npas
Forum Senior
Topics: 8
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Thanku Mazinger..I know it was a silly question but it always helps to discuss.Which subject r u doing?
Dr Pumpkin..its cricothyrodotomy which is done in a patient less than 12 years of age..And usually it is needed when there is massive facial trauma when intubation is not possible.
By the way while u wasted 1 day I wasted 2 days out here..it was a long weekend..
Anyways we will finish off surgery fast,right?Paedia q sources r many..all half finished..Blue print,UCV,Pretest..hope I will finish all!!
Zainab,where r u?Hope u r doing fine.
Its late night..a day wasted completely..lemme see if I can do some qs..
good luck all and thank u shezoo
npas
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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ooops!!! tht was a spellling error..yeah i meant cricothyroidotomy...
npas,,thanx for clearing the doubt...yeah buddy!! i think we really need to relax by the end of the week!!! if we don`t do it by ourselves our brain loses its efficiency ,,,isn`t it  ..
as for the ques we ll do lots of them wen will subscribe to UW,,also they r much closer to the real exam....
zianab,,where r u buddy?? its been sooo long that u haven`t posted...hope u r going good with studies..
hope to see u soon
take care...
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| USMLEGladiator
ck, CS Finish by Feb09
Topics: 131
Posts: 488
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which videos r best & must b watched?
is MKSAP useful for prep?
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Chance favors only the prepared mind. - Louis Pasteur.Be confident,Plan Well at beginning,do hard work,forget past failures and success is yours.......
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| mazinger
Forum Guru
Topics: 46
Posts: 918
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Dear npas I am my last revision of peds then Im heading towards obgyn book by the end of the week...
GL
BTW I dont think it was a silly question.. I had to give it a big thought almost for a day (I am not kidding) to notice what was really going on..  ... Then I noticed it was so silly as you said anyways...
Have fun
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original mazinger z
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| npas
Forum Senior
Topics: 8
Posts: 198
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Here is my take on Mazinger's NBME qs
1.A]Reassurance
2..A]Adjustment disorder with anxiety(though depression like symptom is also mentioned I think she has anxiety for sure)
3..B]Thyroid function test..this one got me confused..the child is surely lagging behind since he should be able to go to toilet himself and tell a whole story since he is 4..I think Thyroid dysFn is the most cmn cause of MR in boys..so why not rule out this..
4..E]Threatened abortion..cervix is closed..fetus alive but HR is increased..and the product of conception is surely inside the uterus.
good luck
npas
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| mazinger
Forum Guru
Topics: 46
Posts: 918
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npas: lets see on the answers
1st agree
2nd agree
3rd I think the answer is DNA testing, my diagnosis is a fragile X syndrome (X linked dominant), since its a familial thing you could check that the sister is also affected, but in a lesser degree. Enlarged testicles is the giveaway...
4th I think its a placenta previa, dont ask me why.. but I just know  , the patient has not had any cramping which is compatible with painless bright red bleeding (I havent studied ob yet so I could be awfully wrong)..
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original mazinger z
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| dr.pumpkin
Forum Newbie
Topics: 4
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i agree wid u npas,mazinger fr ques 1,2..
i m nt clear abt 3...
fr the 4 i m too confused b/w placenta prev n threatened abortion...
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| npas
Forum Senior
Topics: 8
Posts: 198
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5..c]Obstetric trauma(most cmn cause of cystocele in a female..and custocele can cause stress incontinance)
6..D]RHD..prasentation is pointing towards MS.
7..Don't know for now..will try later.
Good to see Zainab..I'am gonna start surgery now.Dr Pumpkin is also starting I think.
Regs
npas
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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wuld start surgery tomm...was reading crush today...
good to see u start surgery zianab....
keep posting ur progress frns ,,it helps alott ...
take care all...
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| npas
Forum Senior
Topics: 8
Posts: 198
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Hey guys..I think Placenta previa is a good option in a late 2nd or third trimester bleeding..this lady is in her 12th wk..morover threatened abortions may sometimes present with only bleeding..cramping may develop after hours or days..please check this out and do let me know.
3rd one..I was wrong..I agree with u completely Mazinger.
npas
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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i was thinking abt the placenta prev. question....
the reason for bleeding in placental previa is d/t rupturing of the blood vessels when the lower segment is streched...wich happens in the last trimestr...
since in this cs, the uterus is just 12 wks gestational size,,,n there is no streching...so we culd think it as a rejection facor for PP n go for threatened abortion,,also as rightly said by npas,,it may present widout bleeding initially...
wat do u guys think ??
