NBME Step 2 CK Form 6 Nitroprusside (NBME Answers)

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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#24 (reveal difficulty score)
A 62-year-old woman is brought to the ...
Nitroprusside 🔍 / 📺 / 🌳 / 📖
tags: cardio

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submitted by ∗medicalmike(82)

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Per FA - drugs for hypertensive emergency are clevidipine/nicardipine, fenoldopam (D1 agonist), labetalol, nitroprusside

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submitted by ∗step_prep7(71)

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Patient with blood pressure > 180/20 and papilledema and encephalopathy (confusion, headache, etc.) most consistent with hypertensive encephalopathy
Key idea: Potential treatments of hypertensive emergency/encephalopathy include (1) Nitroprusside (2) Labetalol (3) Fenoldopam (4) Clevidipine, nicardipine

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submitted by ∗derpymd(20)

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Thinking back on sketchy I chose clonidine. Clonidine should only be used for hypertensive urgency

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derpymd P.S. did anyone else's exam skip question 18? +

shastri96 this patient has Headache, confusion and B/L Papilloedema. so its not HTN Urgency. Its HTN Emergency possibly encephalitis. so we give IV drugs. Nitroprusside is the best suitable answer. +

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submitted by chosened(1)

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Why not hydralazine? treats hypertensive emergency per sketchy!

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ddub for eclampsia/severe pre-eclampsia (ie pregnancy) +1

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submitted by ∗sassy_vulpix(23)

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FA Step 1 clearly states Hydralazine is used for severe HTN, particularly acute :/

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sassy_vulpix Chuck that, I saw that underneath that it also says HTN emergency drugs - clevidipine, nicardipine, fenoldopam, labetalol, nitroprusside +1

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