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Free notes, MCQs, tables & flowcharts for USMLE Step 1 Anatomy
Following a motor vehicle accident, a 63-year-old man is scheduled for surgery. The emergency physician notes a posture abnormality in the distal left lower limb and a fracture-dislocation of the right hip and acetabulum based on the radiology report. The senior orthopedic resident mistakenly notes a fracture dislocation of the left hip. The surgeon's examination of the patient in the operating room shows an externally rotated and shortened left lower limb. The surgeon reduces the left hip and inserts a pin in the left tibia. A review of postoperative imaging leads to a second surgery on the fracture-dislocation of the right hip. Which of the following strategies is most likely to prevent the recurrence of this type of error?
AMarking the surgical site
BImplementing a checklist
CConducting a preoperative time-out
DVerifying the patient’s identity
EPerforming screening X-rays
A 40-year-old woman is brought to the emergency department by a paramedic team from the scene of a motor vehicle accident where she was the driver. The patient was restrained by a seat belt and was unconscious at the scene. On physical examination, the patient appears to have multiple injuries involving the trunk and extremities. There are no penetrating injuries to the chest. As part of her trauma workup, a CT scan of the chest is ordered. At what vertebral level of the thorax is this image from?
AT1
BT6
CT4
DT5
ET8
A 54-year-old man presents to his primary care physician for back pain. His back pain worsens with standing for a prolonged period of time or climbing down the stairs and improves with sitting. Medical history is significant for hypertension, type II diabetes mellitus, and hypercholesterolemia. Neurologic exam demonstrates normal tone, 5/5 strength, and a normal sensory exam throughout the bilateral lower extremity. Skin exam is unremarkable and dorsalis pedis and posterior tibialis pulses are 3+. Which of the following is the best next step in management?
ASurgical spinal decompression
BMRI of the lumbosacral spine
CAnkle-brachial index
DRadiography of the lumbosacral spine
ENaproxen
+ 7 more in the PDF
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