Q Bank 2

Front 1

steroid acne is described as...?

Back 1

monomorphous red papules with NO open/closed comedones.

Front 2

Tx for breastfeeding jaundice

Back 2

mild/moderate - continue breastfeeding

severe/high bili - stop for 24 hrs then continue

Front 3

Neonatal sepsis trick.

Looks alot like jaundice + fever/hypothermia.

Back 3

ok

Front 4

When is IV pyelography indicated?

Back 4

diagnose renal calculi, GU neoplasm, papillary necrosis.

Front 5

Oliguria in pt with no renal disease is...?

Back 5

< 400 cc per day

Front 6

What is the most important step of management in rib fracture? Why?

Back 6

Pain control to maintain ventilation. Severe pain is the cause of hypoventilation.

Front 7

Undiagnosed pleural effusion with or without suspicion of diagnosis, is diagnosed with...?

unless 1 exception.

Back 7

thoracentesis.

clearcut CHF.

Front 8

Name 3 tests for infertility due to aging in women.

Random fact: 20% women runs out of ovaries at age 35.

Back 8

1) clomiphene challenge
2) early FSH level
3) inhibin B level.

Front 9

Target limit of HbA1c is...?

Normal HbA1c is...?

Back 9

<7% by studies. this is diabetic goal.

<6% is what normal ppl have.

Front 10

tx of small cell cancer is mainly chemo. remember it can also cause SIADH.

Back 10

ok

Front 11

Tricks of Diabetic neuropathy

If UMN signs are mentions, consider spinal compression and get MRI. DM neuropathy is primarily LMN defect. Motor defects are very late in DM's.

Back 11

UMN include babinski, hyper-reflexia.

Front 12

Some key statistics numbers.
RR = 1 > 1 < 1 means...?
p<0.05 means what confidence interval?
p<0.01 means what confidence?

Back 12

RR > 1 = positive association. = 1 means control and trial group is the same.
95%
99%

Front 13

Cellulitis Facts
1) they have systemic signs like fever chills etc.
2) What does fungus have to do with cellulitis??
3) Tx

Back 13

1) ok
2) fungus predisposes to cellulitis, esp for recurrent ones.
3) IV nafcillin or cefazolin for cellulitis w/ systemic signs
4) Oral dicloxacillin for cellulitis w/o systemic signs.

Front 14

Extra-renal complications of AutoDom polycystic kidney diseases include...?

PKD has PAINLESS bilateral palpable ab mass! usually a-sx with HTN.

Tx

Back 14

cerebral aneurysm
hepatic/pancreatic cysts
valvular defects
colon diverticula

ACEi is preferred for HTN. surgery if progressed that far.

Front 15

Klinefelter XXY vs Fragile X CGG-3peat.

what's the diff?

Back 15

XXY think of girly guy with small testes, moobs, etc

Fragile X think big testes, lax joints, long face, retard.

Front 16

adenosine is not useful in ventricular tachy. it is for SVT.

Back 16

k

Front 17

Prostate causing urinary sx in elderly is a given. what is the next step before giving meds?

Back 17

U/S to assess hydronephrosis.

Front 18

chronic cougher with obvious cause such as GERD, smoker, postnasal drip should start with first gen anti-H2 (chlorphreniramine) or anti-H2 + decongestants.

Back 18

no inhaled steroids somehow??? wtf is this shyt.

Front 19

Some fkin bullshyt piece of crap about diarrhea.

Traveler. Any length of time (even up to 4 wks). Diarrhea. Prescribed Abx does not help (did not prescribe metronidazole).

Mechansim?

Back 19

Giardia

adhesion and malabsorption.

Front 20

Bronchoalveolar lavage takes samples

it is indicated for?

Back 20

suspicions of malignancy or opportunistic infxn. Not very useful for everything else.

Front 21

Golf ball feel under the skin of a lesion

-wtf does this mean?

Back 21

lipoma!

