Trauma/Emergencies — Flashcards

Flashcard 151: Trauma to the spinal cord is best assessed via _____ and the use of high-dose steroids is now generally avoided (no longer standard of care)

Answer: MRI

Flashcard 152: Persistent _____ and new arrhythmia after blunt chest trauma are concerning for blunt cardiac injury

Answer: tachycardia

Flashcard 153: Carotid endarterectomy (CEA) should be considered for asymptomatic patients with stenosis of _____%

Answer: ≥ 80

Extra: Traditional trials (ACAS/ACST) used > 60% as the threshold for asymptomatic patients, but modern management (statins/antiplatelets) has raised the threshold for surgical benefit in many clinical resources to ≥ 80%.

Flashcard 154: Young man with obstructive-type voiding symptoms (weak stream, spraying, incomplete emptying) with elevated PVR is suggestive of _____

Answer: urethral stricture

Flashcard 155: Percutaneous nephrostomy is indicated for complete upper urinary tract obstruction and _____

Answer: infection

Flashcard 156: What is the best next step in a patient that presents with endocarditis and CHF? _____

Answer: Surgery

Flashcard 157: In scoliosis, a Cobb angle of >40-50 degrees is treated with _____

Answer: surgical fixation

Flashcard 158: What is the treatment of choice for compartment syndrome? _____

Answer: Fasciotomy

Flashcard 159: Management for penetrating injuries to the extremities? 1) When no major vessels in vicinity? _____ 2) If near major vessel (but asymptomatic)? _____ 3) If obvious vascular injury? _____

Answer: Tetanus prophylaxis and wound cleaning

Flashcard 160: What testicular mass is a painless fluid-filled cyst at the head of the epididymis? _____

Answer: Spermatocele