Day 3 - Rapid Review Preview #3

Question 1

Usual imaging studies in trauma series

Answer 1

(minimal) Trauma Triad: AP chest, AP & lateral c-spine, & AP pelvis

Question 2

Elevated EPO

Answer 2

Elevated hematocrit; Renal cell carcinoma; Eval w/ CT scan

Question 3

Hampton’s hump on XR

Answer 3

PE

Question 4

Mother frustrated w/ child yells at husband

Answer 4

Displacement (defense mechanism)

Question 5

Immunodef w/ chronic respiratory infx & positive nitroblue tetrazolium test

Answer 5

CGD

Question 6

Natural hx leiomyoma

Answer 6

Regress after menopause (estrogen levels down)

Question 7

antihypertensives in pts w/ severe preeclampsia

Answer 7

Hydralazine, Nifedipine, Labetalol, Sodium nitroprusside; (may also use HCTZ, as long as not causing dehydration)

Question 8

Unilateral periorbital HA w/ tearing

Answer 8

Cluster HA

Question 9

Back pain worse w/ standing & walking, relieved w/ sitting & hyperflexion of hip

Answer 9

Spinal stenosis

Question 10

Acute onset monoarticular joint pain & Bell’s palsy - Dx & Tx

Answer 10

Lyme disease (bite of Ixodes tick); Doxycycline

Question 11

Teenage girl, prolonged bleeding after dental surgery & w/ menses, Labs: normal PT, normal/increased PTT, increased BT; Dx & Tx

Answer 11

vWD - Tx w/ desmopression; Acutely, FFP or cryoprecipitate

Question 12

Most common cause of travel’s diarrhea

Answer 12

ETEC (Enterotoxigenic E. Coli)

Question 13

Confidentiality not protected

Answer 13

Real threat of harm to third parties; Suicidal; Certain infectious/contagious diseases; Abuse (elderly/child)

Question 14

Only indication for hypertonic saline to pt w/ SIADH

Answer 14

Seizures

Question 15

Rash w/ dermatomal distribution

Answer 15

Varicella Zoster virus; Herpes zoster

Question 16

Next step in mgt of Pulsatile abdominal mass & bruit

Answer 16

Abdominal ultrasound (look for AAA)

Question 17

Flaptop, purplish, pruritic papules

Answer 17

P’s of lichen planus

Question 18

Maternal mortality definition

Answer 18

Death during pregnancy to postpartum 90 days per 100,000 live births

Question 19

Tx AML, M3

Answer 19

Retinoic acid

Question 20

Cause of joint pain/stiffness, worsens over day and relieved by resting

Answer 20

Osteoarthritis