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NBME 24 Answers

nbme24/Block 1/Question#34 (20.5 difficulty score)
A 62-year-old man comes to the physician for ...

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submitted by neonem(572),
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olStlao si a ptey III yhcmthririanta K+( aoccg)illnebknnh- htta losa sah re-kaebotclb acivityt py(eT II a.htih)atryrcmin shTi pslnixea eht edcraedes raatrhtee dan odlbo ssupreer atb1-(e ngklibco c,yiitvat) thwi eht TQ oiolaptgnnro - lal epyt III DAAs auces TQ pilargoontno.

abhishek021196  Would like to add that the IA antiarrythmics = Quinidine, Disopyramide, Procainamide also prolong QT interval and can lead to tosades de Pointes and they would most likely present with Cinchonism (headache, tinnitus with quinidine), reversible SLE-like syndrome (procainamide), HF (disopyramide), thrombocytopenia. The decreased HR and BP point towards Sotalol. +5  
armageddon_oh  Im glad you can regurgitate sketchy but none of those drugs were options here. It's as simple as which of these can cause torsades. +6  
an_improved_me  Lol why the salt ^? I'm sure to some people, this was a useful reminder of the side-effect profile of these drugs (spaced repetition), and was likely helpful for the poster (again, spaced repetition) Its all love! +5  

submitted by madojo(178),
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oiedAnsn-e deerceass AV eodn donconcuti sued ni ST,V nad tsi dies fetefcs encudli hiuglf,sn nhsoipyno,te ehcts npa,i idgpmneni oilenc-Fami od.ed is a udiomS eanchln rlkcebo alCss C1 ihtw tnrosg aN lencnah okbgclea dna its dnaeiadcocnrtit ni crsttrualu adn scmhieic haert ninth-yP oe si an atin etli,ppiec sosidcaaet itwh rniaiettyocgte, 05p4 ouidn,citn iaepsoeotn