Q1. A 64 yo heavy smoker presents with malaise, fatigue, neck, arm and shoulder discomfort of 3 months duration. Other than a remote appendectomy, his medical history is unremarkable. He has no allergies, no recent travel history and only uses bronchodilators on a PRN basis. As you start to examine him, you note his face. You suspect he has developed?
A. Jaundice
B. Opiate overdose
C. Carotid artery dissection
D. Third nerve palsy
E. Adie pupil
F. Oculosympathetic paresis
Q2. A 20 year old was not wearing a seat belt and was rear ended. He hit his face forcefully with the dashboard and suffered a fracture of the structure shown (see arrow). If there is a leak of clear fluids from his nose, what test will you perform next?
Q1. A 20 year old was not wearing a seat belt and was rear ended. He hit his face forcefully with the dashboard and suffered a fracture of the structure shown (see arrow). In the ED he is found to have leakage of a clear fluid from his nose. What is the structure that has been damaged?
Q3. You decide to order imaging studies. What is the ideal study to assess injury to ligament ‘A?’
Q2. If you suspect that there is tear of the ligament ‘A’ What test would you do to confirm your diagnosis?
Q1. A 17 yo soccer player is seen in the ED after injuring his right knee during soccer. He was trying to kick the ball when he was hit from behind. He heard a popping sound in his knee and immediately fell to he ground. He could not ambulate and had to be transported in a wheelchair. His right knee is swollen and ecchymotic. What is the most likely injured structure?
