nbme form 2 ck answer key.... - surez18

[ArchivalUser]

nope. it ll be E. epi always in anaphylactic shock

[ArchivalUser]

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.

[ArchivalUser]

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

[ArchivalUser]

38 is tricky, since asymptomatic - EEE. But according to MTB2, best treatment is GNRH analog. Old treatment no longer used is Danazol.

[ArchivalUser]

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

[ArchivalUser]

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?

[ArchivalUser]

ya block4 q10 ans was B. its oly n d key.
and q36 is depressive + manic symptom. bipolar would be ans.

[ArchivalUser]

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.