jana
Forum Newbie
Topics: 1
Posts: 53
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so today's day is over. I did 37 exp surgery. Then I read 28 pAGES of FA, n attempted 30 q of IM GIT...got 16 correct out of 30..a 53 percent. I am happy with it for now...surely better days are in the offing!!!1 
GOOD NIGHT AND GOOD LUCK TO EVERYONE!!1
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| cirus
Forum Guru
Topics: 108
Posts: 740
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my day was ok, exept UW, i finished Psychiatry rev, solved 1 block in kaplan q book, the psychiatry part, had 6 wrong ( mainly in the ped part of psychiatry, i was never comfortable with it)
then i solved 30 quest in uw as clusters of 10s, i scored 60%, 62, & 40, fluctuating as usual but they have alot of quest of ethics in the psychiatry section?? they represented a good portion of my mistekes..
oh by the way i think they need to make up their mind about olanzapine--->it causes DM, weight gain, I had this quest 3 times, 2 of them had both DM & weight gain in the ans, and both were answered differently????
these r some pointer i found on the net, they r very good for rapid refreshment..
1- Rx Webs in plummer vinson : dilation
2- Rx Intimal flap of carotid artery: surgey
3- Rx Ant wall MI : risk of arterial thrombo ; full doses heparin + 3 months of warfarin.
4- Rx Acute ill and toxic pt with UC : proctosigmo + biopsy
5- Rx Heat stroke : rapid cooling
6- Rx progressive back pain + myelopathy: IV dexa --> MRI --> Rx Metastatic cord compression : Radiotherapy
7- Rx refractory hydrothorax due to cirrohis : TIPS
8- Rx Ref ascitis : TIPS
9- Rx recurrent variceal bleading not responsive to medical Rx : TIPS
10- Rx TCA poisoning : NaHCO3
11- Rx diabetic cystopathy: 1- oral bethancol , 2- intermittent catheter
12- Rx chlamydia : single dose of Azithromycin OR 7 days doxycyclin
13- Rx neuromalignant syn : Dantrolene or Bromocripten
14- Rx atopic dermatitis : prevention of Rx , take short baths.
15- Rx presbyopia : convex lenses
16- Rx amblyopia : cover better eye
17- Rx hyperopia : convex lenses
18- Rx myopia : concave lenses
19- Rx beta blocker posioning : recent ingestion= emesis , bradycardia : Atropine--> Isoproterenol--> glucagon-->pace
20- Rx beta blocker poisioning : severe bronchospasm : aminophylline or Beta2 agonist.
21- Rx Isolated duodenal hematoma : NG + parentral nutrition.
22- Rx for preventing recurrence of HBV after liver transplant : HBV Ig + Lamivudine.
23- Rx Seizure due to INH toxicity : Pyriodoxine
24- Rx hyponatremia due to SIADH : water restriction.
25- Rx Girl infant < 3 months w vaginal bleeding : observation
26- Rx Slow down progression of DM nephropathy : AceI
27- Rx epiglottitis : Fiberoptic laryngoscopy in OR ( not in ER)
28- Rx acute attacks of migrains : Rizatriptan
29- Rx acute attack of migrains lasts for longer than 48 hours or r frequently recurrent : ergotamine.
30- Rx anorexia nervosa : hospitalization
31- Rx prophlaxy against human bites : Amoxi / calvulanate
32- Rx rhabdomyolysis : osmotic diuresis + bicarbonate
33- Rx Afib + HF : digoxin .
34- Rx acute rejection : high dose IV steroides.
35- Rx bipolar disorder : lithium , valporate, OLANZAPINE.
36- Rx PCP : cotri .
37- Rx PCP + PaO2<70 mmhg: cotri + steroides.
38- Rx Bebesiosis : ( quinine, clinda) or ( atovaquone , azithro)
39- Rx IlleoIlleal intussuception due to HSP : Surgery ( in contrast to other causes of intuss )
40- Rx esophagitis in HIV: itraconazole --> no answer --> esophagoscopy + cytology + biopsy
41- Rx psuedotumor cerebri : 1-acetazolamide --> no answer --> 2- shunt.
