Rosh 16

Question 1

Homan sign

Answer 1

pain in the calf on ankle dorsiflexion, is a nonspecific finding for deep vein thrombosis.

Question 2

Podagra

Answer 2

gout of the foot, especially the big toe

Question 3

Pellagra

Answer 3

vitamin B3 (niacin) deficiency
characterized by diarrhea, dermatitis and dementia.

Question 4

What birefringence is acute gout associated with?

Answer 4

Negative birefringence.

Question 5

___________ measurement is suggestive of compartment syndrome.

Answer 5

A delta pressure ≤ 30 mm Hg

Question 6

What is the most common cause of septic arthritis?

Answer 6

Staphylococcus aureus is the most common cause of septic arthritis in adults.

Question 7

Sprains are classified as?

Answer 7

ligamentous injuries resulting from an abnormal motion of a joint.
Most commonly injured anterior talofibular ligament (ATFL)

Question 8

imaging in ankle sprain

Answer 8

Comments: Ottawa Rules to determine imaging

Question 9

Which two anatomic compartments are the most affected in acute compartment syndrome?

Answer 9

Anterior compartment of the leg and the volar compartment of the forearm.

Question 10

Septic Arthritis joint fluid analysis

Answer 10

Labs will show WBC > 50,000 with > 75%PMNs
• Most commonly caused by:
• Age < 35: N. gonorrhea, S.aureus overall

Question 11

most common bacterial std

Answer 11

chlamydia is the most common and gonorrhea is the second most common

Question 12

Due to increased antibiotic resistance, what is the current recommended treatment for gonorrhea?

Answer 12

Dual therapy with ceftriaxone and either azithromycin or doxycycline.