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Kaplan Qbank USMLE



Author7 Posts
  #1

A 30 y.o. caucassian male with APKD presents to the ER with sudden onset of severe headache and confusion.Neurological examination reveals no meningeal signs or focal neurological deficits.CT shows blood in the subarachnoid space.On the 5th day after admission, the patient begins to complain of weakness in his right arm and leg.
Which of the following drugs could most likely have prevented this patient s neurological sequelae?


a.-Beta Blocker
b.-Central Sympatholytic
c.-Ace inhibitor
d.-Thiazide diuretic
e.-Calcium channel blocker
f.-Osmotic diuretic
g.-Nitrate

___________________
Great works are performed not by strength, but by perseverance.

  #2

f.-Osmotic diuretic is used for the Immediate Response such as in the ER otherwise Beta Blockers can be given IV which have Short Half Life

___________________
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."

  #3

e.

  #4

yes CCB seems good choice if had ben used....my ans e also!!!

___________________
"God be with me "

  #5

nitrates would have had saved him...

what is the answer????

  #6

E. Ca+2 channel blocker(NIMODIPINE) is the correct answer.

Guys, NIMODIPINE has been shown in studies to decrease morbidity and mortality due to cerebral vasospam when used as a preventative agent following Subarachnoid hemorrhage

___________________
Great works are performed not by strength, but by perseverance.

  #7

nod







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