Front 22

Trichomonas... pt and partner or just pt? oral vs topical abx?

Back 22

oral metronidazole for both to prevent recurrences.

Front 23

Thalassemia keywords.

Look for target cells on smears! B-thalassemia is very similar to Fe deficiency but the MCV is sosososo low whereas Fe def may be moderately low.

Back 23

ok

Front 24

In any fkin case of fractures, look for signs of vascular compromise such as bruits or coldness etc. What is your next step if you find these signs?

Back 24

angiogram!

Front 25

CLL is a pretty good disease of older population. Apparently, it is usually incidentally found. CLL is benign unless severe.

What is the one biggest clue in peripheral smear that it is CLL?

Back 25

smudge cells = fragile cells that smudges out during preparation process.

The one biggest poor prognostic factor is thrombocytopenia.

Front 26

Esophageal cancer diagnostic steps?

Back 26

Barium swallow followed by endoscopy

if negative but still suspect, try PET scan.

Front 27

Tricks

-pt comes in with terrible wbc differential concerning for bone marrow malignancy. You consider doing bone marrow biopsy. However, he also has symptomatic hypercalcemia. What is the best next step?

Back 27

treat hyperca first w/ IVF.

Asx or mild hyperCa (<12) = no tx, avoid dehydrate.
Severe >14 HyperCa: acutely IVF, chronic bisphosphonate.

Front 28

Diaphragmatic Injury
-common after accidents.
-xray shows opacity of left lower lobes (which is actually the hernia)
-which side is more common?

Back 28

left side more common since right side is protected by liver.

Front 29

Physician has obligation to court order parents to comply with certain treatments that will do much more good than harm. Also non-treatment has high mortality risk.

Back 29

dam

Front 30

what etiology of hypercalcemia is treated with steroids?

Back 30

sarcodosis and lymphoma.

Front 31

This is something you just gotta memorize

Medulloblastoma in kids. #2 MCC posterior fossa tumor (after cerebellar astrocytoma). Most commonly affects....which area and what are the sx?

Back 31

cerebellar vermis

sx = all typical mass effect signs + gait, trunk dystaxia, nystagmus.

Front 32

Primary Hyperaldosterone... odd facts.

-Pt are usually asx and found to have familial HTN.
-Pt are very prone to hypoK+ after starting HCTZ!

Back 32

if this happens, think hyperaldo and measure renin-aldo ratio!

Front 33

Prolactinoma (pituitary adenoma) are always treated with DA agonists first.

Bromocriptine and Cabergoline (remember this trick).

Back 33

d

Front 34

You got this right, but were a little hesitant. Just a reminder.

Conduct Disorder (<18yo) = Antisocial Personality (18+yo)

Back 34

k

Front 35

4 Indications of PCN ppx during delivery given that GBS status is unknown.

Back 35

1) delivery < 37wks.
2) membrane rupture > 18hrs ago.
3) GBS bacteruria at anytime during the pregnancy.
4) Prior hx of GBS sepsis infant after preg.

Front 36

Finally you get to learn Fanconi's Anemia!
>>X-recessive onset anytime before age 16!
*Aplastic anemia (maybe pancytopenia)!
*hypopigmented, abn thumb bones!
*middle ear abnormalities!
Tx? Mechanism of Fanconi?

Back 36

Tx is stem cell transplant

Mechanism of Fanconi anemia is some chromosomal break.

Front 37

Oddly enough, thymoma has pure red cell aplasia.

Back 37

not sure why. dont feel like finding out.

Front 38

What are most of the drugs that can potentiate warfarin?

what diet has plenty of vitamin K to decrease warfarin ASE?

Back 38

acetaminophen
NSAID
amiodarone
abx

--veges!

Front 39

HSV encephalitis. As if clinical or CSF diagnosis is not enough, PCR is the gold diagnosis.

