16 Questions
What are the elements of the Ranson Criteria for pancreatitis on admission?
Age > 55, WBC > 16,000, Blood glucose > 200 mg/dL, LDH > 350 U/L, AST > 250 U/L
What are the management considerations in traumatic hyphema and globe rupture?
Immediate referral to ophthalmologist, bed rest with head elevation, cycloplegic and mydriatic agents, avoidance of aspirin and NSAIDs
What are the X-ray features of SCFE (Slipped Capital Femoral Epiphysis)?
Widened and irregular epiphyseal plate, posterior and inferior displacement of the epiphysis
Describe the Young and Burgess classification of pelvic fractures.
Type I: Anterior ring, Type II: Posterior ring, Type III: Both anterior and posterior, Type IV: Combined mechanical and vertical shear
Define the predictors of death or transplantation using the King’s College criteria.
The King’s College criteria for predictors of death or transplantation in liver disease include a high prothrombin time, encephalopathy, and elevated bilirubin levels.
What is the initial approach to resuscitation for a neonate presenting febrile, in shock, and hypoglycemic?
The initial approach to resuscitation includes correcting glucose levels, giving fluids, administering antibiotics, and starting pressors if the patient remains hypotensive.
Describe the management for a homeless man found unconscious and hypothermic in a snowbank, who later experiences a VF cardiac arrest.
The management involves active internal rewarming for hypothermia, followed by prompt initiation of advanced cardiac life support (ACLS) protocols for ventricular fibrillation (VF) cardiac arrest.
What is the likely diagnosis for a lady in her 50's with epigastric/RUQ pain, consistent labs with biliary obstruction, and subsequent hemodynamic instability?
The likely diagnosis is ascending cholangitis.
What is the probable cause of temporary PEA cardiac arrest in a girl with Type 1 DM, shock, fever, and DKA upon intubation?
Possible causes include acidosis, respiratory decompensation, and hyperkalemia.
List the elements of the PERC rule and explain the significance of a negative PERC rule.
The elements of the PERC rule include age, heart rate, oxygen saturation, and other clinical criteria. A negative PERC rule indicates a low probability of pulmonary embolism (PE) in patients with suspected PE.
What is the approach to a colleague found stealing fentanyl, resulting in a patient not receiving the expected analgesia?
The approach involves addressing the patient's pain, managing the intoxicated physician, and ensuring the safety of other patients seen by the doctor.
What is the mechanism of bradycardia in an older male patient with an inferior STEMI who becomes bradycardic and hypotensive?
The bradycardia and hypotension may be due to vagal stimulation and increased parasympathetic activity in the setting of inferior ST-elevation myocardial infarction (STEMI).
In the case of an infant in SVT that becomes hemodynamically unstable and responds to electrical cardioversion, what initial interventions may be attempted?
Initial interventions may include vagal maneuvers, adenosine administration, and if unsuccessful, electrical cardioversion for hemodynamically unstable SVT in infants.
What differential diagnosis and final diagnosis would be considered for a male in his 20's with cough, fever, and petechiae, and WBC count of 185?
The differential diagnosis may include leukemia/blast crisis with concurrent pneumonia from immunosuppression. The final diagnosis may be guided by further investigations and clinical course.
What response may be given when a GI consultant suggests seeing a patient with ascending cholangitis in the morning for ERCP?
An urgent response may be warranted, emphasizing the need for immediate intervention to prevent further deterioration and complications in the patient with ascending cholangitis.
Given a 12-lead EKG showing signs of a posterior MI, what would be the appropriate diagnosis?
The appropriate diagnosis would be posterior myocardial infarction (MI), which requires specific management and consideration of associated complications.
Test your knowledge on medical criteria, management considerations, classifications, diagnosis, and treatment in various medical conditions including pancreatitis, traumatic hyphema, pelvic fractures, PID, hypertension in pregnancy, retrograde cystogram, syphilis stages, and offline medical control.
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