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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#12 (reveal difficulty score)
Six hours after undergoing left thoracotomy ...
Analgesic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: peds inc

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 +16  upvote downvote
submitted by โˆ—seagull(1933)

This is a great example of a poorly written question. Is the infant still sedated from the surgery or ventilated? What is even happening to the surgical site? Why is analgesic therapy not already on-board post surgery? Why is this author such a douche-bag?

Perhaps the world will never know.

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 +2  upvote downvote
submitted by โˆ—jlbae(159)

Got this one correct by process of elimination. No indications for BBs, CCBs, or diuretics. Kid is already sedated and surgery is complete so why give more sedation. Just hook the little fella up with some analgesics for his pain guys come on!

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 +1  upvote downvote
submitted by โˆ—step_prep5(246)
  • Newborn who underwent major cardiac surgery who is fussy/irritable with mildly elevated pulse and mildly increased blood pressure, which is most likely due to inadequate pain management

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