Updated 4/19/14

1. Lab values showing high eiosinophils…Interstial Nephritis (other option

choice was Lisinopril induced problem to the kidney)

2. High AST AND ALT values. In the 1000. …Viral Hepititis

3. Pic of port wine stain, ask what other complication…Seizure (sturge-webber)

4. DKA question, asking what causes is. Know it’s related to TYPE 1….lack of
insulin production

5. Girl being treated for MDD and then recently switched to Buprion and know
she shows sings of mania… (bipolar disorder as antidepressents can bring
out a manic episode FA – 394)

6. Pt. has +osmotic fagility test (Hereditary spherocytosis) with presentation of

gallstones..what do u do…..Cholecetomy and Splenectomy.

7. Pt. on TMP-SMX abnormal heme/onc numbers..Due to G6PD

8. Says smear has Heinz body..aslo g6pd.

9. Pt. has murmur that decreases in instensity when they hand grip and
increase with squatting..Old guy (77 years old I believe)…Aortic Stenosis

10.Pt. has jelly like diarrhea..it’s a child, what is ur next step in management?
barium Enema (intussusception)

11.Pt. has infection now has signs of asthma…Answer was Asthma (FA-415)

12.Question regarding Spinal stenosis…Answer was either spinal stenosis at L1

or L4.

13.Said pt. had decreased total lung capacity..picked Fibrosis of lung (restrictive)
Know Obstructive

14.Pic of hands..showing DIP involvement…Osteoarthritis

15.Child complains of wrist pain and joint pains…Juvenille artheritis

16.Septic shock with low BP..what do u do next….Fluids

17.Said pt. had small cell carcinoma of lung, showed hyponitermia. Asked what
caused this value…..Decreased excreation of urine (SIADH) what is
increased?
18.Described pregnant pt. with DVT, asked what other values u should check…I
put Homocystein levels (increased homocystein=hypercoagulable)

19.Pt. had lens dislocations, long fingers, described the murmur of Aortic
regurg…asked what was likely to be messed up…Aortic root dilation

20.Pic of AA person with hypopigmentation of back when he plays volleyball in

the sun. Said sometimes it’s itchy…Put Actinic Keratosis (tinea versicolor)

21.Pt. had hypertension, what meds do u give him? He didn’t have any kidney
problems…thiazide or ace ans. B-blocker

22.Otitis externa…Psudomonas again.

23.Child was born with C-section. Doctor notices he has more fat on left thigh
then right. Walks around normally…answ. Development problem from birth

24.Gave lab values for Respitory acidosis without Renal COMP.

25.Young girl is now sexually active, what do u test for? Chlymidia and Neissiera

26.Pt. comes in with nucal rigidity after throwing up and showing signs of
Increased intracranial pressure..No focal problems…do lumbar
puncture/CSF ANALYSIS or Give mannitol.

27.P<.85…not significant

28.Woman comes in with no period for 8 months and having hot flashes. What is
next best step? Put check estriol level. Another answer choice was discuss
estrogen replacement therapy. I figured you should check the levels first b4
getting them on replacement therapy

29.Asked what protects agains osteoporosis? Estrogen

30.Pt. has withdrawl bleeding after progesterone test, why is she not menses? I
put Anovulation

31.Pic of bone raising on a child. Looked like Osteosarcoma

32.Pt. that is diabetic hit his leg yesterday. Now skin is discolored and bullae are
seen. I put necrotizing fasciitis. – this can happen in diabetics

33.Pt. had femoral artery repair now has DVT, what caused the DVT. I put
Poplteal break
34.Pt. has a catheter in place. Gets a clot. What do u do next? I said remove
catheter and start on heparin. One answer choice was flush catheter with
Heparin and (I forgot the rest)

35.How to treat DKA? IV Insulin

36.Pt. has gastroectomy and now can’t walk straight….what is the cause?
Vitamin deficiency

37.Pt. has dizziness (feels like the room is spinning).. Benign positional Vertigo…
might not be right

38.Pt. has signs of bells palsy, but also says they can’t hear out of either ear as
well. What causes this…Acoustic neuroma if it’s there I still put bells paulsy.
Didn’t know what the other answer choices where. Facial droop, weakness
on one side of face, pain n temp sensation normal both sides of face.
Decreased hearing in both ears. Cause? Acoustic neuroma Bell's palsy

39.A lot of SSRI answers when they’re depressed

40.Stupid question on number needed to treat. I didn’t know the answer but the
percentages they gave you were 8% and 12%

