OMM
MSK
FMHC
CARDIO/HEME
RANDOM
100
A SD where the spine is neutral, SB and R occur in OPPOSITE directions
Type I Somatic Dysfunction
100
T2DM pt presents with pain in the big toe. Biopsy shows negatively birefringent crystals. Dx?
Gout
100
This principle refers to doing good for the patient. (this is a definition, what is the word)
Beneficence
100
What's going on? What's the Rx(s)?
Supraventricular Tachycardia
Rx - 1st = vagal maneuver
2nd = Adenosine
100
Gram stain shows gram (+) cocci in clusters. Bacteria is?
Staphylococcus (MC aureus)
200
An ANTERIOR Chapman's Point for the descending colon is found where?
LEFT Proximal IT band
200
3 yo boy presents with 12 hours of severe elbow pain after dad aggressively yanks his arm away from a busy road. Imaging shows injury to the annular ligament. Dx?
Nursemaid's Elbow OR Radial Head Subluxation
200
Investigators identify patients with lung cancer and match them to controls without disease, then look back to assess smoking exposure.
What kind of study is this?
BONUS - which is used: OR or RR?
Case Control
BONUS - RR
200
Pt has a sudden MI and dies. An autopsy taken 2 months later would show what?
White scar due to collagen (avascular)
200
What is a normal CRI?
10-14
300
What is the DIAGNOSIS?
- Pos SFT on the L
- Neg Spring & Sphinx Test
- Deep Sacral Sulcus on the R
- Anterior ILA on the R
LoR Sacral Torsion
300
58 yo T2DM female presents w/ insidious onset of shoulder stiffness, pain, and loss of AROM and PROM. Dx?
BONUS - Rx? Operative or Nonoperative?
Dx: Adhesive Capsulitis
Rx: NSAIDs, PT, OMM, steroid injections. Operative ONLY if non-responsive to conservative.
300
A new screening test for colon cancer is evaluated in 1,000 patients. Of the 100 patients that had colon cancer, 80 of them had a positive screening test. Of the 900 patients that did not have colon cancer, 120 of them had a positive screening test. What is the sensitivity?
(I'm sorry.)
80%
300
Pt presents with JVD, bradycardia, and distant heart sounds. Dx?
Cardiac Tamponade
300
25 yo female presents with severe RLQ pain over 24 hours. hCG is positive, but nothing seen on imaging. Rx?
Dx: ectopic pregnancy
Rx: methotrexate
400
In a cranial torsion, the sphenoid and occiput rotate around what axis?
AP axis
400
6 yo female presents w/ a fracture that is a complete crush injury into the physis. What is the correction classification of this fracture?
BONUS - What is the MC peds fracture?
SALTER Harris Classification
This is a Type V (ER) fracture --> its an ERasure or cRush of the growth plate
Bonus Answer --> Physeal plate at the distal radius.
400
A new screening test for colon cancer is evaluated in 1,000 patients. Of the 100 patients that had colon cancer, 80 of them had a positive screening test. Of the 900 patients that did not have colon cancer, 120 of them had a positive screening test. What is the PPV?
(I'm sorry again)
40%
400
26 yo male presents with fever, chills, rosy red painful skin, and a bad taste in the mouth. He notes some edema in his legs and states he's getting over a "cold" right now. Dx?
Erysipelas
Buzzwords: ROSY RED painful skin, bad taste in the mouth, edema, "cold" = GAS cellulitis
400
42 yo male presents w/ bulging eyes and a significant heat intolerance. PE shows weight loss, palpitations, and gen assess shows patient in acute distress with anxiety.
What lab values would this pt present with?
DECREASED TSH
ELEVATED T3/T4
This is Grave's Dz
500
What is the CS treatment for PR6?
F SARA
500
What exactly causes this fracture?
Scotty Dog Fx AKA spondylolysis
Fracture or defect in the pars interarticularis
500
A clinical trial is conducted to evaluate a new drug for hypertension. The study results show a statistically significant benefit (p < 0.05), and the researchers conclude the drug works. However, in reality, the drug has no true effect and the null hypothesis is actually true.
What type of error is this?
(I'm very sorry)
Type I Error
Believing something to be POSITIVE when it actually ISN'T.
REJECTING the null when it should be ACCEPTED.
500
75 yo septic pt presents with petechiae and blood spilling from their IV site. What labs are you looking for to dx this BAD problem?
First, the dx is disseminated intravascular coagulation (DIC). This is an activation of all clotting factors due to endothelial damage that released lots of tissue factor
Labs:
Prolonged PT & PTT
Elevated fibrin degradation products = THIS IS KEY TO DIC
Elevated D-dimer
500
Pt presents with confusion, ataxia, and ophthalmoplegia for 1 week. Pt reeks of alcohol but denies use. What is first line rx?
Thiamine supplement
This is Wernicke encephalopathy