Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? Correct AnswerVaricocele.
82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white
pla
...
Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? Correct AnswerVaricocele.
82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white
plaques on fundoscopic exam. Diagnosis? Correct Answer-Central retinal vein artery occlusion.
15 year old girl on chronic steroid therapy presents with acute back pain. Most likely cause? Correct
Answer-Osteoporotic compression fracture.
Patient with flank pain with radiation to the groin and normal vital signs. Pain relieved with morphine.
Next best step? Correct Answer-Increase fluid intake and send home.
Terminal cancer patient that comes in with acute onset lower back pain. She is taking morphine Q4
which works for a bit but then subsides. What should you do to her regimen? Correct Answer-Make the
morphine Q3 so she has adequate pain control.
A young infant that has bilateral retinal hemorrhages and tense fontanelle. What is the most likely
cause? Correct Answer-Child abuse
What is the treatment for an acute gout attack? Correct Answer-1. NSAIDs: Indomethacin
2. Steroids
3. Colchicine
Patient who is sick in the ICU, and has (comatose level) hypernatremia. She has a low urine specific
gravity. Normal kidney function. What is the underlying cause of hypernatremia? Correct AnswerDiabetes Insipidus. She cannot concentrate her urine.
4 year old boy. Suddenly develops a pancytopenia, has hepatosplenomegaly and adenopathy. Some mild
gingival bleeding. Next best step? Correct Answer-Bone marrow biopsy. This kid has ALL.
Patient has a first time positive PPD and a negative chest X-ray. What is the next best step? Correct
Answer-This patient has latent TB. This means that he needs to be treated with INH for 9 months.
Furthermore, if he had a negative PPD. B/c this is his first time, he would come back in two weeks.
Patient that is mute. Has bilateral nystagmus, hypertonia, decreased sensation to skin prick. What is the
most likely overdose? Correct Answer-Intoxication with PCP. Remember he does not always have to be
aggressive.
Patient has a family history of ovarian cancer. What is the best thing to do if she is worried that she may
get an ovarian malignancy? Correct Answer-Put her on OCP. They prevent risk of ovarian and
endometrial cancer
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