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Kaplan Qbank USMLE



Author39 Posts
  #26

nice topic nod

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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #27

chest xrays are not routine tests. so the gen populace is not screened using it. ( we should let the embassies know this. they always screen with a CXRsmiling face )

it may be done if PPD is positive.


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It has been a looooong hard journey but I am inches away from my destination...

  #28

thanks chemamr. your input will be appreciated.smiling face

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It has been a looooong hard journey but I am inches away from my destination...

  #29

DONT think of Vit b12 diet in a vegetarian of one year...takes atleast 3-4 years..think more of pernicious anemia ..



hey im taking the exam mid oct too smiling face


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If you yourself are at peace, then there is at least some peace in the world.

  #30

so let's do it again even better!!!nod

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #31

DONT think seminoma in the young adult with suspected testicular tumor with HIGH AFP. its never produced in a seminoma. ( emryonal ca more likely)

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #32

never use topical steroids to reduce inflammation when thinking of viral keratitis. this will act like a virus fertilizer.

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #33

act charcoal is ineffective in

metal
cyanide
acid
base
alcohol
na, k, cl poisoning

( if given, it is cos multi drug ingestion is common.)


___________________
It has been a looooong hard journey but I am inches away from my destination...

  #34

never use tongue blade to examine pharynx in a suspected case of epiglotitis cos you may provoke a laryngospasm.

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #35

dont do Vascular surgery in the neck to treat a stroke.

??

yes duplex scanning is important but vascular surgery = Prevention, not treatment


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #36

NEVER do MRI to look for intraocular foreign body. it is containdicated ( in case object affected by magnetic field of MRI)

the sequence is gross exam---> fluorescein/slit lamp-->ultrasound or CT if high suspicion


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #37

Never give aminoglycosides in infant botulism ( Reason:as aminoglycosides kill the bacteria and subsequent release of toxin can worsen the condition).

Never give Rubella vaccine to a pregnant woman. ( However, if a pregnant woman had an inadvertent rubella vaccine during her pregnancy---Mx: Reassurance and this is not an indication for abortion)

In occult bacteremia in children age 3mths-3 yrs: No need to repeat the antibiotics if the child is non-toxic and has a normal physical exam, even if the blood culture is positive.

Don't use doxycycline/tetracycline in children < 8 yrs & pregnant women. ( exception: In rocky mountain spotted fever, doxycycline can be used even in children < 8 yrs, as it used for short courses)

Never give blood transfusion/blood products to IgA deficiency pts. without proper precautions----like proper screening and irradiation of blood products, in case of a real need for transfusion in such pts.) Reason: high risk of anaphylactic reactions.

Never use Aspirin in children ( exception: kawasaki's disease and juvenile rheumatoid arthritis). Reason: risk of reye's syndrome.

  #38

Never repeat rectal exams in acute bacterial prostatitis. Even the first (the only one time P/R exam ) rectal exam should be done gently with care, as vigorous manipulation may lead to septic shock.

  #39

never give steroids in Guillan Barre Syndrome it makes the condition worse.

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