Gastroenterology
Vein that transports venous blood from the GI tract directly to the liver for processing of the nutrients that have been absorbed
What is the Portal vein
a hematoma on which area of the scalp is most reassuring in a child
what is a frontal hematoma
a 72 yr old man c/o painless, decreased vision in his left eye associated with flashing lights and floaters. Visual acuity in the left eye is 20/200 and in the right eye is 20/30. What is the most likely diagnosis?
What is retinal detachment
A 12 y.o. boy presents with testicular pain x 2 hours. Physical exam shows a testicular that is transverse. What is the time frame that this condition needs to be corrected?
what is 6 hours
A patient has a shoulder dislocation following a seizure. Which type of shoulder dislocation should you be suspicious for?
What is a posterior shoulder dislocation
what is the most common cause of a small bowel obstruction?
what are adhesions from a prior surgery
What disease presents as the classic triad of dementia, gait disturbance and urinary incontinence?
what is normal pressure hydrocephalus
A 51 yr old man walks into a movie theater and experiences acute onset of R eye pain associated with N/V and cloudy vision. What number would you expect his intraocular pressure to be above?
What is > 21 mm Hg
a 2 day old infant presents with fever, poor feeding and irritability. She was born at 38 weeks gestation. What is the most likely pathogen associated with early neonatal sepsis?
what is Group B streptococcus
Which nerve in the hand causes wrist drop if injured?
what is the radial nerve
an 81 y.o. male with a hx of AFIB presents with abd pain. He fell two weeks ago and was advised to stop anticoagulation. He reports diffuse, severe abd pain but is minimally tender on examination. He has symmetric pulses in his extremities. What is the most likely anatomic location of his pathology?
what is the superior mesenteric artery
what is the treatment for the disease that has the classic triad of altered mental status, ataxia and opthalmoplegia
What is thiamine
A 71 yr old woman presents to the ER with R ear otalgia and otorrhea x 3 days. Pain is worse with chewing. On physical exam, she has pain when traction is applied to the pinna. The external auditory canal appears edematous with discharge. Point of care glucose is 381 mg/dl. What is the likely causative organism?
what is Pseudomonas Aeruginosa
what medication is the preferred outpatient treatment of hypertension in pregnancy?
What is Methyldopa
A fracture that extends through the physis and metaphysis is considered what type of Salter-Harris fracture?
A 61 yr old male with history of ulcerative colitis, intermittently compliant with mesalamine, presents with a 1 month hx of up to 15 grossly bloody stools per day. He also c/o poor oral intake, a 12 lb weight loss and abd pain. His temp is 101.6F, HR 115 bpm. On exam, his abd is distended and diffusely tender. An abd xray shows dilated loops of large bowel. What is the likely diagnosis?
What is toxic megacolon
Your patient has an ischemic stroke. They are a TPA candidate if they have a BP less than?
what is 185/110
A 14 yr old boy presents with sore throat and fever x 3 days. On physical exam, his temp is 100.6F. His throat has 3+ tonsillar hypertrophy and exudates along with cervical LAD. Abd exam reveals mild LUQ ttp. Rapid strep is negative. What is the causative organism of the suspected diagnosis?
What is Epstein-Barr virus
a 28 y.o. woman presents one week postpartum with a frontal headache that has gradually worsened x 24 hours. On exam, her T: 37,4F, HR 88 bpm, BP: 179/94. Her neurological exam is normal. She has 1+ pitting edema in lower extremities. Shortely after your initial evaluation, she develops a tonic clonic seizure. What is the treatment of choice?
What is IV magnesium sulfate
A 19 year old man presents for R knee pain. He denies trauma or injury. He recently recovered from having diarrhea for several days. He has intermittent back pain and itchy eyes but the rest of the ROS are unremarkable. His knee appears atraumatic with no overlying skin changes. He has pain with active ROM. What is the most likely diagnosis?
What is reactive arthritis
a 48 y.o. woman presents with severe flushing, mild headache, abdominal cramps and diarrhea after eating raw tuna. What is the likely etiology?
What is histamine fish poisoning (scombroid poisoning)
What is the most frequent organism implicated in cerebrospinal fluid shunt infections?
what is coagulase-negative staphylococci
a 14 month old previously healthy girl presents with cough and difficulty breathing. She has had a low grade fever and nasal congestion x 2 days. She seems to be feeding well and is still active. She has a temp of 38.2 C, HR 120, RR 44 and SpO2 of 97%. She is well appearing with rhinorrhea. She has scattered expiratory wheezing with fine crackles on auscultation. What is the next step in this patient's management?
What is nasal suctioning
a 32 y.o. G2P1 at 33 weeks presents for sharp abd pain. She has not had any prenatal care during this pregnancy. Her symptoms include vaginal bleeding, uterine pain between contractions and fetal distress. What is the likely diagnosis?
What is Placental abruption
A patient with anatomical snuffbox tenderness on exam is at risk of developing what complication