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* nbme 15 discussion
 #726831  
  dreddy - 03/24/13 15:18
 
  Anyone who has taken nbme 15 we can start a post to discuss questions that came on the exam! Post questions, answers and explanations... Hoping this can help the people who are taking the exam soon!  
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* Re:nbme 15 discussion
#2859402
  brainteaser - 03/25/13 01:27
 
  . A 37-year-old woman is brought to the emergency department after her husband found her unconscious. Her temperature is 36C (968F), pulse is 1 28/mm, and blood
pressure is 70/40 mm Hg. Physical examination shows cool, pale extremities, jugular venous distention, faint peripheral pulses, and crackles over the bottom two thirds of
both lung fields. Heart sounds are normal, and there are no murmurs. She withdraws to painful stimuli in all four extremities. This patient is most likely experiencing which of
the following types of shock?
A) Anaphylactic
B) Cardiogenic
C) Hypovolemic
D) Neurogenic
E)septic

 
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* Re:nbme 15 discussion
#2859405
  brainteaser - 03/25/13 01:43
 
 
A 50-year-old man comes to the physician because of a 2-week history of progressive shortness of breath while climbing stairs to his office every morning He reports no
other problems, but he is concerned because his father had a major myocardial infarction at the age of 52 years. His pulse is 1 10/mm and regular, respirations are 16/mm,
and blood pressure is 135/95 mm Hg. The lungs are clear to auscultation. Cardiac examination shows normal heart sounds with a physiologic split of 2 Stress
echocardiography shows hypokinesis of the posterior left ventricle with increasing activity levels. Which of the following is the most likely cause of the posterior left
ventricular findings in this patient?
! A) Disruption of the sympathetic nerves to the left ventricle
B)EXTRAVASCULAR COMPRESSION OF THE CORONARY ARTERIES
C)Increased LV end diastolic pressure
d)increased myocardial oxygen consumption
E) Stcnosis of thc right coronary artcry
 
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* Re:nbme 15 discussion
#2859471
  dreddy - 03/25/13 09:49
 
  Hypovolemic shock---heart sounds are normal...  
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* Re:nbme 15 discussion
#2859472
  dreddy - 03/25/13 09:50
 
  not sure about the second question what was your answer brainteaser?  
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* Re:nbme 15 discussion
#2859486
  sesy123 - 03/25/13 10:54
 
  I need nbme 15 with answers. Can you send to my e-mail: sesy12313@yahoo.com
Thank you in advance!
 
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* Re:nbme 15 discussion
#2859508
  brainteaser - 03/25/13 12:16
 
  hypovolemic shock was wrong for me .

the other ques ans was A which was wrong
 
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* Re:nbme 15 discussion
#2859520
  dreddy - 03/25/13 12:40
 
  yeah i put B which is obviously wrong...so A, B, C are wrong then?

So maybe then its Septic....
 
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* Re:nbme 15 discussion
#2859653
  hopedr - 03/25/13 17:20
 
  Its cardiogenis shock
Crackles r heard which prooves left heart failure
 
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* Re:nbme 15 discussion
#2859655
  hopedr - 03/25/13 17:21
 
  Insecticide posoning answer is atropine  
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* Re:nbme 15 discussion
#2859657
  hopedr - 03/25/13 17:23
 
  50yr old man stenosis of right coronary  
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