Q2. This is a male patient who presented with a 18-hour history of vague abdominal pain that started around the umbilicus and later localized to area ‘C.’ If the exam reveals localized tenderness and rebound pain, the next step is?
A. Order CBC
B. Get a bedside ultrasound
C. Order a CT scan
D. Blood cultures
E. Consult with the surgeon
F. Perform a rectal exam
Q1. SB is a 16 yo female who presents to the ED with a 18 hour history of vague abdominal pain. The pain was sudden in onset and colicky in nature. She did take some Tylenol but the pain did not abate. Her past medical history is unremarkable. On exam, her pain has localized to the area ‘C.’ What is the next step in her management?
Q12. To reduce the intracranial pressure, you decide to use a sugar-alcohol-based osmotic diuretic. This agent usually acts at what site?
Q11. To reduce the risk of seizures, you start the patient on an anti-seizure drug whose mode of action is shown below. What is one very common adverse effect of this agent?
a. Hallucinations
Q8. In the ICU the patient is showing signs of Cushing reflex and you are not able to get hold of the radiologist or the neurosurgeon. In the absence of an imaging test, you decide to perform a burr hole at location ‘A.’ Your landmarks will be?
