b*****l
发帖数: 8603 | 1 1. What happened to the patient? What specialties will you order
consultation? Prognosis? |
m********a
发帖数: 607 | 2 foreign body,
ophthlamology and neurosurgical consult,
good prognosis |
A*******s
发帖数: 9638 | 3 right
【在 m********a 的大作中提到】
: foreign body,
: ophthlamology and neurosurgical consult,
: good prognosis
|
V*****G
发帖数: 337 | 4 trauma to eyes, ophthalmology consult. |
b*****l
发帖数: 8603 | 5 Radio---
2. What is the Dx? What does the patient like to have in physical exam? What
other imaging study do you recommend and why? |
A*******s
发帖数: 9638 | 6 poor prognosis though
next one |
b*****l
发帖数: 8603 | 7 sorry，image for q2
What
【在 b*****l 的大作中提到】
: Radio---
: 2. What is the Dx? What does the patient like to have in physical exam? What
: other imaging study do you recommend and why?
|
h**********1
发帖数: 123 | 8 给份吗？
【在 A*******s 的大作中提到】
: poor prognosis though
: next one
|
A*******s
发帖数: 9638 | 9 yes
【在 h**********1 的大作中提到】
: 给份吗？
|
A*******s
发帖数: 9638 | 10 next
【在 b*****l 的大作中提到】
: sorry，image for q2
:
: What
|
|
|
b*****l
发帖数: 8603 | |
b*****l
发帖数: 8603 | 12 Radio~~
3. What is the likely the reason? |
m********a
发帖数: 607 | 13 obstructive hydrocephalus |
b*****l
发帖数: 8603 | 14 Radio~~
3. What is the likely the reason? |
A*******s
发帖数: 9638 | 15 next
【在 b*****l 的大作中提到】
: Radio~~
: 3. What is the likely the reason?
|
A*******s
发帖数: 9638 | 16 No
【在 m********a 的大作中提到】
: obstructive hydrocephalus
|
b*****l
发帖数: 8603 | 17 4. What are the findings? |
n***j
发帖数: 184 | |
V*****G
发帖数: 337 | 19 meningoma
【在 b*****l 的大作中提到】
: 4. What are the findings?
|
m********a
发帖数: 607 | |
|
|
n***j
发帖数: 184 | |
A*******s
发帖数: 9638 | 22 poor prognosis though
next one |
A*******s
发帖数: 9638 | 23 Right
【在 V*****G 的大作中提到】
: meningoma
|
h**********1
发帖数: 123 | 24 Q4 meningoma?
【在 A*******s 的大作中提到】
: poor prognosis though
: next one
|
b*****l
发帖数: 8603 | 25 5.What is the likely cause based on what you see? |
A*******s
发帖数: 9638 | 26 there is a pituitary tumor but the picture is too small.
【在 n***j 的大作中提到】
: Meningioma
|
A*******s
发帖数: 9638 | 27 yes
【在 h**********1 的大作中提到】
: Q4 meningoma?
|
m********a
发帖数: 607 | |
n***j
发帖数: 184 | 29 Splenic infarction with Splenomegaly |
s******v
发帖数: 477 | 30 subependymal grey matter heterotopia |
|
|
b*****l
发帖数: 8603 | 31 6。Based on the findings, what syndrome would it be? |
n***j
发帖数: 184 | |
A*******s
发帖数: 9638 | 33 Next.
Trauma is the right answer. |
n***j
发帖数: 184 | |
b******a
发帖数: 704 | 35 Spleen laceration
trauma, pneumoperitoneum
Subdiaphragmatic hemotoma |
A*******s
发帖数: 9638 | 36 what is SCD
【在 n***j 的大作中提到】
: SCD
|
b*****l
发帖数: 8603 | 37 我还是等你公布答案之后再贴下一道题吧，要不太confuse了
【在 A*******s 的大作中提到】
: Next.
: Trauma is the right answer.
|
b******a
发帖数: 704 | 38 Spleen laceration
trauma, pneumoperitoneum
Subdiaphragmatic hemotoma |
h**********1
发帖数: 123 | 39 你是围观的？
【在 s******v 的大作中提到】
: subependymal grey matter heterotopia
|
h**********1
发帖数: 123 | 40 sorry, too late
【在 b******a 的大作中提到】
: Spleen laceration
: trauma, pneumoperitoneum
: Subdiaphragmatic hemotoma
|
|
|
V*****G
发帖数: 337 | 41 ILD, SOB on exertion.
【在 b*****l 的大作中提到】
: 6。Based on the findings, what syndrome would it be?
|
A*******s
发帖数: 9638 | 42 ok
Q6 Crest
Next
【在 b*****l 的大作中提到】
: 我还是等你公布答案之后再贴下一道题吧，要不太confuse了
|
b*****l
发帖数: 8603 | 43 7.What is the diagnosis? |
n***j
发帖数: 184 | |
V*****G
发帖数: 337 | 45 liver mass, hemangioma.
【在 b*****l 的大作中提到】
: 7.What is the diagnosis?
|
A*******s
发帖数: 9638 | 46 no
【在 n***j 的大作中提到】
: Liver cell carcinoma
|
b******a
发帖数: 704 | |
D********3
发帖数: 786 | |
b*****l
发帖数: 8603 | 49 next?
【在 A*******s 的大作中提到】
: no
|
A*******s
发帖数: 9638 | 50 right
r u in the team?
