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NBME7 questions!!!!!!!!!! - usmlerock99
#11
Just kidding. I got it wrong. My bad! 19 is NOT PRBC
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#12
guys what was the answer the question with the lady with breast cancer on morphine and the pain now not decreasing with morphine syrup every 4 hours?
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#13
Anyone - what was the answer to the patient with chronic back pain from metastatic breast cancer now not amenable to morphine syrup every 4 hours?
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#14
breast ca, on morphine, u increase the frequency to every 3 hrs
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#15
32 , is a choice left out? it could be ectopic pregnancy....
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#16
@acestep2 - thank you Smile
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#17
kdem, you can not get infection in 6 hours after coronary bypass surgery. Mediastinum widening is due to hemorrhage form heart and it needs immediate exploration. As the patient is in shoch, no other test precedes exploration.
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#18
Anybody has key to nbme 7
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#19
62 yo women is A/w sob x 12 hrs. she has 15 yr old hx of type 2 DM and a 3 yr hx of chronic renal insufficiency.medications include insulin and captopril. Her T 38.2C , pulse 88/min, RR 16/min, BP-144/70 mmhg, Ex - no adenopathy, inspiratory cracles are heard that are greater on the right than on the left.. cardiac Ex - discrete point of the maximum impulse, normal s1 , s2 and inermittent s4. there is trace pedal edema. pulse oxymetry on room air shows 90% saturation. leukocyte count- 13000/mm3 and SCr 2.2 mg/dl Xray of the chest shows patchy infiltrate in the right middle lung. treatment with IV cefriaixone and heparin is begun.she has poor oral intake. Her temperature ranges from 37C-38.4C and BP ranges from 112/60 - 146/84 mmhg. Her s. glucose concentration is monitored 4 times daily and despite adjustment of insulin dosage, her s. glucose concentration range between 140 - 320 mg/dl. One day after admission ventilation perfusion lung scan shows no abnormalities. Two days after admission , pulmonary angiograpy shows no evidence of pulmonary embolism. four days after admission her SCr is 3.6mg/dl. wihich of the following is most likely to have prevented acute deterioration of this patient's renal funtions
A) Low protien level
B) Better control of serum glucose concentration in the hospital
C) Antihypertensive therapy
D) Dosage adjustment of Cefriaxone
E) Intravenous fluid therpy
I marked A and it's wrong
is it E?
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#20
Answer is E.
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