Variable sensitivity

my concerns about NTG has direct effect on BP by reducing preload rather than afterload, even LSD will decrease volume and that will affect preload , low cholesterol have no direct immediate effect as it reduces P/o Atherosclerosis and may work to < afterload on long basis. so why not preload over decreased SVR??

Referoff: Resistance to Thyroid Hormone (RTH), is a rare genetic disorder where the body's tissues respond poorly to thyroid hormones. This causes the thyroid to overproduce hormones, resulting in a unique lab pattern: elevated thyroid hormones (Free T3 and Free T4) with an unsuppressed or slightly high TSH (thyroid-stimulating hormone).

Is this answer correct? They answer it colloid depletion

Here, I want to review my mistakes and learn something new

Chest radiology reveals bronchiectasis

Hi everyone

My name is Fortune

I'm an IMG from Nigeria and 2 years away from graduation

I'm looking to specialise in paediatrics neonatology

Just need to go through with this disease

Welcome to the USMLE Step 1 Community. Why not take some time to introduce yourself, let us know what you do, where you come from and what your healthcare interests are.

In the question says "Blood cultures grew gram-positive cocci in clusters" which made me think of Staph but the medical history madde me think of Strep. Now, I don´t know if it was a coinfection or what happened there

Behçet Syndrome is a Type 3 Hypersensitivity reaction. The answer provided is incorrect.

Struvite stones, form only when the upper urinary tract is infected with urease-producing bacteria such as Proteus mirabilis, Klebsiella pneumoniae, Staphylococcus,

saprophyticus.

they mentioned normal limits of RBC and glucose. testosterone induces erythropoiesis and decrease in it would decrease the RBCs too

Why is not Levodopa the right answer here?

How to understand these type of questions

streptococo neumoniae is´nt a diplococo

If no Kussmaul sign, unlikely constrictive pericarditis or cardiac tamponade( absence of muffled heart sounds also rules this out).

No forward symptoms, thus rules out aortic stenosis.

Being an acute condition rules out MVP as MVP in a chronic setting can progress to Right heart failure symptoms.

But here it's an acute presentation, so most probably acute post-MI Right ventricular failure.

Wrong answer. In this clinical scenario, hydrochlorothiazide is the most likely candidate for discontinuation.

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