41.Psych question. Gave a scenario with a person who is schizo and now has
some rigidity and shit. Answer is benztropine

42.Some lady just gave birth to a kid. Has been having vaginal bleeding since
birth and has been stuffin her vag with towels and stuff..now she is sick fever
skin rash or something..i was thinking it was staph aureus like the classic
tampon question we all get

43.I had another question with a guy that has eye pain. Its either acute angle
glaucoma or uveitis

44.Picture of blood cells. I saw rouloux.. thought of multiple myeloma…what do

u do? Bone aspirate – (>10% plasma cells in BM, M protein on urine/serum
electrophoresis, lytic lesions)

45.Some lady had renal transplant..(cyclophosphamide or cyclosporine?) idk I

put mesna

46.Baby has misaligned gluteal folds…congenital hip dysplasia

47.Bone growth from femur? What do u do? (depends) Idk I put excise
 48.Old lady wants to prevent fractures. Has a hx of DVT. She takes Ca and Vit D
supplements. What else can she do? Don’t choose estrogen bc that can cause
DVT. I chose aldronate but check on this and update

49.Some guy has htn. U hear a renal artery bruit. What do u see on biopsy? I said
atherosclerosis from aorta to renal artery? Idk

50.Baby in bathroom eats/drinks something and her lips swell..what do baby

eat/drink? Answer choices were lye, glass, battery, nail

51.Picture of a really bad skin infection + nikolksky’s sign? What to do? (Steroids
for PV) I put transfer to burn unit but could be hyperbaric o2 chamber

CCSE – April 2014

1. GI q – woman with nonbilious vomiting, multiple air fluid levels, what’s the
next step?
2. Tx of MALT> Treat H. Pylori
3. 5q on lower limb vasculature; know all veins and what happens to each vein
with different types of trauma
4. Lower limb cast, patient feels pain in leg still, cannot flex toe, what is the next
step? One of the options was about checking pressure compartments
5. Posterior knee dislocation, next step?
6. Meningitis patient, know all steps of tx
7. 2q on schizophrenia; types and treatment, how to diff between other similar
disorders
8. GAD vs panic disorder; know how to differentiate between similar types of
disorders
9. CVS pharm; know what to add to HTN patients if they are nonresponsive to tx
10. 3 or 4 UTI qs; know microorganisms that cause UTIs – pregnant vs sexually
active vs catheterized patients vs px quadriplegic
11. COPD vs other dyspnea patients; had 3 or 4 qs on a list of 12 diagnoses and
having to pic the diagnosis based on the patients presentation; COPD,
restrictive airways and allergies wouldn’t be listed; but distal dilated airways
and constricted proximal airways would be,
12. Dyspena Mech >CHf? because why? increased or decreased pressure, aortic,
ventricles
13. HCC image; increased ALP
14. NNT Breast Tumors- G2P2 with thin milky discharge and lump on one breast;
diff options; ductal papilloma
15. Older women presenting with signs of menopause for about 9 months;
discuss HRT
16. Pregnant woman described as having carpal tunnel – wrist splints
17. Diabetic foot with large ulcer – know steps of tx
18. Described patient with Marfans – MVP
19. Description of patient with Klinefelters – example of aneuploidy
20. Description of patient with Fragile X syndrome – example of trinuc repeat
21. Young boy with lump under breast, tender to touch – is that normal puberty?
22. Hashimotos patient
23. Know that MDD and OCD are treated with SSRIs
24. Know what side effects may occur if MDD patient is switched from SSRI to
bupoprion; and what indications there are for that switch; know what would
cause seizures
25. Patient with prior history of AAA comes in with chest or abdo pain, know
next step of action
26. Young patient with parents who smoke, constantly coughing and shrugging
his shoulders – answer was chronic exposure to cigarette smoke
27. 2 week infant with high fever for 40 hours – know next step of treatment
28. Marcus Gunn pupil,
29. a “curtain falling over the eye”
30. retinal detachment
31. 3 or 4 q on DM types 1 and 2; know pathphys and inheritance qualities if it
runs in the family; answers were in the form of “islet cell ab, or insulin
resistence”
32. 2 or 3 q on glucose = 800 upon admission to the hosp; know all steps of tx
33. 2 q on upper GI; > -barrium swallow of hiatal hernia (dysphagia for solids &
liquids) w/weight loss- Schatzkis? Achalasia? Esophageal hernia?
34. Couple of pulm q on foul smelling, dark colored sputum – causes (micro)
35. Bed-ridden patient and causes of foul breath – anaerobic organisms from
aspiration
36. PNA

