5/13/13 b

Question 1

What is the treatment for hydrocele in a newborn?

Answer 1

reassurance and observation, as it will likely spontaneously resolve by 12 mos

Question 2

If a communicating hydrocele does not resolve by 12 mos of age, what should be done? Why?

Answer 2

surgical removal; risk of indirect inguinal hernia

Question 3

What should be done next for a pt w/ lower GI bleeding in whom the source of bleeding cannot be identified by colonoscopy?

Answer 3

erythrocyte scintigraphy

Question 4

What is erythrocyte scintigraphy?

Answer 4

radio-labeled RBC scan

Question 5

What adult bone tumor typically occurs at the epiphysis of the distal femur or proximal tibia and has a “soap bubble” appearrance on X-ray?

Answer 5

Osteoclastoma (giant cell tumor of bone)

Question 6

In a middle-aged adult, superficial unilateral hip pain that is exacerbated by external pressure to the upper lateral thigh suggests a diagnosis of _______.

Answer 6

trochanteric bursitis

Question 7

What is the respiratory quotient?

Answer 7

ratio of O2 consumed to CO2 produced

Question 8

What is the main determinant of the respi quotient?

Answer 8

type of fuel being oxidized to ATP

Question 9

What is the respiratory quotient for carbs alone?

Answer 9

1.0

Question 10

What is the respi quotient for protein?

Answer 10

0.8

Question 11

What is the respi quotient for fatty acids?

Answer 11

0.7

Question 12

Why is the respi quotient relevant for mechanical ventilation?

Answer 12

weaning is harder if respi quotient is high

Question 13

What do needle-shaped crystals on urinalysis indicate?

Answer 13

uric acid stones

Question 14

How are uric acid renal stones best visualized?

Answer 14

CT or IVP

Question 15

What is enteroclysis?

Answer 15

x-ray of small intestine w/ contrast

Question 16

What should be done next if an unstable trauma pt is highly suspicious for intraperitoneal hemorrhage but FAST is inconclusive?

Answer 16

diagnostic peritoneal lavage

Question 17

What are the 3 major components of the Glasgow coma scale?

Answer 17

eye opening, verbal response, and motor response

Question 18

What is the usual tx of a hairline fracture of the 2nd, 3rd, or 4th metatarsal?

Answer 18

rest and analgesics, hard-soled shoe

Question 19

Does bowel obstruction or paralytic ileus cause decreased/absent bowel sounds?

Answer 19

paralytic ileus

Question 20

If there is an amputation injury outside of the hospital, what should you do with the amputated part before transportation to the hospital?

Answer 20

wrap in sterile gauze with saline, place in plastic bag, and place on ice

Question 21

What is the tx for a penile fracture?

Answer 21

1. urethrogram

2. surgical decompression of hematoma and suturing of tunica albuginea

Question 22

What structure is torn, causing the pain and snapping sensation in penile fracture?

Answer 22

tunica albuginea, which invests the corpus cavernosum