NAME: ________________________

Question Types


Start With


Question Limit

of 77 available terms

Upgrade to
remove ads

5 Written Questions

5 Matching Questions

  1. 35yM with HPI epigastric pain alleviated with food, now CC acute abdomen. CXR and KUB show no free air on upright films. MNGT?
  2. Abdominal pain out of proportion to examination. DDx?
  3. 76yM alcoholic with hematemesis. Fluids and clotting factors administered. VSS. MNGT
  4. Thyroid biopsy with amyloid. DDx?
  5. HPI of Meckel's diverticulum?
  1. a medullary cancer (
    The needle biopsy revealing
    •amyloid makes the diagnosis of
    ***medullary thyroid cancer.)
  2. b vasopressin, octreotide, (
    The second step is to control the source of bleeding. Medical
    management may include
    *vasopressin or octreotide.)
  3. c CT abd, pelvis, (

    •If the plain films did not demonstrate free air and the patient
    remained hemodynamically stable, a
    ***CT scan of the abdomen and pelvis may be indicated to try to make
    the diagnosis.)
  4. d mesenteric ischemia (
    Severe abdominal pain is the hallmark presentation of
    • acute mesenteric ischemia.)
  5. e Asx, GI bleed, (
    •Meckel's diverticuli are usually found incidentally, although they
    can present with
    ***painless lower GI bleeding or
    ***inflammation
    ***confused with acute appendicitis. They are usually found within)

5 Multiple Choice Questions

  1. relax hip, ext rotate, flex, (
    The joint space is most relaxed when the
    *hip is flexed and externally rotated.
    This tends to be the least painful position for patients with
    •septic arthritis.)
  2. b9, risk to b/l breasts, tamoxifen, (
    •LCIS is a benign diagnosis and alone does not have a risk of
    progression to an invasive cancer.
    •However, a diagnosis of LCIS does increase the risk for development
    of future breast cancer at a rate of about 1% per year. It is
    important to remember that the
    *risk is increased for both breasts. It has been shown that
    *chemo-prevention with tamoxifen can decrease the incidence of breast
    cancer by 49%.
    It is also sufficient to follow this population closely with
    *annual mammograms and
    *semiannual clinical examinations.
    *Prophylactic bilateral mastectomies are an option and result in a 90% decrease in the risk of subsequent breast cancer.
    Since a diagnosis of LCIS increases the risk of cancer in both breasts, a mastectomy of the affected side is insufficient treatment.)
  3. technetium pertechnetate, (
    • diagnosed using
    ***nuclear medicine scans technetium pertechnetate
  4. needle core (
    The management of a breast lesion has become more complex as our
    knowledge regarding breast cancer development and treatment has
    continued to grow.
    •The gold standard for evaluation of a suspicious lesion on mammogram
    is a core needle biopsy.)
  5. CXR, widened mediastinum, CT, aortogram, (

    •Diagnosis is difficult, but is suggested by a
    *widened mediastinum on chest x-ray and
    *confirmed with a CT scan of the chest
    *or an aortogram.)

5 True/False Questions

  1. 35yM with HPI epigastric pain alleviated with food, now CC acute abdomen. BP 90/60, pt is derilious and toxic appearing. MNGT?CT abd, pelvis, (

    •If the plain films did not demonstrate free air and the patient
    remained hemodynamically stable, a
    ***CT scan of the abdomen and pelvis may be indicated to try to make
    the diagnosis.)

          

  2. 45yM s/p liver txt, hypoglycemia, coagulopathy, elevated ammonia, hyperkalemia, oliguria. MNGT?reassurance (

    All liver transplant patients have an initial rise in transaminases
    which should decrease over the first 48 hours. )

          

  3. Deceleration injury. Most common damage to aorta?lig art ( •In deceleration injuries, laceration involving the aorta most frequently occurs just distal to the left subclavian artery at the level of the ligamentum arteriosum. This is where the aorta is fixed and thus more susceptible to shear forces. The tear may be complete or partial.)

          

  4. 18yM with thin habitus, presents with spontaneous pneumothorax. MNGTprimary vs FHH, PTH, 24hr urine, (
    •FHH, or familial benign hypercalcemia, is a rare condition
    characterized by asymptomatic or mildly symptomatic hypercalcemia. It
    is inherited as an
    *autosomal dominant trait and the
    *parathyroid glands are usually normal in size.
    The basis for the development of FHH appears to be mutations in the
    calcium-sensing receptor gene which regulates the parathyroid gland
    set point and modulates the extracellular calcium concentration. The
    condition may be mistaken for primary hyperparathyroidism because, in
    both conditions, the
    *serum calcium and
    *parathyroid hormone levels are elevated with a
    *concomitant low serum phosphate.
    •The distinction is made by obtaining a
    *24-hour urine calcium excretion level.
    *In patients with FHH, the urine calcium level is low,
    *whereas in primary hyperparathyroidism the level is high.)

          

  5. Tx for Meckel's diverticulum?Asx, GI bleed, (
    •Meckel's diverticuli are usually found incidentally, although they
    can present with
    ***painless lower GI bleeding or
    ***inflammation
    ***confused with acute appendicitis. They are usually found within)

          

Create Set