NBME 4 questions. Please explain answers. - acestep2ck

[ArchivalUser]

Dysthymia : for 2 year long
for q3: maybe the diagnosis is yet to be determined

[ArchivalUser]

from uw, i learnt that if modified weils criteria is >4 and pt has no contraindication for antocogulation you directly give heparin before doing CTA,but if pt has any contraindication then u do CTA first then IVC filter.
i am assuming we are always supposed to confirm diagnosis before putting IV filter!

[ArchivalUser]

Ya i think for q3 you would diagnose it first with spiral ct of chest before doing anything else. Also the last answer i think is subphrenic absess as it has referred pain to the shoulder.

[ArchivalUser]

Why q4 is A? why not B? what does it mean brief incontinance?

[ArchivalUser]

It means adult diapers. so it would be the least invasive method amoungst the options given so least chance of infection.

[ArchivalUser]

I guess q8 is E, Because although she is a splenic but she doesn't have any respiratory symptom , also she has tenderness on epigastr. I think it is Abscess after splenic surgery and her shoulder pain is referral from diaphragm .

[ArchivalUser]

ya.. 8 should be e.

[ArchivalUser]

yep 8 is abscess.
This is how I make mistake , I skip what is important to make a diagnosis
damn

[ArchivalUser]

number 8 is wrong ive put pneumonia and got it wrong