【在 b******a 的大作中提到】
: hepatic hemangioma
|
|
|
b*****l
发帖数: 8603 | 51 okay,7 is over
8.Diagnosis? |
A*******s
发帖数: 9638 | 52 sure
【在 b*****l 的大作中提到】
: next?
|
h**********1
发帖数: 123 | 53 你是队员还是观众？我好记分。
【在 b******a 的大作中提到】
: hepatic hemangioma
|
V*****G
发帖数: 337 | 54 yes,
:)
【在 A*******s 的大作中提到】
: right
: r u in the team?
|
b******a
发帖数: 704 | 55 我被COFFEE骗来的，他们 ON CALL， 我们加观众只有4 个人。记不记分随便啦。还是
记吧，连Supernav一起。
【在 h**********1 的大作中提到】
: 你是队员还是观众？我好记分。
|
s******v
发帖数: 477 | 56 fracture?
sorry just join in
【在 b*****l 的大作中提到】
: sorry，image for q2
:
: What
|
A*******s
发帖数: 9638 | |
h**********1
发帖数: 123 | 58 好吧，我要求10题后中场休息，先明确下队员的说 |
b*****l
发帖数: 8603 | |
h**********1
发帖数: 123 | 60 好吧，我要求10题后中场休息，先明确下队员的说 |
|
|
s******v
发帖数: 477 | 61 Don't know why can't reply a post. Re-start my computer.
Q2 image has a line, is it a fracture?
【在 b*****l 的大作中提到】
: sorry，image for q2
:
: What
|
h*******r
发帖数: 182 | |
h*******r
发帖数: 182 | |
h*******r
发帖数: 182 | |
V*****G
发帖数: 337 | 65 neurocystocycosis (brain parasite)
【在 b*****l 的大作中提到】
: 9.10 Diagnosis? 2张图
|
A*******s
发帖数: 9638 | 66 答对一道给50.
另外， 我们肯定超时了，是延长还是下次？ |
n***j
发帖数: 184 | |
r*****1
发帖数: 805 | |
b*****l
发帖数: 8603 | 69 延长吧 弄一次不容易
【在 A*******s 的大作中提到】
: 答对一道给50.
: 另外， 我们肯定超时了，是延长还是下次？
|
h**********1
发帖数: 123 | 70 Q9,10 for one disease? cannot be true |
|
|
A*******s
发帖数: 9638 | 71 2张图，两道题
【在 h*******r 的大作中提到】
: Cysticercosis
|
D********3
发帖数: 786 | |
b*****l
发帖数: 8603 | 73 继续往下走，最后咱俩一起算下，要不咱时间太长了 ：）
【在 h**********1 的大作中提到】
: 好吧，我要求10题后中场休息，先明确下队员的说
|
A*******s
发帖数: 9638 | |
r*****1
发帖数: 805 | |
h**********1
发帖数: 123 | 76 resident team 有VictorG, supernav, bysea 还有谁？ |
c***y
发帖数: 811 | |
A*******s
发帖数: 9638 | |
A*******s
发帖数: 9638 | 79 10. Parenchymal bleeding in greywhite junction, typical for diffuse axial
injury from high speed shearing injury, |
b*****l
发帖数: 8603 | 80 继续下一环节吧？
【在 A*******s 的大作中提到】
: 9.Cysticercosis
: 10, ?
|
|
|
A*******s
发帖数: 9638 | 81 next.
Garland, R u here? |
c***y
发帖数: 811 | |
b*****l
发帖数: 8603 | 83 Neuro··
1.Hypothermia for anoxic encephalopathy is a new protocol in ICU, evidence
based medicine supports the idea that hypothermia could save the patient
with anoxic brain injury from persistent vegetative state. Prior to
hypothermia treatment, do you know the percentage of patients with anoxic
encephalopathy who can be discharged from hospital? |
g*****d
发帖数: 991 | 84 I'm here.
【在 A*******s 的大作中提到】
: next.
: Garland, R u here?
|
h*******r
发帖数: 182 | |
A*******s
发帖数: 9638 | 86 Great, how about we present your case first then you can go?
【在 g*****d 的大作中提到】
: I'm here.
|
h**********1
发帖数: 123 | 87 我先来报一下， team A 对2错3
team B 对2错5
加油！ |
V*****G
发帖数: 337 | 88 about 15%
【在 b*****l 的大作中提到】
: Neuro··
: 1.Hypothermia for anoxic encephalopathy is a new protocol in ICU, evidence
: based medicine supports the idea that hypothermia could save the patient
: with anoxic brain injury from persistent vegetative state. Prior to
: hypothermia treatment, do you know the percentage of patients with anoxic
: encephalopathy who can be discharged from hospital?
|
b*****l
发帖数: 8603 | 89 先把这5道发完行不？
【在 A*******s 的大作中提到】
: Great, how about we present your case first then you can go?
|
A*******s
发帖数: 9638 | |
|
|
D********3
发帖数: 786 | |
b*****l
发帖数: 8603 | 92 你好快！ 赞一个！
【在 h**********1 的大作中提到】
: 我先来报一下， team A 对2错3
: team B 对2错5
: 加油！
|
A*******s
发帖数: 9638 | 93 sure
【在 b*****l 的大作中提到】
: 先把这5道发完行不？
|
g*****d
发帖数: 991 | 94 Nice, thanks.
【在 A*******s 的大作中提到】
: Great, how about we present your case first then you can go?
|
V*****G
发帖数: 337 | 95 in hospital 15%
【在 A*******s 的大作中提到】
: 2 percent
: next
|
b*****l
发帖数: 8603 | 96 Neuro~~
2.In 1968, a patient who took a Drug X for prophylaxis of Flu was surprised
to find her Parkinson symptoms were dramatically improved for the period of
6 weeks and deteriorated after discontinuation. This led to a new
treatment for Parkinson’s disease. What is the Drug X? |
m********a
发帖数: 607 | |
V*****G
发帖数: 337 | 98 amantidine
surprised
of
【在 b*****l 的大作中提到】
: Neuro~~
: 2.In 1968, a patient who took a Drug X for prophylaxis of Flu was surprised
: to find her Parkinson symptoms were dramatically improved for the period of
: 6 weeks and deteriorated after discontinuation. This led to a new
: treatment for Parkinson’s disease. What is the Drug X?
|
h*******r
发帖数: 182 | |
g*****d
发帖数: 991 | 100 Even you can paste the 5 Qs together?