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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other answrs...
ques 5 : E
Ques 6  ...
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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sorry i meant D fr ques#6
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| zianab
Forum Elite
Topics: 17
Posts: 282
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Q108:IN WHAT KIND OF DISEASES ACE INHIBITORS ARE INDICATED AND ARE
BENEFICIAL TO USE?
ACE inhibitors are medications that inhibit the activity of the enzyme, which decreases the production of angiotensin II. As a result the blood vessels enlarge or dilate, and the blood pressure is reduced.
This lower blood pressure makes it easier for the heart to pump blood and can improve the function of a failing heart. In addition, the progression of kidney disease due to high blood pressure and diabetes is slowed.
ACE inhibitors are used for controlling
1-blood pressure
2-treating heart failure.
3-preventing kidney damage in people with hypertension or diabetes.
4-ACEI reduce mortality in patient after MI.
5-in patients with heart failure with LV dysfunction and ejection fraction less than 40%.
Q109:WHAT ARE THE CONTRAINDICATIONS and side effects FOR ACEI ??
ACE inhibitors usually are not prescribed for pregnant patients because they may cause Birth DEfects
PT with severe kidney problems and people who have had a severe reaction to ACE inhibitors probably should avoid them.
The most common side effects are cough,increase blood k levels,
abnormal taste (metallic or salty taste),
and rash.
ACE inhibitors have interactions with other drugs.
they may increase blood levels of potassium, the use of potassium supplements, k salt substitutes or other drugs that increase the body's potassium may result in excessive blood potassium levels.
ACE inhibitors also may increase the blood concentration of
lithium and lead to an increase in side effects from lithium.
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| zianab
Forum Elite
Topics: 17
Posts: 282
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MAZINGER ,NPAS ,DR PUMKIN AND OF COURSE ME CAN WE PLEASE ANSWER THE CARDIOLOGY QS BEFORE WE GO TO NEXT BATCH OF NBME QS.I THINK CARDIOLOGY IS MOST VASTLY ASKED IN EXAM AS I HAVE HEARD AND SHOULD BE VERY WELL PREPARED!!!
SO GUYS THESE ARE THE QS WHICH NEED TO BE ANSWERED!!!!
Q110:WHAT ARE THE COMPLICATIONS OF MI?PLEASE EXPLAIN EACH IN DETAIL THE
COMPLICATIONS ARE GIVEN QS WISE?
COMLPICATION NO 1 :VENTRICULAR ARRHYTHMIA?HOW WOULD YOU TREAT IT?
QN0111:HOW WOULD YOU TREAT VENTRICULAR TACHCARDIA DEVELOPED AS A COMPLICATION OF MI,PLEASE EXPLAIN IN DETAIL?
Q112:HOW WOULD YOU TREAT VEBTRICULAR FIBRILLATION DEVELOPED AS COMPLICATION OF MI,PLEASE EXPLAIN IN DETAIL?
Q113:HOW WOULD YOU TREAT ACCELERATED IDIOVEBTRICULAR RHYTHM DEVELOPED AS A COMPLICATION OF MI?HOW WOULD YOU TREAT IT?
Q114:HOW WOULD YOU TREAT SUPRAVENTRICULAR ARRHYTHMIA DEVELOPED AFTER MI?PLEASE EXPLAIN IN DETAIL?
Q115:HOW WOULD YOU TREAT BRADYARRHYTHMIA DEVELOPED AS COMPLICATION OF MI?HOW WOULD YOU TREAT IT?
Q116:HOW WOULD YOU TREAT AV B LOCK DEVELOPED AS COMPLICATION OF MI?PLEASE EXPLAIN IN DETAIL?
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| mazinger
Forum Guru
Topics: 46
Posts: 918
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agree in the panic disorder with agoraphobia... oops, beleive it or not that was the answer I meant in the first place ... ooops my bad..
