Exam Questions and CORRECT Answers
What presents with nasal whistling sound 2 months after a nasal fracture?
what sequela can arise from this? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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?
why? - CORRECT ANSWER - pulmonary hypertension
portal hypertension causes portosystemic shunts allowing egg embolization into pulmonary tract.
causing granulomatous pulmonary endarteritis.
What is the physican health program? - CORRECT ANSWER - supervisory entity in charge
of intervention and rehab regarding physicans with medical impairments
,What are the differences between anterior and posterior urethra damage? - CORRECT
ANSWER - 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? - CORRECT ANSWER - 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
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? - CORRECT ANSWER - 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 - CORRECT
ANSWER - intussuscpetion
target sign on u/s
patholoigcal lead point
meckel diverticulum
What are complications of biliary cysts?
how should they be managed? - CORRECT ANSWER - 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? - CORRECT ANSWER - tunica albuginea
pentoxifylline or intralesional collagenase injections