【在 A*******s 的大作中提到】
: Great, how about we present your case first then you can go?
|
|
|
n***j
发帖数: 184 | |
D********3
发帖数: 786 | |
A*******s
发帖数: 9638 | 103 correct
next
【在 m********a 的大作中提到】
: amantdadine
|
b*****l
发帖数: 8603 | 104 Neuro~~
3. An 78 years old female came to the office complaining visual
hallucinations. She claimed she has been seeing rabbits on the wall but
firmly believed they appear to be smaller and unreal. She denies any other
hallucinations including hearing, smelling, tasting, etc. A year ago, she
was seen by an eye doctor who told her she has macular degeneration. She
was pretty healthy otherwise. Her exam showed her visual acuity is 20/70
bilaterally all other exams were unremarkable. What is your diagnosis? |
a*a
发帖数: 1295 | |
m********a
发帖数: 607 | |
c***y
发帖数: 811 | |
A*******s
发帖数: 9638 | 108 let's do one at a time.
Can you present it by yourself?
【在 g*****d 的大作中提到】
: Even you can paste the 5 Qs together?
|
D********3
发帖数: 786 | 109 Charles Bonnet syndrome |
A*******s
发帖数: 9638 | 110 Charles Bonnet syndrome
next |
|
|
b*****l
发帖数: 8603 | 111 Neuro~~
4. A 35 years old female with history of migraine and depression/anxiety
disorder suddenly developed slurred speech and left sided weakness involving
the face, arm and leg. She also complained about severe headache with
photophobia and nausea/vomiting. She was sent to ER by EMS within 2 hours
and had a negative CT of brain. A TPA treatment was given but her symptoms
of weakness remained same for at least 3 days. A followup MRI of brain was
negative on the next day. What is your diagnosis? |
g*****d
发帖数: 991 | 112 I have problem to paste the picture.
【在 A*******s 的大作中提到】
: let's do one at a time.
: Can you present it by yourself?
|
A*******s
发帖数: 9638 | 113 correct
【在 D********3 的大作中提到】
: Charles Bonnet syndrome
|
s******v
发帖数: 477 | 114 Q2 normal knee
sorry just re-start my computer
【在 b*****l 的大作中提到】
: sorry，image for q2
:
: What
|
h*******r
发帖数: 182 | |
b*****l
发帖数: 8603 | 116 email me I will do it
【在 g*****d 的大作中提到】
: I have problem to paste the picture.
|
M***D
发帖数: 249 | |
M***D
发帖数: 249 | |
h*******r
发帖数: 182 | 119 subarachnoid hemorrhage Q4 |
g*****d
发帖数: 991 | 120 Cardio
1. A 50 year old woman presents to the emergency department with chest pain
of indeterminate origin. The chest pain resolves upon presentation and she
is admitted to the chest pain unit. She has no cardiac risk factors, but has
recently begun having hot flashes. Serial cardiac enzymes are negative, and
the electrocardiogram remains normal.
The most appropriate test to exclude coronary artery disease is: |
|
|
h**********1
发帖数: 123 | 121 你是resident对的吗？
【在 M***D 的大作中提到】
: hemiplegic migranine
|
D********3
发帖数: 786 | |
h*******r
发帖数: 182 | |
n***j
发帖数: 184 | 124 Cardio 1
Treadmill stress test |
g*****d
发帖数: 991 | 125 We slow down a little bit. No hurry. |
g*****d
发帖数: 991 | 126 right.
【在 n***j 的大作中提到】
: Cardio 1
: Treadmill stress test
|
V*****G
发帖数: 337 | 127 stress test
pain
has
and
【在 g*****d 的大作中提到】
: Cardio
: 1. A 50 year old woman presents to the emergency department with chest pain
: of indeterminate origin. The chest pain resolves upon presentation and she
: is admitted to the chest pain unit. She has no cardiac risk factors, but has
: recently begun having hot flashes. Serial cardiac enzymes are negative, and
: the electrocardiogram remains normal.
: The most appropriate test to exclude coronary artery disease is:
|
A*******s
发帖数: 9638 | 128 correct, but you are not in the team. :)
【在 M***D 的大作中提到】
: hemiplegic migranine
|
M***D
发帖数: 249 | 129 Yes.
【在 h**********1 的大作中提到】
: 你是resident对的吗？
|
b*****l
发帖数: 8603 | 130 :)
check your mailbox for my email address, I can help on posting images
【在 g*****d 的大作中提到】
: We slow down a little bit. No hurry.
|
|
|
g*****d
发帖数: 991 | 131 2. A 58-year-old man was admitted to the CCU from the ER. His BP was 85/50.
The jugular veins were distended to 10 cm at 30-degree elevation. The 12-
lead ECG is shown.
What treatment would you advise? |
V*****G
发帖数: 337 | 132 IVF no NTG
.
【在 g*****d 的大作中提到】
: 2. A 58-year-old man was admitted to the CCU from the ER. His BP was 85/50.
: The jugular veins were distended to 10 cm at 30-degree elevation. The 12-
: lead ECG is shown.
: What treatment would you advise?
|
g*****d
发帖数: 991 | 133 right. My questions are so easy.
