An error occoured at http://www.prep4usmle.com/comments.php?rewritten=1&id=15907 on 2008-12-03 06:21:58. Please relay this data to support. Error #2: 'mysqli_num_rows() expects parameter 1 to be mysqli_result, boolean given' in /home/prep4usm/public_html/databases/mysqli.php on line 42. Debug info: file`,`caneditalllinks`,`caneditallcategories`,`caneditallcomments`,`caneditallprofiles`,`candownloadfiles`,`canupload`,`canviewip`,`limitlinks`,`canemailmembers`,`canusehtml`,`limitlinksdaily`,`canalias`,`candeleteown`,`candeleteall`,`candofulledit`,`candeletecategories`,`candeletecomments`,`candeleteowncategories`,`candeleteowncomments`,`candeletemembers`,`candeleteownmembers`,`canaliascategories`,`canviewpages`,`caneditvotes`,`numaliases`,`canviewvotes`,`canhideownlinks`,`canhideowncategories`,`canhideowncomments`,`canhidealllinks`,`canhideallcategories`,`canhideallcomments`,`canratecomments`,`bytespermem`,`canpm`,`canim`,`canharddelete`,`limitpms`,`limitpmsdaily`,`canviewdeleted`,`cansubmitpolls`,`candeletepolls`,`candeleteownpolls`,`caneditpolls`,`caneditownpolls`,`attachperpost`,`attachperpm`,`canviewshouts`,`caneditshouts`,`caneditownshouts`,`candeleteshouts`,`candeleteownshouts`,`cansubmitshouts`,`canpollvote`,`customtitle`,`canviewinvisible`,`namestyle`,`canpmimportant`,`canviewmodlog`,`isleader`,`cansubmitquotes`,`validatequotes`,`candeletequotes`,`candeleteownquotes`,`canreport`,`canusesearch`,`validateattachments`,`caneditownquotes`,`caneditallquotes`,`canviewchat`,`caneditownevents`,`caneditallevents`,`candeleteownevents`,`candeleteevents`,`cansubmitevents`,`validateevents`,`bulkpms`,`issupermod`,`cansuggestban`,`shoutsperday`,`cancopy`,`attachperlink`,`numinv`,`allowugspec`,`validateemails`,`validatesponsorlinks`,`cansubmittags`,`candeletetags`,`cansubmitfeeds`,`validatefeeds`,`validatefeeditems`,`numaliasestot`,`validatetrader`,`renewdays`,`renewtimes`,`canviewownfulltrc`,`canviewallfulltrc` FROM wsnforum_membergroups
Load time so far: 0.06 seconds.
Query 5: SELECT `id`,`to`,`subject`,`message`,`headers`,`replacement`,`mime` FROM wsnforum_email WHERE timesent=0 AND inprogress=0 ORDER BY id ASC LIMIT 0,10
A healthy 42 yr old comes to physician for a life insurance evaluation. He smoked 1 ½ pack of cigarettes daily for 20 yrs but quit 10 yrs ago. His father died of MI at 65 yrs age. 93kg [205 lb], 178cm [70 inch], 160/110, 96, 16. Rest of the examination normal. Lab values also normal except serum cholesterol level of 206 mg/dl. What is the greatest risk factor for cerebral infarction in this pt?
Hah, i attempted to pick 3 somehow. :? ___________________ ELM
lucky Forum Guru
Topics: 23 Posts: 505
01/25/05 - 06:24 AM
#3
i'd go for htn
tamriko Forum Elite
Topics: 23 Posts: 296
01/25/05 - 07:47 AM
#4
I'll pick HTN. :?:
ELM Forum Guru
Topics: 28 Posts: 936
01/25/05 - 07:58 AM
#5
:oops: anyone can give me a reference? :cry: ___________________ ELM
tamriko Forum Elite
Topics: 23 Posts: 296
01/25/05 - 08:12 AM
#6
I think the greatest risk for cerebral infarction in this pt is HTN, if HTN would be for a long time, he will develop some kind of arrhytmia(AF)). I don't think his cholesterol level is too high(normal is <200) to cause MI and thus cerebral infurction :?: . May be I'm wrong..... :|
lucky Forum Guru
Topics: 23 Posts: 505
01/25/05 - 10:09 AM
#7
the greatest risk for stroke comes from htn according to UW.
ELM Forum Guru
Topics: 28 Posts: 936
01/25/05 - 12:18 PM
#8
:roll: ___________________ ELM
mdwannabe Forum Guru
Topics: 37 Posts: 1,133
01/27/05 - 10:03 AM
#9
Most occlusive strokes in brain are the result of thrombosis rather than embolism. Hence, the greatest risk for thrombosis would be the greates risk for stroke. Greates risk for thrombosis is HTN according to most path and pathphis books. Therefore, HTN is the the greatest risk for occlusive cerebrovascular dzz or stroke. ___________________ "Life not lived for others, is not worth living" Uncle Einstein "A life is not important, except in the impact it has on other lives" -Jackie Robinson
Veer-Zaara Forum Elite
Topics: 16 Posts: 268
01/28/05 - 03:01 AM
#10
Good discussion....i learn something new here.
jalwa Forum Newbie
Topics: 0 Posts: 11
02/09/05 - 08:25 PM
#11
hi elm
hypercholesteraemea does have a chance but we normally
see efffects from this in chronic elvated patients,like older age group
dont u think soo
please comment ___________________ hi every one
mikyro Forum Junior
Topics: 0 Posts: 81
02/10/05 - 04:39 AM
#12
A healthy 42 yr old comes to physician for a life insurance evaluation. He smoked 1 ½ pack of cigarettes daily for 20 yrs but quit 10 yrs ago. His father died of MI at 65 yrs age. 93kg [205 lb], 178cm [70 inch], 160/110, 96, 16. Rest of the examination normal. Lab values also normal except serum cholesterol level of 206 mg/dl. What is the greatest risk factor for cerebral infarction in this pt?
:!: :!: :!: Don't let yourself tricked by this question. You will find many qs like that in the actual step2/1
smoked 1 ½ pack of cigarettes daily for 20 yrs but quit 10 yrs agonot a very important risk factor since he quit smoking :wink: . 10 yrs after quiting smoking, the risk is the same as in the general population :idea: .
father died of MI at 65 yrs age So what ? He did not die before 50 :wink: . Not important in this case.
93kg [205 lb], 178cm [70 inch] obsese, indeed . But ECFMG does not care about that . This is not considered a significant risk factor .
160/110 This is a significant risk factor . More important than obesity :!: :!: .
serum cholesterol level of 206 mg/dl Doesn't tell me anything . A bit high, but not seriously high :wink: . Besides, it doesn't tell me anything about HDL-CT or LDL-CT :cry: . Not a risk factor to considered in this case :wink: .
In conlcusion, the greatest risk factor now is HTN . Answer 4. ___________________ the same miky - always ready to help my patients and friends as well
. But ECFMG does not care about that