Back 39

ok

Front 40

Xanthelasma, as you know, is well associated w/ XOL. but guess what, it's also associated with PBC! that female autoimmune biliary cirrhosis with the positive AMA

Back 40

lel

Front 41

Tx of claudication or PAD.

3 steps of management!

Back 41

1) low dose ASA and statin.
2) supervised exercise program.
3) if 1,2 fails, surgery.

Front 42

Another trick of Kawasaki.

If you don't have strawberry tongue but has fissures of the lip, it still counts as mucositis!

Back 42

ok

Front 43

Pancreatic cancer
1) what are the few associated events that causes you to think this diagnosis? among the other staple sx.
2) HOw do you diagnose this in terms of presentation with jaundice vs non-jaundice?
3) What can you say about the tumor location with respect to abv question?

Back 43

1) recent onset DM, migratory thrombophlebitis.
2) U/S if jaundiced. CT if not
3) Jaundiced = tumor at head of pancreas. Not jaundiced = tumor at body or tail of pancreas.

Front 44

Open angle glaucoma opthal exam

just remember these keywords.

Tx

Back 44

cupping of optic disk

slow loss of peripheral vision "tunneling"

Tx: PGE (lanoprost), Timolol, physostigmine, etc.

Front 45

More Associations
1) Aortic Regurg = widened pulse (pt feels like palpitation at times).
2) Aortic Stenosis = weak pulse

Back 45

most common cause of aortic regurg is rheumatic fever worldwide. In USA, it is aortic root dilation and bicuspid aortic valve.

Front 46

YOu seem to be pretty ret@rded when it comes to calcium. So here goes again.

ANY Fkin ab defect can cause malasorption hence hypo-Vit D hence low Ca. Body reacts by secondary hyperPTH restoring normal Ca but low P. Bone is hurt. ok

Back 46

fk you.

Front 47

Selegiline or however you spell this shyt is MAOi that's all you need to remember.

Back 47

cuz fkin q bank always use the most obscure drug of a class.

Front 48

Another fkin obscure drug.

Trihexyphenidyl is....? what is it for...? what other are in its class?

Back 48

anticholinergic, for parkinson, like benztropin.

You know what, anticholinergics can induce glaucoma. that's why you can use physostigmine to treat open glaucoma.

Front 49

CXR for pneumonia
1) when to get it?
2) when is it negative despite its pneumonia?

Back 49

1) everytime you suspect pneumonia! confirmatory test!
2) <24hrs of onset, dehydrate, PCP, neutropenia, or atypical pneumo.

Front 50

Leprosy!!! is a chronic granulomatous disease that affects.... which 2 things???

Back 50

nerves and skin! do skin biopsy for acid fast bacilli mycobacterium leprae.

you may see hypopigmented skin lesion w/ no feeling on that lesion!

Front 51

ASD is asx mostly. No cyanosis.

If there is a mumur it will be where and why?

Back 51

pulmonic valve due to extra load.

Front 52

VSD will not have cyanosis either.

murmur is holosystolic.

Back 52

ok

Front 53

Just remember lead poisoning is microcytic anemia. also does renal dmg, neuro stuff. ok

Back 53

ok

Front 54

Fking Hyperbilirubinemia Syndromes
1) Defect in Hepatic Storage
2) Auto-recessive cause of elevated unconjugated bilirubin.
3) Dubin-Johnson is like #1 except?
4) Liver steatosis due to long long OCP use

Back 54

1) no sx. nothing elevated except both direct and indirect bili.
2) this is the only one that's fatal and req phototherapy or liver transplant (crigler-najjar = crazy name = bad fate).
3) just direct bili is elevated primarily. and biopsy shows really black hepatocytes for some reason.
4) yeah ok, your gonna have elevated AST/ALT.

Front 55

Renal or ureter stones.

- what is the preferred diagnostic test?

Back 55

#1 is non-contrast CT of ab and pelvis.

#2 is IV pyelography (used to be favored, but not anymore due to contrast). Know that pyelography is xray with contrast. Xray in itself cannot see 15% of radiolucent stones.

