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  1. USMLE Step 2 CK Forum
    A 36 year old woman with a long history of SLE presents with speech impairment, right sided weakness and right facial droop for the past 2 hours .On physical exam, her eyes deviate to the left and a murmur is present. Labs show a normal complement level. Which of the following is the most...
  2. USMLE Step 2 CK Forum
    A 27-year-old woman is 7 months pregnant with her first child. Her pregnancy has been uncomplicated to date. She presents to the emergency department complaining of sudden-onset, right-sided chest pain that is exacerbated with deep breathing and shortness of breath, which began 1 hour ago. She...
  3. USMLE Step 2 CK Forum
    A 44 year old female presents to the emergency department with chest pain. The pain has been intermittent for months and atypical, occurring sometimes with exertion and sometimes at rest. She has no past medical history. EKG shows ST segment elevation. Cardiac enzymes are negative. Which of the...
  4. USMLE Step 2 CK Forum
    A 20-year-old female is seen in the emergency department with symptoms of severe periodic headaches, sweating, and nausea with vomiting. She also complains of feeling light-headed with standing. Her blood pressure on presentation is 240/136, with a heart rate of 92. On standing, the patient has...
  5. USMLE Step 2 CK Forum
    A 46-year-old white female presents to your office with concerns about her diagnosis of hypertension 1 month previously. She asks you about her likelihood of developing complications of hypertension, including renal failure and stroke. She denies any past medical history other than hypertension...
  6. USMLE Step 2 CK Bits & Pieces
    *Best initial therapy= Thiazide *Excellent treatment of systolic HTN= CCB *HTN + Recurrent stroke= ACEI, Thiazide *HTN + Migraine = CCB *HTN + Raynaud's phenomena= CCB *HTN + Essential tremor= BB *HTN + Glaucoma= BB *HTN + Hyperthyroidism= BB *HTN + Depression= avoid BB *HTN + Asthma= avoid BB...
  7. USMLE Step 2 CK Forum
    40 yr old women has had increasing fatigue & SOB for years. chest x ray -- RVH & enlargement of central pulmonary artery. pulmonary embolism is ruled out by spiral CT scan. other causes have also been ruled out. right heart catherization reveals a pulmonary artery pressure of 75/30 mmhg. what is...
  8. USMLE Step 2 CK Forum
    A 58-year-old man is establishing care with you because his insurance changed. His old records have not yet arrived, but he is complaining of palpitations and lightheadedness,He does not smoke .He drinks 2 beers on weekends.His Father died of myocardial infarction at the age 69 yr and mother...
  9. USMLE Step 2 CK Forum
    A 67 year old male is brought to the emergency department after a syncopal episode. He lost consciousness while shopping in the mall. He denies any nausea, diaphoresis, chest pain or shortness of breath. He has had two episodes of lightheadedness over the last month, but has not seen a doctor...
  10. USMLE Step 2 CK Forum
    Does anyone know why the cardiac index is normal in High-out failure (UWorld question Id: 4243) ?
  11. USMLE Step 2 CK Forum
    So here's the basic, S2 has two parts: A2... P2 (In this order) Now, With TOF we have VSD and Pulm stenosis.... How doe that lead to a single S2??? Esp when the child in the question stem is just 2months old (Can eissenmeger's occur this early??? :eek: )
  12. USMLE Step 2 CK Forum
    What is the effect of ACE, and spironolactone on management of diastolic dysfunction? *In Kaplan Q bank, spirono= prevent and regress hypertrophy and fibrosis, while ACEI= prevent remodeling and act to regress hypertrophy. *In MTB spirono=not benefit while ACEI= uncertain.
  13. USMLE Step 2 CK Forum
    What is the effect of squatting on mitral regurgitation? *In MTB = increase murmur *In Kaplan Qbank = no effect
  14. USMLE Step 2 CK Forum
    A 65-year-old man is evaluated for 2 months of central chest pain with exertion and relief with rest, exertional dyspnea, orthopnea, and lower-extremity edema. The chest discomfort is increasing in frequency and severity. He has a 25-year history of hypertension and a 44-year history of smoking...
  15. USMLE Step 2 CK Forum
    please refer to page 95 of mtb step 2 ck. there is a table at the bottom and it is written that spironolactone not given in hypertrophic cardiomyopathy [its HCM not HOCM] is it correct? may i know the reason for the same if the info is correct? please reply.
  16. USMLE Step 2 CK Forum
    How is it causing DCM dilated cardiomyopathiy? Restrictive makes sense, dilated - hard for me to understand. Thank you.
  17. USMLE Step 2 CK Forum
    A patient comes to the hospital with fever and a murmur. aortic valve was replaced three weeks ago . 1. Strep viridans 2. Staph aureus 3. Staph epidermidis 4. Strep bovis ^^^please give reason along .
  18. USMLE Step 2 CK Forum
    What do you think guys about the managment of Acute DVT in pts with creatinin level of 1.1 .. is it anticoagulation with heparin and warferin or IVC filter .. I think there is a trick ... there is mild renal impairment ... but is it contraindication to anticoagulation drugs in pts with renal...
  19. USMLE Step 2 CK Forum
    do we give beta blocker in patient dxed with HOCM on routine physical examination ? [asymptomatic patient ]
  20. USMLE Step 2 CK Forum
    An 89-year-old woman developed distressing symptoms over the past 2 days She feels well when lying down, and weak, faint, and "dizzy" when she sits up On standing. she feels unsteady and lightheaded and fears falling and hurting herself She explains that the room is not moving around her, and...
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