【在 V*****G 的大作中提到】
: IVF no NTG
:
: .
|
V*****G
发帖数: 337 | 134 THen CATH
【在 V*****G 的大作中提到】
: IVF no NTG
:
: .
|
h*******r
发帖数: 182 | |
g*****d
发帖数: 991 | 136 Try this one.
3. A 75-year-old man presents with pain in both legs for the past six
months. He says that the pain has limited markedly his ability to walk. He
must sit down after walking a block. Stopping is not sufficient to decrease
the pain. At times, just standing causes his calves to ache, and he notices
tingling in both feet.
He has a 10-year history of systolic hypertension for which he has been
taking chlorthalidone. He has also been on warfarin and digoxin for a known
atrial fibrillation for the last year. He is also on nicotinic acid (2 g TID
) for an elevated LDL and low HDL.
Physical examination reveals a BP of 150/70 mm Hg, with a pulse of 80 per
minute and irregular. The lungs are clear to auscultation and percussion.
The neck veins are 6 cm. The heart reveals a grade II/VI pansystolic murmur
at the apex. There is no S3. The abdomen reveals a pulsatile aorta
calculated to be less than 5 cm in diameter. The radial pulses are +3,
carotid pulses +3, femoral pulses +1, popliteal 0, dorsalis pedis, and
posterior tibial +1 bilaterally.
What is the study you will order next to reveal the cause of this patient's
symptoms? |
a******3
发帖数: 1017 | 137 电脑刚抽完风，纯粹打酱油加助兴，好热闹啊 ：） |
n***j
发帖数: 184 | |
h**********1
发帖数: 123 | 139 好吧， 现在resident 有Victor G Ada Cqfly MADMAD bysea， 满员了，
就以这个为准
【在 M***D 的大作中提到】
: Yes.
|
d******a
发帖数: 99 | 140 cath lab or tPA (if no cath available)
.
【在 g*****d 的大作中提到】
: 2. A 58-year-old man was admitted to the CCU from the ER. His BP was 85/50.
: The jugular veins were distended to 10 cm at 30-degree elevation. The 12-
: lead ECG is shown.
: What treatment would you advise?
|
|
|
h*******r
发帖数: 182 | |
b*****l
发帖数: 8603 | 142 谢谢！ :)
【在 h**********1 的大作中提到】
: 好吧， 现在resident 有Victor G Ada Cqfly MADMAD bysea， 满员了，
: 就以这个为准
|
V*****G
发帖数: 337 | 143 ABI
decrease
notices
known
TID
【在 g*****d 的大作中提到】
: Try this one.
: 3. A 75-year-old man presents with pain in both legs for the past six
: months. He says that the pain has limited markedly his ability to walk. He
: must sit down after walking a block. Stopping is not sufficient to decrease
: the pain. At times, just standing causes his calves to ache, and he notices
: tingling in both feet.
: He has a 10-year history of systolic hypertension for which he has been
: taking chlorthalidone. He has also been on warfarin and digoxin for a known
: atrial fibrillation for the last year. He is also on nicotinic acid (2 g TID
: ) for an elevated LDL and low HDL.
|
n***j
发帖数: 184 | |
g*****d
发帖数: 991 | 145 Although it's cardio Q, think about something else. |
s******v
发帖数: 477 | |
s******v
发帖数: 477 | |
h**********1
发帖数: 123 | 148 Neuro是不是贴了四道？
【在 b*****l 的大作中提到】
: 谢谢！ :)
|
g*****d
发帖数: 991 | |
s******v
发帖数: 477 | |
|
|
V*****G
发帖数: 337 | 151 Doppler abdomen
decrease
notices
known
TID
【在 g*****d 的大作中提到】
: Try this one.
: 3. A 75-year-old man presents with pain in both legs for the past six
: months. He says that the pain has limited markedly his ability to walk. He
: must sit down after walking a block. Stopping is not sufficient to decrease
: the pain. At times, just standing causes his calves to ache, and he notices
: tingling in both feet.
: He has a 10-year history of systolic hypertension for which he has been
: taking chlorthalidone. He has also been on warfarin and digoxin for a known
: atrial fibrillation for the last year. He is also on nicotinic acid (2 g TID
: ) for an elevated LDL and low HDL.
|
b*****l
发帖数: 8603 | 152 是，还一道没贴呢，等下cardio完了再返回去贴 ：）
【在 h**********1 的大作中提到】
: Neuro是不是贴了四道？
|
g*****d
发帖数: 991 | 153 So far, no right answer. |
D********3
发帖数: 786 | |
m********a
发帖数: 607 | |
g*****d
发帖数: 991 | 156 4. A healthy 78-year-old man, who is still working, comes for a
consultation because he is "just not feeling well." He has "weakness"
associated with dyspnea occuring unpredictable. Episodes last from a few
seconds to several minutes. He has never had syncope. During the last 2-3
years, he has had 8-10 episodes of typical angina on very severe effort. He
weighs 235 pounds, has been treated for hypertension for many years with "
good control," and has troublesome arthritis in his right shoulder. On
physical examination, he has a BP of 130/70, and a heart rate of 62 with 2-3
irregularities per minute. He has no jugular venous hypertension. The point
of maximal impulse is not palpable. He has a diminished second sound in the
aortic area, with a grade 3/6 systolic ejection murmur transmitted into the
neck. The murmur is faintly heard at the apex. He had no diastolic murmur
and his lungs were clear, good peripheral pulses, and no bruits. An
echocardiogram is obtained, which demonstrates LV hypertrophy with
disproportionate septum versus posterior wall hypertrophy (19 mm vs. 11 mm).
EF is more than 65%. There is no systolic anterior motion of the mitral
valve and the aortic valve is calcified with restricted movement and a
Doppler velocity of 3 m/sec. Illustrative strips from the ambulatory ECG
monitoring (Holter) are shown There were no diary entries indicating
symptoms during the 24-hour monitoring period.
