Spina bifida includes all of the following EXCEPT
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Meningocele
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Meningomyelocele
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Tethered cord
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Oxycephaly
Unequal pupils is a sign of
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Fracture base of skull
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Uncal herniation
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Intracerebral hemorrhage
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Concussion stage in extradural hematoma
Management of a comatosed patient with head injury begins with
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The cardiovascular system
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Pupillary reflexes
100%
Establishment of an airway
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Computed tomography (CT) of the brain
The most appropriate treatment of large (more than 2cm) brain abscess is
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Systemic antibiotic administration
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Injection of antibiotics into the abscess
100%
Aspiration and drainage of the abscess plus systemic antibiotic administration
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Marsupialization of the abscess
Regarding pleural effusion all of the following are true EXCEPT:
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can be tapped to make a diagnosis
100%
can be detected radiographically when 100ml of fluid is present
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is most commonly caused by congestive cardiac failure
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will not produce mediastinal shift even if severe
Cardiac contusions caused by blunt chest trauma:
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Are fairly easy to diagnose
100%
Occur in up to 60% to 80% of patients with major blunt thoracic trauma
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Do not usually cause right ventricular dysfunction
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Demonstrate arrhythmia as the most common complication
Which of the following steps is not part of the primary survey in a trauma patient?
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Insuring adequate ventilatory support
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Measurement of blood pressure and pulse
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Neurologic evaluation with the Glasgow Coma Scale
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Examination of the cervical spine
Immediate life-threatening injuries that preclade air exchange which can be treated in the field include all of the following except?
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Tension pneumothorax
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Massive open chest wounds
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Sucking chest wounds
100%
Tracheal disruption
Where are the arterial baroreceptors located?
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Carotid sinus and aortic arch
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Carotid sinus only
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Superior vena cava
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None of the above
Inhalation anesthesia induces:
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Airway dilatation.
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Airway constriction.
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Decrease sputum production.
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None of the above
Preload is defined as:
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End diastolic pressure.
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End systolic pressure.
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End diastolic volume.
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End systolic volume
Local anaesthetics exert their effect on:
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Potassium channel.
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Sodium channel,
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Calcium channel.
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Magnesium channel.
a 70 kg, 60-year-old man who is 2 days following an emergency laparotomy for adhesion-related small bowel obstruction . He is infused with Hartmann's solution (Ringer's lactate). Which one of following regarding this type of fluid therapy is appropriate?
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It contains more sodium than normal 0.9% saline solution
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It does not contain bicarbonate
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Three Liters contains sufficient K+ ions for this patient
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It has a composition that is closer to plasma than dextrose saline
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None of the above
The ideal time to give IV prophylactic antibiotics for, colon surgery is:
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Four hours before surgery.
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One hour before surgery.
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At skin incision.
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At colon excision.
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Immediately after surgery.
A 28-year-old man presents with painful genital ulcers. He reports unprotected sex with a new partner. On examination, there are multiple bloody shallow, painfuf ulcers on the gentalia. What is the most likely causative agent?
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Treponema pallidum
25%
Haemophilus ducreyi
25%
Neisseria gonorrhceae
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Chlamyjia trachomatis.
25%
Herpes simplex virus
50-year-old man with a back injury and erectile dysfunction. He suddenly cannot achieve erections.He don't respond to intiai oral therapy but he responds with normal erections to very low doses of Intracavernosal vasoactive drugs.
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Psychogenic tactors
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Neurogenic factors.
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Vascular factors.
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Hormonal factors.
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Medication side effects