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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 ...
SotalolπŸ”,πŸ“Ί
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 +12 
submitted by neonem(572),
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Slotalo is a yept III hhrtyniiatrmac (K+ gleabn-nn)cikhloc thta slao ash ocbkbrealte- ticvtiay pyTe( II )hnihmtryrc.itaa Tshi lexsinpa teh ddecerase hertaaert dna bdolo eusrpesr 1-a(etb kngobcil at,ctiiyv) ithw hte TQ rigotonolnap - lla epyt III AADs aeusc QT antrnolpg.oio

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. +4  
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! +4  



 +2 
submitted by madojo(177),
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nAid-nsoee ecesrades VA oedn tcunoocndi eusd in ,TSV nad tis side estfecf unidlce lihgunfs, hnyenopsio,t thcse np,ia mpndiengi mFdacineoed- io.l is a dSioum lecnnah rbocelk slaCs 1C wtih rtgsno aN nanhlec akelbocg adn its cnniaoddietratc in utursrlcat adn imcchise heart eeasis.d ehPn n-toiy is an nati ipelc,ipet dsatscoaie wthi ie,atgcyteoitrn p504 ioduinctn, eopsntaioe