An elderly woman presents with small bowel obstruction and pain radiating to the inner thigh. Most likely diagnosis?
Anonymous Quiz
22%
Inguinal hernia
51%
Femoral hernia
22%
Obturator hernia
4%
Umbilical hernia
Abdominal pain, hypotension, pulsatile mass. Most likely diagnosis?
Anonymous Quiz
6%
Renal colic
7%
Pancreatitis
78%
Ruptured AAA
8%
Perforated ulcer
Constant dullness in the left flank/LUQ with right flank resonance after trauma is called:
Anonymous Quiz
38%
Kehr’s sign
13%
Rovsing’s sign
42%
Ballance’s sign
6%
Murphy’s sign
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A 1-year-old child with lethargy, poor wound healing, petechiae, and bleeding gums. Most likely diagnosis?
Anonymous Quiz
6%
Iron deficiency anemia
28%
Vitamin K deficiency
49%
Scurvy
17%
Hemophilia
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Clomiphene is used as:
Anonymous Quiz
8%
Contraceptive
60%
Fertility drug
25%
Hormone replacement
8%
Abortifacient
Severe periumbilical pain out of proportion to exam suggests:
Anonymous Quiz
33%
Appendicitis
11%
Bowel obstruction
46%
Mesenteric ischemia
11%
Pancreatitis
Arm pain and syncope triggered by arm movement suggests:
Anonymous Quiz
8%
Carotid stenosis
45%
Subclavian steal syndrome
24%
Aortic dissection
24%
Thoracic outlet syndrome
A patient develops a rising creatinine after starting an ACE inhibitor. Most likely cause?
Anonymous Quiz
26%
Acute interstitial nephritis
29%
Renal artery stenosis
17%
Glomerulonephritis
28%
Acute tubular necrosis
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A child presents with a midline neck mass. Most likely diagnosis?
Anonymous Quiz
8%
Thyroid carcinoma
10%
Branchial cyst
77%
Thyroglossal duct cyst
6%
Lymphadenopathy
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Emesis, chest pain radiating to the back, and mediastinal air. Most likely diagnosis?
Anonymous Quiz
17%
Mallory-Weiss tear
9%
Esophageal cancer
45%
Boerhaave syndrome
30%
Peptic ulcer perforation
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A 6-year-old boy was brought to the ER with severe vomiting and diarrhea for 3 days. He is lethargic, hypotensive (40/20 mmHg), tachycardic, has sunken eyes, dry mucous membranes, and no tears. The most appropriate initial IV fluid therapy is:
Anonymous Quiz
8%
0.45% saline with dextrose
19%
Normal saline 100 mL/kg over 30 minutes
13%
Ringer lactate 50 mL/kg over 30 minutes
60%
Ringer lactate 20 mL/kg over 20 minutes; repeat if needed
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Normal caloric content per gram is:
Anonymous Quiz
12%
4 kcal protein, 4 kcal carbohydrate, 4 kcal fat
21%
6 kcal protein, 6 kcal carbohydrate, 9 kcal fat
12%
4 kcal protein, 5 kcal carbohydrate, 8 kcal fat
55%
4 kcal protein, 4 kcal carbohydrate, 9 kcal fat
❤1
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Burn involving only epidermis is called:
Anonymous Quiz
84%
Superficial burn
13%
Partial-thickness burn
2%
Full-thickness burn
1%
Fourth-degree burn
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Rubella virus belongs to which type?
Anonymous Quiz
18%
DNA virus
67%
RNA virus
11%
Retro virus
4%
Prion
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Condyloma lata occur in which stage of syphilis?
Anonymous Quiz
14%
Primary
49%
Secondary
12%
Latent
25%
Tertiary
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The stridor in laryngomalacia typically:
Anonymous Quiz
14%
Is expiratory and worsens in prone positioning
65%
Is inspiratory and worsens in supine positioning
14%
Is biphasic and independent of body position
7%
Is intermittent and triggered by upper respiratory infection
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🦻 CHOLESTEATOMA | SOMedEd
Cholesteatoma is a collection of keratinizing squamous epithelium in the middle ear. It is not malignant but is locally destructive.
Usually follows chronic otitis media or a retraction pocket where skin gets trapped.
⚙️ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve
👂 Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness
🔍 Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion
🛠 Treatment
Surgical removal
🚨 Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection
⭐️ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise
Cholesteatoma is a collection of keratinizing squamous epithelium in the middle ear. It is not malignant but is locally destructive.
Usually follows chronic otitis media or a retraction pocket where skin gets trapped.
⚙️ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve
👂 Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness
🔍 Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion
🛠 Treatment
Surgical removal
🚨 Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection
⭐️ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise