surgery

Question 1

Most common primary brain malignancy

Answer 1

Glioblastoma

Question 2

CT/MRI findings with butterfly pattern is indicative of

Answer 2

Glioblastoma

Question 3

Large volumes of rapidly administered normal saline can cause

Answer 3

non-anion gap hyperchloremic metabolic acidosis

Question 4

Posterior shoulder dislocations are commonly caused by

Answer 4

1. Violent tonic clonic seizures

2. Electrocution Injury

Question 5

Mirizzi Syndrome

Answer 5

Large gallstone impacted in the cystic duct -> compresses the common hepatic artery.

Question 6

Cause of black gallstones

Answer 6

Hemolytic disease such as hereditary spherocytosis or SCD

Question 7

Rule out test(s) for gallstone pancreatitis?

Answer 7

Amylase

Lipase

Question 8

Fitz-Hugh-Curtis Syndrome

Answer 8

RUQ pain
Hx of recent PID (chlamydia or gonorrhea)
Fever
Violin string adhesions btw liver and diaphragm

Question 9

Tokyo guidelines

Answer 9

Systemic Inflammation signs

Cholestasis

Question 10

Leg shorted, abducted, externally rotated. What is the dx?

Answer 10

Femoral neck or intertrochanteric fracture… MC hip fracture in older adults.

Question 11

Addiction and internal rotation of the hip.

Answer 11

Posterior dislocation (dashboard injury). Note sciatic nerve usually involved.

Question 12

Pain with abduction and tenderness at the trochanter. Leg length NOT affected

Answer 12

Isolated fracture of the greater trochanter.

Question 13

Lung nodule >0.8 cm

Answer 13

Requires additional management.

Question 14

Paroxysmal Sympathetic Hyperactivity

Answer 14

Suspect this in a patient with traumatic brain injury and they freak out (HTN etc) when repositioned or bathing.

Question 15

Acid base disturbance- sepsis

Answer 15

Primary AGMA (due to Latic acidosis)