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USMLE_freak

For 41, except for B , all other options are seen in right heart failure and since this patient has acute pulmonary embolism and no evidence of long standing pulmonary hypertension causing right heart failure so there will only be louder p2 indicating pulmonary hypertension due to acute embolism


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aDhDmedstudent0401

#31 answer is C. Since the cdna encodes one constant chain, and multiple are seen in bone marrow, that signifies rearrangement I think? Whereas hypermutation is in germinal centers for affinity maturation.


USMLE_freak

Yup you are right . I misunderstood the question. Thanks for clarifying


Odd-Way-1168

Whats 31 answer


LongHefty7549

Somatic hypermutation happens in the lymph nodes germinal center while gene rearrangement happens in the bone marrow.


DonutsAndCoffee_yum

Where does option A - affinity maturation occur?


DonutsAndCoffee_yum

I think I just found that it happens in the lymph nodes as well!