Week 3

Question 1

patchy, irregular alveolar infiltrate w/ hypoxia, tachypnea following blunt thoracic trauma

Answer 1

pulmonary contusion

Question 2

next steps for palpable breast mass in pt <30 vs >30

Answer 2

US for <30

mammogram for >30

Question 3

middle-aged adult w/ superficial unilateral hip pain exacerbated by external pressure to the upper lateral thigh

Answer 3

trochanteric bursitis

Question 4

empyema pleural fluid analysis (glu, pH, prot)

Answer 4

• low glu
• low pH
• high protein

Question 5

painless jaundice + systemic symptoms w/ elevated alk phos

Answer 5

malignant obstruction

Question 6

3 components of glasgow coma scale

Answer 6

• eye opening
• verbal response
• motor response

Question 7

soft scrotal mass that decreases in supine position + inc w/ standing/valsalva

Answer 7

varicocele

Question 8

primary objective in management of rib fracture

Answer 8

adequate pain control - prevents hypoventilation + atelectasis/pneumonia

Question 9

first sign of hypocalcemia

Answer 9

peri-oral parasthesias

Question 10

hypercalcemia, hypophosphatemia, elevated PTH

Answer 10

primary hyperparathyroidism

Question 11

pt w/ sore throat, hoarseness, stridor, pooled oral secretions

Answer 11

epiglottitis - lateral neck XR for dx

Question 12

BUN:Cr >20:1, dec urine output, inc Cr following preop infection and surgery

Answer 12

pre-renal AKI - due to volume depletion

Question 13

fever, leukocytosis, LUQ abd pain

Answer 13

splenic abscess

Question 14

next step following positive FAST exam

Answer 14

urgent laparotomy

Question 15

ABG atelectasis: pH, pO2, pCO2

Answer 15

resp alk: high pH, low pO2, low pCO2

Question 16

pt w/ 40 pack year smoking hx + isolated painless, gross hematuria - workup?

Answer 16

urinalysis, then cystoscopy for suspected bladder cancer

Question 17

smoking hx, weight loss, back pain w/ nml neuro + x-ray findings - workup?

Answer 17

CT scan of abdomen - look for pancreatic cancer

Question 18

bugs responsible for most deep infections following puncture wounds

Answer 18

staph aureus or pseudomonas

Question 19

bilateral hip/thigh claudication, absent femoral pulses, impotence

Answer 19

aortoiliac occlusion