Trauma/Emergencies — Flashcards

Flashcard 191: The treatment for recurrent sialolithiasis is _____

Answer: sialadenectomy (surgical removal of the gland)

Extra: For recurrent sialolithiasis, conservative management (hydration, sialogogues) is usually insufficient; definitive treatment involves surgical excision of the affected salivary gland (sialadenectomy).

Flashcard 192: Surgical ligation of a patent ductus arteriosus is contraindicated when there is _____

Answer: severe pulmonary HTN

Extra:  https://onlinemeded.org/spa/cardiology/valvular-disease/acquire?ref=anki 

Flashcard 193: What is the treatment of a pigmented skin lesion that itches, bleeds, or is associated with local sensory symptoms? _____

Answer: Excisional biopsy

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 194: What is MCC of esophageal perforation? _____

Answer: Iatrogenic

Extra:  https://onlinemeded.org/spa/gastroenterology/esophagus/acquire?ref=anki 

Flashcard 195: Is urinalysis indicated for a patient with trauma and gross hematuria? _____

Answer: No

Extra: Indications for CT imaging in suspected renal trauma: - Gross hematuria - Microscopic hematuria AND shock (SBP < 90 mmHg) - Significant deceleration injury mechanism (e.g., fall from height, high-speed MVC)

Flashcard 196: Melanoma treatment is _____

Answer: excision with wide margins

Extra:  https://onlinemeded.org/spa/dermatology/hyperpigmentation/acquire?ref=anki 

Flashcard 197: How are uncomplicated fractures of the middle third of the clavicle treated? (3) _____

Answer: Rest & ice Sling Figure of eight bandage

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 198: Hemorrhagic shock refractory to IVF is managed with _____

Answer: transfusion

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 199: Osteoarthritis is common in patients with prior joint injury, especially _____ injury

Answer: ACL

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 200: Using the Ottawa Ankle rules, an ankle X-ray is only required if there is pain in the malleolar zone, plus one of the following: • Tenderness at the _____ • Tenderness at the _____ • Inability to bear weight (both immediately and in the ED)

Answer: posterior lateral malleolus