Front 56

Waldenstrom's Macroglobulinemia is rare chronic plasma cell neoplasm that shows spike in IgM in PCR. it invades marrow and causes anemia, thrombocytopenia and demyelinates crap.

How does it differ from MGUS or MM?

Back 56

MGUS is mostly asx or have mild sx.

MM is very similar in presentation but IgA and IgG are involved instead. IgA is the heavy chain.

Front 57

Complicated pregnancy matters.

If Father is Rh + and Mother is Rh -, we give anti-Rh IgG obviously at 28wk and postpartum. However, if later we find the mother to be strongly anti-Rh+, it is obvious the therapy has failed. What is the most likely reason it has failed?

Back 57

Low post-partum anti-Rh+ dose.

Front 58

NSAID and pregnancy

be specific

Back 58

No NSAID during 3rd trimester for sure. Premature closure of PDA.

Front 59

Obstructive lung disease FEV/FVC ratio

Restrictive lung disease

Back 59

below 80%

>80%.

Front 60

Osgood-Schlatter's Tibial Bone Dz.

It is apophysitis of patella/tibia knee region worse w/ adolescent exercise and extension of the knee!

Tx?

Back 60

NSAID, stretching, less activity.

Front 61

Significant H&P's to diagnosis
1) bursitis
2) tendonitis

Back 61

1) pain w/ direct pressure (sleeping), maybe swelling.
2) not sure but has pain/swelling/heat after a noticeable tweak. just remember you tweaking your ankles in basketball games.

Front 62

Baker's cyst occurs in popliteal fossa where inflammed synovium makes too much fluid.

Associated with which 3 conditions?
Tx?

Back 62

RA
OA
cartilage tears.

Mostly, no Tx. Steroid, drainage may be done if asked.

Front 63

Avascular Necrosis: Radiology

X-ray
MRI

Tx

Back 63

xray will be negative in first few months

MRI is the most accurate.

Tx is mostly surgical. Non-surgical is unfavorable.

Front 64

Rotator Cuff Tendinitis vs Adhesive Capsulitis

Back 64

1) Rotator Tendinitis: very similar except lidocaine injection allows significant improvement in ROM. Even rotator cuff tear does not improve w/ lidocaine.

2) Adhesive is fibrosis of shoulder capsule and does not improve with lidocaine injection.

Front 65

Must remember association:

Myeloproliferative Disorder (such as poly vera) causes shyt-tons of basophil production. So what you get after hot shower?

Back 65

HA and extreme itch!

Front 66

If no neuro sx... even if description of back pain suggest dangerous things, start with x ray first. then MRI if xray negative.

Back 66

lol k.

Front 67

If a young adult female has very RA-like sx plus facial rash, some renal red flags, etc...think lupus.

SLE joints differ from RA joints because?

Back 67

non-deforming! less likely to have erosions.

Front 68

Coffin lid shaped crystal is associated with struvites. Don't get confused when placed in same sentence as rhomboid shaped CPPD crystal!

CPPD is associated with which systemic disorder?

Back 68

hyper-PTH. Recall inc Ca intake reduces gout.

Front 69

Giant cell arteritis's famous complication.

Think of it this way. which system is giant cell arteritis part of? hence its complication? how do you manage it?

Back 69

aortic aneurysm!

serial CXR!

Front 70

Any inflammatory arthritis that resolves within 2 month should be considered viral. Hep, B19, mump, rubella, etc.

Back 70

ok

Front 71

Erythema nodosum dDx and next steps
1) If pt has no acute GI exacerbations...?
2) If pt has acute GI exacerbations..?

Back 71

1) CXR for sarcoidosis, TB (may sub PPD), or ASO titer.
2) colonoscopy.

Front 72

RA vs polymyalgia rheumatica

If sx of joint pain are mostly confined to neck, spine, hip without mentioning fingers (and swelling etc)... cross RA off the list. Tx is...?

