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Kaplan Qbank USMLE



Author5 Posts
  #1

7)pt with heart rate of 45/min, BP 90/50, PR constant.Every third wave without QRS complex?
management?
A) atropine IV push
b)observation
c)external pacemaker
d)transvenous pacemaker

8)how to u follow Multiple sclerosis?



9)which of the following is not sexually transmitted from a prostitute
a. Hep B
b. treponema pallidum
c. HPV
d. tricomonas
e. neisseria gonarrhea



10) the most likely disease that one can get from in discriminate sexual activity:
gonorrhea
chlamydia
HIV
HBV



11)a young female came with acne you prescribed topical isotretinoin later after few weeks
she came with complaint of its itching of amole under her breast which has become itchy after the usage
, your response is
1.isotretinoin causes itching some times
2.itching may be an indication for the removal of the mole.
3/4
isotretinoin causes itching some times??
you have to biopsy the mole?



12)Female comes for treatment of recurrent herpes.
Do you tell her to send her sex partner for examination????


  #2

7) 2nd degree heart block
Immediate treatment--> IV Atropine
Definite treatment--> external pacemaker

8) MS follow up(options?)
Expanded Disability Status Scale??

9)?
10)?Chlamydia
11)if the mole was already present - then option1
12)yes, or ask her to encourage him to be examined
...in my opinion



___________________
"Do not worry if you have built your castles in the air. They are where they should be. Now put the foundations under them." - Henry David Thoreau

  #3

7 - c - second degree AV block Mobitz 2 - external pacemaker, the quickest possible, cause the patient is unstable; eventually he may end up with the permanent pacemaker.

8 - What do u mean?

9 - c? I didn't understand the question... All are transmitted sexually, but HPV is so spread now a days...

10 - chlamidia

11 - no idea

12 - Only if he has an outbreak, otherwise, nothing to be found there




___________________
When men make the rules, God decides the exceptions.

  #4

7. C -Unstable Second degree AV Block-pacer needed.
8. MS -med -IFN for treatment of relapsing-remitting and secondary progressive, but there is no therapy for primary progressive.
9. ALL those you listed are sexually transmitted!
If bacterial vagionosis (gardnerella vaginalis) or candida yeast infection was a choice, then that would be right.
10. Chlamydia -guessing.
11. 2?
12. Yes -her partner is also at risk of getting it especially during the times she has an outbreak.


___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #5

a
??
d
chlamydia
a
encourage her







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