What would be your next step in managing this elderly patient? |
m********a
发帖数: 607 | 157 check Rheumatologic series and vessle biopsy |
g*****d
发帖数: 991 | 158 Bingo
【在 D********3 的大作中提到】
: MRI of the spine
|
n***j
发帖数: 184 | 159 Pelvic/Abd CT scan with cont? |
g*****d
发帖数: 991 | 160 Cardio always has long question. |
|
|
g*****d
发帖数: 991 | 161 Not all the information is useful. |
V*****G
发帖数: 337 | 162 BB
He
-3
point
the
【在 g*****d 的大作中提到】
: 4. A healthy 78-year-old man, who is still working, comes for a
: consultation because he is "just not feeling well." He has "weakness"
: associated with dyspnea occuring unpredictable. Episodes last from a few
: seconds to several minutes. He has never had syncope. During the last 2-3
: years, he has had 8-10 episodes of typical angina on very severe effort. He
: weighs 235 pounds, has been treated for hypertension for many years with "
: good control," and has troublesome arthritis in his right shoulder. On
: physical examination, he has a BP of 130/70, and a heart rate of 62 with 2-3
: irregularities per minute. He has no jugular venous hypertension. The point
: of maximal impulse is not palpable. He has a diminished second sound in the
|
g*****d
发帖数: 991 | 163 No.
【在 V*****G 的大作中提到】
: BB
:
: He
: -3
: point
: the
|
W*T
发帖数: 241 | |
c***y
发帖数: 811 | |
g*****d
发帖数: 991 | 166 right
【在 W*T 的大作中提到】
: pacing
|
g*****d
发帖数: 991 | 167 5. A 49-year-old woman with severe, new onset heart failure is admitted to
the hospital for evaluation and management. An echo is consistent with
dilated cardiomyopathy. A balloon tip catheter is placed in the pulmonary
artery to facilitate management. The hemodynamics before and after an
intervention are shown below:
H.R. B.P. PCWP C.I.
BASELINE 90 100/60 35 2.0
INTERVENTION 91 98/55 20 3.1
What intervention was given?
A) Intravenous Furosemide.
B) Intravenous nitroglycerin
C)Intravenous dopamine.
D) Intravenous nitroprusside.
E) Something else, you name it. |
h**********1
发帖数: 123 | 168 你是围观的？
【在 W*T 的大作中提到】
: pacing
|
b*****l
发帖数: 8603 | 169 对，友情嘉宾
【在 h**********1 的大作中提到】
: 你是围观的？
|
g*****d
发帖数: 991 | 170 Look like the table is shifted. You guys can figure it out. |
|
|
h**********1
发帖数: 123 | 171 pacemaker 算吗？
【在 g*****d 的大作中提到】
: right
|
D********3
发帖数: 786 | |
m********a
发帖数: 607 | |
n***j
发帖数: 184 | |
c***y
发帖数: 811 | 175 A, or dobut,amine was given |
g*****d
发帖数: 991 | 176 should be PPM or DDD pacemaker. Pacing was the first.
【在 h**********1 的大作中提到】
: pacemaker 算吗？
|
g*****d
发帖数: 991 | 177 WST answered pacing first. |
A*******s
发帖数: 9638 | 178 cq is in the team， should be counted.
【在 g*****d 的大作中提到】
: should be PPM or DDD pacemaker. Pacing was the first.
|
g*****d
发帖数: 991 | |
h**********1
发帖数: 123 | 180 I know, but she/he is not in either team
【在 g*****d 的大作中提到】
: WST answered pacing first.
|
|
|
W*T
发帖数: 241 | |
g*****d
发帖数: 991 | 182 I see.
【在 h**********1 的大作中提到】
: I know, but she/he is not in either team
|
h**********1
发帖数: 123 | 183 ok, got you
【在 A*******s 的大作中提到】
: cq is in the team， should be counted.
|
A*******s
发帖数: 9638 | 184 next, bluebell
Thanks, Garland, excellent Qs! |
b*****l
发帖数: 8603 | 185 Neuro~~
5. A CEO of a big company just finished a talk at a meeting and returned to
his office. Suddenly he asked his secretary when he should give the talk
which he just did a moment ago. Apparently he had no recollection what he
did during the talk. He was sent to ER and had a thorough neurological
workup which is completely normal. What happened to him? |
W*T
发帖数: 241 | 186 I am lele majia
pre-intern |
b******a
发帖数: 704 | |
D******D
发帖数: 1159 | 188 Dobutamine 偶们一位队员退了，偶顶上 |
g*****d
发帖数: 991 | 189 I will be back to Oncall again.
【在 A*******s 的大作中提到】
: next, bluebell
: Thanks, Garland, excellent Qs!
|
n***j
发帖数: 184 | |
|
|
r*****1
发帖数: 805 | |
z****o
发帖数: 368 | |
D********3
发帖数: 786 | |
h**********1
发帖数: 123 | 194 给一下cardio 5的answer 啊
【在 A*******s 的大作中提到】
: next, bluebell
: Thanks, Garland, excellent Qs!
|
b*****l
发帖数: 8603 | 195 谢谢南山！值班愉快！
【在 g*****d 的大作中提到】
: I will be back to Oncall again.
|
h**********1
发帖数: 123 | 196 给一下cardio 5的answer 啊
【在 A*******s 的大作中提到】
: next, bluebell
: Thanks, Garland, excellent Qs!
|
D*********t
发帖数: 140 | |
g*****d
发帖数: 991 | 198 Still no right answer to cardio last question. |
A*******s
发帖数: 9638 | 199 Hope you have a good night sleep? :)
【在 g*****d 的大作中提到】
: I will be back to Oncall again.
|
g*****d
发帖数: 991 | 200 Still no right answer to cardio last question. |
|
|
n***j
发帖数: 184 | |
g*****d
发帖数: 991 | 202 D) Intravenous nitroprusside.
