New PDF release: Appleton & Lange's Review for the USMLE Step 3

By Samuel L. Jacobs

ISBN-10: 0838503055

ISBN-13: 9780838503058

This entire evaluate comprises over 1,000 questions with exact reasons, subspecialty lists and up to date references.

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C) The coronary sinus is the main vein of the heart. (Moore, p 102) 47. (H) The great cardiac vein is the main tributary of the coronary sinus. It begins near the apex of the heart and ascends in the anterior interventricular groove with the anterior interventricular artery. (Moore, p 102) 48. (A) The azygos vein connects the superior and inferior venae cavae, either directly by joining the inferior vena cava or indirectly by the hemiazygos and accessory hemiazygos veins. (Moore, p 115) 49. (D) The superior vena cava, the great vein draining blood from the head and neck, is located in the superior mediastinum.

B) Most eukaryotic mRNAs are modified at both the 5′ and 3′ ends. The modification at the 5′ end involves attachment of a 7-methylguanylate residue by an unusual 5′-5′ phos- 19 phodiester bond. This is referred to as the 5′ cap structure. At the 3′ end the mRNA is modified by the sequential addition of up to 250 adenylate residues by the enzyme poly A polymerase. This modification is referred to as the poly A tail. Essentially all eukaryotic mRNAs have a single initiation site for protein synthesis and thus direct the synthesis of a single polypeptide chain; they are monocistronic.

This enzyme employs NADH as a cofactor. Phosphoenolpyruvate, 3-phosphoglycerate, and 2-phosphoglycerate do not accumulate under these conditions. (Stryer, pp 490–491,497–498,577) 64. (C) The ingestion of candy leads to increased blood glucose levels, which in turn stimulate the α cells of the pancreas to release insulin. Insulin antagonizes the actions of glucagon and epinephrine, which stimulate glycogenolysis and lipolysis. The major energy source in long-distance running is fatty acid metabolism, which spares glucose utilization.

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Appleton & Lange's Review for the USMLE Step 3 by Samuel L. Jacobs


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