Miscellaneous

Question 1

Trendelenburg

Answer 1

Patient posture with pelvis higher than the head

Question 2

Battle sign

Answer 2

Ecchymosis over the mastoid process - suggestive of basilar skull fx

Question 3

Kehr’s sign

Answer 3

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

Question 4

Raccoon eyes

Answer 4

Bilateral black eyes - result of a basilar skull fx

Question 5

Classic causes of post-op fever

Answer 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

Question 6

Epidural hematoma

Answer 6

Middle meningeal artery

Question 7

NAVEL

Answer 7

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

Question 8

Chvostek’s sign

Answer 8

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

Question 9

Subdural hematoma

Answer 9

Bridging veins
Coup-contra coup
elderly
peds
ETOH