cards

Question 1

dx: crushing, substernal CP with ST elevations in v1,v2,v2 plus SOB, crackles and LE edema

Answer 1

STEMI with LV failure

Question 2

unrestrained passenger in MVA- unilateral diminished breath sounds and dullness ot percussion

Answer 2

hemothorax

Question 3

young person with unilateral upper extremity swelling, pain, erythema following vigorous exercise

Answer 3

DVT

Question 4

Older male. recent hx of abodminal surgery - severe abdo pain, constipation, irreducible mass in LLQ

Answer 4

incarcerated inguinal hernia

Question 5

immediately after completing a marathon, a runner collapses without LOC and minimally elevated temp

Answer 5

exercise associated postural hypotension

Question 6

young person, moderate CP, worse with palpation

Answer 6

costochondritis

Question 7

miner presenting with ataxia, gingivcal inflammation and xs salivation

Answer 7

mercury poisoning

Question 8

sudden onset, severe ha in elderly pt

Answer 8

SA

Question 9

Sudden onset, severe, unilateral, periorbital HA with tearing and conjuncitval injection

Answer 9

cluster

Question 10

elderly patient, extensive smoking history- fatigue, malaise, bilateral upper extremiy edema, HA worse with supine positioning

Answer 10

SVC syndrome/ pancoast tumor

Question 11

FOOSH - arm now in adduction with IR
XR- widening of glenohumeral jt space

Answer 11

Posterior shoulder dislocation

Question 12

repeated bilateral lower extremity pain and swelling after strenous exercise with spontaneous resolution

Answer 12

chronic exertional compartment syndrome

Question 13

young pt, no PMH, encephalopathy, AG metabolic acidosis, hyperglycemia

Answer 13

DKA

Question 14

Fall from roof with spinal tenderness, spinal XR with decreased vertebral body height at T8

Answer 14

Vertebral compression fracvture