Q.

Pt with severe headache , ct scan shows bleed at area of ant communicating

arteies bp was normal next step

Rx , coiling or clipping and then CCB

Q.Old pt with vescicuoar lesion few days ago, not treated now develop facial palsy
what could have prevented: herpes vaccine, valcyclovir (correct )

Ramsay Hunt syndrome - Acyclovir

Q.Old pt on oxycodone treatment develop contipation what Rx: docusate ,

naltrexone(correct ) , daily enema

Q. 14 months old boy develops measles goes to day care had already received
one dose of mmr, why he developed meales?

Break in heard immunity ,

First dose is not effective

incomplete immunity ( correct )

I think classic ADRENAL wala male tha tou usmain treatment k baad testrone
zyada hoga infertility nhi hoga

Q.Aspirin toxicity question treatment , sodium bicarbonate

Q.Diabetic patient HTN, already on one antihypertensive thiazide need other

drug for HtN bcz not controlled :

ACE -

Q .Ptsd case Rx: 2 questions https://t.me/usmle_study_materials

for nightmare : prazosin (correct )

Trauma focus CBT , SSRI (correct )

Q.Lady after c section , lost 750 ml blood even after oxytosin next step
managment: ergotamime(correct )

Q.Question on serous otitis media, read presentation points: question asked next
best step,

Place wire, drain, reffer to ent , reassurance (correct )

Mother brings his son says live insect or fly in ear, physician also sees moving it
now what is next managment :

Irrigation, remove with tweezer (something like that) dont remember other
options

If removing an insect, instill mineral oil or 1 percent lidocaine to kill it prior to

irrigation

A variety of insects may take up temporary residence in the EAC (picture

6). Cockroaches are most commonly found, especially among inner city
children, as they prefer warm, dark environments. A live insect moving in a
child’s ear canal can cause considerable discomfort and occasionally may
damage the tympanic membrane and middle ear [20]. Insects should be
killed with mineral oil [21], ethanol or lidocaine [22] prior to attempted
removal to prevent excess insect movement during retrieval.

Q.Allergic rhinitis, pale blue nasal, treatment: nasal steroids (correct )

https://t.me/usmle_study_materials