CHAMPION SCHOOL OF REAL ESTATE LAW
OF CONTRACTS STUDY GUIDE
COMPREHENSIVE REVIEW WITH SOLVED
QUESTIONS AND DETAILED ANSWERS
◉WHAT increases the risk of developmental dysplasia of the hip in
infants . Answer: BREECH PRESENTATION
-
REGARDLESS OF DELIVERY BEING C/S OR NSVD
◉CARPET LAYER PT HAS LEFT KNEE SWELLING,
MINIMAL TTP
NO ERYTHEMA, WARMTH
NO TRAUMA
DIAGNOSE
TXQ . Answer: PRE-PATELLAR BURSITIS
=
TX= REST ICE COMPRESSION
,equiv of olecrenon aseptic bursitis
◉what is ABSOLUTE CONTRAINDICATION TO
USE OF TPA/FIBRINOLYTIC THERAPY . Answer: RECENT
ISCHEMIC STROKE IN 3 MONTHS
OTHERS:
ANY HISTORY OF INTRACRANIAL HEMMORHAGE
IF SUSPECT ACUTE Acute intracranial hemorrhage
Persistent elevated blood pressure (systolic >185 mm Hg or diastolic
>110 mm Hg
Symptoms of subarachnoid hemorrhage
ANY SORTS OF CONCERNS FOR BLEEDS
Use of anticoagulant drug
Aortic dissection
,◉PT HAS SUDDEN LEFT HEARING LOSS
NO TRAUMA
NO PAIN, NO BLEEDING, DRAINAIGE, , FEVER
EAR EXAM COMPLETELY NORMAL
DIAGNOSE
TX . Answer: IDIOPATHIC
sudden sensorineural hearing loss
=
(SSNHL)
TX= PREDNISONE= ORAL
◉PT TWISTED ANKLE
Able to bear weight but with significant pain.
She reports pain across her right midfoot
.An examination reveals edema over the lateral malleolus and diffuse
tenderness,
, but she does not have any pain OVER posterior distal lateral and medial
malleoli
SHOULD U DO XRAY OR NOT? . Answer: NO XRAY
ALTHOUGH LATERAL MALLEOLUS TTP,
DISTAL PART OF LATERAL/MEDIAL MELLEOLUS IS NOT TTP
OR PAINFUL
AND ALTHOUGH PT HAS PAIN,
SHE IS ABLE TO BEAR WEIGHT (4 STEPS)
=
CONSERVATIVE MANAGEMENT
D) Lace-up ankle support, ice, compression, and clinical follow-up
◉ACCORDING TO OTTAWA ANKLE RULES
WHEN SHOULD U DO
ANKLE XRAY
VS FOOT XRAY . Answer: DO BOTH ANKLE AND FOOT XRAY IF
=
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
====
OF CONTRACTS STUDY GUIDE
COMPREHENSIVE REVIEW WITH SOLVED
QUESTIONS AND DETAILED ANSWERS
◉WHAT increases the risk of developmental dysplasia of the hip in
infants . Answer: BREECH PRESENTATION
-
REGARDLESS OF DELIVERY BEING C/S OR NSVD
◉CARPET LAYER PT HAS LEFT KNEE SWELLING,
MINIMAL TTP
NO ERYTHEMA, WARMTH
NO TRAUMA
DIAGNOSE
TXQ . Answer: PRE-PATELLAR BURSITIS
=
TX= REST ICE COMPRESSION
,equiv of olecrenon aseptic bursitis
◉what is ABSOLUTE CONTRAINDICATION TO
USE OF TPA/FIBRINOLYTIC THERAPY . Answer: RECENT
ISCHEMIC STROKE IN 3 MONTHS
OTHERS:
ANY HISTORY OF INTRACRANIAL HEMMORHAGE
IF SUSPECT ACUTE Acute intracranial hemorrhage
Persistent elevated blood pressure (systolic >185 mm Hg or diastolic
>110 mm Hg
Symptoms of subarachnoid hemorrhage
ANY SORTS OF CONCERNS FOR BLEEDS
Use of anticoagulant drug
Aortic dissection
,◉PT HAS SUDDEN LEFT HEARING LOSS
NO TRAUMA
NO PAIN, NO BLEEDING, DRAINAIGE, , FEVER
EAR EXAM COMPLETELY NORMAL
DIAGNOSE
TX . Answer: IDIOPATHIC
sudden sensorineural hearing loss
=
(SSNHL)
TX= PREDNISONE= ORAL
◉PT TWISTED ANKLE
Able to bear weight but with significant pain.
She reports pain across her right midfoot
.An examination reveals edema over the lateral malleolus and diffuse
tenderness,
, but she does not have any pain OVER posterior distal lateral and medial
malleoli
SHOULD U DO XRAY OR NOT? . Answer: NO XRAY
ALTHOUGH LATERAL MALLEOLUS TTP,
DISTAL PART OF LATERAL/MEDIAL MELLEOLUS IS NOT TTP
OR PAINFUL
AND ALTHOUGH PT HAS PAIN,
SHE IS ABLE TO BEAR WEIGHT (4 STEPS)
=
CONSERVATIVE MANAGEMENT
D) Lace-up ankle support, ice, compression, and clinical follow-up
◉ACCORDING TO OTTAWA ANKLE RULES
WHEN SHOULD U DO
ANKLE XRAY
VS FOOT XRAY . Answer: DO BOTH ANKLE AND FOOT XRAY IF
=
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
====
