Question

65.The most dangerous complication of fracture is

a.Ischemia

b.Fat embolus

c.nerve damage

d.infection

e. muscle spasm

66. An 85 y/o woman present with severe LLQ pain.she admits not drinking water not eating enough fiber. she stated that the last time she had this problem it was relieved by a BM which was "scary" because she passed a massive amount of blood . the pathophysiology involved relates best to:

a.Diverticulosis

b.Ischematic prostatic

c.peptic ulcer

d.psychosomatic

e.none of the above

68. Little Johnny has always been troublesome and is well known for to the staff in the pediatric ER at york general in his latest escape, Johnny presented to the ER after pulling down a pot of hot soup off the stove top burning most of his face, chest, abdomen and left upper extremity. According to the rule of nines, you estimate the extent of the burn to be:

a. 18%

b.23%

c.27%

d.31%

e.36%

69 In the case of the described above, little Johnny should be

a.Admitted to the burn unit

b.treated for stress

c.both

d.neither

70.All of the following are true regarding pathophysiology in the heart except

a.An anterior infract by significant Q waves in leads V1-V4

b.A lateral infract is indicated by significant Q waves in leads 1 and AVF

c.An inferior infaract is indicated by significant Q Waves in leads II III and AVF

d.A posterior infarct is indicated by a large R waves in VI and ST depression in V1 and v2

e.myocardial infraction cannot be reliably diagnosed on EKG which shows left bundle branch block

Answer 1

65. Answer ; B) Fat embolus
Reason ; Fat embolism is one of the most dangerous complication, it occurs as the result of fractured bone release some
fatty particles into the blood circulation, which may travels into the blood circulation and block the function of the lung and
may cause life threatening condition to the individual.

66. Answer ; A) Diverticulosis
Reason ; The pathophysiology related to the given patient who had  left lower quadrant pain and experienced the pain
relieved by bowel movement leads to the condition of diverticulosis.

68. Answer ; D) 31%
Reason ; According to the rule of nine for the head, chest, abdomen and left upper extremity is 9 + 9 + 9 + 4.5
respectively. The sum of this value will give around 31%.

69. Answer ; C) Both
Reason ; The child needs to be treated in burns unit as well treat the stress of the child.