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USMLE Vignette Flashcards: Anatomy, Behavioral and Biochem - Side by Side

USMLE Vignette Flashcards: Anatomy, Behavioral and Biochem - Side by Side

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Published by MedSchoolStuff
Anatomy Clinical Vignettes

p. 68, 69

Baby vomits milk when fed and has gastric air bubble. What kind of fistula is present?

blind esophagus with lower segment of esophagus attached to trachea

20-year old dancer with decreased plantar flexion and decreased sensation over the back of her thigh, calf, and lateral half of foot. What spinal nerve?

Tibial (L4 to S3)

Patient with decreased pain and temp sensation over lateral aspects of both arms. Lesion?

syringomyelia

Penlight in patient's righ
Anatomy Clinical Vignettes

p. 68, 69

Baby vomits milk when fed and has gastric air bubble. What kind of fistula is present?

blind esophagus with lower segment of esophagus attached to trachea

20-year old dancer with decreased plantar flexion and decreased sensation over the back of her thigh, calf, and lateral half of foot. What spinal nerve?

Tibial (L4 to S3)

Patient with decreased pain and temp sensation over lateral aspects of both arms. Lesion?

syringomyelia

Penlight in patient's righ

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Published by: MedSchoolStuff on Feb 07, 2011
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10/20/2013

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Anatomy Clinical Vignettesp. 68, 69Baby vomits milk when fedand has gastric air bubble.What kind of fistula ispresent?blind esophagus with lowersegment of esophagusattached to trachea20-year old dancer withdecreased plantar flexion anddecreased sensation over theback of her thigh, calf, andlateral half of foot. Whatspinal nerve?Tibial (L4 to S3)Patient with decreased painand temp sensation overlateral aspects of both arms.Lesion?syringomyelia
 
Penlight in patient's right eyeproduces bilateral pupillaryconstriction. In left eye, thereis paradoxical bilateralpupillary dilation. Defect?atrophy of left optic nervePatient with decreased pricksensation on lateral aspect of leg and foot. A deficit in whatmuscular action can also beexpected?dorsiflexion and eversion of foot (common peronealnerve)Elderly woman with arthritisand tingling over lateral digitsof right hand. Diagnosis?Carpal tunnel syndrome,median nerve compression.Woman in car accident cannotturn her head to the left andhas right shoulder droop.What structure is damaged?Right CN XI (runs through jugular foramen with CN IXand X), innervatingsternocleidomastoid andtrapezius muscles)
 
Man with one wild, flailingarm. Where is lesion?contralateral subthalamicnucleus (hemiballismus)Pregnant woman in 3rdtrimester has normal bloodpressure when standing andsitting. When supine, BPdrops to 90/50. Diagnosis?compression of IVCSoccer player was kicked inleg and su
ered a damagedmedial meniscus. What else islikely to be damaged?anterior cruciate ligament(remember the "unhappytriad")Gymnast dislocates hershoulder anteriorly. Whatnerve is most likely to havebeen damaged?Axillary nerve (C5, C6)

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