Procedures/Tests/Signs

Question 0

Where is chest tube thoracostomy done?

Answer 0

5th ICS, ant. axillary line over the rib

Indication: Presence of locultions

Question 1

What are the access used in placing a central venous catheter?

Answer 1

Internal jugular vein (central/anterior)

Left subclavian vein (infraclavicular)

Question 2

Where is liver biopsy done?

Answer 2

Right intercostal 8,9,10 after exhalation

Question 3

What vessels are used in hemodialysis?

Answer 3

Radial artery

Cephalic vein

Question 4

What are the indications for thoracotomy

Answer 4

1,500cc initial drainage

200cc/hr for 4 hours

Question 5

Where is thoracentesis (pleural tap) usually done?

Answer 5

Posterior axillary line, 1-2 ICS below the level of effusion

Inserted at the upper border of the rib

Question 6

Vessels used for CABG

Answer 6

LIMA > Greater saphenous vein

Question 7

Vessels used for pulmonary artery catheter

Answer 7

Subclavian vein left>right
Right internal jugular
Brachial vein (highest risk for thrombosis)

Question 8

What are the approaches used in pericardiocentesis?

Answer 8

Subclavian

Subxiphoid

Question 9

What are the indications for tracheostomy?

Answer 9

Prolonged intubation/mechanical ventilation

Bypass upper airway obstruction

Question 10

What is the most common complication in dialysis?

Answer 10

Hyperkalemia

Question 11

Where is an intercostal nerve block done?

Answer 11

Lower border of the rib

Question 12

Where is bone marrow aspiration performed?

Answer 12

Iliac crest

Question 13

How is Allen test performed?

Answer 13

Occlusion of the radial or ulnar artery

Question 14

What does Kehr’s sign represent?

Answer 14

Splenic rupture

Pain on left shoulder due to irritation of the diaphragm

Question 15

Iliopsoas sign pertains to what condition?

Answer 15

Retrocecal appendicitis

Pain on extension of the right hip

Question 16

Obturator sign pertains to what condition?

Answer 16

Pelvic appendicitis 
(Pain on internal rotation of the right thigh)

Question 17

What sign pertains to jaundice with palpable nontender gallbladder associated with cancer in the head of the pancreas or gallbladder?

Answer 17

Courvoisier’s sign

Question 18

What is Fox’s sign?

Answer 18

Bluish discoloration of inguinal ligament

Severe hemorrhagic pancreatitis

Question 19

What is Dance’s sign?

Answer 19

Absence of bowel in the RLQ

Question 20

Pemberton sign pertains to which condition?

Answer 20

SVC syndrome

Question 21

Adson maneuver pertains to which condition?

Answer 21

Thoracic outlet syndrome

Palpate for radial pulse
Positive if decreased pulse