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Course management (2025/26)

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A 45-year-old male patient presents with a right-sided adrenal tumor. Imaging studies show an isolated tumor on the right adrenal gland. Which of the following arteries is a source of blood supply to the right suprarenal gland?

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A 52 year old man, presents to the surgery outpatient clinic complaining of left neck rapidly growing swelling. On examination it seems to involve the left thyroid lobe. Radiography shows left thyroid mass invading the sternomastoid muscle. True cut biopsy shows malignant tumor by H&E staining, amyloid material by congo red stain and +ve calcitonin immunohistochemical stain.

What is the most likely diagnosis of this case?

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Glycogen synthetase is the key enzyme of one of the main metabolic processes of blood glucose homeostasis.

      What is its most likely role in this metabolic process?

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Mona is a 45 years old female  who presented to the surgery outpatient  clinic with non-painful mobile breast lump, her clinician requested doing an ultrasound scan . What is the fining in this ultrasound  that best matches with her condition?

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A 30 year old woman is breast feeding her baby.

Which is the single most likely set of hormonal changes that happen during suckling?

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A Growth factor is a polypeptide that stimulates cell proliferation. When it binds to its receptor, the RAS and MAPK pathway is activated.

Which action best describes this pathway?

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27 years old pregnant woman in her 7th month, she received unknown medication, and she is now afraid about her baby.

      What is the most layer shares in formation of the placental barrier in late pregnancy ?

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A 16 year old patient with ambiguous genitalia and absent secondary sexual characteristics is found to have a mutation in a specific gene. Genetic testing reveals an XY karyotype.

Which gene is most likely affected in this case?

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A 24-year-old woman is breastfeeding 3 weeks after giving birth to a normal term infant. She notices fissures in the skin around her left nipple. Over the next 3 days, a 3-cm region near the nipple becomes erythematous and tender. Pu­rulent exudate from a small abscess drains through a fissure.

      Which organism is most likely to be cultured from the exudate?

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A couple returns to your clinic after initial evaluation of their infertility condition. Semen analysis revealed normal parameters, The female patient has regular menstrual cycles. Hysterosalpingogram demonstrated a normal endometrial cavity with unilateral proximal tubal obstruction A diagnostic laparoscopy showed no adhesions or endometriosis, with failure of spillage of dye from her right tube.

What is the most appropriate diagnosis in this case?  

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