Trauma/Emergencies — Flashcards

Flashcard 301: _____ = twisting of the spermatic cord due to rotation of the testicle within the scrotum

Answer: Testicular torsion

Flashcard 302: Pelvic fracture, hemodynamically _____ = external fixation + no surgery (laparotomy)

Answer: unstable

Extra: In pelvic fractures, avoid exploratory laparotomy for retroperitoneal hemorrhage as it releases the tamponade effect and can lead to exsanguination. If the patient remains unstable after pelvic stabilization and fluid resuscitation, the next step is typically angiography/embolization (for arterial bleeds) or pre-peritoneal packing.

Flashcard 303: _____ tendon tear = patella rides high _____ tendon tear = patellar rides low

Answer: Patellar

Flashcard 304: Knocked out permanent teeth should be rinsed gently with normal saline reimplanted immediately and transported in _____

Answer: cold milk/saliva

Flashcard 305: _____ is a type of spider whose bite can cause necrotic ulcer and surrounding erythema

Answer: Brown Recluse

Flashcard 306: Scrotal enlargement resembling "bag of worms" is seen in _____

Answer: varicocele

Flashcard 307: A midshaft _____ is classically associated with injury to the radial nerve.

Answer: humeral fracture

Extra: Midshaft fractures of the humerus are classically associated with injury to the radial nerve (which runs in the spiral groove), potentially leading to wrist drop.

Flashcard 308: Prophylactic thyroidectomies are done for MEN _____ syndromes.\nWhy is this done?\nTo prevent Medullary Thyroid Carcinoma (MTC)

Answer: 2

Extra: MEN 2 (both 2A and 2B) is associated with Medullary Thyroid Carcinoma (MTC) due to RET mutations. Prophylactic thyroidectomy is indicated because the risk of MTC is nearly 100%. Note that while MTC cells secrete calcitonin (used as a tumor marker), clinical hypocalcemia is rare and patients are typically eucalcemic.

Flashcard 309: In any infection of the deep neck spaces, _____ takes precedence over any other therapeutic or diagnostic measure

Answer: airway management

Flashcard 310: Testicular torsion is a pathology of the testes that can lead to a small _____

Answer: hydrocele