Uworld | Step 1

2022-02-13 08:44:01 Open / Comment

2022-02-13 08:43:01 productive cough, and fever, Today, her son found her very short of breath and obtunded. The patient has a history of hypertension, type 2 diabetes mellitus, and long-standing rheumatoid arthritis. Examination reveals bilateral pneumonia and severe respiratory distress. The patient is lethargic without focal neurologic deficits. Urgent endotracheal intubation is performed for mechanical ventilation, and the patient is started on broad-spectrum antibiotics. Repeat examination 2 hours later shows that she has developed areflexic, flaccid paralysis of all extremities. Open / Comment

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https://t.me/USMLERECALLS2021/438 Open / Comment

2022-02-12 19:43:01 Open / Comment

2022-02-12 19:42:01 experienced a sudden, explosive headache followed by a brief loss of consciousness. Since regaining consciousness spontaneously, she has had persistent global headache and nausea. Head movement or bright light worsens the pain. Temperature is 37.2 C (99 F), blood pressure is 142/90 mm Hg, and pulse is 98/min. The patient is somnolent but easily rouses to voice. She is well oriented to time, place, and person. There is increased resistance to neck flexion, which elicits pain. The pupils are equal and reactive to light. Deep tendon reflexes and sensory examination are normal. Open / Comment

2022-02-12 07:41:01 Open / Comment

2022-02-12 07:41:01 A 70-year-old woman with a history of unilateral extremity weakness and seizures is found unresponsive at home by her home health care nurse. On arrival of emergency medical services, she is found to have no pulse or spontaneous respirations and is declared dead. Autopsy shows a large thrombus occluding the left anterior descending coronary artery. Additional cerebral findings are shown in the exhibit. Open / Comment

2022-02-06 19:31:12 A 45-year-old quadriplegic man with suspected bacterial pneumonia is admitted to the hospital and started on intravenous antibiotics. Over the next 24 hours, he develops progressive respiratory failure requiring mechanical ventilation. Prior to intubation, a skeletal muscle relaxant is administered and the patient subsequently goes into cardiac arrest. His attached cardiac monitor shows ventricular fibrillation. While he is being resuscitated, his serum potassium level is drawn and later comes back as 9.5 mEq/l. Open / Comment

2022-02-06 19:31:01 Open / Comment

2022-02-06 07:30:30 Open / Comment