1. S pneumo treatment- macrolides mech of action- bacteriostatic, on 50s

ribosome, inhibiting protein translation
2. Bronchiectasis- has dandelion like picture- what's the agent?
Aspergillus
3. Gout- long term decrease alcohol and meat intake
4. Patient ate chicken got sick salmonella- fecal leukocyte test
5. Pneumocystis- TMPSMX
6. Latent phase of labor- 4cm to 10cm dilation
7. Few questions on drug overdose and antidotes- heroine, aspirin,
alcohol
8. Lactate ringer or normal saline for burn patient? Always ringer unless
it isn't a choice
9. ADHD treatment- behavioral therapy first then Ritalin
10.Nuvaring- changes with weight gain- need to recheck with dr for
position every 8 weeks
11.Meckels-technetium 99 scan
12.3 questions on RTA
13.Potassium levels- low, treat with however much potassium you need
14.Peaked t waves mean what? hyperkalemia
15.Colon ca screening age- patient had one brother who had CCancer
when to start screening? 50 years old or 10 years prior to age when
brother was diagnosed.
16.DIC- FFP if platelets are below what? 50,000
17. Erectile Dysfunction kid- why? Due to drug use
18. mechanism of HYPOnatremia, increased in urine and decreased in blood
osmolarity/lality
19. Risk factor cancer in lung pleura-- > mesothelioma or smoking?
20. baby born alb 4 ounces, resp failure... what should u do?
21. arterial vs venous clots
22. guy with Polycythemia.. what can prevent it? 
23. secondary hyperPTH
24. hyperaldosteronism
25. Disk Herniation
26. Hodgkin's Lymphoma: ebv
27. PPV rises with increase in prevalence, NPV falls. no chance in SN & SP
28. Klinefelter> Hypogonadism

1. twins with one sac and no membrane between: increased risk of:
a. conjoined
b. cord entanglement
2. 22 yo with ASCUS-high grade: next step
a. HPV
b. Colpo
c. Wait and repeat 6 mo
3. 12 yo with hemorrhage after onset of 1st period what do u do next
a. I put measure bleeding time bc I thought VWD
4. anovulation scenario:
a. I put progesterone withdrawal testing
5. graves antibody receptor
a. anti-TSH receptor or anti-thyroid immune globulin
6. cardiac tamponade scenario
a. echo
b. something catheterization (I put this but looked it up and says echo
guided pericardiocenthesis- so no idea)
7. pleural exudate what is increased in fluid tap
a. increased LDH
8. 3tbsp of productive sputum getting worse and increased amount and a
negative chest xray
a. wegners
b. bronchiectasis or bronchiolitis?
c. aspergillis
9. PCOS scenario and hirsuitism: what is increased in labs
a. Increased FSH
b. Increased LH
c. Increased sex hormone binding globulin
d. Increased DHEA-S
10.women with past hysterectomy with a bloddy menses. Had 4mm stripe and
described uterus and midline fibroids scenario- what is it
a. fibroadenoma
b. leiomyomata uteri
11.ectopic pregnancy scenario and HCG 7100, one sided pain, fluid in uterus on
US and no signs of gestational sac
a. Ectopic preg
b. Hydadiform mole- HCG would be in 100,000’s
12.proximal tibial fracture in teen boy Patient had foot drop after being casted
for tibial fracture. X-ray afterward showed a close proximity fracture. How
should should you fix it. how do u fix it
a. closed reduction- idk
b. open reduction with int. fixation
c. open reduction
d. rest and hard cast
13.hematuria s/p hysterectomy for endometriosis on estrogen therapy. Dysuria,
and increased urinary frequency, no fever
a. uti
b. urolithiasis
c. endometriosis (could be this if ectopic tissue remained after surgery
b/c on estrogen and endometriosis causes hematuria)
14.Had a ptient who just ran 13 miles and collapse.. cpk was elevted..why are her
renal labs messed up. Is it due to myoglobin is it due to depleted intravascular
problems it aske myoglobin in glomerulaus or in renal tubules. I put depleted
intravasulcal vol cuz she was hypotensive. increased crt and ketones in urine
with FENA <0.2%- what caused the collapse, dry membranes and a low BP in
vignette
a. dehydration
b. increased GFR due to myoglobin
15.mom with gestational DM and baby with macrosomnia- what is increased to
cause this
a. insulin
b. glucagon
c. human placental lactogen
16.kid with a cough and neck twitches
a. tourettes
17.Mitral stenosis and risk of what caused this new onset
a. Rheumatic heart disease
18.+murphys sign and gallbladder what do u do next
a. abdominal U/S
19.recent strep infection and 2 weeks later, htn, edema, protein – remember to
check protein it could be a minimal change disease if it is nephrotic
a. glomerulonephritis
20.hus scenario – what would of prevented this
a. properly cook food (ecoli)
21.old man with gastrectomy and taking folate, with nerve problems
a. supplement with B12
22.g6pd kid who gets a rash and pancytopenia/aplastic anemia on lab values
a. parvo infxn- I put this
b. EBV
23.DM2 patient with ulcer on bottom of heel pic- what caused this
a. Pressure
b. Vasculature 2/2 nerve damage- something like this is the answer I
chose
24.Lupus case with oral ulcers and AA female
a. SLE

