Medbullets

Brand New QBank - Every Question Peer-Reviewed by 3 Board-Certified Physicians Can you answer this new USMLE Step 2 free Question of the Day? QID: 215092 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/40xgrcU #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Here are intraop & postop images of yesterday's case by Dr. Brandon Romero, MD and Kirk Kerkorian School of Medicine at UNLV. SCAPULA FRACTURE IN 49M S/P MOUNTAIN BIKE ACCIDENT PROCEDURE: SCAPULA/GLENOID ORIF Here is the link to the clinical presentation and the pre-op imaging: https://lnkd.in/gWin889K HPI: The patient is a 49-year-old right-hand dominant male who presented 4 days after a mountain biking accident. He is very active, participating in rock climbing and weightlifting. His injuries include multiple rib fractures and a right scapula/glenoid fracture. He reports severe pain in the posterior right shoulder, but neurovascularly, the upper extremity is intact (NVI). PMH: No relevant past medical history. PE: Examination of the right upper extremity reveals ecchymosis and tenderness over the posterior shoulder. The patient experiences severe pain with any attempted range of motion. Sensation is intact in the axillary, median, radial, and ulnar nerve distributions. Radial pulse is 2+ and equal to the contralateral side. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/gWXtFAqn

Here is a new case by Dr. Brandon Romero, MD and Kirk Kerkorian School of Medicine at UNLV. SCAPULA FRACTURE IN 49M S/P MOUNTAIN BIKE ACCIDENT HPI: The patient is a 49-year-old right-hand dominant male who presented 4 days after a mountain biking accident. He is very active, participating in rock climbing and weightlifting. His injuries include multiple rib fractures and a right scapula/glenoid fracture. He reports severe pain in the posterior right shoulder, but neurovascularly, the upper extremity is intact (NVI). PMH: No relevant past medical history. PE: Examination of the right upper extremity reveals ecchymosis and tenderness over the posterior shoulder. The patient experiences severe pain with any attempted range of motion. Sensation is intact in the axillary, median, radial, and ulnar nerve distributions. Radial pulse is 2+ and equal to the contralateral side. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/gWXtFAqn

