NBME Step 2 CK Form 8 Propranolol (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#18 (reveal difficulty score)
A 32-year-old man comes to the physician ...
Propranolol 🔍 / 📺 / 🌳 / 📖
tags: neuro inc

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submitted by ∗step_prep(148)

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Young man with history compatible with migraines (throbbing headaches associated with aura [nausea, vomiting, photophobia]) that are increasing in frequency and are refractory to abortive/acute treatments, making this patient a good candidate for prophylactic migraine medication
Key idea: Indications for migraine prophylactic medications include (1) Headaches > 4 times per month or long-lasting [>12 hours] (2) Disabling symptoms (missing work) (3) Refractory to abortive medications
Key idea: Potential prophylactic migraine medications include Topiramate, Valproate, Beta blockers (such as propranolol), calcium channel blockers or amitriptyline (TCA antidepressant)

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aoluwatayo FOR TREATMENT OF MIGRAINE; TRIPTANS, ERGOTAMINE, ANTIEMETICS +1

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