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Rim Halaby (talk | contribs) Created page with "{{WBRQuestion |QuestionAuthor={{Rim}} |ExamType=USMLE Step 2 CK |MainCategory=Internal medicine |SubCategory=Electrolytes |MainCategory=Internal medicine |SubCategory=Electrol..." |
Rim Halaby (talk | contribs) No edit summary |
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|QuestionAuthor={{Rim}} | |QuestionAuthor={{Rim}} | ||
|ExamType=USMLE Step 2 CK | |ExamType=USMLE Step 2 CK | ||
|Prompt=A 70 year old male patient is hospitalized for pneumonia requiring an IV course of antibiotics. On the third day of hospitalization, the patient reports less dyspnea and shows overall clinical improvement. His vital signs are: temperature of 37.2 degrees celsius, blood pressure of 120/68 mmHg and heart rate of 70 bpm. The patient has a previous history of myocardial infarction and hypertension. His medications include aspirin, statin and ACE inhibitors. His electrolytes ordered in the morning show the following results: <br> | |Prompt=A 70 year old male patient is hospitalized for pneumonia requiring an IV course of antibiotics. On the third day of hospitalization, the patient reports less dyspnea and shows overall clinical improvement. His vital signs are: temperature of 37.2 degrees celsius, blood pressure of 120/68 mmHg and heart rate of 70 bpm. The patient has a previous history of myocardial infarction and hypertension. His medications include aspirin, statin and ACE inhibitors. His electrolytes ordered in the morning show the following results: <br> | ||
Sodium: 139 mEq/L <br> | Sodium: 139 mEq/L <br> | ||
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Magnesium: 1.68 mg/dl <br> | Magnesium: 1.68 mg/dl <br> | ||
Which of the following is a first step in the management of the patient? | Which of the following is a first step in the management of the patient? | ||
|AnswerA=Repeat blood test | |AnswerA=Repeat blood test | ||
|AnswerB=Administer IV saline | |AnswerB=Administer IV saline | ||
|AnswerC=Order an EKG | |AnswerC=Order an EKG | ||
|AnswerD=Administer calcium gluconate | |AnswerD=Administer calcium gluconate | ||
|AnswerE=Discontinue his hypertension medication | |AnswerE=Discontinue his hypertension medication | ||
|RightAnswer=A | |RightAnswer=A | ||
|WBRKeyword= | |WBRKeyword=hyperkalemia, pseudohypokalemia | ||
|Approved=No | |Approved=No | ||
}} | }} | ||
Revision as of 17:03, 4 December 2013
| Author | [[PageAuthor::Rim Halaby, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 70 year old male patient is hospitalized for pneumonia requiring an IV course of antibiotics. On the third day of hospitalization, the patient reports less dyspnea and shows overall clinical improvement. His vital signs are: temperature of 37.2 degrees celsius, blood pressure of 120/68 mmHg and heart rate of 70 bpm. The patient has a previous history of myocardial infarction and hypertension. His medications include aspirin, statin and ACE inhibitors. His electrolytes ordered in the morning show the following results: Sodium: 139 mEq/L |
| Answer A | AnswerA::Repeat blood test |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Administer IV saline |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Order an EKG |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Administer calcium gluconate |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Discontinue his hypertension medication |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::A |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::hyperkalemia, WBRKeyword::pseudohypokalemia |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |