IM Question - 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 01-30-2013
USMLE Forums Addict
 
Steps History: ---
Posts: 191
Threads: 69
Thanked 150 Times in 75 Posts
Reputation: 160
Default IM Question

A 52-year-old man is recovering in the surgical
intensive care unit from a total colectomy for
colorectal adenocarcinoma 1 day earlier. He
has one peripheral intravenous line that is being
used to run a patient-controlled analgesia
pump, 0.5 normal saline at 86 mL/hr, and cefazolin.
He has no complaints, appears well,
and is conversational. Relevant laboratory fi ndings
are a serum sodium level of 110 mEq/L;
his sodium level was 137 mEq/L 1 day earlier.
What is the best next step in the management
of this patient?
(A) Discontinue cefazolin
(B) Discontinue patient-controlled analgesia
pump
(C) Draw blood for testing from the other arm
(D) Restrict fl uid intake
(E) Switch to hypertonic saline infusion
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (01-31-2013), Brainiac (01-31-2013)



  #2  
Old 01-30-2013
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,107 Times in 1,049 Posts
Reputation: 2127
Default

(C) Draw blood for testing from the other arm
__________________
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
The above post was thanked by:
aknz (01-31-2013), akshaya.amc (01-31-2013), Brainiac (01-31-2013), menatallah Elgohary (01-31-2013)
  #3  
Old 01-31-2013
USMLE Forums Addict
 
Steps History: ---
Posts: 191
Threads: 69
Thanked 150 Times in 75 Posts
Reputation: 160
Correct Answer

Quote:
Originally Posted by Novobiocin View Post
(C) Draw blood for testing from the other arm
that is correct C is the answer especially there is no manifestation inspite of the low Na level and this can be caused that the arm in which IV line u take the blood sample from it so we should check the other arm
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


Similar Threads
Thread Thread Starter Forum Replies Last Post
question help: diabetic foot related question dezirablize USMLE Step 2 CK Forum 5 01-15-2015 02:42 PM
a question concerning step1 question length sfsheran USMLE Step 1 Forum 2 01-30-2012 08:29 PM
Set Question list/Different Question for each CC tbk568 USMLE Step 2 CS Forum 0 12-13-2011 01:47 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)