General Discussions

First one to mention the correct answer win Male, 3 day old neonate, with the following skin lesions, and persistent non bilious vomiting, x-ray done. what is your diagnosis? [center][/center]

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[size=20px]A full term neonate is placed on ECMO for respiratory failure. She is stable and the flows are being weaned on day three when there is a reduction in urine output and the urine color becomes dark. Which of the following blood tests would best identify the diagnosis? A Hematocrit B Lactate C Methemoglobin D Plasma free hemoglobin E Ceruloplasmin[/size]

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[size=20px]Which of the following has been linked to VACTERL association? A mutation in sonic hedgehog signaling B RET proto-oncogene C ΔF508 (delta F-508) gene mutation D methylenetetrahydrofolatereductase (MTHFR) deficiency E APC gene[/size]

[size=20px]You have scheduled a two-year old male for elective inguinal hernia repair and upon arrival to the ambulatory surgery center the patient has a productive cough, runny nose and low grade fever. Your anesthesiologist believes that the child has a moderate to severe upper respiratory tract infection. Based on best evidence, this nonurgent operation should A proceed. B be delayed one week. C be delayed two weeks. D be delayed four weeks. E be delayed six weeks.[/size]

[size=20px]A four-year old presents to the emergency department with complaints of fever and diffuse abdominal pain. He has swollen eyes and penoscrotal edema. The emergency physician suspect perforated appendicitis. His lab values include a white blood cell count of 16,000, C-reactive protein of 10 and a urine which is nitrite negative but has 3 + protein. Which of the following statements about this patient with abdominal pain and proteinuria is true? A this patient will not benefit from albumin or diuretics B peritoneal cultures will probably grow a Pseudomonas species C interval appendectomy in six to eight weeks will be appropriate D his cholesterol wi…

[size=20px]A 17-year old female presents with bloody nipple discharge from the right breast. She has had the discharge intermittently for three months. She had no palpable breast masses on examination. She has Tanner Stage V breast development. The next best step in the management of this patient with bloody nipple discharge is A observation. B ultrasonography. C galactography. D exfoliative cytology. E selective duct excision.[/size]

[size=20px]A three-week old infant was born at 28 weeks gestation and required umbilical vein catheterization for initial resuscitation. Cranial ultrasound (US) demonstrates a grade 1 intraventricular hemorrhage. The umbilical catheter was removed but abdominal US demonstrates portal vein thrombosis. The most appropriate management of this patient with portal vein thrombosis is A systemic anticoagulation. B interventional radiology directed thrombolysis. C Rex shunt. D splenorenal shunt. E long term sonographic follow-up.[/size]