Doc750
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12 year old male pt, with LOC during physical activity. Regains consciousness w/out any post confusion. No previous episodes. PMH includes impaired hearing since birth, and an episode of pneumonia 2 yrs ago. Family hx includes sudden cardiac death in 13 yr old cousin. No abnormal findings on PE. BP 11/70, HR 70. The best treatment for this patient is?
A. Verapamil
B. Propanolol
C. Quinidine
D. Ethosuximide
E. Phenobarbitol
EDIT: and just for kicks give me the diagnosis as well. 
Edited by Doc750 on 10/30/07 - 02:12 PM
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| aaroho
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?B-for HOCM
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| Ivonne
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yeap, (B)----->propanolol,
Edited by Ivonne on 10/30/07 - 08:45 PM. Reason: avoid to be kicked
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| MAGY17
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| drdg
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LOC, impaired hearing , a typical Long QT syndrome.
Beta blockers are the first choice in treating Long QT syndrome.
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| neuroblastoma
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 good job drdg long QT syndrome--( clue hearing loss)beta blockers
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| Ivonne
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Nice , Long QT Sd, specifically : Jervell and Lang-Nielsen (JLN) syndrome (ie, familial occurrence with autosomal recessive inheritance, congenital deafness, QT prolongation, and ventricular arrhythmias). you guys are rocking...
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| Doc750
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Correct answer B
Diagnosis: Jervell lang Nielsen Syndrome aka prolonged QT syndrome
good job guys!
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| ing
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Good question and answers! You all will get 99!!!
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