【在 h**********1 的大作中提到】
: 给一下cardio 5的answer 啊
|
A*******s
发帖数: 9638 | 203 over 2 min, you can give the answer.
【在 g*****d 的大作中提到】
: Still no right answer to cardio last question.
|
g*****d
发帖数: 991 | 204 right
【在 D*********t 的大作中提到】
: D
|
z****o
发帖数: 368 | 205 I guess IV nitroprusside for the previous q |
b*****l
发帖数: 8603 | 206 后面还好些题，A+您给掌握下时间，快速给答案快速贴吧 |
W*T
发帖数: 241 | |
A*******s
发帖数: 9638 | 208 You got it right, how are you doing?
【在 D*********t 的大作中提到】
: D
|
A*******s
发帖数: 9638 | 209 Transient Global amnesia (TGA), not TIA
next |
b*****l
发帖数: 8603 | 210 Endo--
A 57-year-old female with a past medical history (PMH) of hypertension (HTN)
and depression was admitted for mental status change and fever for 1 week.
On admission, she was diagnosed with multilobar pneumonia and antibiotic
treatment with azithromycin and Zosyn (piperacillin and tazobactam injection
) was started. Blood cultures showed gram positive cocci in clusters and
vancomycin was added. LP was negative for meningitis.
Home medications
Toprol XL (metoprolol succinate), Neurontin (gabapentin) 300mg bid, Zoloft (
sertraline)
Physical examination
Unwell, flushed, oxygen via face mask.
132/78-38.2-112, 95% 5L face mask.
Lungs: Occasional bibasilar crackles.
Heart: Clear S1, S2, no murmurs, gallop, or rubs.
Abdomen: Soft, NT, ND, +BS.
Extremities: no c/c/e.
labs:
question:
What is the reason for abnormalities in thyroid function tests in this
patient? |
|
|
A*******s
发帖数: 9638 | |
c***y
发帖数: 811 | |
D******D
发帖数: 1159 | 213 sick euthyroid syndrome |
n***j
发帖数: 184 | |
D******D
发帖数: 1159 | 215 sick euthyroid syndrome |
A*******s
发帖数: 9638 | |
D********3
发帖数: 786 | 217 sepsis--> inflammation |
W*T
发帖数: 241 | 218 did not see lab result |
A*******s
发帖数: 9638 | 219 Wow, you are right!
【在 D******D 的大作中提到】
: sick euthyroid syndrome
|
h**********1
发帖数: 123 | 220 update: Team A 6 correct, 11 wrong
Team B 7 correct, 15 wrong
可能少有出入， |
|
|
b*****l
发帖数: 8603 | 221 Great Job!!!!
【在 h**********1 的大作中提到】
: update: Team A 6 correct, 11 wrong
: Team B 7 correct, 15 wrong
: 可能少有出入，
|
n***j
发帖数: 184 | 222 请问一下哪里有lab的值啊。。。根本没有看到甲状腺功能啊。。。 |
b*****l
发帖数: 8603 | 223 Surgery~~`
1. A 54 year old male was found to have a 4cm x 3cm mass during a routine
colonoscopy. Biopsy showed moderately differentiated adenocarcinoma. He
occasionally has small amount of bright red blood in stool but denies other
symptoms. He has no past medical or surgical history. He does not smoke or
drink alcohol. CT scan showed two masses, 2cm x 2cm and 1cm x1cm, on his
right lung. No mass lesions were found in his liver, brain, or bones.
Where in the GI tract is the most likely location of his cancer? |
A*******s
发帖数: 9638 | 224 dead tight
【在 h**********1 的大作中提到】
: update: Team A 6 correct, 11 wrong
: Team B 7 correct, 15 wrong
: 可能少有出入，
|
h**********1
发帖数: 123 | 225 这个怎么给？
我只给了cq, she is the first one
【在 A*******s 的大作中提到】
: Wow, you are right!
|
A*******s
发帖数: 9638 | |
D******D
发帖数: 1159 | |
c***y
发帖数: 811 | |
M****a
发帖数: 577 | 229 I am here :-)
【在 A*******s 的大作中提到】
: micasa here？
|
h**********1
发帖数: 123 | 230 你现在混着出了？
other
【在 b*****l 的大作中提到】
: Surgery~~`
: 1. A 54 year old male was found to have a 4cm x 3cm mass during a routine
: colonoscopy. Biopsy showed moderately differentiated adenocarcinoma. He
: occasionally has small amount of bright red blood in stool but denies other
: symptoms. He has no past medical or surgical history. He does not smoke or
: drink alcohol. CT scan showed two masses, 2cm x 2cm and 1cm x1cm, on his
: right lung. No mass lesions were found in his liver, brain, or bones.
: Where in the GI tract is the most likely location of his cancer?
|
|
|
a*********d
发帖数: 2763 | |
A*******s
发帖数: 9638 | 232 cq should score
【在 c***y 的大作中提到】
: Sick euthyroid
|
b*****l
发帖数: 8603 | 233 endo只有一道已经完了
【在 h**********1 的大作中提到】
: 你现在混着出了？
:
: other
|
A*******s
发帖数: 9638 | 234 You take care of the answer then. :)
【在 M****a 的大作中提到】
: I am here :-)
|
s********o
发帖数: 3319 | 235 Rectum
other
【在 b*****l 的大作中提到】
: Surgery~~`
: 1. A 54 year old male was found to have a 4cm x 3cm mass during a routine
: colonoscopy. Biopsy showed moderately differentiated adenocarcinoma. He
: occasionally has small amount of bright red blood in stool but denies other
: symptoms. He has no past medical or surgical history. He does not smoke or
: drink alcohol. CT scan showed two masses, 2cm x 2cm and 1cm x1cm, on his
: right lung. No mass lesions were found in his liver, brain, or bones.
