Kamsi
Forum Guru
Topics: 103
Posts: 347
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42. A 42-year-old man comes for a routine health maintenance examination. There is no family history of coronary artery disease, and he does not smoke. His weight is appropriate for his height. His blood pressure is 120/80 mm Hg. Serum lipid studies show a total cholesterol level of 190 mg/dL, HDL-cholesterol level of 40 mg/dL, and triglyceride level of 150 mg/dL. Which of the following is the most appropriate next step in management?
A
) Recommend the Step 2 National Cholesterol Education Program diet
B
) Measure serum LDL-cholesterol level now
C
) Measure total serum cholesterol level in 5 years
D
) Prescribe prophylactic aspirin
E
) Begin treatment with lovastatin
37. Three days after hospitalization for heparin treatment of deep venous thrombosis of a left superficial femoral vein, a 52-year-old woman has prolonged bleeding from a venipuncture site. She had a pulmonary embolus 2 years ago. Her temperature is 37.5 C (99.5 F). Examination shows multiple ecchymoses at the venipuncture sites with oozing of fresh blood. Laboratory studies show:
Hemoglobin
10.5 g/dL
Platelet count
25,000/mm3
Prothrombin time
14 sec (INR=1.3)
Partial thromboplastin time
65 sec
Plasma fibrinogen
300 mg/dL (N=200•400)
Serum creatinine
1.1 mg/dL
Which of the following is the most likely diagnosis?
A
) Adverse drug reaction
B
) Disseminated intravascular coagulation
C
) Excessive blood loss from anticoagulation
D
) Factor VIII deficiency
E
) Factor IX deficiency
F
) Immune thrombocytopenic purpura
G
) Thrombotic thrombocytopenic purpura
33. A 30-year-old woman comes to the physician for a follow-up examination 4 months after starting treatment with lithium carbonate; during this period she has had a 3.2-kg (7-lb) weight gain. Her medication was prescribed soon after the birth of her son to treat racing thoughts, increased spending, and overtalkativeness; she has had difficulty sleeping for more than 2 hours nightly. Her symptoms decreased after 2 weeks of lithium carbonate therapy. She continues to take lithium carbonate (300 mg three times daily). Her temperature is 37 C (98.6 F), blood pressure is 120/80 mm Hg, and pulse is 70/min. Examination shows normal findings. The most appropriate next step is measurement of which of the following?
A
) Fasting serum glucose level
B
) Leukocyte count
C
) Serum alkaline phosphatase activity
D
) Serum creatinine level
E
) Serum thyroid-stimulating hormone level
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
|
Someone pls answer!
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| Dr.D
Forum Senior
Topics: 22
Posts: 191
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B
A
E
Kamsi, can you plz give the diagnosis and answer of nbme Q's (Grand canyon one's)
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| suv
Forum Elite
Topics: 43
Posts: 233
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B
A
E
___________________
Time is God!
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