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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam |
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#1
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The response options for the next 2 items are
the same. Select one answer for each item in the set. For each of the following patients with fatigue, select the most appropriate pharmacologic intervention. (A) Candesartan (B) Digoxin (C) Erythropoietin (D) Folate (E) Heparin (F) Isoniazid (G) Lisinopril (H) Metoprolol (I) Warfarin 1. A 36-year-old woman at 18 weeks’ gestation presents with a chief complaint of fatigue. Her history is signifi cant for leukemia 7 years earlier that was treated successfully with a course of doxorubicin chemotherapy. On physical examination she has bilateral rales throughout her lung fi elds and 3+ pitting edema. Echocardiography reveals a dilated left ventricular chamber and an ejection fraction of 40%. 2.A 75-year-old retired anesthesiologist with a history of two previous myocardial infarctions presents because of extreme fatigue upon exertion. He is unable to walk more than two blocks and requires three pillows to sleep comfortably at night. Physical examination reveals jugular venous distension. He has previously been unable to tolerate enalapril due to excessive coughing.
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step_enhancer (09-25-2012) |
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digoxin
candesartan |
#3
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(G) Lisinopril
(A) Candesartan
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#4
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__________________
Try Not To Become A Man Of Success But A Man Of Value. |
#5
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__________________
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.” |
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K06100 (09-25-2012) |
#6
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DIgoxin for the first one
Candersartan for the second one Novo wtf the lady is pregnant, you just causes renal agenesis XD |
#7
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metoprolol is the answer for the first ques.....it has mortality benefit......digoxin lacks it......
for 2nd answer is ARB
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step_enhancer (09-25-2012), XpaezX (09-25-2012) |
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