Download Emergency Medicine PreTest Self-Assessment and Review by Adam Rosh, Stephen Menlove PDF

By Adam Rosh, Stephen Menlove

"This is a wonderful assessment of emergency medication in easy-to-read case-based questions that offer readers with enough info to appreciate the foremost ideas of prognosis and administration within the emergency setting."--Doody's evaluation carrier. . "I came across all the inquiries to be in precise USMLE sort, the content material to be solely exact and up to date, adn the measure of complexity to be applicable for 3rd and fourth yr clinical scholars. it's the most sensible evaluate textual content that i have ever reviewed."--Michael Curley, clinical pupil, collage of Wisconsin college of medication and Public well-being. . this is often the simplest question-and-answer evaluation for emergency medication questions about the USMLE Step 2 and shelf assessments. Reader will locate 500 board-format questions, entire with factors of either right and mistaken solutions. All questions were reviewed through clinical scholars to make sure they adequately mirror the examination experience.. . Features:. 500 USMLE-type questions, solutions, and factors. factors for correct and mistaken solutions. pursuits what you really want to grasp. pupil proven and reviewed (20081118)

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Sample text

Which of the following is the most appropriate medication to treat this dysrhythmia? a. Digoxin b. c. d. e. Diltiazem Amiodarone Adenosine Bretylium 45. A 55-year-old man with hypertension and a 1-pack per day smoking history presents to the ED complaining of three episodes of severe heavy chest pain this morning that radiated to his left shoulder. In the past, he experienced chest discomfort after walking 20 minutes that resolved with rest. The episodes of chest pain this morning occurred while he was reading the newspaper.

The answer is e. ) Thrombolytic therapy (clot-busters) can be administered to patients having an acute ST-elevation MI that is within 6–12 hours from symptom onset. Contraindications to fibrinolytic therapy are those that increase the risk of hemorrhage. The most catastrophic complication is intracranial hemorrhage. Absolute contraindications include: • • • • Previous hemorrhagic stroke Known intracranial neoplasm Active internal bleeding (excluding menses) Suspected aortic dissection or pericarditis Chest Pain and Cardiac Dysrhythmias Answers 33 (a) SBP > 180 mm Hg is a relative contraindication.

This ECG depicts an acute anterior wall myocardial infarction (AMI) with ST elevations in leads V1–V4. The patient is also hypotensive secondary to cardiogenic shock. , angioplasty, coronary stent). It has shown to improve long-term mortality over thrombolytic therapy. (a) b-Blockers and CCBs are contraindicated in patients who are hypotensive. (b) The patient does not have a dysrhythmia and therefore should not be cardioverted. (c) Dobutamine and dopamine are agents used in cardiogenic shock.

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