25. Endocarditis question

26.kid stepped on nail with tennis shoe on, mom cleaned it with soap and water
and now red and hurting (osteomyelitis)
a. pseudomonas
b. ekinella
c. burkholderia cepacia
d. pasturella multinocida
27.eczema, thrombocytopenia, immunodeficiency
a. wiscott Aldrich

28.Hiv CD4 CT 200 and he refuses to take medicines and chest x way lobar
infiltrate, what would you give to prevent this – watch out for questions like
this, check the CD count and what the questions is asking, best immediate
treatment? What could have prevented this ? what kinds of prophylaxis do
they qualify for?
a. TMP-SMX
b. Pneumococcal vaccine
29.+nickloskys sign and scenario
a. pv
30.Toxic shock syndrome as an answer choice
31.Hypotension, trauma what do you do next
a. Exploratory laparotomy
32.Fetus born at 20 wks, and not breathing what do you next
a. Nothing stop all recussitive efforts
b. Intubate
33.Palpabale purpura on lower extremity and gi
a. Henoch shonlein – know the mechanism of the disease
34.Hydrogen breath test and reducing substance positive
a. Enzyme deficiency
35.TOF tet spells in kid- how does squatting improve symptoms? Increases
systemic vascular resistance
a. Increased pulmonary resistance
b. Increased CO
c. Etc- idk????
36. Day old with central cyanosis
a. transposition of great vessels
37.stress incontinence coughs and pees –
a. bladder overload?
b. detrusor instability? I put this
38.sbo xray with linear cut off looking gas signs- wiki is the exact pic what is it?
a. SBO
39.Croup cough in baby
a. Parainfluenza
40.Kid with ALL and parents wish to tx with herbals what do you do
a. agree with parents wishes
b. court order
c. treat and then obtain court order
41.vaginal dryness, what is this in an older female
a. lichen sclerosis ?
b. lichen planus
42.TB exposure in family to an uncle, no signs of disease in kid, what do you do
a. Treat with INH- treat latent tb with INH 9 monalways
43.Transplant patient with psychosis and on steroids what disorder does she
have, patient could also have been using steroid for acne
a. Steroid induced

44.Know ssri- FLUOXETINE, for some depressed patient

45.anorexic patient with no periods what is decreased
a. estrogen
46.painful red breast with fever what is it- she is breast feeding, Has warmth
and tenderness of breast. Has mass on outer right quadrant. Has minor
fever.
a. mastitis
b. galactocele
47.descritption of compartment syndrome- remember the P’s – StepUp p204
a. fasciotomy
48.chronic GERD and trouble swallowing what dx test do you do
a. EGD
49.Ringed lesion on ct/mri of brain, tx first step?
a. Tx abx
b. Steroids- I put this?
c. Remove
50.Elderly sleep study
a. normal for age
51.normal bereavement was the answer for someone seeing their loved one 1
mo after death
52.distended neck veins, hypotension, absent breath sound
a. tension pneumo
53.trauma to chest/sternum
a. flail chest
54.know shock PCWP and HR relationship with bp
55.osteoporosis already on calcium and vitamin D
a. alendronate
56.smudge cells
a. CLL
57.palpable and painful mass around old scar what is it
a. strangulation/incarcerated incisional hernia
b. adhesions
58.crohns patient with fistula/abcess on butt, oral ulcers
59. hand picture showing joints of RA
60.ear pic with normal canal what is it
a. otitis media
61.baby with Mongolian spot on butt
a. reassurance
62.development milestones for kid-
a. normal normal normal normal
63. pain decreased on raising of testes what do you do next
a. transillumination test
b. abx- I put this b/c infection
c. angiography
64.herniated disc and sciatica what nerve roots
a. L4/L5?
65.Human bite organism
a. Eikenella
66.Ptsd
a. Ssri
67.Kid with rickets/bowing of legs
a. Vit d deficiency
68.Baby born at home what at risk of? Vit. K def
69.Pod #2 FEVER- ATELECTASIS
70.RA non response and progression
a. methotrexate
71.Guy has back pain and limited movement in the morning?
I said to do lumbosacral Xray , I wanted to DX Ankylosing Spondylitis

