NBME Form 7 Block 1 Ques 34 - USMLE Forums
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USMLE Step 2 CK Buzzwords Buzzwords that should ring a bell in USMLE Step 2 CK exam.


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Old 12-07-2015
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Default NBME Form 7 Block 1 Ques 34

A 32-year-old woman is brought to the emergency department because of abdominal pain and nausea and vomiting for 6 hours. She underwent a cholecystectomy 2 years ago. Menses occur at regular 28-day intervals; her last menstrual period was 2 weeks ago. She does not smoke or drink alcohol. She appears acutely ill. Her temperature is 37.4°C (99.3°F), and respirations are 14/min. Her pulse is 110/min and blood pressure is 130/70 mm Hg while supine, and pulse is 135/min and blood pressure is 90/60 mm Hg while standing. Abdominal examination shows guarding with rebound over the epigastrium; bowel sounds are decreased. The remainder of the examination shows no abnormalities. Serum studies show:
Na 146 mEq/L
K 3.3 mEq/L
Ca 8.9 mg/dL
Total bilirubin 1 mg/dL
Alkaline phosphatase 120 U/L
AST 64 U/L
Amylase 1022 U/L
The most appropriate next step in determining the underlying cause is measurement of which of the following serum concentrations?

A) Apolipoprotein A
B) Apolipoprotein B
C) HDL-cholesterol
D) LDL-cholesterol
E) Triglycerides

oopss wrong forum but answer will be appreciated. can't figure out way to delete the thread. sorry
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Old 01-28-2016
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GETSMASHED is often used to remember the common causes of Pancreatitis: G—Gall stones E—Ethanol T—Trauma S—Steroids M—Mumps A—Autoimmune Pancreatitis S—Scorpion sting H—Hyperlipidaemia, Hypothermia, Hyperparathyroidism E—Endoscopic retrograde cholangiopancreatography D—Drugs commonly azathioprine, valproic acid
Patients with severe or very severe HTG are at high risk of pancreatitis. Diet, exercise, and potentially medical treatment are recommended.
The initial clinical presentation of HTGP is similar to that of AP of other causes; abdominal pain, nausea, and vomiting are the major complaints. Poorly controlled diabetes mellitus, alcoholism, obesity, pregnancy, prior pancreatitis, and a personal or family history of hyperlipidemia should suggest the diagnosis of HTGP.
Treat with apheresis, and specifically therapeutic plasma exchange (TPE) if the patient has a serum triglyceride level >1000mg/dL plus lipase >3 times the upper limit of normal and signs of hypocalcemia, lactic acidosis, or signs of worsening inflammation or organ dysfunction, and if there are no contraindications to apheresis
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