Back 72

steroids, with great success.


In RA, small joints are invovled first. large joints late in disease.

Front 73

Charcot's neurogenic arthropathy is a gay one.

-imaging looks like OA but has deformities and shyt like RA. Also grossly deformed.

Cause?

Back 73

repeat insult to weight bearing joint commonly associated w/ DM, and any other nerve dmg.

pain is mild.

Front 74

Chronic ankylosing spondylitis results in osteoporosis and complications include easy vertebral fx

sx therefore will be severe persistent back pain out of little injuries.

Back 74

k.

Front 75

migratory arthritis causes include...?

Back 75

gono
SLE
lyme's
rheumatic arthritis

Front 76

For reasons only to trick you, those who have osteomyelitis may not have fever or elevated WBC.

Back 76

fk you then

Front 77

Common Question missed
> End stage cancer pt with anorexia and wt loss shoudl take which drug to improve eating?

Back 77

steroids

PGE analog (megestrol or medroxyprogesterone).

Front 78

Wiskott-Aldrich =

Back 78

recurrent pneumonia, eczema, thrombocytopenia from impaired platelet production.

Front 79

polycythemia requires hematocrit > 65%

Back 79

ok

Front 80

Pt with evidence of pulm embolisms should be given anti-coags first then diagnostic tests.

Pt w/ low suspicion of DVT should be d-dimer test first but higher suspicion should be given compression ultrasound first. So for DVT, diagnostics first.

Back 80

ok

Front 81

Management for SIADH tumor cells is resect tumor if possible. Otherwise if decided to wait, how do you stop the SIADH?

Back 81

fluid restriction. not DDAVP.

Front 82

Hairy cell leukemia specials.
1) Bone marrow shows? successful or no?
2) cytochemical shows?
3) prog
4) tx

Back 82

1) Dry tap, often unsuccessful due to fibrosis.
2) TRAP stain (tartaric resistant acid phosphatase).
3) Prog = most benign leukemia
4) Tx w/ cladribine.

Front 83

Hemolytic anemia + Thrombocytopenia

+/- AMS, renal failure, slight fever.

What is the likely diagnosis? What will peripheral blood smear show?

Back 83

TTP = clinical diagnosis. ADAMTS13 not needed.

lots of shistocytes!

Front 84

Citrates in packed red blood cell transfusions can chelate Ca and Mg much like albumin and cause paresthesias.

Back 84

ok

Front 85

Glucagonoma
- presentation
- easily mistakened for?

Back 85

-mild DM, hyperglycemia, necrotic migratory erythema, watery diarrhea, anemia, wt loss!
-DM, but is quite easily treated w/ oral agents and diet changes unlike real DM.

Front 86

Small cell carcinoma = which sx?

Squamous cell carcinoma = which sx?

Back 86

ACTH and SIADH.

PTHrp only

Front 87

women with multiple spontaneous abortions + DVT... think think think?

Back 87

lupus or APL

Front 88

Leukemoid Reaction is an extreme rxn to stress or infxn maniefsts with high WBC count >50k and slightly high platelet count > 400k. BUt normal Hb.

Back 88

k

Front 89

Superficial Thrombophlebitis
1) associated with what?
2) presents with what?

Back 89

1) occult cancers! pancreas, stomach, lungs! associated w/ smokers
2) unusual site of migratory thrombophlebitis like arms and chest.

Front 90

If anemia is accompanied by reticulocytosis, then it's hemolytic anemia.
1) warm hemolytic anemia associations?
2) Tx

Back 90

1) associated w/ NHL and CLL
2) prednisone, else splenectomy.

Front 91

Pernicious Anemia is most common in which groups of folks?

Back 91

Euros. so think other autoimmune crap.

Front 92

Serous otitis media.. how do you get this crap?

Back 92

HIV = big lymph nodes = compress.

Front 93

INH toxicity = what types of tox?

no skin problems you dumbfk

Back 93

neuro tox and hepatotox.

