WBR0540: Difference between revisions

Revision as of 01:22, 30 September 2013

Author	[[PageAuthor::Rim Halaby, M.D. [1]]]
Exam Type	ExamType::USMLE Step 1
Main Category	MainCategory::Pharmacology
Sub Category	SubCategory::Neurology, SubCategory::Renal
Prompt	[[Prompt::A 74 year old male patient is brought to the emergency department with headache, decreased level of consciousness, and personality change. Upon further questioning, the patient reports he sustained a head trauma 2 weeks prior to presentation. Head computed tomography (CT) scan is performed; it shows the findings seen in the image below. Which of the following characterizes the culprit of the patient's symptoms? ]]
Answer A	AnswerA::
Answer A Explanation	AnswerAExp::
Answer B	AnswerB::
Answer B Explanation	AnswerBExp::
Answer C	AnswerC::
Answer C Explanation	AnswerCExp::
Answer D	AnswerD::
Answer D Explanation	AnswerDExp::
Answer E	AnswerE::
Answer E Explanation	AnswerEExp::
Right Answer	RightAnswer::A
Explanation	[[Explanation::Subdural Educational Objective: References: ]]
Approved	Approved::No
Keyword
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::

@@ Line 20: / Line 20: @@
 |MainCategory=Pharmacology
 |SubCategory=Neurology, Renal
-|Prompt=A 39 year old female patient presents to the emergency department complaining of left back pain that radiates to the groin.  She explains that she took an NSAID but the pain was not relieved.  She has a past medical history of migraine that is managed by topiramate.  Vital signs show a temperature of 37.2 degrees C (99 degrees F), heart rate of 96 bpm, and blood pressure measuring 122/84 mmHg. Patient has a left costovertebral tenderness.  Her physical examination is otherwise unremarkable.  Which of the following medications is best prescribed for symptomatic relief of this patient?
+|Prompt=A 74 year old male patient is brought to the emergency department with headache, decreased level of consciousness, and personality change.  Upon further questioning, the patient reports he sustained a head trauma 2 weeks prior to presentation.  Head computed tomography (CT) scan is performed; it shows the findings seen in the image below.  Which of the following characterizes the culprit of the patient's symptoms?
-|AnswerA=Meperidine
-|AnswerB=Tramadol
+[[Image:WBR subdural hematoma.png|400px]]
-|AnswerC=Morphine
+|Explanation=Subdural
-|AnswerD=Hydromorphone
-|AnswerE=Oxycodone
 |RightAnswer=A
 |Approved=No
 }}