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original mazinger z
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| mazinger
Forum Guru
Topics: 46
Posts: 918
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and for the threatened abortion thing perhaps you are right, I answered on the basis of what I remember from med school, I think I should ask my school to give me my money back... hahaha 
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original mazinger z
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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QUES#110 WHAT ARE THE COMPLICATIONS OF MI
1. ARRYTHMIAS
a. bradycardias ; sinus,AV junctional,idioventricular
b. premature beats; atial , ventricular
c. Supraventricular Tachyarryth ; Atrial Tach,Atrial Fib, Atrial Flutter, AV junctional
d.Ventricular Tachyarrth ; Ventr. Tach, Ventr. Fib,accelerated idioventricular rhythm
2CONDUCTION ABNORMALITIES
a. AV Nodal : 1 st , 2nd , 3rd degree block
b. Intraventricular : BBB, 3rd degree AV block, heniblocks
3. PUMP DYSFUNCTION
a. LVF, RVF, Biventricular failure
b. acute MR, Ventr. septal rupture, free wall rupture,pseudoaneurysm
4ISCHEMIA / INFARCTION
5.PERICARDITIS
6 THROMBOEMBOLISM : mural thrombus
7.SUDDEN CARDIAC DEATH
complications are explained below :
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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QUES#111 HOW DO YOU TREAT VENTRICULAR TACHYCARDIAS ?
if the patient is stable : LIDOCAINE 1mg/kg bolus ,,, if not corrected give PROCAINAMIDE (100 mg/kg over 1-2 minutes every 5 min.
if the patient is unstable: electrical cardioversion
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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QUES#112 HOW DO YOU TREAT VENTRICULAR FIBRILLATION ?
treated with ELECTRICAL CARDIOVERSION ( 300-400 J)
IF unresponsive ; add AMIODARONE to the ongoing Cardioversion wid continuing CPR
QUES#113 HOW DO YOU TREAT ACCELERATED IDIOVENTRICULAR RHYTHM ?
regular wide complexed rhythm at 70-100 / min.
doesn`t require specific therapy
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| dr.pumpkin
Forum Newbie
Topics: 4
Posts: 168
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good going zianab,,nice explanations ...keep it up!!
it s really good that we r discussing , thus are able to look in many ways n finally reach correct answers!!!
keeep discussing frns npas, zianab,mazinger ..
npas,, zianab ...
how far have u reached frns in surgery...r u doing questions with them?
i have started surgery,,i m doing the first chap...i can`t do much cos my back has again started trubling me...
hope to get bttr in few days...
take care buddies...
goood luck..
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| zianab
Forum Elite
Topics: 17
Posts: 282
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DEAR MAZINGER,
Well,you don't have to tell that why you didnot choose the right options.Each of us tell wrong answers and this forum is to discuss things not to judge each other,There are so many things I don't know probably lot more than you so keep on posting .And we will try to cover as much as we can.so there is an nbme cardiology qs left which nobody answered can you please answer that.I am not sure about that answer.
also please npas,mazinger and dr.pumkin can you please posting cardiology qs so that we can go further with nbme and more cardiology qs.
I know everybody hates cardiology and has the most trickiest qs at least for me so guys please answer atleast 2-3 qs each of you so we can go forward and thankyou all for posting answers.
and dr.pumkin,I hope you feel better soon.I am doing surgery hope to get rid of it soon.
Take care
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| zianab
Forum Elite
Topics: 17
Posts: 282
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cardiology qs need to be answered
Q114:HOW WOULD YOU TREAT SUPRAVENTRICULAR ARRHYTHMIA DEVELOPED AFTER MI?PLEASE EXPLAIN IN DETAIL?
Q115:HOW WOULD YOU TREAT BRADYARRHYTHMIA DEVELOPED AS COMPLICATION OF MI?HOW WOULD YOU TREAT IT?
Q116:HOW WOULD YOU TREAT AV B LOCK DEVELOPED AS COMPLICATION OF MI?PLEASE EXPLAIN IN DETAIL?
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| npas
Forum Senior
Topics: 8
Posts: 198
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my internet is extremely slow..I can't refer to any of my online books since opening a page is taking forever..Zainab u r rt..we have been neglecting cardio qs for long enough..will contribute as soon as the net prob is over..
If any of u have any idea about the book beat the boards kindly tell me.
npas
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| mazinger
Forum Guru
Topics: 46
Posts: 918
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zianab wrote:
DEAR MAZINGER,
Well,you don't have to tell that why you didnot choose the right options.Each of us tell wrong answers and this forum is to discuss things not to judge each other,There are so many things I don't know probably lot more than you so keep on posting .And we will try to cover as much as we can.so there is an nbme cardiology qs left which nobody answered can you please answer that.I am not sure about that answer.
You are right I dont have to... I was just making fun of myself, not everything is about medical knowledge I also like to laugh... My last post made me laugh a lot lol
Did anybody laugh? at least a little??
Edited by mazinger on 11/16/06 - 10:33 AM
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original mazinger z
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