USMLE Forum Archives - USMLE Step 3 - IM8
IM8
bingousmle - 06-20-10 05:58
A 22-year-old woman is brought to the ED by paramedics who state that they found the patient hunched over on a park bench barely breathing. The patient is rousable only to painful stimuli. Her initial vitals include a HR of 78 beats per minute, a BP of 125/58 mm Hg, and a respiratory rate of 6 breaths per minute with an oxygen saturation of 94% on 2-L nasal cannula. Upon physical examination, the patient has clear breath sounds bilaterally and no signs of trauma. Her pupils are 2 mm bilaterally and reactive to light. Which of the following agents may be used to restore this patient’s respirations?
a. Oxygen
b. Flumazenil
c. Anticholinergic inhaler treatment
d. β2-Agonist nebulized treatment
e. Naloxone
bingousmle - 06-20-10 05:58
A 22-year-old woman is brought to the ED by paramedics who state that they found the patient hunched over on a park bench barely breathing. The patient is rousable only to painful stimuli. Her initial vitals include a HR of 78 beats per minute, a BP of 125/58 mm Hg, and a respiratory rate of 6 breaths per minute with an oxygen saturation of 94% on 2-L nasal cannula. Upon physical examination, the patient has clear breath sounds bilaterally and no signs of trauma. Her pupils are 2 mm bilaterally and reactive to light. Which of the following agents may be used to restore this patient’s respirations?
a. Oxygen
b. Flumazenil
c. Anticholinergic inhaler treatment
d. β2-Agonist nebulized treatment
e. Naloxone
The correct answer and explanation will be available after you answer.
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#2
Re: IM8
bingousmle - 06-20-10 06:45 My answer is: e.
the most important thing to do in this patient is realize that he has taken an opioid overdose and hence begin an emergent treatment with naloxone
#3
Re: IM8 babbu5508 - 06-20-10 14:21 My answer is: e.
the pin pointed pupils in this case give a clue to the oipoid overdose...which should be treated by naloxone, drug used to counter the effects of opioid overdose
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