Day 14 Review - Ob1, Ob2, Ob3

Question 1

Difference in schizo disorders: schizotypal

Answer 1

Personality disorder w/ odd thoughts and appearance; “When you’re schizotypal, you may dress like a pickle”

Question 2

Difference in schizo disorders: schizophrenia

Answer 2

Delusions, hallucinations, & negative sx > 6 mo.

Question 3

Difference in schizo disorders: schizoaffective

Answer 3

Schizophrenia w/ mood disorder

Question 4

Difference in schizo disorders: schizoid

Answer 4

Personality disorder w/ voluntary social isolation; “Schizoid like to avoid”

Question 5

Difference in schizo disorders: schizophreniform

Answer 5

Same sx as schizophrenia (Delusions, hallucinations, & negative sx) but lasts 1-6 mo.

Question 6

Difference in schizo disorders: Brief psychotic disorder

Answer 6

Psychosis w/ duration

Question 7

DDx for dislocation of lens of eye

Answer 7

Marfan, Homocysteinuria, Alport

Question 8

Tx macular degeneration

Answer 8

Antioxidants - vit C, vit E, betacarotene, zinc (not only prevention but also tx)

Question 9

Tx retinal detachment

Answer 9

Laser photocoagulation; Can also use cryotherapy

Question 10

Psychiatric disorders: females only, loss of previously acquired language and motor skills

Answer 10

Rett disorder

Question 11

Psychiatric disorders: Impairment of social interaction/communication/play, repetitive behaviors

Answer 11

Autism

Question 12

Psychiatric disorders: Impairment of social interaction but not avoidance, no language delay

Answer 12

Asperger’s

Question 13

Psychiatric disorders: Stereotyped hand movements, midline wringing of hands

Answer 13

Rett disorder

Question 14

Psychiatric disorders: ignoring basic rights of others

Answer 14

Conduct disorder

Question 15

Psychiatric disorders: characterized by hostility, annoyance, vindictiveness, disobedience, & resentfulness

Answer 15

Oppositional deviance behavior

Question 16

Psychiatric disorders: Multiple motor and vocal tics

Answer 16

Tourette’s syndrome

Question 17

Psychiatric disorders: Impulsive & inattentive

Answer 17

ADHD

Question 18

Psychiatric disorders: 7 yo who avoids going to school in order to stay at home w/ parents

Answer 18

Separation anxiety disorder

Question 19

Causes of fever in postop pt

Answer 19

5 W’s: Wind (PNA), Walking (DVT), Water (UTI), Wound (Infx), Wayne (“Vein” thrombophlebitis) & Wonder drugs (antibx); Sinusitis

Question 20

Next step eval trauma pt: pelvic fracture, DPL shows blood in pelvis

Answer 20

Emergency laparotomy

Question 21

Next step eval trauma pt: pelvic fracture, DPL shows urine in pelvis

Answer 21

Urgent laparotomy

Question 22

Next step eval trauma pt: pelvic fracture, negative DPL, hemodynamic instability

Answer 22

Assume retroperitoneal hematoma; Dx & Tx w/ angiography & embolization

Question 23

Next step eval trauma pt: blunt abdominal trauma, unstable VS, FAST shows fluid in pelvis

Answer 23

Assume FAST fluid = blood; Emergency laparotomy

Question 24

Next step eval trauma pt: blunt abdominal trauma, unstable VS, FAST shows no blood in pelvis

Answer 24

Assume retroperitoneal hematoma; Dx & Tx w/ angiography & embolization

Question 25

Next step eval trauma pt: blunt abdominal trauma, unstable VS, FAST inconclusive

Answer 25

Need another study - DPL

Question 26

Next step eval trauma pt: blunt abdominal trauma, stable vital signs

Answer 26

CT scan abdomen/pelvis

Question 27

Next step eval trauma pt: abdominal stab wound, hypotensive or signs of peritonitis

Answer 27

Emergency laparotomy

Question 28

Dx criteria for rheumatic fever

Answer 28

Evidence of GAS infection & 2 major criteria; JONES - Joints (migratory polyarthritis), Pancarditis, Nodules subcutaneous, Erythema marginatum, Sydenham’s chorea