+- 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 6 q - medplus254 (/showthread.php?tid=812247)
nbme 6 q - medplus254 - ArchivalUser - 08-10-2015
1. A previously healthy 52-year-old man comes to the emergency department because of hiccups for 1 week. He has smoked two packs of cigarettes daily for 30 years. He does not drink alcohol. He is alert and oriented. His temperature is 37 C (98.6 F), blood pressure is 150/95 mm Hg, pulse is 70/min, and respirations are 12/min. Physical and neurologic examinations show no abnormalities. His serum sodium level is 120 mEq/L. An x-ray film of the chest shows a right hilar mass. Which of the following is the most appropriate next step in treatment?
A
) Bisphosphonate therapy
B
) Calcitonin therapy
C
) Calcium therapy
D
) Dexamethasone therapy
E
) 5% Dextrose in 0.225% saline therapy
F
) 5% Dextrose in 0.45% saline therapy
G
) 5% Dextrose in water therapy
H
) Fluid restriction
I
) Hydrocortisone therapy
J
) Lactated Ringer's solution
K
) Mannitol therapy
L
) Potassium therapy
M
) 0.9% Saline therapy
N
) 3% Saline therapy
O
) Sodium bicarbonate therapy
0 - ArchivalUser - 08-10-2015
SIADH ...... Restrict fluid
0 - ArchivalUser - 08-10-2015
if Na less than 120 with confusion and lethargy then Rx hypertonic saline till Na reaches 120
0 - ArchivalUser - 08-10-2015
yes but here pt has nothing expect hicups so restrictive fluid ..right?
0 - ArchivalUser - 08-10-2015
yeah i would go with fluid restriction.
0 - ArchivalUser - 08-10-2015
thanks
0 - ArchivalUser - 08-11-2015
it is HH