need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 19 Answers

nbme19/Block 3/Question#34 (reveal difficulty score)
52 yo man, 4 hours of severe headache, ...
Increased total peripheral resistance and decreased cardiac output ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +0  upvote downvote
submitted by โˆ—cassdawg(1780)
get full access to all contentpick a username

Propanolol is a nonselective beta blocker:

  • Blockade of beta-1 receptors: beta-1 typically cause an increase in heart rate, so blockade causes decrease in heart rate and contractility. CO = HR x SV so there is an overall decrease in cardiac output
  • Blockade of beta-2 receptors: beta-2 receptors normally cause relaxation of smooth muscle and vasodilation, so blockade causes constriction and therefore increases total peripheral resistance (decreased radius leads to increased resistance)
get full access to all contentpick a username
waitingonprometric  giving a non-selective beta blocker will cause unopposed alpha effects (i.e. vasoconstriction), this is the opposite of what you want in this patient +



Must-See Comments from nbme19

aliyah on Retinal cells
ajguard26 on Confined placental mosaicism
blueberriesyum on Frontal lobe disinhibition
ajguard26 on Omeprazole
cassdawg on Basophilic stippling
cassdawg on Anemia
aliyah on CD8+ T lymphocyteโ€“mediated killing
peteandplop on Coronary vasospasm due to alpha1-adrenergic ...
cassdawg on Histamine
shadowbox on 1 in 600
drdoom on Libido: decreased; Noctural erections: normal
cassdawg on Ewing sarcoma
corndog on Decreased lysosomal hydrolase activity
cassdawg on Decreased functional residual capacity

search for anything NEW!