ANSWERS|ACTUAL COMPLETE EXAM|ALREADY
GRADED A+
High risk wound criteria for Tdap ✔Correct Answer-> 6 hrs old, contaminated (dirt, saliva, feces),
puncture, crush wounds, avulsions, foreign bodies, burns, frost bite
Tetanus treatment ✔Correct Answer-Benzos, flagyl, TIG, immunization
Mimic of Tetanus ✔Correct Answer-Strychnine poisoning
Frozen Shoulder ✔Correct Answer-Diffuse shoulder pain w/ progressive stiffness resulting in severe
ROM limitations
Risk factors for frozen shoulder ✔Correct Answer-DM, thyroid disease, prolonged immobilization,
stroke, autoimmune disease
Classic ECHO finding of constrictive pericarditis? ✔Correct Answer-Thickened paricardium
Restrictive cardiomyopathies ✔Correct Answer-Amyloidosis, Sarcoidosis, hemochromatosis,
scleroderma, carcinoid heart disease, endomyocardial fibrosis
Pericarditis ECG ✔Correct Answer-PR depression, PR elevation (aVR), diffuse ST segment elevation
Two most common causes of Pericarditis ✔Correct Answer-1- idiopathic
2- coxsackie virus
Why is thrombolytic therapy contraindicated in pericarditis? ✔Correct Answer-Can precipitate
hemorrhagic cardiac tamponade
Most common cause of Paronychia ✔Correct Answer-Staph aureus
Most common cause of chronic or unresponsive paronychia ✔Correct Answer-Candida albicans
and atypical mycobacteria
Treatment for herpetic whitlow ✔Correct Answer-Acyclovir
What artery may be injured or transected after knee dislocation? ✔Correct Answer-The popliteal
artery
Most common type of knee dislocation? ✔Correct Answer-Lateral
What is the treatment for symptomatic bradycardia unresponsive to transcutaneous pacing and
medications? ✔Correct Answer-Transvenous pacing
ECG findings in hyperkalemia? ✔Correct Answer-1. peaked T waves
2. prolonged PR
3. wide QRS
, Risk factors for spinal epidural abscess ✔Correct Answer-DM or IVDU
Signs of spinal epidural abscess ✔Correct Answer-Back pain, fever, neuro deficits
Most likely causative organism of spinal epidural abscess? ✔Correct Answer-Staph aureus
What is the lover's triad? ✔Correct Answer-1. Calcaneal fracture
2. Vertebral compression fracture
3. Forearm fracture
Which Salter-Harris fracture is the most common? ✔Correct Answer-Type II
Which Salter-Harris fracture can be usually managed non-operatively? ✔Correct Answer-I and II
What are risk factors for growth arrest after a physeal injury? ✔Correct Answer-Degree of initial
displacement, residual displacement > 3mm, high energy mechanism
What dose is prostaglandin E1 infusion started at? ✔Correct Answer-0.05-0.1 ug/kg/min
Which coronary artery feeds the inferoseptal wall? ✔Correct Answer-right coronary artery
What is the infectious agent that causes tinea versicolor? ✔Correct Answer-Malassezia furfur
What is the most common diving-related disroder? ✔Correct Answer-Middle ear barotrauma
Signs of globe rupture ✔Correct Answer-Teardrop pupil
Chemosis
Subconjunctival hemorrhage
+Seidels sign
What is Seidel's sign? ✔Correct Answer-A visible aqueous stream at site of penetration/perforation
when fluorescein is applied ("black river" in a green field)
Diagnosis and treatment of ruptured globe? ✔Correct Answer-Dx via CT orbits
Tx: elevated bed, antibx, emergent opthalmology
do NOT measure IOP
What is the most common cause of aortic stenosis in the US? ✔Correct Answer-degenerative
calcification
PE of Aortic Stenosis ✔Correct Answer-Crescendo-decrescendo
Radiates to Carotids
Murmur decreases w/ valsalva
Most sensitive signs of Cauda Equina? ✔Correct Answer-1. Urinary retention (PVR > 100ml)
2. Urinary incontinence (overflow incontinence)
3. Saddle anesthesia
4. Decreased rectal tone