Hope they're helpfull, I will post the rest later..good luck & take care
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Hey cirus good ones! Just one thing....I got one Q that they dont do TIPS in pt with ascitis assoc with heapatic encephalopathy as it worsens the disease...can you reason it out...
My day has just started...n I plan to do
1. Explanations of 30 GIT q I attempted yesterday
2. read kaplan GIT notes
3. DO 2 UW blocks
4. FA if I do get some time for it too...
Hope to make it a great day!!!THANK YOU LORD FOR A WONDERFUL MORNING!!!
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| doc08
Forum Senior
Topics: 9
Posts: 153
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great going guys , keep it up
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| proctalgia2
Forum Newbie
Topics: 1
Posts: 16
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Hey guys I am impressed with your wonderful work. I am also planning to take CK in a couple of months.
Wish you all Good Luck
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| cirus
Forum Guru
Topics: 108
Posts: 740
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And yet more to come..
I just came back from work, didn study anything yet so i guess ill have some lunch then I'll study..
Tday i'll just scan General pediatrics in an hour or something just to feel a bit more comfort, then I'll study biostatistics (don't like this chapter)
extra reminders:
42- Rx struvite stones : eradication of UT infections.
43- Rx persistantly elevated ALT leval w detectable HBs Ag , HBe Ag and HBV DNA : INF and lamivudine.
44- Rx febrile neutropenic pt : cetazidime or cefepime ( add vanco if pt is hypotensive or there is high suspiscion of MRSA)
45- Rx Isolated systolic HTN: thiazides .
46- Rx acute attack of cluster headaches : 100% oxygen
47- Rx prevention of cluster headaches : verapamil
48- Rx reversing cardiac effects of ca channel blockers : Ca!
49- Rx Viterous hemorrhage : immediate ophthlamo condsultation.
50- Rx <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" />Battery in esophagus : remove it immediatly .
51- Rx Battery in intestine : observe it.
52- Rx acute bleeding in pts with liver failure : FFP.
53- Rx OtoSclerosis : Surgery + Sodium Fluoride .
54- Rx non infalm comedones : topical retionides.
55- Rx mild inflam acne : benzoyl peroxide , topical antibiotics.
56- Rx Refractory mania, severe dep , dep in pregnancy , neuroleptic malig synd, catatonic schizo : ECT
57- Rx Acute attack of hepatic encephalopathy : All dietary protein withheld , oral or rectal lactulose , oral NEOMYCIN.
58- Rx white reflex in infant : refer to ophthalmo
59- Rx ST elevation>1 mm in 2 contiguous leads : thrombolytic therapy OR PTCA
60- Rx New LBBB : thrombolytic therapy.
61- Rx Trachoma : ORAL tetra or erythromycin.
62- Rx diabetic nephropathy : protein restriction ( 0.8 g/kg) , don't use AceI if Cr> 2,2.5
63- Rx Zenker : excision and frequently cricophayngeal myotomy
64- Rx porcelain gall bladder : cholecystectomy ( risk of carcinoma)
65- Rx conversion disorder : psychotherapy ( long term benefit )
66- Rx Dyspepsia w positve breath test : erad H.pylori
67- Rx Dyspepsia w/o positive breath test : H2 blocker / PPI
68- Rx fibromuscular dysplasia : percutaneous angioplasty w stent placement.
69- Rx prophylaxis against MAC : Azithro or clarithro
70- Rx PBC: ursodeoxycholic
71- Rx Orbital cellulitis : imm admin of IV antibiotics.
72- Rx carcinoid synd : can u remove it?( Remove it ) , u can't remove it ? ( use octerotide )
73- Rx vaginismus : relaxation, Kegel exercise , insertion training.
74- Rx Hypertrophic dystrophy of Vulva : steroides.
75- Rx lichen scleroris : steroides
76- Rx atrophic vaginitis : estrogen
77- Rx stable angina + HTN : Beta blocker.
