy
0%
Order abdominal CT scan
Maxemo EMREE 26-27
A 45-year-old manager newly diagnosed with diabetes on metformin has persistent polyuria. Labs show absent C-peptide and positive GAD antibodies. What is the most appropriate initial step?
💡 EXPLANATION:
Absent C-peptide and positive autoantibodies indicate autoimmune diabetes (LADA/type 1). Insulin therapy is mandatory; oral agents are ineffective.
A strong family history of which condition is associated with the highest increased risk for ovarian cancer?
Anonymous Quiz
8%
Cervical cancer
27%
Endometrial cancer
65%
Breast cancer
0%
Uterine fibroids
Maxemo EMREE 26-27
A strong family history of which condition is associated with the highest increased risk for ovarian cancer?
💡 EXPLANATION:
BRCA1 and BRCA2 mutations significantly increase the risk of both breast and ovarian cancers.
What is the primary mechanism of action of eluxadoline?
Anonymous Quiz
19%
Selective 5-HT3 receptor antagonism
50%
Peripheral mu-opioid receptor agonism
0%
Anticholinergic muscarinic blockade
31%
Mixed mu-opioid agonist and delta-opioid antagonist
Maxemo EMREE 26-27
What is the primary mechanism of action of eluxadoline?
💡 EXPLANATION:
Eluxadoline treats IBS-D by reducing gut motility via mu-opioid agonism while limiting adverse effects through delta-opioid antagonism.
An elderly patient presents with splenomegaly, anemia, thrombocytopenia, low alkaline phosphatase, and a blood film showing granulocytes at all stages of maturation. This is most consistent with:
Anonymous Quiz
10%
Acute myeloid leukemia
10%
Leukemoid reaction
71%
Chronic myeloid leukemia
10%
Acute lymphoblastic leukemia
Maxemo EMREE 26-27
An elderly patient presents with splenomegaly, anemia, thrombocytopenia, low alkaline phosphatase, and a blood film showing granulocytes at all stages of maturation. This is most consistent with:
💡 EXPLANATION:
Granulocytes at all stages with splenomegaly and low LAP score are classic for chronic myeloid leukemia.
The underlying pathophysiology of systemic lupus erythematosus involves:
Anonymous Quiz
0%
Fibroblast activation and fibrosis
9%
Anti-CCP antibodies and synovial pannus
91%
Anti-nuclear antibodies and immune complex deposition
0%
IL-23 and IL-17 driven inflammation