HY USMLE Q

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This is Audio Qbank Q #1023
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[@Mehlmanmedical]

Our New USMLE Telegram group (link valid at least at time of this clip): t.me/+mSDYK3fV2wdkNmY0
Instagram: instagram.com/mehlman_medical/
Mehlman HY Path PDF: mehlmanmedical.com/hy-pathology/
Mehlman HY Pulm PDF: mehlmanmedical.com/hy-pulmonary/

[@immii14]

I dint knw this😢

[@Nick-px7gv]

Learning Notes:
Hypercalcemia in SCC: Primarily caused by PTHrP secretion leading to paraneoplastic hypercalcemia.
Calcium’s Effect on Vascular Tone: Increased calcium uptake by vascular smooth muscle cells can lead to increased contractility and diastolic hypertension.
QT Interval Changes: Hypercalcemia shortens the QT interval, while hypocalcemia prolongs it.
Nephrogenic Diabetes Insipidus: Hypercalcemia is a rare cause and typically leads to increased urine output, not decreased.

[@Darkquark-u5]

Beauty!

[@Sophmedtobe]

Mehlman these videos and your pdfs are absolutely phenomenal resources! One quick request -- a HY PHARM pdf focused on step 2 would be an absolute GAMECHANGER. Like you said in a recent clip, Pirfenidone shows up on step 2 but students don't know what it is.... having a quick review of even just all/most drug names we might see by class and indications would be insanely helpful. If this isn't possible tho, what you have already out there is SO appreciated and TY!

[@Mehlmanmedical]

There’s pharm cards and modules

[@user-tk2xl8oy4t]

Didnt see that coming 🤯. I jumped on high PTH, even though i know its PTHrP

[@negasiweldu2209]

The same here

[@Fabana]

Same here 😢

[@user-iw2bs2ii7y]

Hey mike ,
Hypercalcemia can cause renal stones 3:53 than can lead to oligouria…?

[@fekadetesfaye-zv8yn]

it should be bilateral big stones to cause oligouria, and the chances are slim to none.. [I'm open to be corrected].

[@moiz_ulislam]

I thought same

[@youssefmikhael3044]

I thought same and took my hypertension answer back cuz of it

[@aang7505]

For choice E, can’t the lung cancer cause the paraneoplastic syndrome of SIADH leading to decreased urination

[@omerkhan9286]

No cause Paraneoplastic SIADH is associated with Small Cell Carcinoma of the Lung, The question would describe the morphology of Small Cell Lung Cancer; Neuroendocrine origin, Tumor markers such as Chromogranin A, Synpaptophysin, and Neuron Specific Enolase.
(Hopefully Michael the G can verify this)

[@christianseni9574]

I went there too, but its squamous not small cell

[@alanwaterman1328]

Excellent question and explanation.

[@user-cd8lc7qk6w]

Thank you Mike

[@otaviototh7021]

Thank you!

[@briank9354]

Wrong fucking answer!!! but good q, really makes you think and baits you with that choice C

[@cashy69420]

all ur vids are chicken tikka masala with big naan bubble

[@shakespeares2085]

We learn by our mistakes 😂