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cardio step3

USMLE step 3 preparation

QuestionAnswer
45 years old come to ER with NV. BP 230/140. What is the first action ABC stuff : IV + O2 + BP monitor
45 years old come to ER with NV. BP 230/140. What is the most important PE. papiledema
45 years old come to ER with NV. BP 230/140. What is the most important Ix. CT brain without contrast for RO stroke
45 years old come to ER with NV. BP 230/140. with papiledema. CT negative what is Rx IV nitroprusside : 1st choice for HT "emergency" wo stroke - short acting good for titration
45 years old come to ER with NV. BP 230/140. get IV nitroprusside what should do next. monitor BP in next 2 hrs for DBP no more than 25% (eg. 140 -> 105)
45 years old come to ER with NV. BP 230/140. got IV nitroprusside. BP in next 2 hrs = 230/110. what do next Transfer ward to start oral med.
45 years old come to ER with NV. BP 230/140. no papiledema. CT negative what is Rx PO captopril : for HT "urgency"
45 years old come to ER with NV. BP 230/140. got PO captopril what should do next monitor BP in next 24 hrs
45 years old come to ER with NV. BP 230/140. CT found hemorhagic lesion. what is Rx IV labelatol
45 years old come to ER with NV. BP 230/140. got IV labelatol what should do next monitor BP in next 2 hrs for SBP 140-170
60 yo M come to ER with sudden severe chest pain. What is the empirical Rx. ASA + NTG + Oxygen
60 yo M come to ER with sudden severe chest pain. What is the MUST Ix. ECG + Enzyme + PTT
60 yo M come to ER with sudden severe chest pain. ECG show ST depress. What is the most important PE. Fecal stool occult blood
60 yo M come to ER with sudden severe chest pain. ECG show ST depress. FOBT negative. What is next Rx Heparin IV
Created by: 100002195329206