and Answers 100% Pass
What presents with nasal whistling sound 2 months after a nasal fracture?
what sequela can arise from this? - ✔✔nasal septal perforation
setpal hematoma
What value is lower in the urine in someone with pre renal AKI?
why?
what values tell you that it is prerenal? - ✔✔urine sodium concentration
hypovolemia causing renal hypoperfusion causing reabsorption of large amounts of
sodium.
if BUN:Cr is greater than 20:1
What is a complication of hepatosplenic schistosomiasis?
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,why? - ✔✔pulmonary hypertension
portal hypertension causes portosystemic shunts allowing egg embolization into
pulmonary tract. causing granulomatous pulmonary endarteritis.
What is the physican health program? - ✔✔supervisory entity in charge of intervention
and rehab regarding physicans with medical impairments
What are the differences between anterior and posterior urethra damage? - ✔✔Both
have meatus, scrotal and perineal ecchymoses
posterior has high rising prostate and done by pelvic fracture.
anterior is usually a straddle injury.
When is it warranted to get an EGD on someone with GERD? - ✔✔if they have
dysphagia, odynophagia, anemia, GI bleeding, or unintentional weight loss.
screen if have more than 5 years or occur weekly and >2 of following:
age over 50
white
obese
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,current or past hx of smoking
fam hx of barett or esophageal adeno ca
What vaccines should someone get after an emergency splenectomy and when?
is daily abx ppx needed? - ✔✔15 valent pneumococcal conjugate vaccine (PCV15) 2
weeks after surgery
23 valent pneumococcal polysaccharide vaccine (PPSV23)
meningococcal vaccine 2 weeks after
Hib vaccine 2 weeks after
no need for daily antibiotic ppx
acute onset of cyclical abdominal pain, vomiting, and u/s showing concentric ring of
bowel in transverse section raises suspicion for what?
the u/s description is explaining what?
recurrent episodes of thise should raise concern for what? give an example -
✔✔intussuscpetion
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, target sign on u/s
patholoigcal lead point
meckel diverticulum
What are complications of biliary cysts?
how should they be managed? - ✔✔risk of inflammatory (cholangitis, cholelithiasis, and
pancreatitis)
malignant complications (cholangiocarcinoma, gallbladder cancer, and pancreatic
cancer.
surgical cyst excision
What later of the penis is affected in peyronie disease?
What is the treatment? - ✔✔tunica albuginea
pentoxifylline or intralesional collagenase injections
surgical repair in refractory cases
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