78- Rx Tremor and rigidity in parkinson : Antichol ( benzotropines)
79- Rx exercise induced asthma : Beta agon , mast cell stabilizer.
80- Rx Reiter syn : NSAIDS .
81- Rx Chronic HCV ( HCV RNA presents , ALT inc , chornic hepatitis of at least moderate grade): INF+ Ribaverin.
82- Rx Lactation Suppression: tight fitting bra , ice packs , analgesics.
83- Rx non-complinat schizophrenic pt : long acting injectable antipsychotics like fluphenazine and haloperidol.
84- Rx TIA due to atherosclrosis: ASA
85- Rx TIA due to emboli from heart : Anticoagulation.
86- Rx Nocardiosis : sulfonamides.
87- Rx prophylaxis of getting UTI after intercourse : voiding after intercourse.
88- Rx met prostate cancer: palliative radiation + anti androgen therapy ( leuprolide )
89- Rx Actinomycosis : high dose penicillin
90- Rx RA with erosive joint disease : DMARDS ( MTX, hydroxychlorquine , sulfasalazine , etanercept, azathio)
91- Rx Met brain tumor : surgery + whole brain radiation.
92- Rx Dressker : NSAIDS --> no answer : short course of steroides.
93- Rx PMR : low dose pred
94- Rx Giant cell : high dose.
95- Rx cocaine intox : Benzo + ASA + nitrates.
96- Rx effect of PEEP on CO : inotropic agent or fluids.
97- Rx RMSF: Doxycycline
98- Rx De Quervain’s tensosynovitis : Long acting steroids.
99- Rx HSV encephalitis : IV acyclo without delay.
100- Rx ALS: Riluzole
101- Rx Subdural hematoma w/o midline shift : head elevation , hyperventilation , acetazolamide
102- Rx Subdural hematoma w midline shift : craniotomy
103- Rx early syph : Single IM Benz Peni , if allergic Doxy or tetra for 14 days . in pregnancy use peni with desintizator
104- Rx Acute attack of Gout : use NSAIDs, there may be an option of colchicine but do not mark this option.
105- Rx prevention of gout attack : allopurinol
106- Rx GAD: Buspirone
107- Rx post-term preg : NST + BPP ( twice/weekly ) „³ oligo or late dece or >43 w „³ delivery
108- Rx Kawasaki in children : ASA ( the only disease u give child ASA inspite of fear of Reye syn)
109- Rx massive hemoptysis : RIGID broncho
110-Rx acute vaso-occlusive crisis in sicke cell : Exchange transfusion
111-Rx Acute dystonia : antihistamine or anticholinergic
112-Rx Parkinsonism as a result of antipsychotic: Benzo
113-Rx Akathesia : beta blockers
114-Rx HEAVY UNREMITTING ENDO HEMORRHAGE : high dose conjugated estrogens
115-Rx Stress Fx : restricting weight bearing + short leg casts (3 to 4 W)
116-Rx Met breast cancer + lytic bone disease : IV pamidronate
117-Rx intertrochanteric Fx of femur : internal fix with sliding screw and plate , early mobilization
118-Rx Cholangitis : Drain biliary tree with ERCP
119-Rx Lambert Eaton : plasmapheresis + immunosuppression
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| jana
Forum Newbie
Topics: 1
Posts: 53
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I got so tired....doing UW explanations!! carry on.........as woods are lovely dark and deep but I have promises to keep and miles to go before I sleep................
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| cirus
Forum Guru
Topics: 108
Posts: 740
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UWUWUW...its driving me nuts, i solved a block on pediatrics, alot of histopathology this time, i scored 24/46..trully disapointed, but KEEP UP THE SPIRITS , at the end of the block I swear I said I dont give a dam about the score, I'm doing it for learning...Now starts mission 2...Read the explanations & right notes..
