Sore throat and bleeding gum from an anti-arrhythmic! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-21-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 963 Times in 394 Posts
Reputation: 973
Send a message via Yahoo to ricko335
Drug Sore throat and bleeding gum from an anti-arrhythmic!

A patient treated with an anti-arrhythmic agent is seen at the cardiology clinic. The cardiologist asks the patient if he has a sore throat, bleeding gums, or general fatigue since beginning the medication. Which of the following requires a check-up of these symptoms?
A. Quinidine
B. Procainamide
C. Liodcaine
D. Potassium ions.
E. Sotalol
Reply With Quote Quick reply to this message
The above post was thanked by:
drfchakera (08-21-2011), surez18 (08-21-2011), usluipek (08-22-2011), usmle2011 (08-21-2011)



  #2  
Old 08-21-2011
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 512
Threads: 57
Thanked 319 Times in 163 Posts
Reputation: 329
Default

I am not sure but Procainamide seems to be a better choice as it causes SLE like syndrome
Reply With Quote Quick reply to this message
  #3  
Old 08-21-2011
surez18's Avatar
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 208
Threads: 30
Thanked 183 Times in 74 Posts
Reputation: 193
Default

quinidine.. it may cause thrombocytopenia. ...
Reply With Quote Quick reply to this message
 
  #4  
Old 08-21-2011
USMLE Forums Addict
 
Steps History: Not yet
Posts: 192
Threads: 0
Thanked 47 Times in 40 Posts
Reputation: 57
Default

could it be procainamide sle like syndrome that caused thrombocytopenia?
Reply With Quote Quick reply to this message
  #5  
Old 08-21-2011
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 512
Threads: 57
Thanked 319 Times in 163 Posts
Reputation: 329
Default

Quote:
Originally Posted by surez18 View Post
quinidine.. it may cause thrombocytopenia. ...
Procainamide causes thrombocytopenia along with sle like syndrome which leads to general fatigue symptom and bleeding gums
Reply With Quote Quick reply to this message
  #6  
Old 08-21-2011
yasirsattar75's Avatar
USMLE Forums Guru
 
Steps History: Not yet
Posts: 395
Threads: 51
Thanked 293 Times in 111 Posts
Reputation: 303
Default

its procainamide i think so . ... coz if its quinidine there will b cinchonism tinnitus etc , if it was lidocaine then he will b concious about cardiotoxicity and lidocaine used as i.v , and sotalol is class 3 antiarrythmic which is betablocker also and blocks potassium channels .. and i think potassium ions has nothing to do with bleeding etc ... procainamide can b better option as it causes sle like symptoms and one of main thing to differentiate between drug induced lupus and other lupus is antihitones antibodies
Reply With Quote Quick reply to this message
The above post was thanked by:
N Nur (08-21-2011)
  #7  
Old 08-22-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 963 Times in 394 Posts
Reputation: 973
Send a message via Yahoo to ricko335
Default

The correct answer is B.
Procainamide can occasionally cause fatal agranulocytosis. This may present with sudden fever, sore throat (infection source), gingival bleeding or excessive fatigue. Procainamide can also cause a reversible SLE like syndrome. Quinidine can cause thrombocytopenia, tinnitus and torsades. Lidocaine can cause seizures.
Reply With Quote Quick reply to this message
The above post was thanked by:
jaimin (08-22-2011), usmle2011 (08-22-2011)



Reply

Tags
Pharmacology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Bacterial factor involved in a disease that caused sore throat then joint pain! ricko335 USMLE Step 1 Forum 7 09-14-2012 06:35 AM
A 5 year old boy with fever,soar throat and swollen lymph nodes aksyonez USMLE Step 2 CK Forum 3 07-06-2011 04:51 PM
SLE ANTIBODY ? Anti DNA. Anti SMITH kemoo USMLE Step 2 CK Forum 2 06-09-2011 01:15 AM
Anti-id antibody deyneko USMLE Step 1 Forum 2 03-22-2011 07:44 AM
A young man with fever, sore throat and rash 1TA2B USMLE Step 2 CK Forum 7 03-14-2011 09:34 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)