UWorld

Question 1

When do you x-ray the ankle?

Answer 1

1. Tender at the posterior medial malleolus

2. Tender at posterior lateral malleolus

Question 2

When do you x-ray the foot?

Answer 2

1. Tender at navicular (midfoot)

2. Tender at base of 5th metatarsal

Question 3

Which complication of MI is acute and presents with hypotension, clear lungs, and kussmaul sign?

Answer 3

Right ventricular failure

Question 4

Which complication of MI is acute/3-5 days and presents with severe pulmonary edema, and new holosystolic murmur?

Answer 4

Papillary muscle rupture

Question 5

Which complication of MI is acute/3-5 days and presents with chest pain, new holosystolic murmur, biventricular failure, and shock?

Answer 5

Interventricular septum rupture

Question 6

Which complication of MI is within 5 days-2 weeks and presents with chest pain, shock, and distant heart sounds?

Answer 6

Free wall rupture

Question 7

Which complication of MI is within a few months and presents with subacute heart failure and stable angina?

Answer 7

Left ventricular aneurysm

Question 8

Which ligament injury is tested with valgus?

Answer 8

MCL

“MC VAL”

Question 9

Which ligament injury is tested with anterior drawer and lachman?

Answer 9

ACL

Question 10

Which ligament injury is tested with internal/external rotation?

Answer 10

Meniscus

Question 11

What are the 3 immediate (0-2 hours) postop causes of fever?

Answer 11

1. Tissue trauma
2. Blood products
3. Malignant hyperthermia

Question 12

What are the 5 postop causes of fever from 1 day-1 week?

Answer 12

1. Nosocomial infex
2. SSI
3. MI
4. PE
5. DVT

Question 13

What are the 5 postop causes of fever from 1 week-1 month?

Answer 13

1. SSI/Catheter infex
2. C. diff
3. Drug fever
4. PE
5. DVT

Question 14

What are the 2 postop causes of fever after 1 month?

Answer 14

1. Viral infex

2. SSI

Question 15

What MSK injury causes a pop and a low-riding patella?

Answer 15

Quadriceps tendon rupture

Question 16

What MSK injury causes rapid-onset hemarthrosis and instability?

Answer 16

ACL

Question 17

What MSK injury causes acute pain and swelling in posterior knee?

Answer 17

Popliteal cyst rupture

Question 18

What MSK injury causes slow-onset swelling with locking/catching during ROM test?

Answer 18

Meniscus tear

Question 19

What jaundice disorder is precipitated by antimalarials, sulfonamides, and also has Heinz bodies and bite cells?

Answer 19

G6PD deficiency

Question 20

Do inguinal or femoral hernias need to be corrected by elective surgical repair?

Answer 20

Femoral

Question 21

How do you diagnose cardiac tamponade?

Answer 21

Echocardiogram

Question 22

Does ovarian torsion cause a decrease in Hct?

Answer 22

Yes

Question 23

What do you use MRCP for?

Answer 23

1. Biliary obstruction

2. Cholangiocarcinoma

Question 24

What is ERCP used for?

Answer 24

Choledocholithiasis

Question 25

What med should you switch to if a patient develops HIT (2 options)?

Answer 25

Argatroban or Fondaparinux "Arg, Jane Fonda's HIT workouts are tough!"

Question 26

T/F: topical anesthetic and dapsone can cause methemoglobinemia?

Answer 26

True

Question 27

Does HIT cause skin lesions?

Answer 27

Yes

Question 28

If a breast biopsy has fat globules and foamy histiocytes, is it cancer?

Answer 28

No

Question 29

T/F: LMWH and rivaroxaban are contraindicated in ESRF?

Answer 29

True; they are metabolized by the kidney

Question 30

Germ cell tumors have elevated ___?

Answer 30

AFP (because they are from the fetus)

Question 31

What 4 terrible T's could compress the trachea (anterior mediastinal masses)?

Answer 31

1. Thymoma 2. Teratoma 3. Thyroid 4. Terrible lymphoma