A young woman fell and hit her knee. Exam: valgus test +ve. What ligament was most probably injured?
Answer(s): D
Medial collateral. The valgus stress test involves placing the leg into extension, with one hand place on the knee. With the other hand placed upon the foot applying an abducting force, an attempt is then made to at the knee into valgus. If the knee is seen to open up on the medial side, this is indicative of medial collateral damage.
A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.What is the s appropriate injection?
Answer(s): B
Protocol of treating agitated violent patient.1. Try to talk to the patient but don't touch him.2. If he agrees on oral meds, give oral atypical antipsychotics olanzapine, risp or quetiapine3. If refusing oral, give IV atypical antipsychotics preferably its Olanzapine or Risperidone4. If agitation not controlled give IM Lorazepam5. If that doesn't work, give IV Haloperidol as last resort.6. If acute sedation is required, for immediate effect give IV Diazepam.
A 14-year-old girl presents with primary amenorrhea and a short stature.What is the most likely diagnosis?
Answer(s): C
Down's syndrome and Fragile x syndrome don't have primary amenorrhea. Klinefelter's patients are tall males. So the likely diagnosis is Turner's syndrome.
A 65-year-old lady who is on thiazide suffers from falls in the morning. What is the cause for her symptoms?
Thiazide diuretic is associated with orthostatic hypotension.
A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:
Answer(s): A
A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications pelvic trauma in the emergency department diminished urinary stream urethral strictures urethral diverticula urethral obstruction suspected urethral foreign bodies urethral mucosal tumors ג€¢ suspected urethral fistula
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