NBME CCSSA FORM 12 PROBLEM LIST
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 100%
What is treatment of traumatic hemothorax? -
ANSWER Thoracentesis!
-If initial output >1500cc or >200cc/hour for 2-4hrs,
then do thoracotomy for evacuation
Cervical ectropion? - ANSWER Slight eversion of
cervix so that endocervix is exposed with its
columnar mucosa to the vaginal canal
-INC risk of STIs such as Neisseria, chlamydia,
HIV
PALM-COEIN is for what presentation? -
ANSWER Abnormal/irregular or unpredictable
bleeding
,15 y/o with 2 week history of heavy vaginal
bleeding, pallor, Hgb of 9, platelets of 15,000- what
is diagnosis? - ANSWER ITP!
P: petechiae, purpura, mucosal bleeding,
menorrhagia, prolonged bleeding from minor
injuries
-Can have low Hgb due to blood loss
-Isolated thrombocytopenia on coag labs
TX:
-All adults screen for HIV and HCV
-Steroids if platelets <30k
-Splenectomy if refractory
What are indications for neonatal resuscitation? -
ANSWER #1: if no good tone, if preterm or if no
good crying --> warm, rub, suction
, #2: Bag-valve ask ventilation with 100% oxygen if
there is apnea or if HR <100bpm
#3: Chest compressions if HR <60bpm
#4: IV epinephrine if HR still <60bpm despite chest
compressions and adequate ventilation
**endotracheal intubation or laryngeal mask if not
better
*If they have no reflexes, significant prematurity
<22-23wks and infant not responding, then death is
obvs and STOP resuscitative efforts
Treatment options for osteoarthritis? - ANSWER
1. Acetaminophen, topical NSAIDs
2. NSAIDs- try to avoid if they have reflux or CKD
3. Intra-articular steroid injections
4. Replacement
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 100%
What is treatment of traumatic hemothorax? -
ANSWER Thoracentesis!
-If initial output >1500cc or >200cc/hour for 2-4hrs,
then do thoracotomy for evacuation
Cervical ectropion? - ANSWER Slight eversion of
cervix so that endocervix is exposed with its
columnar mucosa to the vaginal canal
-INC risk of STIs such as Neisseria, chlamydia,
HIV
PALM-COEIN is for what presentation? -
ANSWER Abnormal/irregular or unpredictable
bleeding
,15 y/o with 2 week history of heavy vaginal
bleeding, pallor, Hgb of 9, platelets of 15,000- what
is diagnosis? - ANSWER ITP!
P: petechiae, purpura, mucosal bleeding,
menorrhagia, prolonged bleeding from minor
injuries
-Can have low Hgb due to blood loss
-Isolated thrombocytopenia on coag labs
TX:
-All adults screen for HIV and HCV
-Steroids if platelets <30k
-Splenectomy if refractory
What are indications for neonatal resuscitation? -
ANSWER #1: if no good tone, if preterm or if no
good crying --> warm, rub, suction
, #2: Bag-valve ask ventilation with 100% oxygen if
there is apnea or if HR <100bpm
#3: Chest compressions if HR <60bpm
#4: IV epinephrine if HR still <60bpm despite chest
compressions and adequate ventilation
**endotracheal intubation or laryngeal mask if not
better
*If they have no reflexes, significant prematurity
<22-23wks and infant not responding, then death is
obvs and STOP resuscitative efforts
Treatment options for osteoarthritis? - ANSWER
1. Acetaminophen, topical NSAIDs
2. NSAIDs- try to avoid if they have reflux or CKD
3. Intra-articular steroid injections
4. Replacement
