11/9/21 CT

Question 1

fractures of the distal radius with dorsal angulation and comminution

Answer 1

Colles fractures

Ulnar styloid fractures are associated

most common adult wrist fracture

Question 2

The ulnar nerve is responsible for the sensation of what part of the hand?

Answer 2

The palmar and dorsal surface of the 5th digit and the medial aspect of the 4th digit.

Question 3

Motor function of the median nerve can be tested by

Answer 3

having the patient make an “OK” sign (pincer function of the thumb and index finger) or oppose the thumb and fifth finger.

Question 4

Indication for deferoxamine in the treatment of iron overdose?

Answer 4

Fe level > 500 mcg/dL

or

severe signs and symptoms such as metabolic acidosis, repetitive vomiting, toxic appearance, lethargy, hypotension, or signs of shock

Question 5

Blast Injuries

1°- 4°

Answer 5

1°: blast pressure wave → hollow organ injury
2°: projectiles from explosion
3°: blunt trauma from explosion
4°: environmental hazards caused by explosion
Most common blast injury: tympanic membrane rupture

Question 6

What are the elements and maximum and minimum scores of the Apgar score?

Answer 6

Appearance (color), pulse, grimace (irritability to suction), activity (muscle tone), and respiratory effort. Maximum score is 10 and minimum 0.

Question 7

Neonatal Resuscitation

After all deliveries

Answer 7

Clear secretions if needed
Warm
Dry
Stimulate
Assess HR and respiration

Question 8

Neonatal Resuscitation Resuscitation indications

Answer 8

Resuscitation indications: apnea or labored breathing, bradycardia (HR < 100 bpm)

Provide PPV
If no improvement: take ventilation corrective steps
If HR < 60 bpm: intubation, compressions

Question 9

What is the most appropriate test to diagnose a bile leak status post cholecystectomy?

Answer 9

Hepatic iminodiacetic acid (HIDA) scan.

Question 10

_________ accounts for the majority of cases of superior vena cava (SVC) syndrome

Answer 10

Malignancy

Question 11

What is the most common presenting symptom of superior vena cava syndrome?

Answer 11

Dyspnea from mediastinal compression.

Question 12

Tracheoinnominate artery fistula usually develops when

Answer 12

within the first 3 weeks

peak incidence between the first and second week

Question 13

A simple febrile seizure is characterized by the following criteria:

Answer 13

(1) generalized tonic-clonic seizure
(2) occurring in the appropriate age group of age 6 months to 5 years
(3) seizure is less than 15 minutes in duration
(4) the child has a nonfocal neurologic exam
(5) there is no recurrence of seizures within 24 hours.

Question 14

What is the most common location of extrapulmonary tuberculosis?

Answer 14

Lymph nodes.

Question 15

Can patients with left ventricular assist devices be defibrillated?

Answer 15

Yes.

Question 16

What are the most common etiologies of hypercalcemia in the outpatient setting and in the hospitalized patient?

Answer 16

Outpatient: primary hyperparathyroidism, usually from a parathyroid adenoma. Hospitalized: malignancy.

Question 17

Sarcoidosis Treatment is __________

Answer 17

steroids

Question 18

_____________ is pathognomonic for sarcoidosis and is the most specific physical exam finding in this disease

Answer 18

Lupus pernio

chronic, violaceous, raised plaques and nodules commonly found on the cheeks, nose, and around the eyes

Question 19

What odor is classically associated with organophosphates?

Answer 19

Garlic

Question 20

What is the acceptable upper limit for plateau pressure in mechanically ventilated patients?

Answer 20

30 cm H2O.

Question 21

Ankle Sprain Most commonly injured part

Answer 21

anterior talofibular ligament (ATFL)