more step3 q - angelboy

[ArchivalUser]

A. when you see the neonate has features of down syndrome, what do you say?

1. i am concerned about your baby becasue she may have down syndrome.
2. i am sorry to have to tell you this but i suspect your baby has down syndrom.
3. your baby is doing fine, but i cam concerned about some of her physical features
4. do you remember the tests we disscused early in your pregnancy?

B. full term baby aspirated meconium at delivery. Apgar = 3,3
he is intubated with assisted ventilation. suddenly, his abg values are deteriorated. what do you do first?
1. auscultate the chest
2. check the respirator settings
3. increase O2 flow
4. recheck abg values
5. reposition teh endotracheal tube.

c. what is the reason of hyperthermia?
1. abnormal increase in intracellular ca
2. hypothalmic dysfunction
3. inability to sweat
4. inhibition of protein synthesis

[ArchivalUser]

A.3
B.5
C.2

[ArchivalUser]

3
1
2

[ArchivalUser]

4
1
2

[ArchivalUser]

2
5
2

angelboy tel us the right answers

[ArchivalUser]

3
5
2

[ArchivalUser]

guys, these qs are from current NBME for step3, I put here because I am not sure the answers, I guess the discussion will help everyone.

[ArchivalUser]

a.4 ( I think choice 3 gives false reassurance. I think we should start with asking what the mother knows already).
b.5
c. why do you guys choose 2?

[ArchivalUser]

actualy what i was thinkg is the thalamic centers for heating and coling and the pyrogen role
but after reading it one more time it could be..realy..
inability to seawt.
bcz if u are dehydrated simply u will pile heat on your body.and heat strok is defined when u are dry and hot.
still not sure.

[ArchivalUser]

I think we need some more information in the question regarding hyperthermia.
Anyway thanks for explaining your point coping.