Comp recall…. Don’t rely on my answers APOLOGIZE FOR TYPOS

1. Patient was pregnant. Has paineless ulcer. Was tested for neisseria,
Chlamydia and syphilis. All were negative. What should she get--- I put
 benzathine penicillin G. has azithro, doxy ceftriaxone as choices. Also said
she breaks out in rash when takes penicillin.
2. Patient has targetoid rash 5 months ago. She now has bilateral facial palsy.
What shoud she have gotten to prevent this early on in disease. I put
doxycycline.. I think there was a better choice. So look up treatment options
for lyme in diff stages. preggos you use amoxicillin
3. Patient deliverd not too long ago. Had episiotomy midline. Now present with
signs of infxn. Gause packing was removed to inspect and was malodourous.
Which organism most likely caused the infxn. I put ecoli or staph don’t
recall. other choices were Chlamydia and other vaginal organisms. Look up
Post episiotomy (puerperal) infxn and mcc causes. My friends think
peptostreptococcus cuz anaerobic, that
4. LOOK UP THE BEST TREATMENT FOR CELLULITIS. ONE QUESTION SAID A
GUY BUMBPED HIS LEG ON TABLE BUT HAD ALL SIGNS OF CELLULITS.
ANOTHER QUESTION JUST ASKED BEST TX. I PUT CEPHALEXIN. BOTH
QUESTIONS WERE ON HIS THIGH.
5. EASY QUESTION ON WEGNERS CUZ HAD SINUSITIS AND KIDNEY PRBLEMS
6. 2 YEAR OLD FOUND IN BATHROOM. WAS DRROLING AND HAD SWOLLEN
LIPS BUTWHAT DID HE INGEST. I PUT LYE.. LIKE BATTERY ACID. HYDROGEN
PEROXIDE AND OTHER HOUSE HOLD ITEMS. I WOULD PUT H202
7. HAD A PICTURE OS A VERY RED BULGING EARDRUM AND ASKED WHAT
WAS ORGANISM. I PUT S PNEUMO (LOOK UP ORGANISM). IT WAS IN A
LITTLE GIRl I THINK. I BELEIVE THERE WAS SOME DISCHARGE IN THE
VIGNETTE.
8. LOOK UP PFT IN PATIENT WITH SARCOIDOSIS
9. very old lady (60s) with bloody nipple discharge. Asked what was it due to.
Mammogram showed no abnormalities. I put carcinoma. Other choices were
intraductal papilloma, duct ectasia, pagets and few other. Look up what
shows up on mammogram to help and age of presentations.
10.Biostats. Looking at rertospec study of surgical intervention vs
pharmacotherapy of carotid stenosis. After excluding 98 ppl who dies w/
surgery . studies proved surgery is better. This is bad b/c??? why is this
study bad….. I put loss of power.. probably wrong..look up biases
11.Had a question of women who woke up room spinning. Then had eye
problems then had gait problems. I put MS
12.Eye pathology with “cape like cover” what is dx? I put amorousis. I had 4 eye
questions
13.Look up things that have air filled loops of bowel. I know one answer choice
was intestine sticking out through old incision scar.
14.I had 3 glaucoma questions.
15.I had one baby poor feed 2 weeks old. High fever. I put group b strep.
16.I had 2 mechanism of action on patient with urinary incontinence. One
answer choice is urethral hypermobility. Other is hypertonicity of bladder.
17.I had a very long vignette on types of apnea. Choices were obstructive apnea,
central apnea, hypo-ventilation syndrome patient was very very obese 300
lbs. look up blood gases to help??
18.Close contact prophylaxix for brother ages 2 &9 for since older bro has
n.meningitidis. rifampin
19.There was a scenario trying to describe ADHD in boy. Said kid did not sleep
well. Sleeps with mouth open tosses and turns. Plays well soccer with frieds.
Disturbs class. But ADHD was not choice. Asked what test should be done.
Sleep study, audiometry, EEG, neuropsychiatric testing.
20.KNOW your leads in cardio. I had 2 questions on where was infarction. And
had 2 other on next step in mgmt. I def had a question on r ventricular
infarct.
21.Know where you see ST depression in leads and how manage it.
22.Also had question on coronary vasospasm and how to diagnose it. I put
barium swallow
23.Also had image of barium swallow. Look up zenkers vs achalsia vs
corkscrewing and just asked what the pathology was based off image.
24.Patient has mucopurulent discharge from cervix, not vagine. Asked most like
organism.. I put Chlamydia cuz I think that causes cervicitis. Look up
