ans... - docstep3

[ArchivalUser]

pt with heart rate of 45/min, BP 90/50, PR constant.Every third wave without QRS complex?

management?

A) atropine IV push

b)observation

c)external pacemaker

d)transvenous pacemaker

and shd be d...


78) picture of a 7-8 yo boy with ulceration in AXILLA and lateral chest only...what is the most likely diagnosis?

A) impetigo

b)subepidermal bullous dermatosis

c)herpes

d) bullous pehphigoid



Answer is impetigo ...is this true

80)Calcium Glucagon is least likely to be used for severe hypoglycemia in


1) Type II DM

2) Malnourished patient

3) Infant overdose of injected insulin

4) Obese patient > 65yrs

answer is B ...true or false??

83)MULTIPLE SCLEROSIS



Q1) how do you check the progression of multiple sclerosis?

Q2) how to you follow Multiple sclerosis?

Q3) Diagnostic test of Multiple sclerosis

Q4) Effect of pregnancy on multiple sclerosis?

Answers to above question

1) Progression based on clinical course

2) F/U depend on clinical course

3) Dx MRI

4) Pregnancy? Pregnancy exacerbate MS symptom. Agree with rest of info.
i dont agree ...isnt prog and fup on basis of mri
ms improves in preg

[ArchivalUser]

i guess preg makes s/s less ....but following pregnancy there is flare up in MS

[ArchivalUser]

1 2nd degree type 2 block assuming that no change in pr interval as it is not mentioned -transvenous pacemaker
2 i would have picked c
3 not sure
4 clinical with Mri every 3mon
5 clinical follow ups every 3 mon once stable then 6mon
6 MRI
7 No

[ArchivalUser]

what is external pacemaker?
transcutaneous?
transvenous?

i want to know if pt unstable do u do trcut before trvenous?
is ext and trcut same thing?

[ArchivalUser]

there r fewer episodes during pregnancy but 2-3 months following child birth the number of episodes r increased in MS...Reference is Kaplan step2 notes
No need to check follow up in MS and no test available for follow up..
best initial test... most sensitive test is MRI

[ArchivalUser]

external pacemaker and transcutaneous pacemakers are the same. in case of emergent pacing transcutaneous is chosen becoz it is simple (sticking the electrodes on the chest) and pace through a external machine

[ArchivalUser]

preg.improve but, postpartum worsen it.