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3/2 Flashcards

1
Q

watershed areas

A

splenic flexure and rectosigmoid junction

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2
Q

pain improved with testicular elevation

A

acute epididymitis

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3
Q

long bone metaphysis tumor

A

osteosarcoma

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4
Q

way to differentiate elevated direct bili

A
  • normal LLFT and alk phos = metabolism disorder
  • elevated LFTs and normal alk phos = hepatocellular injury
  • both elevated = biliary obstruction
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5
Q

Fourniers treatment

A

immediate surgery

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6
Q

most likely infection in chronic joint replacement

A

coag negative staph

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7
Q

treatment for IBD induced toxic megacolon

A

bowel rest, fluids, antibiotics, corticosteroids

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8
Q

post op fever with lid lag

A

thyroid storm

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9
Q

young patient with back pain and pulmonary nodules

A

maybe metastatic testicular cancer

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10
Q

NG tube in chest

A

diaphragmatic rupture

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11
Q

findings in burn wound sepsis

A
  • hypothermia
  • tachycardia
  • tachypnea
  • rebound hypotension
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12
Q

how celiac can lead to fracture

A

lack of vitamin D absorption - osteoporosis - fracture

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13
Q

diagnostic study for toxic megacolon

A

abdominal xray

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14
Q

most common skin malignancy in organ transplantation

A

squamous cell carcinoma

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15
Q

bladder injury causing shoulder pain

A

bladder dome - intraperitoneal

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16
Q

most rapid way to correct high INR before surgery

A

FFP

17
Q

structure damaged with distal humerus fracture

A

brachial artery

18
Q

first line in patient with breast mass

A

biopsy/ultrasound under 30

mammo over 30

19
Q

unexplained leukocytosis in hospital raises concern for….

A

c diff, even without diarrhea

20
Q

risk factors for c diff

A

antibiotics, PPI, hospitalization

21
Q

treatment of lung abscess

A

clindamycin

22
Q

new onset hypoxia with anesthetic use

A

acquired methemaglobinuria

23
Q

large oxygen saturation gap

A

difference between SaO2 and blood gas, due to methemoglbinuria

24
Q

treatment for methemaglobinuria

A

methylene blue

25
Q

tumor producing AFP and HCG

A

non-seminomatous germ cell tumors

26
Q

first imaging study for acute abdomen

A

x-ray to show free air under diaphragm

Step 2 (28 decks)

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