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NBME 24 Answers

nbme24/Block 1/Question#34 (20.3 difficulty score)
A 62-year-old man comes to the physician for ...
SotalolπŸ”
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 +12 
submitted by neonem(571),
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Sloltoa si a peyt III trrcthmhaayiin +K( geklnc-cbi)olnhna taht sola sha c-obeklabrte vttaiyci e(pTy II )hmrnrtiayaci.ht Thsi insaxelp the derseaced teraaehtr nda ldoob eesrprsu (1tab-e clignkbo ,v)tiacyti iwth hte QT oinarpngootl - all tpye III DAAs ecusa QT npni.ltoaorog

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. +3  
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! +2  



 +2 
submitted by madojo(177),
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nneoiAse-d rsceeedas AV enod cuocdonitn udse in ST,V adn tsi desi tecfesf eluindc sn,ghiluf ,oponietsnyh htcse aip,n pniidmgne lm-nioa.odiecFed si a duoimS nelahcn lbkecro lasCs 1C hwti onsgtr Na lcennha agbelkco nad sti cdtacioaretnnid ni rucastlrtu and chiismec ehatr iasees.d y itne-ohnP is an iatn pcpiilt,ee taiossdcae wthi ceitoaigtrtye,n p405 intcd,oinu ieotaensop