WBR0026: Difference between revisions
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{{WBRQuestion | {{WBRQuestion | ||
|QuestionAuthor=Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS | |QuestionAuthor=Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS | ||
|ExamType=USMLE Step 1 | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|MainCategory=Pharmacology | |||
|MainCategory=Pharmacology | |||
|SubCategory=Cardiology | |||
|Prompt=A 35 year old male presents with fever, weakness and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the best initial therapy in this patient? | |Prompt=A 35 year old male presents with fever, weakness and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the best initial therapy in this patient? | ||
|Explanation=The correct answer is NSAIDs. This patients presentation is classic for acute pericarditis. NSAIDs, such as indomethacin and aspirin, are the best initial therapy for acute pericarditis. | |Explanation=The correct answer is NSAIDs. This patients presentation is classic for acute pericarditis. NSAIDs, such as indomethacin and aspirin, are the best initial therapy for acute pericarditis. | ||
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|AnswerAExp=Colchicine may be used to prevent recurrences. | |AnswerAExp=Colchicine may be used to prevent recurrences. | ||
|AnswerB=NSAIDs | |AnswerB=NSAIDs | ||
|AnswerBExp=NSAIDs is the correct answer. | |||
|AnswerC=Morphine | |AnswerC=Morphine | ||
|AnswerCExp=Morphine is not the first drug of choice for acute pericarditis. | |AnswerCExp=Morphine is not the first drug of choice for acute pericarditis. | ||
|AnswerD=Prednisone | |AnswerD=Prednisone | ||
|AnswerDExp=Oral prednisone is used in acute pericarditis in addition to NSAIDs when pain persists, but is not the best initial therapy to use. | |||
|AnswerE=Diuretics | |AnswerE=Diuretics | ||
|Approved= | |AnswerEExp=Diuretics are used in the initial management of patients with chronic constrictive pericarditis, prior to surgical management. | ||
|RightAnswer=B | |||
|Approved=Yes | |||
}} | }} |
Revision as of 19:19, 13 February 2013
Author | PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS |
---|---|
Exam Type | ExamType::USMLE Step 1 |
Main Category | MainCategory::Pharmacology |
Sub Category | SubCategory::Cardiology |
Prompt | [[Prompt::A 35 year old male presents with fever, weakness and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the best initial therapy in this patient?]] |
Answer A | AnswerA::Colchicine |
Answer A Explanation | AnswerAExp::Colchicine may be used to prevent recurrences. |
Answer B | AnswerB::NSAIDs |
Answer B Explanation | AnswerBExp::NSAIDs is the correct answer. |
Answer C | AnswerC::Morphine |
Answer C Explanation | AnswerCExp::Morphine is not the first drug of choice for acute pericarditis. |
Answer D | AnswerD::Prednisone |
Answer D Explanation | AnswerDExp::Oral prednisone is used in acute pericarditis in addition to NSAIDs when pain persists, but is not the best initial therapy to use. |
Answer E | AnswerE::Diuretics |
Answer E Explanation | AnswerEExp::Diuretics are used in the initial management of patients with chronic constrictive pericarditis, prior to surgical management. |
Right Answer | RightAnswer::B |
Explanation | [[Explanation::The correct answer is NSAIDs. This patients presentation is classic for acute pericarditis. NSAIDs, such as indomethacin and aspirin, are the best initial therapy for acute pericarditis. Educational Objective: |
Approved | Approved::Yes |
Keyword | |
Linked Question | Linked:: |
Order in Linked Questions | LinkedOrder:: |