NBME Step 2 CK Form 6 Lorazepam (NBME Answers)

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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#38 (reveal difficulty score)
A 45-year-old woman comes to the emergency ...
Lorazepam 🔍 / 📺 / 🌳 / 📖
tags: psych

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submitted by ∗sassy_vulpix(23)

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PANIC ATTACKKKKKKKKK!!!!!!!!!!!!!!! !

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submitted by ∗medgirl11(20)

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Give benzo for acute panic attack symptoms

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submitted by ∗step_prep7(71)

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Patient’s presentation is consistent with a panic attack (leads to combination of paresthesias, palpitations, abdominal pain, nausea, intensee fear of dying/losing control, light-headedness, chest pain, choking, sweating, shaking and shortness of breath), with panic disorder being acutely treated with benzo’s (such as lorazepam) and prophylactically/chronically treated with SSRIs
Note: Patients often develop tingling around the lips secondary to hypocalcemia which occurs because patients begin to breathe rapidly and deeply, leading to a respiratory alkalosis, which leads to more calcium binding to negatively-charged albumin, leading to a drop in free calcium

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