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Oh Baby!
Do you know your interns??
100

What ultrasound finding is most suggestive of a pneumothorax? And what sign is seen with M-mode

Absence of lung sliding


barcode sign: absence of lung sliding with M-mode

100

Parkland Formula 

Parkland Formula = 4mls x TBA% x kg

100

What is the most likely site of diaphragmatic rupture secondary to blunt force trauma?

Left hemidiaphragm

100

What is the most effective preventive strategy for necrotizing enterocolitis?

Using human milk.

100

Met his wife in middle school

Victor 


200

In what order, from earliest to latest, are the following findings seen on transvaginal ultrasound in pregnancy and how many weeks. 

Yolk sac, fetal pole, gestational sac


Gestational sac, yolk sac, fetal pole


  • Gestational sac: 5 weeks gestation
  • Yolk sac: 5.5 weeks gestation
  • Embryo: 6–6.5 weeks gestation 
200

Name the sign present w/ esophageal perforation and can be described as a crunching sound on auscultation of the chest in the presence of air in the mediastinum.

Hamman sign

200

Which of the following is most indicative of traumatic kidney injury in the setting of blunt trauma?

Hematuria on urinalysis

200

Inconsolable baby, what should you check for? (2 answers)

Hair tourniquet, corneal abrasion

200

Lived in Lebanon growing up.

Joseph  

300

Which anatomic space is most likely to contain free fluid on an eFAST examination of a trauma patient?

Hepatorenal space (Morrison's Pouch) 

300

What is the most common complication of alcohol-related cirrhosis?

Ascites

300

What is often the only clinical finding of pericardial tamponade after penetrating trauma

AND 

what is Beck's Triad

Sinus tachycardia

muffled heart sounds, JVD, hypotension

300

A 3-year-old boy presents after swallowing a quarter. He now feels it is stuck. Which location is an obstruction most likely to occur at?

Cricopharyngeus muscle

300

This resident has 3 kids. 

Aaron 

400

How do you measure the optic nerve and what is considered abnormal? 

  • Optic nerve pathology (papilledema): measure the optic nerve 3 mm posterior to the retina

    • Width > 5 mm is considered abnormal
400

Which finding on end-tidal capnography is most suggestive of a return of spontaneous circulation?

Sudden increase in ETCO2 concentration

400

List all the blast injuries from 1°-5°

BONUS 100pts: Most common blast injury 

Blast Injuries

  • 1°: blast pressure wave → hollow organ injury
  • 2°: projectiles from explosion (Objects into body)
  • 3°: blunt trauma from explosion (body into objects)
  • 4°: environmental hazards caused by explosion (inhalation, burns) 
  • 5°: bodily absorption explosive additives (hypermetabolic state) 

  • Most common blast injury: tympanic membrane rupture
400

Febrile Simple Seizure Criteria 

-age 

-Duration 

-Number of seizures 

-Type of seizure 

  • Age: 6 months to 5 years
  • History of fever > 38°C (especially sharp elevation in T)
  • Simple

    • Number of seizures: 1 
    • Duration: < 15 mins
    • Type: generalized
  • Complex

    • Number of seizures: > 1 in 24 hrs
    • Duration: > 15 mins
    • Type: focal or generalized
  • Simple: no further workup, reassurance
  • Complex: further workup depending on age and clinical picture
  • Treatment is supportive care

    • If lasting > 5 min, initial treatment is with benzodiazepines
400

Worked at SIUH from 2016-2020

Mo! 

500

How can you increase the sensitivity of ultrasound for the diagnosis of vitreous hemorrhage?

Increase the gain.



500

What medication can be used for prevention of acute mountain sickness?

Acetazolamide

500

Thoracotomy indications adult and pediatrics

  • Adults: initial chest tube output > 20 mL/kg (or 1,500 mL) or subsequent output > 200 mL/hour over 3 hours
  • Pediatrics: initial chest tube output > 15 mL/kg or subsequent output > 2–3 mL/kg over 3 hours
500

What viral infection presents with parotitis, orchitis, and fever in patients who are unvaccinated?

Mumps

500

Lived in the mountains of India  

Jamyang