MISC reverse

Question 1

Patient posture with pelvis higher than the head

Answer 1

Trendelenburg

Question 2

Ecchymosis over the mastoid process - suggestive of basilar skull fx

Answer 2

Battle sign

Question 3

Severe left shoulder pain in patients with splenic rupture - referred pain from diaphragmatic irritation

Answer 3

Kehr’s sign

Question 4

Bilateral black eyes - results of a basilar skull fx

Answer 4

Raccoon eyes

Question 5

5 Ws
Wind - atelectasis: first 24-48 hours
Water - UTI: after POD 3
Wound - Wound infection: after POD 5
Walking - DVT/thrombophlebitis: POD 7-10
Wonder drug - drug fever: anytime

Answer 5

Classic causes of post-op fever

Question 6

Middle meningeal artery injury

Answer 6

Epidural hematoma

Question 7

Femoral landmarks - LATERAL to medial. Nerve, artery, vein

Answer 7

NAVEL

Question 8

Twitching of the facial muscles upon tapping of the facial nerve. Hypocalcemia

Answer 8

Chvostek’s sign

Question 9

Bridging veins
Coup - contra coup
Elderly
Peds
ETOH

Answer 9

Subdural hematoma