U world 2

Question 1

complication of placing central venous catheter

Answer 1

tension pneumothroax

Question 2

which one causes pain with flexion and which with extesnion? psoas abscess and hip septic arthritis

Answer 2

psoas abscess: pain with extension

hip septic arthritis: pain with flexion

Question 3

psoas abscess presentation

Answer 3

fever
abdominal/flank pain, radiates to groin
abdominal pain with hip extension

Question 4

risk factors for psoas abscess

Answer 4

HIV
Crohn’s
diabetes
IV drug use

Question 5

acute adrenal insufficiency presentation

Answer 5

hypotension
fever
vomiting
abdominal pain

Question 6

CXR finding of aortic injury

Answer 6

widened mediastinum

Question 7

torus palatinus

Answer 7

benign bony growth in midline hard palate

congenital

associated: younger, female, asian

Question 8

what do you think when “pain out of proportion” in an extremity?

Answer 8

compartment syndrome

Question 9

pulmonary contusion presentation

Answer 9

within 24 hours of blunt chest trauma

tachynea, tachycardia, hypoxia

Question 10

pulmonary contusion CXR/CT

Answer 10

patchy alveolar infiltrate not restricted by anatomic borders

Question 11

how long does ARDS show up after trauma?

Answer 11

24-48 hours

Question 12

is ARDS bilateral?

Answer 12

yes

Question 13

is pulmonary contusion from rib fractures?

Answer 13

doesn’t have to be

Question 14

acute bacterial parotitis presenation

Answer 14

painful swelling of parotid gland
aggravated by chewing
high fever

Question 15

population that most commonly gets acute bacterial parotitis

Answer 15

dehydrated post op patients and elderly

make sure you stay hydrated and oral hygeine!

Question 16

most common bacteria for acute bacterial parotitis

Answer 16

staph aureus

Question 17

what should you think with hx of NSAIDs and free air under diaphragm? and what should you do for it?

Answer 17

perforated peptic ulcer- ex lap

Question 18

retropharyngeal abscess can spread to and cause what?

Answer 18

–> superior mediastinum –> posterior mediastinum

–> acute necrotizing mediastinitis

Question 19

what is concern for scaphoid fracture?

Answer 19

avascular necrosis

Question 20

what to do for suspect scaphoid fracture if initial x-rays negative?

Answer 20

either:

• CT/ MRI
• splint up and repeat x-ray in 7-10 days

Question 21

extraperitoneal bladder injury pathology

Answer 21

contusion or rupture of:
-neck
-anterior wall
-anterolateral wall
of the bladder

Question 22

extraperiotneal bladder injury presentation

Answer 22

extravasation of urine –> abdominal pain
gross hematuria
urinary retention
pelvic fracture

Question 23

when should antibiotics be used prophylactically to prevent post-op pneumonia?

Answer 23

preexisting resp infection

Question 24

most commonly involved metatarsal in stress fracture

Answer 24

2nd

Question 25

what is x ray show of stress fracture

Answer 25

hairline fracture or local periosteal thickening

Question 26

treatment of stress fracture of 2-4 metatarsals vs 5th

Answer 26

2-4th: rest, analgesics 5th: casting, internal fixation (because prone to nonunion)

Question 27

3 categories of glasgow coma scale

Answer 27

eye opening verbal response motor response

Question 28

which heparin when patient has renal failure?

Answer 28

unfractionated

Question 29

what is cause of abdominal surgery after trauma that shows gas filled loops on xray?

Answer 29

paralytic ileus

Question 30

bowel sounds with paralytic ileus

Answer 30

absent

Question 31

which muscle injured in positive valgus stress test?

Answer 31

medial collateral ligament

Question 32

triad of fat embolism syndrome

Answer 32

resp distress neuro signs (confused, vision defects) petechiae

Question 33

preferred method of intubation

Answer 33

orotracheal intubation

Question 34

contraindication to nasotracheal intubation

Answer 34

apneic/hypoapneic patients basilar skull fracture

Question 35

treatment for meningioma

Answer 35

resection

Question 36

treatment for pancreatic pseudocyst: asx vs sx

Answer 36

asx: expectant sx: endoscopic drainage

Question 37

whistling during respiration after rhinoplasty, think...

Answer 37

nasal septum perforation

Question 38

complications of rhinoplasty

Answer 38

patient dissatisfaction nasal obstruction epistaxis septum perf

Question 39

pancreas cancer of head presentation

Answer 39

``` jaundice systemic symptoms (weight loss, fatigue) steatorrhea gnawing abdominal pain, worse at night migratory thromboplhebitis ```

Question 40

to diagnose perforated peptic ulcer

Answer 40

x ray chest and abdomen- free intraperitoneal air

Question 41

anterior spinal cord can be a complication from

Answer 41

thoracic aneurysm surgery repair

Question 42

popping sound to knee, pain, delayed effusion. Locking when joint is rotated or extended while under load

Answer 42

meniscal tear

Question 43

exam tests for meniscal tears

Answer 43

Mcmurray Thessaly (with internal and external rotation)