Can you answer our free question of the day? A 27-year-old woman presents to her primary care physician with a 2-week history of increasing weakness. She initially felt weak during her evening workouts; however, it has now progressed to the point that at the end of the day, she cannot even go up the stairs. She feels fine in the morning and never has a problem during the day at work. She has no significant medical history and works as a programmer. Her temperature is 98.0°F (36.7°C), blood pressure is 124/84 mmHg, pulse is 82/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam reveals the finding shown in Figure A. An ice pack placed over the patient's eye causes resolution of the patient's symptoms. Which of the following would be the most appropriate in further evaluation of this patient? 1. Angiography of the brain 2. CT chest 3. MRI brain 4. PET scan 5. Slit lamp examination QID: 220248 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/4hpLkGq #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Can you answer our free question of the day? A 36-year-old woman presents to the emergency department with a 2-day history of blurry vision in the right eye. Approximately 8 months ago, she experienced right upper extremity numbness that self-resolved over the course of 2 weeks. She did not seek medical attention at that time. She has no significant medical history. Her temperature is 98.0°F (36.7°C), blood pressure is 124/84 mmHg, pulse is 82/min, respirations are 12/min, and oxygen saturation is 98% on room air. Neurological examination is remarkable for visual acuity of 20/200 in the right eye and 20/25 in the left eye. There is an afferent pupillary defect and pain with movement of the right eye. Imaging results are shown in Figure A. Which of the following treatments is most likely to modulate the long-term trajectory of this disease? 1. Interferon beta 2. Intravenous immune globulin 3. Mycophenolate 4. Prednisone 5. Pyridostigmine QID: 220249 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3Ap5EH6 #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Can you answer our free question of the day? A 51-year-old man presents to his primary care physician with a 2-month history of increased weakness during the day. As a construction worker, he would get tired at the end of the day making work difficult. Now, he is having difficulty with activities of daily living after returning home. He also occasionally experiences double vision while reading a book. His medical history is significant for hypertension and hyperlipidemia. He does not smoke and drinks 2 alcoholic beverages per week. His temperature is 98.6°F (37°C), blood pressure is 144/94 mmHg, pulse is 82/min, respirations are 12/min, and oxygen saturation is 98% on room air. Exam is notable for Figure A. His pupillary reflexes are present bilaterally to light, and his extraocular movements are intact. The rest of his neurological examination is unremarkable. Which of the following is the most appropriate initial treatment for this patient's condition? 1. Edrophonium 2. Methylprednisolone 3. Prednisone 4. Pyridostigmine 5. Thymectomy QID: 220247 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/4e3CoUm #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Brand New QBank - Every Question Peer-Reviewed by 3 Board-Certified Physicians Can you answer this new USMLE Step 2 free Question of the Day? QID: 220250 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3NA7qIH #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Can you answer our free question of the day? A 29-year-old woman presents to the emergency department with a 3-day history of difficulty urinating. She noticed this when she was at a family picnic and has had increasing difficulty over time. Over the last few months, she has also noticed intermittent symptoms of difficulty speaking and visual changes. These episodes have all resolved without medical treatment. She has no relevant medical history and does not take any medications. She drinks 1-2 alcoholic beverages per day and does not smoke. Her temperature is 98.6°F (37°C), blood pressure is 112/74 mmHg, pulse is 82/min, and respirations are 12/min. A physical exam reveals the findings shown in Figure A. Which of the following would most likely be seen on imaging of the head of this patient? 1. Asymmetric hyperintense lesions 2. Atrophy 3. Enlarged ventricles 4. Unilateral concave hyperintense lesion 5. Unilateral convex hyperintense lesion QID: 220253 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3zZVAo2 #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Can you answer our free question of the day? A 72-year-old man presents to the emergency department with a 2-hour history of right-sided facial droop and right upper extremity weakness. It started when he was watching TV with his wife and has not improved. The patient has a history of diabetes, hypertension, and dyslipidemia for which he takes metformin, lisinopril, dapagliflozin, and atorvastatin. He had an epidural hemorrhage 1 month ago after falling down the subway stairs that resolved without operative treatment. His temperature is 99.5°F (37.5°C), blood pressure is 178/92 mmHg, pulse is 88/min, and respirations are 16/min. Physical exam reveals 2/5 strength in the patient's right upper extremity and 4/5 strength in the right lower extremity. A computed tomography (CT) scan of the head is performed as seen in Figure A. Which of the following is the most appropriate next step in management? 1. Alteplase 2. Aspirin 3. Mannitol 4. Prothrombin complex concentrate 5. Surgical resection QID: 220254 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/4haGmgt #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3

Can you answer our free question of the day? A 35-year-old woman presents to the emergency department with a 3-day history of visual changes. She noticed her vision was blurry after waking up in the morning and it has gotten worse over time. She denies any history of trauma to the eye or other inciting factors. Her medical history is not significant except that she notes 3 months ago she had an episode of leg weakness and urinary incontinence that resolved spontaneously. She drinks 3 alcoholic beverages per week and does not smoke or use drugs. Her temperature is 98.6°F (37.0°C), blood pressure is 130/65 mmHg, pulse is 88/min, and respirations are 18/min. Pain is elicited with left eye movement. Visual acuity is 20/100 in the left eye and 20/20 in the right eye. Fundoscopic exam is unremarkable, and the results of a CT are shown in Figure A. Which of the following is most likely to be observed in the cerebrospinal fluid of this patient? 1. Albuminocytologic dissociation 2. Elevated opening pressure 3. Increased lymphocytes and protein 4. Normal findings 5. Oligoclonal bands QID: 220251 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/48egz2N #medicalstudent #medicine #medical #doctor #medicalschool #medstudent #medschool #doctors #futuredoctor #medlife #hospital #healthcare #health #usmle #premed #medicalstudents #physician #usmlestep2 #usmlestep3