AAAAA Forum Fanatic
Topics: 153 Posts: 1,983
| | 04/29/06 - 10:27 AM  
 
   
 
|   #1 |
A 38 year old woman tells her doc that for several months she has been experiencing palpitations, dizziness, shortness of breathness, a feeling of impending doom and a fear of dying. What of the following would be the most appropriate initial step in managing this patient ? 1. offer psychotherapy 2. prescribe benzo 3. perform a physical examination 4. refer the patient to a psychiatrist 5. teach relaxation techniques
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| AAAAA Forum Fanatic
Topics: 153 Posts: 1,983
| | 04/29/06 - 10:27 AM  
 
   
 
|   #2 |
The pearl of USMLE is do the simple things
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| AAAAA Forum Fanatic
Topics: 153 Posts: 1,983
| | 04/29/06 - 10:29 AM  
 
   
 
|   #3 |
Never prescribe narcotics and beozo (valium, ativan, etc.) they are wrong answers except during alcohol withdrawal for valium (MCC) ativan (USMLE) Canada uses valium, US uses ativan Why ? I don't understand
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| AAAAA Forum Fanatic
Topics: 153 Posts: 1,983
| | 04/29/06 - 10:30 AM  
 
   
 
|   #4 |
I think the answer is perform a physical examination, do the simple things C
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| frontal Forum Guru

Topics: 53 Posts: 421
| | 04/29/06 - 10:59 AM  
 
   
 
|   #5 |
Were you questioning yourself? Well, I also think it's C, physical exam.
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| Rasul Forum Guru
Topics: 56 Posts: 485
| | 04/29/06 - 11:16 AM  
 
   
 
|   #6 |
Agree with C. Dear AAAAA! You've answered the very own question You've posted?!!! Please, wait a little next time and give others chance to see what You posted. Not everybody is online simultaneously with You. Thank You very much. Sincerely, Rasul
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| Rasul Forum Guru
Topics: 56 Posts: 485
| | 04/29/06 - 11:33 AM  
 
   
 
|   #7 |
By the way, AAAAA!I wonder what You think about question posted in Emergency Medicine forum about botilism treatment?
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| achilles Forum Guru

Topics: 86 Posts: 1,204
| | 04/29/06 - 12:02 PM  
 
   
 
|   #8 |
looks like i missed the lecture on panic attacks !!!!!!!! i would first complete the physical examination in this patient. i agree with C as the answer and also agree with what frontal and rasul had to say. AAAAA, post a question...give others a chance to have a go at the question you posted and then we can discuss on it a little later.
___________________ " it's not whether you get knocked down, it's whether you get up" " i have miles to go before i sleep "
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| achilles Forum Guru

Topics: 86 Posts: 1,204
| | 04/29/06 - 12:04 PM  
 
   
 
|   #9 |
by the way, some of your explanations are really interesting !!!
___________________ " it's not whether you get knocked down, it's whether you get up" " i have miles to go before i sleep "
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| frank100 Forum Guru
Topics: 48 Posts: 586
| | 08/03/06 - 05:55 PM  
 
   
 
|   #10 |
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