Front 94

New onset diabetes.... name the fkin things that cause it. don't just give me one. give me at least 3!

Back 94

hemochromatosis
pancreatic cancer
some other crap donno.

Front 95

Trastuzumab for Her2/neu positive patients

what's ASE w/ chemo?

Back 95

heart tox hence perform echo.

Front 96

Normally, sickle cell pt has high reticulocyte count. But in aplastic crisis, sickle cell patients have ~1% reticulocyte count.

1% is normal though. BUt for sickle cell pt, 1% is like non-existent!

Back 96

ok

Front 97

acidified glycerol lysis test is for?

eosin maleimic binding test is used too.

Back 97

spherocytes. i think it's part of osmotic fragility test.

Front 98

In breast cancer

Her2/neu expression is considered worse prognosis BUT... can be treated with trazustunub.

Back 98

kk

Front 99

Tricks

Metastatic brain lesion most commonly occur where? and is solitary or multiple?

what is the prefered tx?

Back 99

solitary AND multiple! it can appear as either!

gray-white junction!

best tx for solitary brain met is surgery! then radiate anything left!

Front 100

Small cell carcinoma of the lung is the only one that cannot be surgically removed. Must use combo chemo!

Back 100

kk

Front 101

CML vs leukemoid rxn (given the labs with high high WBC with mostly bands, high platelet, and anemia).
1) difference in sx?
2) difference in lab tests?
3) what is tartrate resistant acid phosphatase?

Back 101

1) CML has B-sx
2) leukemoid rxn has elevated leukocyte alklaline phosphatase (LALP) while CML has decreased LALP.

3) it's present in hairy cell leukemia dumb fk.

Front 102

Pt comes in with mouth papules that blanch, random hx of nose bleeds, signs of digital clubbing (aka low O2 aka erythrocytosis aka high hematocrit).

Labs show normal WBC and platelet. what is this disorder? and why the nose bleed?

Back 102

Hereditary telangiectasia (Osler Weber Rendu)

***diffuse AVM that can occur anywhere! shunting in lungs cause clubbing. AVM in nose = epistaxis = nose bleed.

Front 103

Tips of lung cancer

-which cancers are central and which are peripheral? it's easier than you think! just think the two most memorable ones are central!
-which one can have cavitations and necrotic? this is easy!
-what is the only lung cancer that can have gynecomastia or galactorrhea (up PRL)?? this is tough! you haven't heard this before so it can't be the typical ones!

Back 103

1) sq and small cell!
2) sq
3) large cell carcinoma

Front 104

Hyposthenuria is inability to concentrate urine so results in nocturias.

Usually you see FHx of siblings with blood disorder. If you still don't get it, usually they're African American.

What's the cause?

Back 104

sickle cell trait or sickle cell dz!

Front 105

Breast Cancer Tips
1) Pt w/ no hx of skin disease develops breast rash unresponsive to standard therapy think...?
2) Most paget's has what type of cancer?

sx = unilateral eczematous nipple rash unresponsive to tx.

Back 105

1) breast cancer! not fibroadenoma and shyt, but cancer! most likely paget's!
2) adenocarcinoma!

Front 106

ITP Tx: very different approach from kids to adults!
1) Kids - when to observe vs give IVIG/steroids?
2) Adults- when?

Back 106

1) Observe if only see petechiae but NO bleed yet. Tx if bleed. Even if platelet is 0, you don't treat.

2) Adults should be treated if platelet <30k! OR bleed! either one!

Front 107

Put it all together!

Young Adult!
Northern European!
Anemia!
Jaundice, possible cholecystitis!
Splenomegaly!

What is the Dx and how are these things related??

Back 107

Hereditary Spherocytosis (common in N. Euro).

hemolysis -> pigmented cholecystitis.

Front 108

Thalassemia vs Fe deficiency again!

1) labs!

2) What does abnormal iron utilization mean?

