If gram stain and culture of bursal
If gram stain and culture of bursal fluid in a
What bacteria is typically responsible for fluid in a patient with prepatellar bursitis
patient with prepatellar bursitis is positive, what
acute prepatellar bursitis? is negative, what is the next step in
is the next step in management?
management?
Staphylococcus aureus
drainage and systemic antibiotics
NSAIDs and activity modification
What type of neuromuscular blocking
What is the next step for a ruptured agent should be used in patients with
ovarian cyst with hemoperitoneum in a Physical examination of a ruptured upregulated post-synaptic ACh receptors (e.g.
hemodynamically unstable patient? ovarian cyst shows unilateral lower skeletal muscle trauma, burn injury, stroke)?
quadrant tenderness
Exploratory laparotomy/laparoscopy Non-depolarizing agents (e.g. vecuronium,
rocuronium)
In patients with traumatic spinal cord What demographic is most commonly What is the treatment of choice for umbilical
injury, urinary catheter placement can associated with umbilical hernia? granuloma?
assess for urinary retention and prevent
acute bladder distention/damage African-American infants Silver nitrate
What vital signs (BP, HR) are concerning What is the non-operative management for
What class of analgesics may contribute
for hemorrhage following blunt uncomplicated MCL tears?
to prolonged post-operative ileus?
abdominal or thoracic trauma?
analgesics and RICE (rest, ice, compression,
Opiates
hypotension and/or tachycardia elevation)
What class of drugs may precipitate
What is the treatment for peritonsillar What is the gold standard for diagnosis of
symptoms of sphincter of Oddi
abscess? sphincter of Oddi dysfunction?
dysfunction?
incision & drainage + antibiotics sphincter of Oddi manometry
Opioid analgesics (e.g. morphine)
What is the treatment of choice for What is the most critical prognostic Which organs (2) are most commonly injured
compartment syndrome? indicator for compartment syndrome? with blunt abdominal trauma?
Fasciotomy Time to fasciotomy liver and spleen
What is the best initial step in the What imaging modality can confirm the
management of a hemodynamically diagnosis of diaphragmatic rupture in Reactivation of which virus is associated with
stable patient with hemoptysis and a patients with suggestive X-ray findings? nasopharyngeal carcinoma?
high clinical suspicion for tuberculosis?
CT scan (chest, abdomen) EBV
Respiratory isolation
Early spread of nasopharyngeal Symptoms of atelectasis (e.g. dyspnea,
Pre-operative smoking cessation (đình chỉ)
carcinoma to the cervical lymph nodes is tachypnea) typically manifest on post-
should occur at least 8 week(s) prior to surgery
common operative day 2 and 3
, What is the next step in management for a patient
with a perforated viscus?
Urgent exploratory laparotomy
What type of surgical infection presents
with intense pain in the wound,
decreased sensitivity at wound-edges, Necrotizing surgical site infections are
cloudy-gray discharge, +/- crepitus? usually poly-microbial (mono- or poly-)
Necrotizing infection
What is the next step in management of a
If a patient with septic shock fails to What is the ideal placement for a central venous
patient with diverticulitis complicated by
respond to IV fluids, then vasopressors catheter tip?
an abscess < 3 cm?
(e.g. dopamine) should be started to
improve perfusion Lower superior vena cava
IV antibiotics and observation
What nerve is at significant risk for injury during
Immediately after a severe burn, most After > 5 days following a severe burn,
parotid (tmt) gland dissection?
infections are due to gram-positive most infections are due to gram-negative
organisms organisms or fungi
Facial nerve
What is the most common non- What is the underlying cause of hypocalcemia in
What is the most common cause of
surgical cause of primary a patient with hyperphosphatemia and normal
primary hypoparathyroidism?
hypoparathyroidism? renal function?
Post-surgical
Autoimmune Hypoparathyroidism
What preventive measures are useful for
Diagnosis of a retroperitoneal What bacteria is the most common cause
preventing post-operative acute bacterial
hematoma is confirmed with non- of acute bacterial parotitis?(tiêm tuyến
parotitis (viêm tuyến mang tai)?
contrast CT scan of abdomen/pelvis or mang thai)
abdominal ultrasound Staphylococcus aureus
adequate fluid hydration and oral hygeine
, What rash in pictured in the image below?
