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nbme 2qs - ommani7 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: nbme 2qs - ommani7 (/showthread.php?tid=778140) |
nbme 2qs - ommani7 - ArchivalUser - 05-17-2014 1.) A 50-year-old man with a 20-year history of type 2 diabetes mellitus has had sensory neuropathy for 2 weeks. Pulses are decreased at the ankle. There is no peripheral edema. His serum glucose levels have been between 150 mg/dL and 200 mg/dL over the past 6 months. Which of the following is the most effective measure to prevent serious foot infections? A) Use of support hose B) Use of well-fitted shoes C) Prophylactic antibiotics D) Daily aspirin and dipyridamole E) Decrease in serum glucose level 9. A 57-year-old man has been hospitalized for 2 days for treatment of unstable angina pectoris. He is currently receiving intravenous heparin and undergoing evaluation for coronary artery bypass grafting. His blood pressure is 160/90 mm Hg, pulse is 88/min, and respirations are 16/min. Laboratory studies show: Platelet count 90,000/mm3 Prothrombin time 12 sec (INR=1.1) Partial thromboplastin time 35 sec Which of the following is the most likely cause of these findings? A ) Excessive platelet destruction B ) Factor VIII deficiency C ) Inadequate platelet production D ) Uncontrolled activation of coagulation and fibrinolytic cascades E ) Vitamin K deficiency 0 - ArchivalUser - 05-17-2014 26. A 57-year-old man with multiple myeloma comes to the physician because of a 12-hour history of fever, sharp chest pain with deep inspiration, and cough productive of blood-tinged sputum. His temperature is 38.3 C (101 F), blood pressure is 120/78 mm Hg, pulse is 112/min, and respirations are 28/min. Crackles are heard at the right lung base. His hemoglobin level is 9.2 g/dL, leukocyte count is 2600/mm3, and platelet count is 96,000/mm3. Empiric antibiotics should be directed against which of the following organisms? A ) Listeria monocytogenes B ) Neisseria meningitidis C ) Pseudomonas aeruginosa D ) Streptococcus bovis E ) Streptococcus pneumoniae 0 - ArchivalUser - 05-17-2014 1. B I know E is tempting, but I think it's B 9. D Sounds like heparin-induced thrombocytopenia 26. E? My logic is that the most common cause of community acquired pneumonia is strep pneumo...BUT I'm not sure if the pt is considered immunocompromised? Which makes me debate between E and pseudomonas 0 - ArchivalUser - 05-17-2014 1.B 9.A 26.E 0 - ArchivalUser - 05-17-2014 thanks aprilck99 but for qs number 9 is it HIT type 1?and for 26 i gave pseudomonas as i thought pt is immunocomprosmised but i dont know whether it is right or wrong coz didnot take extended one. 0 - ArchivalUser - 05-17-2014 thanks peds22 0 - ArchivalUser - 05-18-2014 Dear Friends, Please don't give up on your STEP 2CK or Residency Dream. Do NOT HESITATE to call 8034935573 For help. Read our Step 2CK Success Stories below: http://t.co/pu6q5AehRP STOP WASTING TIME LOOKING FOR A STUDY PARTNER...YOU DON'T NEED A DUMBER STUDENT TO SLOW YOU DOWN AND A SMARTER STUDENT WILL REALIZE THAT YOU ARE SLOWING THEM DOWN AND TRY AND FIND SOME ONE SMART. IF YOU FIND SOME ONE JUST LIKE YOU... ALL YOU WILL DO IS LOCK HORNS WITH EACH OTHER...MEANING ARGUE AND NOT KNOW HOW TO PROCEED WITH YOUR STEP 2CK PREP. HERE IS THE SOLUTION THAT MANY IN YOUR SITUATION HAVE FOUND TO BE THE BEST FOR THEIR USMLE STEP 2CK PREPARATION: BEST TOOL for Acing the USMLE STEP 2CK is Dr. Malik's Reference Sources Based BEST USMLE TUTOR'S ONLINE and In - Person USMLE STEP 2CK PREP. Please Call 8034935573 to ENROLL/Sit in for a Free ONLINE Step 2CK Session any day Monday to Friday 6-10 pm Eastern Time. BEST VALUE FOR YOUR MONEY: OUR 9 WEEK LIVE ONLINE USMLE STEP 2CK GROUP REVIEW COURSE WHICH BEGINS EVERY 12 WEEKS. NEXT GROUP REVIEW COURSE STARTS MONDAY MAY 19TH 2014. ONLINE ONE ON ONE SUPPORT SESSIONS FOR A DISCOUNTED RATE ARE AVAILABLE FOR GROUP REVIEW COURSE STUDENTS. Classes are held ONLINE Monday through Friday 6pm-10pm and Payment is via PayPal. Please visit BEST USMLE TUTOR website ONLINE for CURRENT PRICING OR CALL US AT 8034935573 TO SIT IN FREE FOR A LIVE USMLE STEP 2CK REVIEW SESSION. WE ALSO OFFER MORE FLEXIBLE ONLINE AND IN PERSON USMLE STEP 2CK REVIEW COURSES AS WELL AS SHORTER FLEXIBLE SESSIONS TO TARGET YOUR WEAKNESSES. WE CAN HELP YOU PASS USMLE STEP 2CK IN AS LITTLE AS 3 WEEKS DEPENDING UPON YOUR SITUATION. PEASE CALL BEST USMLE TUTOR AT 8034935573 AND ATTEND YOUR FIRST FREE 4 HOUR ONLINE USMLE STEP 2CK SESSION ANY DAY MONDAY TO FRIDAY FROM 6 PM TO 10 PM Eastern Time. WHEN YOU CAN AFFORD THE BEST...WHY SETTLE FOR THE REST...COME AND JOIN THE BEST USMLE STEP 2CK PREPARATION. |