Questions And Answers 2025
ascites, anasarca, low blood pressure, and enlarged periumbilical vessels (also called caput medusa)
spider angiomas (shown in the exhibit), jaundice, scleral icterus, and gynecomastia - Answer - cirrhosis of
the liver
main cause of fluid retention in cirrhosis is an - Answer - activation of RAAS due to a perceived low-flow
state with concomitant sodium and water retention.
For cardiac arrest, after the return of spontaneous circulation, the most appropriate next steps include -
Answer - securing the airway (if not already performed), managing the hemodynamics (such as starting
norepinephrine if needed), and obtaining a 12-lead ECG to rule out an ST-segment elevation myocardial
infarction
Myxedema coma should be treated with - Answer - IV levothyroxine and hydrocortisone (until adrenal
insufficiency has been ruled out. check serum cortisol because IV levothyroxine can cause adrenal crisis)
mydriasis - Answer - pupil diltaion
methanol poisoning - Answer - mydriasis, an afferent pupillary defect, and optic disk edema
initial treatment of methanol poisoning includes the administration of fomepizole or ethanol
Imaging that is part of the primary survey includes - Answer - anterior-posterior (AP) chest radiograph,
AP pelvis radiograph, and Focused Assessment with Sonography in Trauma examination
CT is part of secondary survey