Most common sign of bladder injury
Gross hematuria
What is the initial treatment of choice for bulimia nervosa?
SSRI
What is the treatment of pilonidal disease?
Marsupialization
Headache worse in the morning is concerning for?
Mass lesion/Malignancy
What is the major complication of high voltage current exposure?
Compartment syndrome
A stable avulsion fracture of the spinous process is known as?
Clay-Shoveler fracture
Which medication is preferred for the treatment of alcohol withdrawal in patients with advanced liver disease?
Ativan
(Lorazepam or oxazepam are generally recommended to treat alcohol withdrawal, particularly in patients with cirrhosis or alcoholic hepatitis, because of their lack of active metabolites. Since benzodiazepines are metabolized in the liver, those with active metabolites can lead to oversedation.)
What is the recommended timeframe for EGD in incomplete esophageal obstruction?
24 hours
Most common aneurysm location for SAH?
Anterior communicating
A college student camping in New Mexico got bit by an unknown animal, his bite mark is extremely sensitive to touch, what most likely caused the bite?
Scorpion
What is the definitive treatment for an unstable patient with a negative FAST and (+) pelvic fracture?
Angiographic embolization
What is the acute treatment and preventative treatment for panic attacks?
Benzos = Acute
Beta blockers = prevention
What are the diagnostic criteria for SBP?
> 1000 WBC with > 250 PMN
Treatment of carotid artery dissection with stroke?
TPA (w/o stroke = anticoagulation)
What is the Treatment of Nitrogen narcosis?
Ascent
DAILY DOUBLE: Describe the 3 levels of Lefort facial fractures?
Lefort 1 = Transverse maxilla fracture
Lefort 2 = Pyramidal fracture (nasal bone, maxilla, orbital rim and floor (entire nasal complex will move)
Lefort 3 = Fracture extends into the zygomatic arch
How long must a patient display symptoms before a diagnosis of major depressive disorder can be made?
2 weeks
What are the diagnostic criteria for SBP in peritoneal dialysis patient?
> 100 WBC with > 50% neutrophils
Asymmetric weakness WITHOUT hard neuro deficits is indicative of?
ALS (Amyotrophic Lateral Sclerosis)
What is the treatment for mycobacterium marinum?
Doxycycline or Clarithromycin or Bactrim
Most common bone fractured in basilar skull fracture
Temporal
Visual hallucinations of pink elephants or Lilliputians is characteristic of what?
Alcohol
Bright red spontaneous bloody vomit with NO pain or discomfort is indicative of?
Dieulafoy lesions
Homonymous hemianopia + contralateral hemiplegia & Hemisensory loss is indicative of stroke where?
Anterior Choroidal Artery
- Homonymous hemianopia (same halves of each visual field)
Any diver that loses consciousness with ascent or w/in 10 minutes of surfacing most likely is suffering from?
Air embolism