Back 108

1) thalassemia has all labs normal! RDW, ferritin, iron binding capacity.
---Fe def = RDW increased, Low serum Fe + ferritin! High others.

2) a way of describing anemia of chronic disease!

Front 109

Most accurate test for lactose intolerance is ?

Back 109

acid breath test after giving lactose.

Front 110

FAP = familial adenomatous polyposis = how to treat?

HNPCC (hereditary nonpolyposis crap) = how?

Back 110

100% cancer rate so colectomy if find (usually around 20yrs old).

--impaired DNA mismatch with high cancer risk, surgery too.

Front 111

Pt with brain metastasis. Without any other info, what's the most likely origin?

Back 111

Lung > breast > ? > melanoma > colon. the rest are not likely.

Front 112

HIT 1 vs HIT 2

You already have a flashcard on this but this one discuss a different matter. What is the two biggest difference that determines management? Hint (timing and platelet count)

Back 112

HIT 1 = first 1-4 days and platelets >100k! OBSERVE!

HIT 2 = 5-10 days after heparin and platelet usually < 100k!

Front 113

DIC vs Vitamin K deficiency

Given elevated PT and PTT.
Given Platelet > 100k.

Back 113

Vit K deficiency.

Front 114

Surgery Preparation
1) Pt under age 35 w/o CAD Hx, what must be done?
2) Pt w/ Hx of CAD, what must be done preop?
3) Smokers

Back 114

1) EKG
2) EKG + Stress test + Echo for EF!
3) PFT

Front 115

Trauma And Airway
1) Facial Trauma requires?
2) No facial trauma, which type of intubation?
3) cervical spine injury?

Back 115

1) crciothyrodotomy
2) orotracheal tube
3) orotracheal tube done by flexible bronchoscopy.

Front 116

SIRS = 2/4 of what?

Back 116

Temp <36 or >38
HR > 90
RR > 20 or pCO2 < 32.
WBC < 4k or >12k.

Front 117

In which type of shock is....
1) PCWP elevated?
2) extremeties warm?
3) treated w/ fluid and pressors?

Back 117

1) cardiogenic
2) spetic and neurogenic
3) all except cardiogenic. add abx for septic.

Front 118

SIgns vs Ab Trauma
1) Cullen's Sign or Bruise around umbilicus
2) Bruising around flank
3) seatbelt bruise
4) Free air under diaphragm on XR

Back 118

1) hemorrhagic pancreatitis or ruptured AAA
2) retroperitoneal hemorrhage
3) deceleration injury.
4) Bowel perforation

Front 119

Blood at Urethral meatus + high riding prostate

next step management?

Back 119

KUB + retrograde urethrogram

then foley for voiding but never before.

Front 120

Bowel Ischemia next step managements!

Back 120

IVF angio surgery.

Front 121

Orthopedics: Fracture rules
1) Alwyas diagnosed with?
2) Closed reduction is for?
3) Open reduction + internal fixation for?
4) Open reduction for?

Back 121

1) xray
2) mild fx w/o displacement, except stress fx.
3) severe fx w/ displacement.
4) skin must be closed and bones debridement in OR.

Front 122

Trigger finger
1) mechanism
2) Tx

Back 122

1) steonsis of tendon sheath of finger
2) steroid, else surgery.

Front 123

Fat Embolism pO2 is generally around?

Back 123

< 60mmHg, so management should keep pO2 > 95%.

Front 124

ACL is generally tx'd with? (significant swelling)

MCL/LCL is tx?

Meniscal tx? (popping w/ flexion and extension)

Back 124

all are arthroscopic repair + rehab

all dx with MRI.

Front 125

surgery is indicated for AAA > ?cm

Back 125

5cm

Front 126

wind water walk wound wonder by POD's is in interval of 2's.

1-2 days (wind). 3-5 days (water). 5-7 days (walk). 7 days (wound). 1wk-2wks (wonder).

Back 126

z