VLC quiz questions Flashcards
What is microscopic hematuria?
urine microscopy showing 3 or more red blood cells per high-powered field.
In a patient presenting with renal colic, what are indications for admission to hospital and consideration for acute intervention?
fever
pain causing multiple ER visits or not responsive to oral medications
obstruction stone in a solitary kidney
Not: hematuria
The genitourinary system is involved in about 5% of all trauma patients. What is the most common site of GU trauma?
upper tracts (kidneys, ureters) the most common site of GU trauma.
What are the causes of stress incontinence and urge incontinence?
Stress incontinence is caused by urethral dysfunction whereas urge incontinence is caused by bladder dysfunction.
What is the best treatment for testicular torsion?
Surgical scrotal exploration is the best treatment for testicular torsion.
NOT: Manual detorsion
When do you use ear drops for uncomplicated acute otitis media?
You don’t:
Topical therapy is not indicated in uncomplicated acute otitis media. If the tympanic membrane is intact the drops do not enter the middle ear to treat the problem. They are very useful in the setting of a perforation or a patent ventilation tube.
A patient with a left conductive hearing loss will have what tuning fork test results?
Weber lateralized to the left, Rinne on the left side, bone conduction greater that air conduction
In conductive hearing loss the sound lateralizes to the affected side. In conductive hearing loss bone conduction is greater than air conduction.
How is the diagnosis of peritonsillar abscess made?
clinically based on physical exam
Trismus is a common physical exam finding.
CT may be used in cases where it is felt that infection has spread beyond the peritonsillar region.
How is peritonsiallar abscess managed?
Incision and drainage is mainstay of treatment.
Steroids may be helpful in the management.
Recurrent abscess is an indication for tonsillectomy.
What is trismus?
tonic contraction of the muscles of mastication
Formerly used to describe Sx of tetanus – “lock jaw”
What is the most common organism in acute otitis media?
streptoccoccus Pneumoniae.
How is recurrent otitis media managed?
Myringotomy tubes (ear tubes) can decrease the incidence of acute otitis media
What is one severe risk of acute otitis media?
Infections can spread intracranially.
What are common causes/contributing factors for pediatric sleep disordered breathing?
Adenoid and tonsillar hypertrophy are common contributing factors.
What can happen if pediatric sleep disordered breathing is left untreated?
Neurologic sequelae / neurocognitive changes due to prolonged poor quality sleep
