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Kaplan Qbank USMLE



Author11 Posts
  #1

The most common manifestation encountered with phenytoin therapy?

a) Whitish discharge
b) Penile plaque
c) Penile carcinoma
d) Painless red sores
e) Small blisters

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2









  #3

Ur Smiley is Paused Plz Play it.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

U TURNED














  #5

I KNOW IT'S GINGIVAL HYPERPLASIA BUT WHICH ONE HERE IS A MYSTERY.........

Hmmm can't be B n C not gums. A, naaaaaaaaaaaaa .? PAINLESS sores or blisters........i'll go with latter !








  #6

shaking headshaking head

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

Answer is B

Complications of phenytoin therapy include coarsening of the facial features, enlargement of the lips, gingival hyperplasia, hypertrichosis and Peyronie's Disease <=== Plz See the Correction Below.

Peyronie's disease, a condition of uncertain cause, is characterized by a plaque, or hard lump, that forms on the penis. The plaque develops on the upper or lower side of the penis in layers containing erectile tissue. It begins as a localized inflammation and can develop into a hardened scar.


Edited by new_n_lost on 03/30/07 - 06:02 PM

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

hmmmmmmmmmm I had a little different idea of that disease..will check..thanks though.







  #9

How can it be the most common manifestation encountered with Phenytoin therapy? I think Gingival hyperplasia or blood dyscrasias are more common heard of.

I have never came across one in real practice....Well next time I will examnie a patient who comes for his chronic medicine for epilepsy... I hope he doesn't mind...lol


___________________
Malcolm Forbes: Victory is sweetest when you've known defeat

  #10

I did some checking up on the Peyronie's disease n it turns out that its not caused by Phnytoin Per Se.

THe Explanation Misleads us to the Point that Phenytoin causes Peyronie's disease though Phenytoin does cause Skin Eruptions alongwith its Gingival Hyperplasia(MCC) it also causes Circular, violaceous, edematous plaques that resolve with macular hyperpigmentation is characteristic. Lesions occur 30 minutes to 8 hours after drug administration. Perioral and periorbital lesions may occur, but the hands, feet, and genitalia are the most common locations.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #11

Interesting!













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