rman
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Thanks but I like D for the high altitude one. He'll become alkalotic, of course, but because he's healthy won't he stay on the normal buffer line?
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| rman
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You are right--acute respiratory alkalosis. This can be prevented w/ acetazolamide
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| rman
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10. A healthy 50-year-old man who resides at sea level takes a 45-minute ride in a cable car from near sea level to a ski resort (altitude 3050 m [10,000 ft]). Which of the following labeled points on the diagram best represents this patient 30 minutes after arrival at the resort? See picture
A )
B )
C )
D )
E )
F )
G )
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11. A 70-year-old man begins taking a drug to prevent angina pectoris. At his next visit, his pulse has decreased from 70/min to 60/min, and his blood pressure has decreased from 130/90 mm Hg to 110/70 mm Hg. The drug most likely to be responsible for these changes is which of the following?
A ) Captopril
B ) Nifedipine
C ) Nitroglycerin
D ) Prazosin
E ) Propranolol
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26. A 15-year-old boy comes to the physician because of nervousness. He tells the physician that he is afraid he is "going crazy." He describes brief episodes when colors have appeared especially bright and sounds have seemed louder than usual. He says that several times while sitting in class, the desks appeared to move. When asked, he adds that he frequently skipped school last term and had bad grades. He says, "But now I've changed and I'm attending regularly." Physical examination and laboratory studies show no abnormalities. Which of the following is the most likely cause of this patient's condition?
A ) Alcohol use
B ) Bipolar disorder
C ) Hallucinogen use
D ) Migraine
E ) Schizophrenia
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An otherwise healthy 45-year-old man has a 2-year history of heavy snoring and daytime sleepiness. Monitoring shows that his arterial oxygen saturation periodically decreases to 87% when he sleeps. If the man's condition is left untreated, which of the following complications is most likely?
A ) Dilatation of the mitral annulus
B ) Microcytic hypochromic anemia
C ) Normocytic normochromic anemia
D ) Respiratory alkalosis
E ) Right ventricular hypertrophy
F ) Syndrome of inappropriate ADH (vasopressin) release
What is the mechanism for RVH in obstructive sleep apnea?
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| robin082006
Forum Hero
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10. C Acute Respiratory alkalosis
11. E
26. C? by exclusion, A and D out of question, not enough symptoms to diagnose B and E
Last question E, it is Cor Pulmonale (right ventricular hypertrophy due to chronic pulmonary hypertension)
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| nadiabarati
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11.E
26.C
E
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| docarchana
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10 D. resp alkalosis without compensation
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| mohelgamal
Forum Elite
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26 is d it is classic migraine ( I personally feel these symtoms)
11 is E betablockers decrease heart rate
Sleep apnea cause hypoxia > pul vasoconstriction > rvh
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| antidepressant
Forum Guru
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can anyone clarify this one# 26, i picked C too, but answer is E. i think they are wrong, because in hallucinogens it appear coloful, that goes for it, and also having hallucination. and in migraine, he will not feel that the desk is moving.
Edited by antidepressant on 10/09/08 - 03:38 PM
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| Karime
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 Hi dear AD
I chose C too
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| brainstem
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10 . D - There will not be renal compensation in the beginning.
11 . E - Beta1 heart, beta2 bl ve antaginist.
26 . C - Scenario looks like, teenagers r more liable to sub abuse, LSD, MESCALINE.
Last . E - RV afteroad wil be inc as vasocon occurs in pul ve in response to hypoxia results RVH.
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| alirizvi
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I was thinking schizophrenia when i 1st started reading it but at the end it goes " But now I've changed and I'm attending regularly." You do not just change, unless u are doing something to cause it. So he's on some good sh*t 
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| brainstem
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wat alirizvi, didnt understand ur post.
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| antidepressant
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thank you karime, brainstem and alrizvi, yes teenager (if we assume, he is using some stuff)and it will not change that quick, yes!
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| alirizvi
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sry i was just sayin he is probally doing estacy, it brightens up ur senses like touching, hearing, seeing the stroke lights at clubs etc. Anxiety and hallucination that is not specific and alot of different drugs give u that.
But i dnt understand did this patient have these symptoms AFTER he "changed" his habits because then it might be DT from alcohol withdraw but then again it says Acute.. so maybe not lol
It is def not schizophrenia.
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| brainstem
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hmmmmm....... u did extensive research in analysing the question, gud keepitup.
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| alirizvi
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haha extensive research the clubs, yes ^_^ ..
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