PLE-8306

A 6-year-old little girl was brought to the ER because of abdominal pain, which started 12 hours prior to the consultation. The history revealed that the patient had just recovered from acute nasopharyngitis. Physical examination showed stable vital signs, with the presence of voluntary guarding but no true rigidity, and diffuse abdominal tenderness rated as 5/10 in greatest intensity. What is the disease most often confused with acute appendicitis in children?

PLE-8307

What is the most accurate and comprehensive method currently available for examining the large bowel? This method should be highly sensitive in detecting even small polyps, allow for biopsy, polypectomy, control of hemorrhage, and dilation of strictures.

PLE-8308

What is the most important treatment in metabolic acidosis?

PLE-8300

What type of gallstone is the most common etiology for acute cholecystitis? A 43-year-old unmarried female with a BMI of 32 complained of RUQ pain and low-grade fever. On PE, she exhibited a positive Murphy’s sign.

PLE-8301

An otorhinolaryngologist decided to perform a radical neck dissection for an oral cavity mass. Which of the following structures is NOT removed?

PLE-8302

A 39-year-old man was involved in a shooting incident and was rushed to the ER for multiple gunshot wounds to the abdomen and chest. Physical exam revealed the patient to have a blood pressure of 60/40 mmHg, with labored breathing, cold clammy skin, and tachycardia at 160 bpm. The right side of the chest is hyperresonant to percussion with an absence of breath sounds. The trachea is deviated to the right. What should you do immediately?

PLE-8303

What is the term for the impaction of a stone in the infundibulum of the gallbladder, which may mechanically obstruct the bile duct and result in jaundice?

PLE-8304

A 63-year-old male was brought into your clinic because of complaints of vague epigastric pain that penetrates to the back for several months now, with associated jaundice and weight loss. On physical exam, the skin is icteric, and the gallbladder was distended and palpable. Abdominal ultrasound revealed no gallstones. What would you do next?

PLE-8296

A patient suffered a stab wound at the left parasternal line, at the level of the 4th ICS. He was brought to the ER and was found to have a BP of 80/60. His heart sounds, at 100 per minute, are barely audible and his neck veins are distended. What is the likely condition the patient is suffering from?

PLE-8297

According to the Clark Level, is the invasion of a melanoma into the reticular dermis considered?