A 49-yr old man with BP 220/130 mm hg - 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 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 09-25-2012
K06100's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 730
Threads: 90
Thanked 456 Times in 289 Posts
Reputation: 466
Default A 49-yr old man with BP 220/130 mm hg

A 49-year-old man presents to the clinic for a
health maintenance visit. He has no complaints,
but he requests a prescription for his
“pressure pills,” as he lost his original prescription.
On physical examination his blood pressure
is 220/130 mm Hg. Physical examination
is otherwise within normal limits. Laboratory
tests show:
Na+: 142 mEq/L
K+: 3.8 mEq/L
Cl−: 105 mEq/L
Carbon dioxide: 25 mEq/L
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.0 mg/dL
Glucose: 133 mg/dL
Urinalysis is within normal limits, and his
ECG is normal. Which of the following is the
most effective management?

(A) Administer intravenous nitroprusside for
management of hypertensive emergency
(B) Administer intravenous nitroprusside for
management of hypertensive urgency
(C) Administer oral furosemide for management
of hypertensive emergency
(D) Administer oral metoprolol for management
of hypertensive urgency
(E) Administer sublingual nifedipine for management
of hypertensive emergency
__________________
Try Not To Become A Man Of Success But A Man Of Value.
Reply With Quote Quick reply to this message
The above post was thanked by:
step_enhancer (09-25-2012)



  #2  
Old 09-25-2012
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 537
Threads: 80
Thanked 342 Times in 138 Posts
Reputation: 374
Default

D...........he is assymptomatic so not an emergency
Reply With Quote Quick reply to this message
  #3  
Old 09-25-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,087 Times in 1,047 Posts
Reputation: 2107
Default

(D) Administer oral metoprolol for management
of hypertensive urgency
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
Reply With Quote Quick reply to this message
  #4  
Old 09-25-2012
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,316 Times in 706 Posts
Reputation: 1331
Default

D

No end-organ damage discards emergency

The definition depends on end organ damage and NOT on BP values
Reply With Quote Quick reply to this message



Reply

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


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)