"docdoc" wrote:
1) Which of following is consequence of BPH
a) organic impotence
b) prostate ca
c) bladder ca
d) recurrent UTIs
e) bladder stones
:arrow: Certainly D but maybe E, too?
2) Which of the following drugs would be most useful in preventing stone formation in a pt who just passed a uric acid stone
a) allupurinol
b) thiazide diu
c) potassium citrate
d) erythacrinic acid
e) frusemide
:arrow: My guess is A but I smell a trap.
3) The son of 74 years old lady calls her primary care physician one morning complaining that his mother is having headache and vertigo since morning and she is vomiting. Apart from a history of deep ven. thromb. in her leg about 2 months back, she s been healthy. They shared dinner last night and she didnt have any problem. She is now asking for the prescription for the 'same motion sickeness pills' that used to help her son, when she drove him to the camp. What should the physician do?
a) order a v/q scan to rule out PE
b) call prescription for 'droperidol'
c) make arrangement to see pt tommorrow in his clinic
d) make arrangement to see her today in his clinic
e) recommend that pt be taken to ER immediately
:arrow: E. She's on anticoagulants after her DVT so it's possible it's a IC bleed.
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| Idiopathic
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I agree with #1 and #3, but I think #2 might be B. Thiazides are the DOC for urate stones, I believe, since they target the end-organ.
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| BellKicker
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You may be right. For a long-term prevention, though, it seems like allopurinol would be better. Thiazides may limit the excretion but the serum level will build up somewhat.
Maybe HCTZ for acute treatment and allo for long-term?
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| docdoc
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ANSWERS:
1) E
2) C
3) E
Explanation:
1) E becuz UTIs are not associated with BPH as its a separate disorder (NMS)
2) K-citrate is given for uric acid stones. Allopurinal is an adjunctive treatment. Thiazides are for Ca stones (NMS)
3) E (same as Bellkicker's)
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| BellKicker
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"docdoc" wrote:
ANSWERS:
1) E becuz UTIs are not associated with BPH as its a separate disorder (NMS)
I figured residual urin facilitated bacterial growth. One could even argue that if the answer is stones, then that in itself would increase UTIs
Oh well. Good questions!
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| asmi
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That was a real good Q.
But in 3rd Q,why does that lady ask for motion sickness pill :roll: ,any relation to Q ??
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| Idiopathic
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I think it is just to show that she is having serious dizzy spells.
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