Stasis dermatitis (secondary to venous
insufficiency)
What imaging test can confirm the
What imaging modality is used to confirm
diagnosis of ischemic colitis after a CT
a diagnosis of duodenal hematoma?
scan has been obtained?
Abdominal CT
Colonoscopy
What bacteria is the most frequent cause of
What agents (2) may be used to rapidly
How does hypocalcemia effect the nosocomial bloodstream infection in patients
reverse the effects of warfarin?
corrected QT interval (QTc)? with intravascular devices?
fresh frozen plasma (FFP) or prothrombin
Prolonged QTc Coagulase-negative staphylococci (e.g. S.
complex concentrate (PCC)
epidermidis)
What is the preferred initial
What imaging modality is used to
management for asymptomatic patients Any penetrating wound below the 4th
diagnose urethral injury?
with a pancreatic pseudocyst? intercostal space is considered to involve the
abdomen
Retrograde urethrogram
Observation
What nerve is most commonly damaged
Fracture of which wrist bone is often by fracture of the medial epicondyle of the
complicated by median nerve humerus?
compression?
Ulnar nerve
Lunate
What blunt chest trauma complication
presents with a triad of hypotension,
distended neck veins, and distant heart
sounds?
Cardiac tamponade ("Beck's triad")
, Which type of brain tumor typically
What breathing instrument is useful for appears as a well-circumscribed calcified
preventing post-operative atelectasis extra-axial mass in a female?
(xẹp phổi)?
Meningioma What nerve provides sensation to the sole of the
Incentive spirometer foot?
Phế dung kế thúc đẩy
Tibial nerve
What is the initial treatment for prerenal acute
What is the preferred method for kidney injury in patients with evidence of
diagnosis of peripheral arterial An ABI of < 0.90 is considered diagnostic hypovolemia?
disease in symptomatic patients? of occlusive peripheral arterial
disease (PAD) in symptomatic patients IV fluid bolus
Ankle-brachial index (ABI)
What pathology classically presents with What imaging modality is preferred for diagnosis
periumbilical abdominal pain out of What acid-base disturbance typically of acute mesenteric ischemia?
proportion (đau ko tương ứng với occurs with acute mesenteric ischemia?
khám) to PE findings? CT angiography
Metabolic acidosis (elevated lactate)
Acute mesenteric ischemia
If gram stain and culture of bursal fluid in a
What bacteria is typically responsible for fluid in a patient with prepatellar bursitis
patient with prepatellar bursitis is positive, what
acute prepatellar bursitis? is negative, what is the next step in
is the next step in management?
management?
Staphylococcus aureus
drainage and systemic antibiotics
NSAIDs and activity modification
What type of neuromuscular blocking
What is the next step for a ruptured agent should be used in patients with
ovarian cyst with hemoperitoneum in a Physical examination of a ruptured upregulated post-synaptic ACh receptors (e.g.
hemodynamically unstable patient? ovarian cyst shows unilateral lower skeletal muscle trauma, burn injury, stroke)?
quadrant tenderness
Exploratory laparotomy/laparoscopy Non-depolarizing agents (e.g. vecuronium,
rocuronium)
In patients with traumatic spinal cord What demographic is most commonly What is the treatment of choice for umbilical
injury, urinary catheter placement can associated with umbilical hernia? granuloma?
assess for urinary retention and prevent
acute bladder distention/damage African-American infants Silver nitrate
What vital signs (BP, HR) are concerning What is the non-operative management for
What class of analgesics may contribute
for hemorrhage following blunt uncomplicated MCL tears?
to prolonged post-operative ileus?
abdominal or thoracic trauma?
analgesics and RICE (rest, ice, compression,
Opiates
hypotension and/or tachycardia elevation)
What class of drugs may precipitate
What is the treatment for peritonsillar What is the gold standard for diagnosis of
symptoms of sphincter of Oddi
abscess? sphincter of Oddi dysfunction?
dysfunction?
incision & drainage + antibiotics sphincter of Oddi manometry
Opioid analgesics (e.g. morphine)
What is the treatment of choice for What is the most critical prognostic Which organs (2) are most commonly injured
compartment syndrome? indicator for compartment syndrome? with blunt abdominal trauma?
Fasciotomy Time to fasciotomy liver and spleen
What is the best initial step in the What imaging modality can confirm the
management of a hemodynamically diagnosis of diaphragmatic rupture in Reactivation of which virus is associated with
stable patient with hemoptysis and a patients with suggestive X-ray findings? nasopharyngeal carcinoma?
high clinical suspicion for tuberculosis?
