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Kaplan Qbank USMLE



Author3 Posts
  #1

1.A pt mother has colon cancer at 65 yrs,he is 45 yrs old.he thinks he also has colon cancer.WOF IS TRUE
A.HE WILL HAVE ANNUAL COLONOSCOPIES FROM 50 YRS ONWRDS
B.HE SHOULD HAVE FECAL OCCULT BLOOD TESTING TWO YEARLY
C.BARIUM ENEMA
D.HE SHOLUD HAVE COLONOSCOPY
E.REASSURANCE



A pt came with trauma o/e iplilateral pupil is dilated,bradycardia,BP I (I am not sure)MOST LIKELY
A.SUBDURAL HEMATOMA
B.EXTRADURAL HEMATOMA
C.SUBARACHONOID HEMORRAGE


24.AOF is true regarding gall bladder stones EXCEPT
A.THEY R MOSTLY RADIOLUCENT
B.SINGLE STONE IS MOSTLY OF CHOLESTEROL
C.MOSTLY ASYMPTOMATIC
D.PIGMENT STONES R HEMOLYTIC
E.STONE AT CBD CAUSES SEPSIS OF GALL BLADDER


In management of compound fracture of tibia and fibula, which is most CORRECT:
A.IF NO CONTAMINATION DEBRIDEMENT IS UNNECESSARY
B.EXTERNAL FIXATION
C.ANTI TETANUS PLUS ANTIBIOTICS
D.DEBRIDEMENT AND INTERNAL FIXATION




  #2

1) A or B. A is more sensitive (though more expensive), so A.

3)Gall stones are mostly radiolucent and asymptomatic; cholesterol stones are the most common;black pigment stones accompany hemolysis. Brown stones are rare in the GB and form mostly in the bile duct and are related to bile stasis and infected bile. Did some research on this one. Still not sure which one to pick.

4) A. perhaps. The choice for B, C or D would depend on the case. In some, a plaster cast with a window for dressing the wound may suffice, if the fracture can be maintained in alignment; others may need external fixators, while those in whom alignment cannot be acheived without operation, internal fixation maybe needed. Every case will need antibiotics but the choice for ATT will depend on the patient's immune status.

Info for the head injury q. seems inadequate.


  #3

Won't you post the answers, exam?







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