08-19-2014, 02:04 PM
22 d ( the diagnosis of htn requires elevated blood pressure on 2 separate occassions )
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nbme form 2 b1 2/2 - grazie
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08-19-2014, 02:10 PM
Ans by NBME feedback
22> D) Recheck her blood pressure in 1 week It needs more than 1 measurement of BP within a 1-2 weeks space to stablish the Dx of Hypertension. Then we give the pt a chance for lifestyle modifications (3-6m) before we start medical therapy. 1st Line Tx: > HCTZ > ACEI/ARB
08-19-2014, 02:11 PM
Thank you faithfullyhopeful
 I appreciate the extra seconds of explanation 
08-19-2014, 02:14 PM
23.
A 15-year-old high school sophomore comes to the office because of fever, chills, joint pain, and malaise. Today she developed pain and swelling over both wrists and her left ankle, and painless skin lesions over her right hand and left palm. She has not had cough, rhinorrhea, vomiting, or diarrhea. Medical history is unremarkable and she takes no prescription medications. Vital signs are temperature 39.2°C (102.6°F), pulse 98/min, respirations 28/min, and blood pressure 110/68 mm Hg. Physical examination discloses tender swelling over the right wrist and left ankle. There are several 5-mm pustular lesions on the left palm and a hemorrhagic 8-mm macule on the dorsum of her right hand. Specific additional history should be obtained regarding which of the following? A) Family history of collagen vascular disease B) Sexual history C) Tick bites D) Travel outside the USA E) Use of alternative medications
08-19-2014, 02:18 PM
I don't have the right answer by nbme.
Could it be B?
08-19-2014, 02:30 PM
@grazie ! great thread!! thank you.
23 C ( rocky mountain spotted fever ? )
08-19-2014, 02:35 PM
pl help,i am not sure, i missread the qs.
but do we get pustular lesions in RMSF...?? |
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