nbme 1 - rizowana

[ArchivalUser]

WHATEVER THE CONSEQUENCES HERE PATIENT IN TRAUMA AND HYPOTENSIN+PUPIL NORMAL+CHEST CLEAR.....TREAT
...........ISOTONIC SALINE...EE

[ArchivalUser]

11. A 64-year-old woman has moderately severe postoperative pain 1 day after a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Which of the following is the most appropriate analgesic pharmacotherapy?

A
) Oral aspirin-codeine compound

B
) Oral diazepam

C
) Oral ibuprofen

D
) Intermittent intravenous naloxone

E
) Patient-controlled intravenous morphine

F
) Transcutaneous administration of fentanyl

[ArchivalUser]

MIGHT BE INDICATION OF LUCID PERIOD OF EPIDURAL HEMATOMA BUT HERE NO INDICATION OF HEAD INJURY EVEN SO IT SHOULD BE LATERAL TEMPORAL TRAUMA

[ArchivalUser]

EE.........NICE DEVICE GRAB BY THE PATIENT AND HE CAN PUMP EVERY 10 MINUTE
CERTAIN AMOUNT OF MORPHEN ...ROUTEN USED IN USA HOSPITALS

[ArchivalUser]

in question 8... shouldnt it be dextrose in 50% water... always given in emergency management with packed RBCs if transfusion needed

[ArchivalUser]

and question 27 ... gynaecological tumors.. its was a pic of teratoma on online nbme.

[ArchivalUser]

13. A 42-year-old woman comes to the physician for an annual pelvic examination and Pap smear. Over the past year, she has had increasing fatigue and difficulty sleeping. She has two children who both attend college. She is currently looking for part-time work outside the home. Her husband has been busy in a new start-up business. Examination shows no abnormalities. Laboratory studies show:

Hemoglobin 15 g/dL
Mean corpuscular volume 95 μm3
Leukocyte count 6000/mm3 with a normal differential
Serum
Na+ 145 mEq/L
Cl– 102 mEq/L
K+ 4.5 mEq/L
HCO3– 25 mEq/L
Urea nitrogen (BUN) 18 mg/dL
Creatinine 1.0 mg/dL
Alkaline phosphatase 70 U/L
Aspartate aminotransferase
(AST, GOT) 22 U/L
Alanine aminotransferase
(ALT, GPT) 19 U/L
γ-Glutamyltransferase
(GGT) 83 U/L
(N=5–50 U/L)

Which of the following is the most likely explanation for this patient's laboratory abnormalities?

A
) Acetaminophen

B
) Alcohol

C
) Diphenhydramine

D
) Estrogen effect

E
) Ibuprofen

[ArchivalUser]

BB

[ArchivalUser]

can u explain why it is alcohol? thanks

[ArchivalUser]

15. A 72-year-old man comes for a routine follow-up examination. He has chronic obstructive pulmonary disease treated with β-adrenergic agonists and ipratropium by metered-dose inhaler and mild arterial insufficiency of the lower extremities treated with aspirin. His blood pressure is 160/60 mm Hg, pulse is 70/min, and respirations are 12/min. Funduscopic examination shows arteriovenous nicking. Pedal pulses are decreased bilaterally. Which of the following antihypertensive drugs is most likely to cause adverse effects in this patient?

A
) α2-Adrenergic agonist

B
) α-Adrenergic blocking agent

C
) β-Adrenergic blocking agent

D
) Angiotensin-converting enzyme (ACE) inhibitor

E
) Calcium-channel blocking agent

F
) Loop diuretic

G
) Thiazide diuretic

H
) Vasodilator