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|Prompt=A 54 year old alcoholic man with history of multiple hospital admissions presents to the emergency room for 3 hours of increasing shortness of breath. On exam, the patient is afebrile, his pulse is 102 bpm, blood pressure is 143/89 mmHg, and respiratory rate is 24 breaths per minute. The ED physician notices several large bruises on the man's arms, legs, and anterior abdomen. Examination of the oral cavity reveals poor denition with severely swollen gums. The physician also notes 2 ulcers on the man's left sole which were reportedly there the last time the patient was admitted to the hospital 4 months ago. Which of the following steps in collagen synthesis is likely to be defective in this patient?
|Prompt=A 54 year old alcoholic man with history of multiple hospital admissions presents to the emergency room for 3 hours of increasing shortness of breath. On exam, the patient is afebrile, his pulse is 102 bpm, blood pressure is 143/89 mmHg, and respiratory rate is 24 breaths per minute. The ED physician notices several large bruises on the man's arms, legs, and anterior abdomen. Examination of the oral cavity reveals poor denition with severely swollen gums. The physician also notes 2 ulcers on the man's left sole which were reportedly there the last time the patient was admitted to the hospital 4 months ago. Which of the following steps in collagen synthesis is likely to be defective in this patient?


[[Image:Collagen1.jpg|800px]]
[[Image:Collagen1.jpg|600px]]
|AnswerA=A
|AnswerA=A
|AnswerB=B
|AnswerB=B
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|AnswerE=E
|AnswerE=E
|RightAnswer=A
|RightAnswer=A
|WBRKeyword=Scurvy, Vitamin C deficiency,  
|WBRKeyword=Scurvy, Vitamin C deficiency,
|Approved=No
|Approved=No
}}
}}

Revision as of 20:35, 23 October 2013

 
Author [[PageAuthor::Rim Halaby, M.D. [1]]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Biochemistry
Sub Category SubCategory::Dermatology, SubCategory::General Principles
Prompt [[Prompt::A 54 year old alcoholic man with history of multiple hospital admissions presents to the emergency room for 3 hours of increasing shortness of breath. On exam, the patient is afebrile, his pulse is 102 bpm, blood pressure is 143/89 mmHg, and respiratory rate is 24 breaths per minute. The ED physician notices several large bruises on the man's arms, legs, and anterior abdomen. Examination of the oral cavity reveals poor denition with severely swollen gums. The physician also notes 2 ulcers on the man's left sole which were reportedly there the last time the patient was admitted to the hospital 4 months ago. Which of the following steps in collagen synthesis is likely to be defective in this patient?

]]

Answer A AnswerA::A
Answer A Explanation AnswerAExp::
Answer B AnswerB::B
Answer B Explanation AnswerBExp::
Answer C AnswerC::C
Answer C Explanation AnswerCExp::
Answer D AnswerD::D
Answer D Explanation AnswerDExp::
Answer E AnswerE::E
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::A
Explanation [[Explanation::

Educational Objective:
References: ]]

Approved Approved::No
Keyword WBRKeyword::Scurvy, WBRKeyword::Vitamin C deficiency
Linked Question Linked::
Order in Linked Questions LinkedOrder::