Take it easy Jana, & nice quote
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Really tired...mind block or something....Finished 30 uW q I did yest....then GIT read from kaplan........DID one block UW...GOT VERY LESS 40 PERCENT...SO SAD.....I had worked hard...but my GIT is real bad...keep getting confused about barium swallow..endoscopy indications....now I hope I got it! Questions had such terribly hard to decipher vignettes...by the end of it..I had to read em again n my initial answer gets changed...n got so many wrong this way.....Wil start hepatology tomorrow...
GOD BLESS ME!!!! i NEED YOU!!!
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| jana
Forum Newbie
Topics: 1
Posts: 53
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hEY CIRUS those pointers u gave ...they are all answers to UW q ..I suggest dont learn them as yet..you wont apply ur brain wen d Q comes...better to kepp em for revision..good ones though...
GOOD NIGHT!!
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| jana
Forum Newbie
Topics: 1
Posts: 53
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I had to go to a meet a afriend's place to halp her a bit with her step 1...so started really late...Today's target is FA hepatology + 2 blocks of UW...damn with UW score I gotta finish it by 19 th as I dont plan to extend it anymore...I m simply going to revise from den on....more u revise..the better you get...
GOOD LUCK EVERYONE!!! Keep studying and let us pep up eachother!!!
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| doc08
Forum Senior
Topics: 9
Posts: 153
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hey jana great going , when is ur ck?
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Thanks doc08... I got 4th august...
There is a saying' Happiness is like a butterfly...just when you stop pursuing it..it alights on you gently' When I stopped getting worried bout my score I got a 64 percentnow I am happier!!!
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Today I did some FA..then 2 blocks hepatology UW 64 n den 65 percent! actually its just dat hepato is easier...at least I m ok with it...yet to do the second block explanations..but its too latenight...so I wil do dat 2moro.
Thankyou doc08 n proctalgia for stopping by n encouraging...Wish you good luck!!!
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| cirus
Forum Guru
Topics: 108
Posts: 740
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Finished UW Pediatrics sec..Cum score is 55%, disappointed as the score of the last block is 48%, but istudied it, few silly mistakes that should have been avoided, any way, time to revise all this section again but after i study surgery so as to give it sometime to be forgotten...
How r u today Jana..Hope ur day was better than mine..
For me 2ms & 5 days yet to come before final destination,KEEP MOTIVATED & LEARN FROM UR MISTAKES..
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Good going cirus...your score is fine...keeoing in view that u stil have a lot of time to revise it all..My day has been good so far...bit slow though..had some work in hospital so got tired....
I did poisoning Q uw and got 73% easy ones!
Now planning to read FA for rheumatology and then attempt UW q...
OSTACLES ARE THOSE FRIGHTFUL THINGS YOU SEE WHEN YOU TAKE YOUR EYES OFF YOUR GOAL!!!:
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Hey can I edit my posts somehow...my keyboard has some problem..I wanted to write obstacles!!
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| jana
Forum Newbie
Topics: 1
Posts: 53
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I did one UW block of rheumato got 56%not bad!. Today was good..did 46 exp of yestday's Q den poisoning 25 Q,then FA for rheumato den 46 Q with explanations....now thats good going!!
Hardest part is to maintain consistency!!!
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| doc08
Forum Senior
Topics: 9
Posts: 153
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wow jana, 46+ 25+ 46 explanations in one day !!!!!! great going keep it up
can u share with me how u manage that?
do u take notes? and within how much time do u read explanations for 46 questions???
GL
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Hey doc08..I am doing timed mode unused Q.TAKING DOWN NOTES ...when I am done with a block..I do the incorrect Q first..write down d educational objective n any other info I find suitable for D/D then I read explanations for correct ones and take notes for that too..Usually it takes me one hr for the block n 2 n half hrs for explanations if there are no distractions...
Thanks for encouragement!!
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| steroid
Forum Newbie
Topics: 1
Posts: 5
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Hey jana...good to see your progress day by day.....May I join you here..I am also preparing for step2 CK
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| jana
Forum Newbie
Topics: 1
Posts: 53
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I am too tired today...dont feel like studying...came here to gather some energy to study but think everyone is having saturday fever....I have to study....get going.....no time to waste.... have to be up and about...stil left with 375 Q of UW.....got to finish em by tuesday....