cervicitis.
25.Patient waited till mom was out of room to say she was sexually active. With
one partner. Asked which test should you do next. It stated they use condoms
regularly. I put Chlamydia and neisseria. Other choice was pregnancy.
26.Had a question with guy who had erythema on inner thigh. He was sexually
active not consistant with protection. Swims 3x a week and works out 2 x a
week. Rash had circular are that was clear in middle. Trying to trick u with
sexally tryasmitted dz versus ringworm. Look up both. Answer choice was
ova and parasites or sumthing. Had diplococcic and gram post this and
that.. hyphae…soo look up scrapings and.
27.Treatment of ibs after doing high fiber diet. I out loperamide. It asked
pharmacotherapy..
28.Guys had diabetes and recently gout htn.. what is best intial drig… ace be
careful cuz put verapamil to trick u…its ramipril…
29.Guy getting treated for all. Has crazy high uric acid levels.. asked what u can
give to protect kidney.. I put allopurinol… but it was for a leukemia and not a
lymphoma…please check up this..
30.Asked what is the mot important thing to cut down to protect kidney in kid
who is fat who eatrs crap who smokes and who has diabetes and htn.. I put
control his htn.
31.Know clotting problems. Had kid w/ increased bleeding time. Uncle and bro
have dz. I put factor 8…compare it with vwf and other pathologies.
32.Guy has COPD (emphysema) and asked what is MOA of pathology. What is
wrong with lungs and why its hyper inflates. I put destruction of elastin.
33.Girl had renauds and asked what stops pain in digits I put nifedipine.
34.Know A LOT about pneumonias and tx like 5 questions…..
35.Know tamponade and pericarditis and what looks like on ekg
36.Women is slowly losing intrest in hobby. Loosing weigh. Sleeping less. All
other choices are bad. I put major depression.
37.Women found out hubby a drug dealer. Started to feel anxious about finances
and loosing child. Startedhearing voces to kill self and baby so they cant take
baby.. what is nex appt step… start risperidone…had other drugs as choice…
this is not an adjustment rxn cuz of voices.
38.Had one straight forward question on schizophrenia and bipolar… mentiones
pressured speech and little sleep and emotional ability.
39.Look up IgE syndrome vs IgE levels in asthma
40. Guy is roofe, dad dies of lung cancer, and is a smoker.. has calcified lesion in
upper lobe.. what is it most like due to… smoking, occupation genetics.. I put
occupation problay asbestos….
41. I had 3 question on DVT… know it well and the veins associated… like
saphenous.. politeal and other problems with this veins… also has a pe
vignette with next best test I put spiral ct of chest, cuz lover limb was not a
choice….
42. I had question baby was new born and had meconium aspiration and and
then later developed rest distress with feeding.. what eas ait due to ….ddx
pneumothorax due to aspiration of feces or TEF. It said xray had infiltrates so
see what on x-ray
43.Patient had ring and pinky contracted.. so a type of claw had.. and what was
patho phys and how to tx it.. I put resect sub q fascia…
44.Had 2 question on old guy liftin heavy and sudden pain down leg with loss of
reflexes. And asked where injury was in vertebra based on reflexes. Said he
couldn’t dorsilfex ankle. Look up foot drop,
45.I think I had SLE patient but he was male.. he has psoriasis, a rash on face and
bilat joint wrist probs
46.Patient is preggo.. has dvt.. had a dvt in past due to estrogen therapy.. asked
what to check for…like d-dimer. Fibrin split products and factor 5 mutation.. I
put factor 5.
47.I had a patient who had steven Johnson syndrome or toxic epidermal
necrolysis after carbamazepine, how to treat that patient.. I put ICU and ..you
should look this up.. this was a picture question.. had nikolsky
48.Patient had bleeding gums and drinks heavily.. has increased bleeding time..
what vitamins should be chekd…it was either vit c or a… didn’t list k. I think
trying to link to pancreatitis.