: Where in the GI tract is the most likely location of his cancer?
|
M****a
发帖数: 577 | 236 Lower 1/3 of rectal.
But I'll take rectal as the correct answer :-)
【在 c***y 的大作中提到】
: Rectal
|
A*******s
发帖数: 9638 | 237 Do you want to finish the rest?
【在 a*********d 的大作中提到】
: i am here
|
s******v
发帖数: 477 | |
b*****l
发帖数: 8603 | 239 Surgery~~
2. A 17 year old female with a history of ulcerative colitis for 2 years had
two recent hospital admissions for massive GI bleeding in the past 3 months
. In her most recent admission, her hemoglobin was 4.1. She received 6 units
of pRBC. Her current hemoglobin is 10.7. Her medical history is otherwise
unremarkable. She has been treated with infliximab and adalimumab 6 months
ago, but continues to have flare-ups with symptoms including fever,
abdominal pain, and hematochezia. Her current daily medications include
mesalamine 800mg TID and prednisone 30mg daily.
What is the next step of treatment? |
A*******s
发帖数: 9638 | 240 You are generous. :)
【在 M****a 的大作中提到】
: Lower 1/3 of rectal.
: But I'll take rectal as the correct answer :-)
|
|
|
c***y
发帖数: 811 | |
s******v
发帖数: 477 | |
a*********d
发帖数: 2763 | 243 sure
【在 A*******s 的大作中提到】
: Do you want to finish the rest?
|
b******a
发帖数: 704 | 244 请接我的位置吧，明天上班，顶不住了。
【在 s******v 的大作中提到】
: 刚洗完衣服,接这看热闹
|
s********o
发帖数: 3319 | 245 Left hemicolectomy
had
months
units
【在 b*****l 的大作中提到】
: Surgery~~
: 2. A 17 year old female with a history of ulcerative colitis for 2 years had
: two recent hospital admissions for massive GI bleeding in the past 3 months
: . In her most recent admission, her hemoglobin was 4.1. She received 6 units
: of pRBC. Her current hemoglobin is 10.7. Her medical history is otherwise
: unremarkable. She has been treated with infliximab and adalimumab 6 months
: ago, but continues to have flare-ups with symptoms including fever,
: abdominal pain, and hematochezia. Her current daily medications include
: mesalamine 800mg TID and prednisone 30mg daily.
: What is the next step of treatment?
|
n***j
发帖数: 184 | |
A*******s
发帖数: 9638 | 247 after the surgery case, you post your own cases. Thanks
【在 a*********d 的大作中提到】
: sure
|
D********3
发帖数: 786 | |
a*********d
发帖数: 2763 | 249 ok, let me know when
【在 A*******s 的大作中提到】
: after the surgery case, you post your own cases. Thanks
|
n***j
发帖数: 184 | |
|
|
W*T
发帖数: 241 | |
n***j
发帖数: 184 | |
V*****G
发帖数: 337 | 253 Several members in resident team need to go sleep for tomorrow. |
M****a
发帖数: 577 | 254 Restorative protocolectomy
Colectomy is not sufficient...
had
months
units
【在 b*****l 的大作中提到】
: Surgery~~
: 2. A 17 year old female with a history of ulcerative colitis for 2 years had
: two recent hospital admissions for massive GI bleeding in the past 3 months
: . In her most recent admission, her hemoglobin was 4.1. She received 6 units
: of pRBC. Her current hemoglobin is 10.7. Her medical history is otherwise
: unremarkable. She has been treated with infliximab and adalimumab 6 months
: ago, but continues to have flare-ups with symptoms including fever,
: abdominal pain, and hematochezia. Her current daily medications include
: mesalamine 800mg TID and prednisone 30mg daily.
: What is the next step of treatment?
|
I****a
发帖数: 407 | |
h**********1
发帖数: 123 | 256 supernav接的话表个态，我好count you
【在 b******a 的大作中提到】
: 请接我的位置吧，明天上班，顶不住了。
|
b*****l
发帖数: 8603 | 257 已经超时了，我先接着往下贴啦~~
Surgery~~
3. A 46 year old male with no past medical history has had vague upper
abdominal pain for 3 months. He has a 5 lb weight loss. He has 15 pack-day-
year smoking history. On physical exam, he has rashes along his upper back
bilaterally. He has no jaundice. CT showed a 4cm x 3cm homogeneous mass with
enhanced density in the tail of his pancreas. There is no lymphadenopathy.
MRI (from internet) showed the following:
. What is the major differential diagnose besides tumors? |
A*******s
发帖数: 9638 | 258 He has 2 more cases, then yours.
Micasa, hurry up! lol
【在 a*********d 的大作中提到】
: ok, let me know when
|
h**********1
发帖数: 123 | 259 是统统不给的意思吗？
【在 M****a 的大作中提到】
: Restorative protocolectomy
: Colectomy is not sufficient...
:
: had
: months
: units
|
A*******s
发帖数: 9638 | 260 We are over time now. Wait for next time. Sorry.
【在 I****a 的大作中提到】
: 啊，看错了时间，还来得及出题吗
|
|
|
s********o
发帖数: 3319 | 261 Neuroendocrine
with
.
