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(Created page with "{{WBRQuestion |QuestionAuthor=Chetan Lokhande |ExamType=USMLE Step 3 |MainCategory=Emergency Room |SubCategory=Head and Neck, Neurology |MainCategory=Emergency Room |SubCatego...") |
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|QuestionAuthor=Chetan Lokhande | |QuestionAuthor=Chetan Lokhande | ||
|ExamType=USMLE Step 3 | |ExamType=USMLE Step 3 | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|SubCategory=Head and Neck, Neurology | |SubCategory=Head and Neck, Neurology | ||
|Prompt=An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. | |Prompt=An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. Complete blood count, Chem 10 and CT scan all are within normal limits. She was given a dose of quinine for malaria, but stopped due to negative thick and thin smear. What is the next step in the management of this patient? | ||
|AnswerA=Start antiepileptic medications. | |AnswerA=Start antiepileptic medications. | ||
|AnswerB=Start broad-spectrum antibiotics. | |AnswerB=Start broad-spectrum antibiotics. | ||
|AnswerC=Start steroids. | |AnswerC=Start steroids. | ||
|AnswerD=Start with antiviral and antimalarial treatment together. | |AnswerD=Start with antiviral and antimalarial treatment together. | ||
|AnswerE=Order a Lumbar Puncture. | |AnswerE=Order a Lumbar Puncture. | ||
|Approved=Yes | |Approved=Yes | ||
}} | }} | ||
Revision as of 02:20, 4 February 2014
| Author | PageAuthor::Chetan Lokhande |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | |
| Sub Category | SubCategory::Head and Neck, SubCategory::Neurology |
| Prompt | [[Prompt::An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. Complete blood count, Chem 10 and CT scan all are within normal limits. She was given a dose of quinine for malaria, but stopped due to negative thick and thin smear. What is the next step in the management of this patient?]] |
| Answer A | AnswerA::Start antiepileptic medications. |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Start broad-spectrum antibiotics. |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Start steroids. |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Start with antiviral and antimalarial treatment together. |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Order a Lumbar Puncture. |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |