maojemes
Forum Newbie
Topics: 4
Posts: 5
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1- Women suspected of having PE, the V/Q scan was negative what do you do next? Spiral CT, d-dimer, CXR, ekg (angiography wasn’t there)
2- Pt with PE what do you give? Heparin
3- Guy had testicular mass, ultrasound confirms that it is a solid mass, what is the next step? Excisional biopsy or orchiectomy?
4-Pt with depression and starts hearing voices for ONE week -> MDD, schizoaffective, schizophrenia, bipolar.
5- Kid wondering the street at 2am, high BP, dilated pupils, combative and paranoid, what drug did he abuse
6- Girl is found unconscious, high BP, dilated pupils, what drug?
7- Woman is found wondering the streets, not oriented, dilated pupils, question said what should you give her, I put thiamine (other choices were naloxone, flumazenil, etc)
8- Guy feels spiders on hit feet when hes trying to fall asleep, and he cant fall asleep because of it, what is the dx? Restless leg syndrome
9- Another question on restless leg syndrome, the drug is aimed at what? Dopamine, serotinin, NE, Ach, etc.
10- Girl is in love with the TV anchorman, keeps writing him letters, waits at his job, believes they will marry, what is the dx? Delusional
11- Professor gets sweating and nervous when he gets on stage in any other place but his own university –
12- Person feels like theyre in another place (sounds like depersonalization), but it happened after they were put at gunpoint and robbed. Now she has nightmares and can never go to the same place again, but denies having flashbacks -> PTSD, depersonalization, and other stupid answers
13- Woman has twins that are 2yo and now she feels loss of interest, cant sleep, hates doing anything, what is the next step? Assess suicide.
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| liliaeliz
Forum Elite
Topics: 26
Posts: 237
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1 cxr
2 stable heparin
unstable thrombolitic +heparin
3 orchiectomy
4 Mdd
5 cocaine
8can be
10yes
12PTSD
13 CAN BE
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| Vietnamese
Forum Senior
Topics: 8
Posts: 150
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1- Spiral CT
2- Heparin if stable hemodynamic
4- Major depress with suicidal ideation
5- PCP: High BP + hallucination + Violent-like
6- LSD
7- Thiamine
10- How old? If young--> Adolescent turmoil; If more adult--->Delusional
11- Social phobia
12- ASD
13 Major depression----> assess suicide
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Nothing is impossible.
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| smalley
Forum Elite
Topics: 42
Posts: 241
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1) if v/q scan neg then d dimer levels since high specificity
2)hep
3)orchiectomy
4)mdd
5)pcp
6)tca/cocaine?
7)thiamine
8)can be restless leg syn
9)da pathway
10)can be delusional
11)social phobia
12)asd
13)yes assess suicidal tendency
Edited by smalley on 05/04/08 - 01:21 PM
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But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
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| GOGETA
I PASS step 1
Topics: 228
Posts: 2,296
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I hope thsis good questions are not form NBME exams.
I will answer later
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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