Which of the following diagnostic studies is the most important in this child's evaluation?Ī white blood cell count and differential Question 6 Explanation: This is pericarditis (by clinical presentation) which causes diffuse ST segment elevation on ECG (there can be notching of the R wave as well)Ī 2 month-old febrile male is brought to your facility to be evaluated for loss of appetite, irritability, and an acute petechial rash. Which of the following tests would be most compatible with your suspected diagnosis?Ī a hiatal hernia visualized on chest x-rayī a normal erythrocyte sedimentation rateĬ calcified "popcorn" lesions in the lung fields bilaterallyĭiffuse ST segment elevation on his electrocardiographĮ a widened A-a gradient on his arterial blood gas He denies trauma, a cough and shortness of breath. It is improved by sitting up and leaning forward. He states that it is worse with swallowing and taking a deep breath. 7365546_orig About Jorge Muniz PA-C (Creator of Medcomic)Ī 24 year-old male presents complaining of chest pain. Question 5 Explanation: Salter I = slight increase in Space between epiphyseal plate and metaphysis Salter II = fx Above the plate (in the metaphysis) Salter III = fx Lower (in the epiphyseal plate) Salter IV = fit Through (both the metaphysic and epiphysis) Salter V = Really bad (comminuted fx compressing the epiphysis) This spells SALTR and may help you remember.
What type of fracture does this child have? An x-ray of the digit demonstrates a fracture line through the metaphysis of the proximal aspect of the middle phalanx, ending at the epiphyseal plate. Secondary to a traumatic event, a child complains of pain in the index finger. I remember it because it begins with an E. Question 4 Explanation: Ethambutol is the TB drug that causes "E"ye symptoms. She is experiencing central scotomata, a loss of green-red color perception and decreased visual acuity. Question 3 Explanation: This is the best descriptor.Ī patient is being treated for Tuberculosis. Which of the following best describes this patient's condition?Ĭhronic bronchitis with hypersensitive airways (asthmatic bronchitis) He adds that he has a chronic cough, productive of mucous, most mornings during the past several years. He states that each previous episode began after developing a "cold that moved into his chest." Usually, after treatment with albuterol (VENTOLIN) and several days, the wheezing stops. He has had several similar episodes in the past. Abscess would be constant, fistula would drain, UC would cause bloody mucousy diarrhea, hemorrhoids would cause no pain, but bleeding.Ī 38 year-old chronic smoker presents with shortness of breath and wheezing. Question 2 Explanation: proctalgia (rectal pain) fugax (comes and goes) is the best description. He adds that sleep interruption is problematic, because with the number of hours he works, every minute of sleep is important. He describes the pain as "a severe tightness that awakens him from sleep." His bowel activity is normal. Question 1 Explanation: Angiogram is the "gold standard" for occlusion of an arterial vessel.Ī 31 year-old pharmacist complaining of rectal pain. Which of the following diagnostic modalities will identify the source of this patient's problem in approximately 95% of cases? You cannot appreciate a palpable pulsation. You note that the extremity is pale and cool to the touch. A patient presents complaining of severe pain and "burning" in an extremity.
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