QUOTE..correct me if I am wrong 'HEIGHTS REACHED AND KEPT BY GREAT MEN WERE NOT ACHIEVED BY SUDDEN FLIGHT, WHILE THERE COMPANIONS SLEPT, THEY WERE TOILING UPWARDS IN THE NIGHT'
THAT GIVES ME SOME INSPIRATION.
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| cirus
Forum Guru
Topics: 108
Posts: 740
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Thats strange!! I just logged on to say that today I'm lame, I can't study at all, I don't know why, maybe coz I'm starting surgery today & I've just had enough of that feeling that NOW I'LL START REVISING THE NEXT CHAPTER THAT I DIDN GO THROUGH IN A MONTH, but I'm trying to get over it..
I solved 2 exams in UW on surgery, one was 10 qs only, I scored 80%(waw, I said, i think that would be easy) then the next one of 20 qs, 60% still very good but when i started going over the notes WAAAAw, a lot of concepts just weren't in my brain anymore...Ill have a quick read of all surgery today( I Hope) then i will start it thoroughly tom..
Lets help each other get out of this lazy exhausted mood...Tell me what ull do today & lets stick to that..Good luck Jana
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| cirus
Forum Guru
Topics: 108
Posts: 740
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More high yield pointers:
120-Rx Emphysematous cholecystitis : Imm fluid + electrolyte correction + antibiotics + early surgical cholecystectomy
121-Rx Acute exacerbation of MS: Steroides
122-Rx Umblical hernia : mostly Observe ( look for few indection of intervention)
123-Rx Cholestoma: surgical removal
124-Rx GBS: IVIg, plasmaphresis
125-Rx Hordeoulum/stye : warm compress„³ no answer after 48 hours „³ incision and drainage
126-Rx Erysipelas : Peni
127-Rx Fever in neutropenic pt : Cetazidime / Cefepime
128-Rx MG crisis: plasmapheresis
129-Rx Sarcoidosis : systemic steroids.
130-Rx for prevention of recurrence of renal stone : know them well and also remember that Ca intake must be NORMAL or even INCREASED.
131-Rx Osgood Schlatter disease: Rest, NSAIDs , brief casting
132-Rx Molluscum : curettage or application of luquid nitrogens
133-Rx Amebic liver abscess: metro
134-Rx Hypochlo met alkalo : 0.9% Nacl , NG suction „³ K supp
135-Rx Anorexia asso w chemotherapy : Megestro acetate
136-Rx Tension pneumothorax : needle thoraco
137-Rx Sensory neuropathy w DM : TCA , Gabapentin , NSAIDs
138-Rx acute pyeloneph : IV ampi + genta ( empiric )
139-Rx VT hemo stable : Lido or Amio
140-Rx prevention of variceal bleeding : beta blocker
141-Rx pul infection if CF : aminoglyco + antipseudomona<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
142-Rx Hydatid cyst : Surgery under cover of Albendazole ( Plz do not aspirate these cysts )
143-Rx Reflex sympathetic dystrophy: physical therapy, prednisone , ganglion block
144-Rx Chorioamnionitis :Ampi+ Genta
145-Rx PCO: combines estro/prog or cyclic prog
146-Rx Perforation of esophagus: primary closure of esophagus , drainage of mediastinum w/i 6 hours to prevent mediastinitis
147-Rx Rotator cuff tendonitis : Lido injection
148-Rx Megacolon: Iv fluids , Antibiotics , bowel rest , Iv cortico
149-Rx Disseminated histoplasmosis in HIV: IV ampho B + LIFE LONG itraconazole
150-Rx Pseudomona : cefepim/ceftazidime
151-Rx Dystonia : Anti hista , anti chol
152-Rx AIDS with Dysphagia : 1-2 w of oral fluconazole „³ no answer „³ biopsy
153-Rx Vipoma : correct dehydration slow diarrhea surgery
154-Rx Ewing’s sarcoma : radio/chemo surgery
155-Rx Croup : use racemic epinephrine before intubating your pt.
