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Comments ...

 +0  (nbme23#41)

Patients who undergo an AV node ablation are also implanted with a pacemaker to help maintain a normal heart rate. Tx. for complete Block


 +1  (nbme23#4)

Pregnant women are more susceptible to severe Plasmodium falciparum malaria. Hypoglycemia & severe anaemia is frequently encountered as a complication in falciparum malaria, that is usually ascribed to increased glucose use and impaired glucose production caused by the inhibition of gluconeogenesis.


 +0  (nbme22#36)

Tricyclic and tetracyclic antidepressants, also called cyclic antidepressants. The peripheral anticholinergic complaints of dry mouth, constipation, ocular side effects and urinary hesitancy are described and specific clinical guidelines for their effective management are provided.

So, most common reason for noncompliance with cyclic antidepressant therapy is its anticholinergic effect.

https://www.ncbi.nlm.nih.gov/pubmed/3290996 https://www.mayoclinic.org/diseases-conditions/depression/in-depth/antidepressants/art-20046983

Note: Please if im mistaken, or my approach is mistaken, correct me... Thank you


 +2  (nbme22#18)

Might be this way, correct me please if my approach is mistaken. So in the Stem we have a Painful nodule, (Due to 10weeks ago Sutures) So im thinking on Suture granuloma, that forms a lesion (Painful Nodule) arround the non-absorbable suture material.





Subcomments ...

submitted by seagull(354),

This is an incomplete hydatidiform mole. They contain incomplete fetal parts including stem cells which are trisomy and give rise to unstructured tissue.

kard  Can someone explain why the other choices are incorrect?, Thanks +  


submitted by haliburton(74),

This is water intoxication. https://www.ncbi.nlm.nih.gov/pubmed/1877579

thisisfine   Agreed! It's along the lines of those marathon runners who collapse questions. Nothing but water for 24 hours = getting rid of too much sodium. +  
temmy  are we just going to ignore the diarrhea for 3 days? what is its significance +  
kard  Temmy, We aint Ignoring the Diarrhea, Actually the most likely electrolytes to get lost with it is sodium> chloride> potassium> bicarbonate... Plus the Water intoxication -> HYPONATREMIA +  


submitted by sherry(3),

This is the second best choice I was gonna take during the exam. I thought Age was better since FA indicated decreased estrogen and old age are the reasons for bone resorption. Can somebody explain to me why Age could not possibly be the answer?

kard  I solve it like this: So age is 70 (already, nothing we can do to change it), is asking about a predictor of success in the Rehab process (So basically, what this patient did in matter of activity, life style, etc. to have a Good rehab process). So From all the answers the, Activity level is the most likely choice because of the, increase in Bone density(Specially Weigh bearing) and OsteoBlastic activity. +  


submitted by monoloco(49),

Encapsulated organisms run rampant in patients who have no spleen, whether physically or functionally. (Recall the wide-array of sequalae sickle cell patients experience thanks to their functional autosplenectomy.)

sympathetikey  Agreed -- went with E. Coli like a dingus, just because I didn't associate DIC with S. Pneumo. Thought it was too easy. +  
chillqd  Isn't E. Coli also an encapsulated organism? What makes Strep pneumo more likely in this question just because its the more common cause? +1  
studentdo  Pseudomonas aeruginosa is encapsulated as well. I think the right answer has to do with DIC but why? +1  
mgoyo89  The only reason i found was S. pneumo is more common, I went with Pseudomonas because of the "overwhelming sepsis" :( +  
kard  Everyone is correct about the Encapsulated microbes, but this is one of those of "MOST LIKELY", and by far the most likely is S.Pneumo>>H.infl>N.Mening. (omitting that patients with history of splenectomy must be vaccinated. +