Surg & Med MCQs

 A 3 yo is involved in an MVA which resulted in multiple injuries and required intubation at the scene. His vitals are labile and he is rushed to the hospital. Because of poor IV access, the resident starts an intraosseous line as shown below. The child is resuscitated and stabilized. CT scan reveals fracture of the pelvis, and 4 ribs on the left chest. After application of an external fixator the child is taken to the ICU. Late in the night the nurse notes no pulses in the right leg which is now tense and ecchymotic. Which of the following muscles is not involved in his pathology?

a. Extensor hallucis longus

b. Peroneus brevis

c. Extensor digitorum longus

d. Tibialis anterior 

https://youtu.be/uOky-i5Y0ps

Anat & Surg MCQs

 If this is the right side, the structure marked ‘E’ will drain into the?

a. Splenic vein

b. Inferior mesenteric vein

c. Right renal vein

d. Vena cava

e. Left renal vein

https://youtu.be/uOky-i5Y0ps

Cardio & Peds MCQs

 A child underwent a study to determine the oxygen levels in the heart chambers - see below. In the majority of people with this type of congenital heart defect, the major hemodynamic effect is?

a. Cyanosis

b. Decreased cardiac output

c. Pulmonary circulation overload

d. Decreased preload

e. Continuous murmur

https://youtu.be/uOky-i5Y0ps

Surg & Med MCQs

 Q2. SB is a 16 yo female who presents to the ED with a 18-hour history of vague abdominal pain. The pain was sudden in onset and colicky in nature. She did take some Tylenol but the pain did not abate. Her past medical history is unremarkable. On exam, her pain has localized to the area ‘C.’ If the patient in the previous slide has appendicitis, then the laboratory work may reveal?

A. WBC > 20

B. Elevated ESR

C. Raised levels of urinary 5 HIAA

D. Hematuria

E. Elevated levels of amylase

F. Neutropenia

https://youtu.be/uOky-i5Y0ps

Surg & Med MCQs

 Q1. SB is a 16 yo female who presents to the ED with a 18-hour history of vague abdominal pain. The pain was sudden in onset and colicky in nature. She did take some Tylenol but the pain did not abate. Her past medical history is unremarkable. On exam, her pain has localized to the area ‘C.’ What is the next step in her management?

A. WBC > 20

B. Elevated ESR

C. Raised levels of urinary 5 HIAA

D. Hematuria

E. Elevated levels of amylase

F. Neutropenia

https://youtu.be/uOky-i5Y0ps

Med & Path MCQs

 A 28-yo male with AIDS presents with a 2 week vision problems. He denies any injury but claims that the vision is blurred in the periphery and he is seeing numerous particles floating in the visual field. During the eye exam, scrapings from the right eye are obtained and stained. The pathologist has circled two areas of concern. You at once make a diagnosis of?

a. Herpes simplex keratitis

b. Cytomegalovirus retinitis

c. Human papillomavirus infection

d. Epstein Barr virus

e. Kaposi sarcoma

https://youtu.be/AatoJyjXFls

Med MCQs

 Q2. If you are told that the patient has Heinz bodies on the RBC smear, what pathophysiology would come to mind?

a. Lead poisoning

b. Absent or defective spleen

c. Damaged or defective hemoglobin

d. Development of leukemia

e. Severe infection

https://youtu.be/AatoJyjXFls