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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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aSlootl is a eytp III thinimhctarray K(+ nnngcia-cllheob)k that oals ahs eb-tckalrebo tiiycvat pye(T II hyar)titrinchma. Tihs nplexsia hte eradeescd taerthrea dan lodbo seserrpu ab-(1te glbnokci tv,iaytic) htwi hte TQ oirlgotpnoan - all tpey III sADA uceas QT tolip.rnngooa

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  



 +2 
submitted by madojo(178),
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eesind-Aon eaerdssec VA edon ndnooccuti seud ni ,VTS and tsi side tsffcee icdnuel nl,ufhgis hs,onytniope escht ,pain mgpniiden n .ddemeoc-aoliiF si a muSido clnhnea elorkcb lsasC 1C with ostgrn aN nnclahe keclaogb dan tis irtiotcndecndaa ni tslruacrtu dna ihmsccie ehatr ds.eaise - Ptinhnyeo is na niat piiclepte, taaicodess ihwt iteotrgcinyae,t 450p tonindc,ui oeainoespt