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Kaplan Qbank USMLE



Author2 Posts
  #1

which of the following tt is least likely to be helpful in a person with severe ,acute liver failure

a..i/v fluids
b..glucose
c..fresh frozen plasma
d..vitamin k
e..addressing the underlying cause of the liver failure

___________________
hi how r u

  #2

Managing poisonings (eg, acetaminophen, mushroom) requires specific treatment distinct from other, more general issues related to FHF, therefore option E is out

Manage coagulopathy as follows:
Patients with FHF may bleed from any percutaneous access site or minor abrasion, and extensive internal hemorrhage may occur.

Requirements for fresh frozen plasma and platelet replacements may be substantial, and this requires close monitoring, especially during planned procedures
therefore C is out

Patients are, by necessity, nothing by mouth (NPO). They may require large amounts of intravenous glucose to avoid hypoglycemia.
When enteral feeding via a feeding tube is not feasible (eg, as in a patient with paralytic ileus), institute total parenteral nutrition (TPN).
therefore a and b are out







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