01-12-2012, 06:40 AM
nope. it ll be E. epi always in anaphylactic shock
nbme form 2 ck answer key.... - surez18
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01-12-2012, 06:40 AM
nope. it ll be E. epi always in anaphylactic shock
01-12-2012, 06:42 AM
alright jst forget the golden rule "diagnosis b/f Rx" ivp it is!! i agree for 20.
i'd tick A for Q4 still. inhaled bronchodilators NOW that we know we're NOT supposed to give subcu Epi.
01-12-2012, 12:16 PM
For block 4, Q 10:
B, is the best answer I guess, but what is the point in giving centrally acting stimulant? 10. A mentally competent 76-year-old man is in the terminal stage of multiple myeloma. He is unable to move and requires 24-hour nursing care. Increasing doses of narcotics are needed to control severe pain. As a result, when he is pain-free, respiratory function is impaired and consciousness is clouded. The patient says he cannot live with this degree of pain and asks to be given a lethal injection of pain medication. Which of the following is the most appropriate step regarding the pain medication? A) Reduce the dosage so as not to impair respiration B) Administer the dosage necessary to control pain despite respiratory impairment C) Administer the dosage necessary to control pain and add a centrally acting stimulant D) Appeal to the family to convince the patient to tolerate a bit more pain
01-12-2012, 12:18 PM
38 is tricky, since asymptomatic - EEE. But according to MTB2, best treatment is GNRH analog. Old treatment no longer used is Danazol.
01-12-2012, 01:01 PM
What disease is this??
31. A 62-year-old woman comes to the physician because of severe pain and swelling of her right knee for 1 day. She has no history of joint disease or trauma to the knee. She has hypertension treated with hydrochlorothiazide and type 2 diabetes mellitus treated with glyburide. She is sexually active only with her husband, and they have sexual intercourse one to two times each week. Her temperature is 37 C (98.6 F), blood pressure is 140/84 mm Hg, and pulse is 80/min. Examination of the right knee shows edema, erythema, and exquisite tenderness to light ouch; there is an effusion. The remainder of the examination shows no abnormalities. Which of the following is the most likely mechanism of these findings? A) Immune complex deposition B) Inflammatory reaction to antisynovial antibodies C) Inflammatory reaction to monosodium urate crystals D) Neisseria gonorrhoeae infection E) Streptococcus pneumoniae infection
01-12-2012, 01:06 PM
block 4, q36:
36. A 29-year-old woman is brought to the physician by her father. She has been working continuously without sleep for 3 days on a project which she claims "Allah and Jesus have told me to do" that will "unify all knowledge in physics and medicine and philosophy." She hears the voice of her dead brother telling her that she will be "the next Virgin Mary." Her father states that she was treated for depression for 1 year at the age of 19 years. Which of the following is the most likely diagnosis? A) Bipolar disorder B) Borderline personality disorder C) Major depressive disorder D) Schizophrenia E) Substance-induced mood disorder DDD?
01-12-2012, 08:47 PM
ya block4 q10 ans was B. its oly n d key.
and q36 is depressive + manic symptom. bipolar would be ans.
01-12-2012, 08:56 PM
q 31 pictured lik septic arthritis. but elderly mcc is staph or e.coli;. nesseria oly in youngers. i thought abt reiter syndrome. so i guessed B. no clear idea abt it.
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