156-Rx Free air under diaphragm : go to OR
157-Rx Abnormal hemostasis due to uremia : DDAVP, Cryoper, conjugated estro
158-Rx Pancreatic pseudocyst : only drain them if persist more then 6W or > 5 cm.
159-Rx Capillary hemangioma: mostly regress by age of 7
160-Rx Acute torsade de points: Mg replacement
161-Rx MgSo4 tox: stop MgSo4, give Ca gluconate
162-Rx CAD + EF<40% : think about Ace I
163-Rx Dec frequency of relapses of MS: INF beta
164-Rx Anemia of prematurity : Iron supp, periodic Hgb checking and blood transfusion if needed
165-Rx Spinal injuries: think about cortico
166-Rx Ascities in cirrhotic pt : diagnostic paracentesis , salt restricted diet ,spironolactone ,
167-Rx Giant cell tumor : refer it to expert!
168-Rx Nocardia : cotri
169-Rx Clavicle Fx : figure of 8
170-Rx “ persistent “ nocturnal enuresis : DDAVP ( not imipiramine , also know which nocturnal is normal )
171-Rx PCO : think about metformin
172-Rx PH of PF <7.2, PF glucose <60 : chest tube
173-Rx Mediastinal adenopathy on CXR : Med broncho + biopsy
174-Rx bleeding varices : Band ligation is better than sclerotherapy
175-Rx SAH: think about Nimodipine for preventing associated ischemia
176-Rx Tourette’s disorder : Haloperidol , pimozide
177-Rx Preventing PCP in transplant pt : cotri
178-Rx ANY gun shot wound to Ant Abd : LAPARATOMY
179-Rx first line for HTN: diuretics/beta blocker
180-( this one is imp) Rx Primary Parathyro : - pt symptomatic : Surgery , Pt pregnant : surgery, follow up is difficult : surgery , serum Ca > 1 mg/dl over upper limit : surgery
181-Rx Basal cell carcinoma : excision removal with “ 1-2 mm” clear margin ( number is imp)
182-Rx erythema margins ( lyme) Doxy / 28 days or Amoxi ( in pregnant )
183-Rx Late lyme disease : IV ceftriaxone
184-Rx Irregular atherosclerotic lesion in carotid + blockage >60% : surgery
185-Rx infant with congenital diaphragmatic hernia : IMMEDIATE orogastric tube .
186-Rx Reye syn: glucose + FFP and mannitol to dec cerebral edema
187-Rx Cat Scratch disease: Azithro/5days
188-Rx pt with variceal bleeding needs 5 or more units of blood in 24 hours : go for TIPS
189-Rx intermittent claudication :as pharm therapy go for Ca channel blockers.
190-RX initial drugs in COPD : antichol191-Rx Isolated LV diastolic dysfunction : beta blocker
192-Rx Colles FX: closed reduction + casting
193-Rx pul emboli with hemo instability or clot in main pul A. : pul embolectomy
194-Rx in ARDS : think about PEEP
195-Rx preg pt w asymptomatic bacteriuria : nitrofuran / 7-10days
196-Rx infectious mono w upper airway obstruction or “ autoimmune hemolytic anemia “ or “ thrombocytopenia “ : cortico
197-Rx Fibromyalgia : TCA or Cylobezarpine
198-Rx Benign essential tremor : propranolol
199-Rx Superficial thrombophlebits : Local heat, bed rest, NSAIDs .
200-Rx Atypical mycobacterium infection : Azithro for prophylaxis
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| jana
Forum Newbie
Topics: 1
Posts: 53
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Hey I really stumbled today....slept for 2 hrs after that....woke up fresh and did 46 UW Q of rheumato...got 36% I simply got distracted....my brother has an important exam n I have been helping him out all day...it took a toll on my system...just wish he does it well then my efforts wil be worth it...
Now I plan to do rheumato explanations quickly...dont have much time...AND if possible attempt 50 Q of biostatistics (which I dont knw anything of...trying to make the day worst or what:eek
Wish me luck!!!
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