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  1. USMLE Step 2 CK Forum
    Hey guys I need a good source for cardiac arrythmias cuz I suck in it .. where could I read them from? I feel that MTB is lacking too much and I'm getting all the arrythmia questions wrong in Uworld.. help please!
  2. USMLE Step 2 CK Forum
    Hypertension or Coronary Artery Disease?
  3. USMLE Step 2 CK Forum
    2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults (JNC 8) has been released. The link to the guidelines is http://jama.jamanetwork.com/article.aspx?articleid=1791497#Abstract
  4. USMLE Step 2 CK Forum
    Correcting which factors for CAD will result in immediate benefit? In MTB options were given as cessation of smoking, DM, HTN, Hyperlipidemia and wt loss... and he says the answer is cessation of smoking.. My question is what if the patient is a non smoker... Then what would be the next best...
  5. USMLE Step 2 CK Forum
    A pt with vsd undergoing a dental procedure..does he/she require endocarditis prophylaxis?
  6. USMLE Step 2 CK Forum
    Over the past 2 weeks, a 60-year-old man has had shortness of breath on exertion. He also has paroxysmal nocturnal dyspnea with two-pillow orthopnea. He has taken aspirin daily since a myocardial infarction 3 years ago. He has a history of atrial fibrillation well controlled with digoxin and...
  7. USMLE Step 2 CK Forum
    Hey guys about which echo to use? in UW ---> after blood culture do TEE TTE only if suspecting TR in an IV drug user in MTB 2/3 ---> after blood culture do TTE if +ve no TEE if -ve do TEE Which is right ??? :mad: thank you
  8. USMLE Step 2 CK Forum
    Over the past 2 weeks, a 60-year-old man has had shortness of breath on exertion. He also has paroxysmal nocturnal dyspnea with two-pillow orthopnea. He has taken aspirin daily since a myocardial infarction 3 years ago. He has a history of atrial fibrillation well controlled with digoxin and...
  9. USMLE Step 2 CK Forum
    This is from MTB 2 , ventricular septal rupture You can't always depend on buzzwords like "step-up" for oxygenation. Often, the numbers are simply presented to you: "42% oxygen saturation is found on a sample of blood from the right atrium. 85% saturation is found on the...
  10. USMLE Step 2 CK Forum
    A 70 year old female with a history of coronary artery disease, hypertension, arthritis, and breast cancer presents with dyspnea on exertion and dizziness slowly progressing over the past 2 weeks. She denies any chest pains. Her blood pressure is 80/40, heart rate 120, respirations 24, and...
  11. USMLE Step 2 CK Forum
    how can coarctation of aorta cause secondary hyperaldosteronism?
  12. USMLE Step 3 Forum
    A 65 year old man with HTN presents to your office for evaluation of right leg pain that increases on walking about one block. The pain seems to disappear when he sits and takes rest for about 10 minutes. He is concerned because it is interfering with his exercise activity that his cardiologist...
  13. USMLE Step 2 CK Forum
    CN anyone explain hw this work? Pulse pressure = systolic - diastolic pressure In aortic regurgitation, how can it be wider? Systolic pressure shud be the same and diastolic pressure bigger? Shouldnt the pulse pressure decrease? Also how the head bobbing and quincke pulse happen? Help...
  14. USMLE Step 2 CK Forum
    2 days after colectomy 55 year male pt complain of sudden onset of SOB ,difficulty breathing, on examnination -po2 55 pco2 23 ph 7.38, RR-28, O2 saturation 88 decrease breath sound on right, chest xray show atelectasis at both lung base.ecg shows non specific st-t wave changes..current...
  15. USMLE Step 3 Forum
    Patient presented 4 hour after Inferior MI with dizziness. His ECG showed complete heart block . How to treat : - Permanent pacemaker - Temporary pacemaker
  16. USMLE Step 2 CK Forum
    There's acute pericarditis (days after) and there's Dressler's syndrome (weeks after). Are both treated with NSAID's?
  17. USMLE Step 2 CK Forum
    Treatment of a fib recap: -unstable or more than 48 hrs: Synchronized cardioversion -stable or less than 48 hrs: Rhythm and rate control with b-blockers, CCB, digoxin Anticoagulation (based on CHADS2) with aspirin or warfarin Something feels funny about a fib management. I never get the...
  18. USMLE Step 3 Forum
    HI, Any kind soul pleas help...... IN office basis....in case of palpitations, can we order Stat EKG..... If so, can we keep the pt in the office , til we get the results... If the EKG shows A FIB, can we go ahead and order in the office oxy, iva. beta blockers/CCB IV before transfering the pt...
  19. USMLE Step 2 CK Forum
    45 y female with past history of RA come to ER with right calf pain and swelling of sudden onset..no fever no chills .history of smoking for 20 years...methotrexate for RA .vitals are normal.on physical examination, right calf is mild tender and no redness. which of following next best step in...
  20. USMLE Step 3 Forum
    I frequently get this question wrong and the explanation in MTB is not comprehensive. Someone please correct me if im wrong but heres what i know: The diagnosis is usually straightforward and is based on characteristic EKG findings. Determining the site of the block is important to determine...
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