CT scan (chest, abdomen) EBV
Respiratory isolation
Early spread of nasopharyngeal Symptoms of atelectasis (e.g. dyspnea,
Pre-operative smoking cessation (đình chỉ)
carcinoma to the cervical lymph nodes is tachypnea) typically manifest on post-
should occur at least 8 week(s) prior to surgery
common operative day 2 and 3
, What is the next step in management for a patient
with a perforated viscus?
Urgent exploratory laparotomy
What type of surgical infection presents
with intense pain in the wound,
decreased sensitivity at wound-edges, Necrotizing surgical site infections are
cloudy-gray discharge, +/- crepitus? usually poly-microbial (mono- or poly-)
Necrotizing infection
What is the next step in management of a
If a patient with septic shock fails to What is the ideal placement for a central venous
patient with diverticulitis complicated by
respond to IV fluids, then vasopressors catheter tip?
an abscess < 3 cm?
(e.g. dopamine) should be started to
improve perfusion Lower superior vena cava
IV antibiotics and observation
What nerve is at significant risk for injury during
Immediately after a severe burn, most After > 5 days following a severe burn,
parotid (tmt) gland dissection?
infections are due to gram-positive most infections are due to gram-negative
organisms organisms or fungi
Facial nerve
What is the most common non- What is the underlying cause of hypocalcemia in
What is the most common cause of
surgical cause of primary a patient with hyperphosphatemia and normal
primary hypoparathyroidism?
hypoparathyroidism? renal function?
Post-surgical
Autoimmune Hypoparathyroidism
What preventive measures are useful for
Diagnosis of a retroperitoneal What bacteria is the most common cause
preventing post-operative acute bacterial
hematoma is confirmed with non- of acute bacterial parotitis?(tiêm tuyến
parotitis (viêm tuyến mang tai)?
contrast CT scan of abdomen/pelvis or mang thai)
abdominal ultrasound Staphylococcus aureus
adequate fluid hydration and oral hygeine
, What rash in pictured in the image below?
Stasis dermatitis (secondary to venous
insufficiency)
What imaging test can confirm the
What imaging modality is used to confirm
diagnosis of ischemic colitis after a CT
a diagnosis of duodenal hematoma?
scan has been obtained?
Abdominal CT
Colonoscopy
What bacteria is the most frequent cause of
What agents (2) may be used to rapidly
How does hypocalcemia effect the nosocomial bloodstream infection in patients
reverse the effects of warfarin?
corrected QT interval (QTc)? with intravascular devices?
fresh frozen plasma (FFP) or prothrombin
Prolonged QTc Coagulase-negative staphylococci (e.g. S.
complex concentrate (PCC)
epidermidis)
What is the preferred initial
What imaging modality is used to
management for asymptomatic patients Any penetrating wound below the 4th
diagnose urethral injury?
with a pancreatic pseudocyst? intercostal space is considered to involve the
abdomen
Retrograde urethrogram
Observation
What nerve is most commonly damaged
Fracture of which wrist bone is often by fracture of the medial epicondyle of the
complicated by median nerve humerus?
compression?
Ulnar nerve
Lunate
What blunt chest trauma complication
presents with a triad of hypotension,
distended neck veins, and distant heart
sounds?
Cardiac tamponade ("Beck's triad")
, Which type of brain tumor typically
What breathing instrument is useful for appears as a well-circumscribed calcified
preventing post-operative atelectasis extra-axial mass in a female?
(xẹp phổi)?
Meningioma What nerve provides sensation to the sole of the
Incentive spirometer foot?
Phế dung kế thúc đẩy
Tibial nerve
What is the initial treatment for prerenal acute
What is the preferred method for kidney injury in patients with evidence of
diagnosis of peripheral arterial An ABI of < 0.90 is considered diagnostic hypovolemia?
disease in symptomatic patients? of occlusive peripheral arterial
disease (PAD) in symptomatic patients IV fluid bolus
Ankle-brachial index (ABI)
What pathology classically presents with What imaging modality is preferred for diagnosis
periumbilical abdominal pain out of What acid-base disturbance typically of acute mesenteric ischemia?
proportion (đau ko tương ứng với occurs with acute mesenteric ischemia?
khám) to PE findings? CT angiography
Metabolic acidosis (elevated lactate)
Acute mesenteric ischemia
