Surgery/Optho/Derm

Question 1

A patient who has blood in the urethral meatus, inability to void, and high riding prostate likely has this and how do you evaluate this?

Answer 1

Posterior urethral injury and use a retrograde urethrogram

Question 2

This is contraindicated for a patient with a posterior urethral injury

Answer 2

Foley because it can cause abscess formation and worsen the damage

Question 3

This management is needed for a patient who loses urine when they laugh

Answer 3

Kegel exercises or urethropexy

Question 4

This management is needed for a patient who has urge to void without any change with position or activity

Answer 4

Anticholinergic meds or TCAs

Question 5

Seeing free air above the liver in an CXR is indicative of this.

Answer 5

Intestinal perforation (need emergent surgery)

Question 6

A sudden monocular loss of vision, pale retina, and dark macula is treated with this.

Answer 6

acetazolamide for retinal artery occlusion

Question 7

Extravasation of blood into the retina is treated with this.

Answer 7

ranibizumab for retinal vein occlusion

Question 8

A 65 yo patient who had successful cataract extraction 4 months ago who complains of painless, unilateral loss of vision like a “curtain coming down” with sudden burst of flashing lights and small spots should be treated with this.

Answer 8

Laser therapy and cryotherapy

Question 9

Pruritic papules and vesicles on the extensor surface of elbows and buttocks are associated with this disease.

Answer 9

Celiac

Question 10

Pyoderma gangrenosum is associated with this type of disease.

Answer 10

IBD

Question 11

A patient with a muffled voice, enlarged tender cervical nodes on one side and a deviated uvula with constitutional symptoms (fever, chills, etc) should have this done next.

Answer 11

Needle peritonsillar aspiration and IV abx for peritonsillar abscess

Question 12

A patient with a muffled voice and difficulty swallowing without any deviation of uvula should have this be done next.

Answer 12

emergency laryngoscopy for epiglottitis

Question 13

This is used to treat for a 5 yo patient who got her arm pulled by her dad and is seen holding her hand in a pronated position with a click felt when the forearm in hyperpronated

Answer 13

supination of forearm and flexion of elbow or hyperpronation of forearm (for radial head subluxation)

Question 14

Patient with episodic vertigo during changes in position with no neuro symptoms can be dx with this.

Answer 14

Cix Hallpike which will show nystagmus (BPPV)

Question 15

A patient with an acute onset of single episode of vertigo that occurs after a viral syndrome most likely has this.

Answer 15

Vestibular neuritis

Question 16

Recurrent episodes of vertigo, unilateral hearing loss, and tinnitus are signs of this

Answer 16

Menieres

Question 17

Suppurative hidradenitis has this appearance.

Answer 17

painful inflammatory nodules and draining sinus tracts that last weeks

Question 18

This is a fibroblast proliferation that is firm, hyperpigmented, and causes a dimple in the center when pinched.

Answer 18

dermatofibroma