NBME4 discussion, every one is welcome! - grad1980

[ArchivalUser]

Agree with q.37.A Atheresclerosis of renal arteries in old pt. &

40.A Diffused symmetric, tender enlarged uterus is..adenomyosis

[ArchivalUser]

Q19, section1 is tricky
if i chose B then i cannot explain his weight gain. if i chose F then what about his visual problems? can any one explain? what about his papilledema?

[ArchivalUser]

Tension pneumothorax

[ArchivalUser]

Q25, section1, haliperidol n pregnancy? isn't it Contra indicated?
agree with 38A.

[ArchivalUser]

section2 Q19, yes its tension pneumothorax, n G is right

[ArchivalUser]

Haloperidol can be given during pregnancy, if benefit outweighs risk.

[ArchivalUser]

agree with Q22 n 23 .

for Q40, i think clotbuster is right.
leiomyoma would be irregular n bumpy

[ArchivalUser]

@vatsalshruti, i didn't know that, can u plz quote a reference?

[ArchivalUser]

sorry, i googled it and ur right! it has no proven S.E and can be given if benefits exceeds risks

[ArchivalUser]

ok guys, section 3 now

3. A 57-year-old man with type 2 diabetes mellitus comes to the physician because he has been unable to bend his right foot since awakening 4 hours ago. He also has had numbness over the dorsum of his right foot during this period. He has a 2-year history of intermittent mild low back pain. He is otherwise healthy. Deep tendon reflexes are 2+ bilaterally. He is unable to dorsiflex his right ankle or toes and evert his right ankle. Straight-leg raising does not produce pain. Which of the following is the most likely diagnosis?

A
) Multiple sclerosis

B
) Peroneal neuropathy

C
) S1 radiculopathy

D
) Sciatic neuropathy

E
) Thrombosis of the left middle cerebral artery

plz explain, if its B?