Q2. Her sister who has accompanied her also reveals presence of similar symptoms including inability to use her fingers. You quickly notice the sister’s finger deformity which you recognize it to be?
Q1. A 33 yo Caucasian female presents with chief complaints of pain, fever, and swelling in multiple joints that make it difficult to type, lift or carry any items for the past 7 months. She has been experiencing morning stiffness and even tying shoe laces or buttoning her clothes is difficult. She has not been feeling well for several years and had used OTC medications for pain relief. She denies a rash, and has no allergies. The exam of her hands is shown below. Your immediate impression is that she has?
Q3. If this patient was vomiting prior to the onset of abdominal pain, what would you order next?
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?