【在 b*****l 的大作中提到】
: 已经超时了，我先接着往下贴啦~~
: Surgery~~
: 3. A 46 year old male with no past medical history has had vague upper
: abdominal pain for 3 months. He has a 5 lb weight loss. He has 15 pack-day-
: year smoking history. On physical exam, he has rashes along his upper back
: bilaterally. He has no jaundice. CT showed a 4cm x 3cm homogeneous mass with
: enhanced density in the tail of his pancreas. There is no lymphadenopathy.
: MRI (from internet) showed the following:
: . What is the major differential diagnose besides tumors?
|
n***j
发帖数: 184 | 262 islet cell tumor
Pancreatic tumor |
D********3
发帖数: 786 | |
D*********t
发帖数: 140 | |
A*******s
发帖数: 9638 | 265 it is still a tumor, man.
【在 s********o 的大作中提到】
: Neuroendocrine
:
: with
: .
|
b******a
发帖数: 704 | |
M****a
发帖数: 577 | 267 Accessory spleen
with
.
【在 b*****l 的大作中提到】
: 已经超时了，我先接着往下贴啦~~
: Surgery~~
: 3. A 46 year old male with no past medical history has had vague upper
: abdominal pain for 3 months. He has a 5 lb weight loss. He has 15 pack-day-
: year smoking history. On physical exam, he has rashes along his upper back
: bilaterally. He has no jaundice. CT showed a 4cm x 3cm homogeneous mass with
: enhanced density in the tail of his pancreas. There is no lymphadenopathy.
: MRI (from internet) showed the following:
: . What is the major differential diagnose besides tumors?
|
I****a
发帖数: 407 | 268 Sorry about this.
Will keep the questions for the next time then.
【在 A*******s 的大作中提到】
: We are over time now. Wait for next time. Sorry.
|
b*****l
发帖数: 8603 | 269 Surgery~~
4. A 75 year old male with a history of hypertension and hyperlipidemia came
to your clinic complaining worsening pain in his buttocks. He was not able
to climb more than 10 steps of stairs or walk more than one block before the
pain strikes his buttock. The pain disappears after he rests for 15 minutes
. He also complains erectile dysfunction. He does not have pain during sleep
. He has 45 pack-day-year smoking history. Physical exam showed weakened
femoral but normal popliteal and dosalis paedis pulses, normal calf hair and
skin color.
What is the name of his condition? |
n***j
发帖数: 184 | |
|
|
W*T
发帖数: 241 | |
s******v
发帖数: 477 | |
n***j
发帖数: 184 | |
h*******r
发帖数: 182 | |
V*****G
发帖数: 337 | 275 ileofemoral claudicatioin
came
able
the
minutes
sleep
and
【在 b*****l 的大作中提到】
: Surgery~~
: 4. A 75 year old male with a history of hypertension and hyperlipidemia came
: to your clinic complaining worsening pain in his buttocks. He was not able
: to climb more than 10 steps of stairs or walk more than one block before the
: pain strikes his buttock. The pain disappears after he rests for 15 minutes
: . He also complains erectile dysfunction. He does not have pain during sleep
: . He has 45 pack-day-year smoking history. Physical exam showed weakened
: femoral but normal popliteal and dosalis paedis pulses, normal calf hair and
: skin color.
: What is the name of his condition?
|
M****a
发帖数: 577 | 276 Surgical resection is a little too vague...
【在 h**********1 的大作中提到】
: 是统统不给的意思吗？
|
D*********t
发帖数: 140 | 277 Bergur's disease (Surgery Q4) |
D******D
发帖数: 1159 | |
c***y
发帖数: 811 | 279 Integral iliac artery stenosis |
A*******s
发帖数: 9638 | 280 next will be the last section: Endocrinology.
Here you go, againstwind. |
|
|
M****a
发帖数: 577 | 281 Correct
【在 D******D 的大作中提到】
: Leriche syndrome
|
a*********d
发帖数: 2763 | |
b*****l
发帖数: 8603 | 283 yes
【在 a*********d 的大作中提到】
: should i post now?
|
V*****G
发帖数: 337 | 284 last 2 more questions. most went for sleep.
【在 a*********d 的大作中提到】
: should i post now?
|
h**********1
发帖数: 123 | 285 surgery has only 4, right?
【在 b*****l 的大作中提到】
: yes
|
a*********d
发帖数: 2763 | 286 case 2
A 25-year-old woman is 24 weeks’ pregnant. She has no concerns except for
intermittent nervousness and insomnia. Her gynecologist notes that she has
gained only 5 pounds and has developed diffuse enlargement of her thyroid
gland.
On physical examination she has slight lid lag and stare. The thyroid gland
is diffusely enlarged (about 3 times normal size), soft, and without
palpable nodules. Heart rate is 94 beats/min at rest. Obstetric findings are
normal for 24 weeks’ gestation.
Laboratory test results:
Serum free T4 = 2.7 ng/dL
TSH = <0.03 mIU/L
Thyroid stimulating immunoglobulin = 180%
Which one of the following would be the best management for this problem?
[ A ] Ablation of the thyroid gland with radioactive iodine
[ B ] Subtotal thyroidectomy in the third trimester of pregnancy
[ C ] Propylthiouracil therapy to bring the free T4 into the upper
reference range
[ D ] Propylthiouracil therapy to bring the TSH into the reference range
[ E ] Combined potassium iodide and propranolol therapy |
b*****l
发帖数: 8603 | 287 yes
【在 h**********1 的大作中提到】
: surgery has only 4, right?
|
A*******s
发帖数: 9638 | 288 yes.
Thanks, micasa
We still have some Qs left but it is too late. We'll wait againstwind to
finish tonight's section.
【在 h**********1 的大作中提到】
: surgery has only 4, right?
|
V*****G
发帖数: 337 | 289 D
gland
are
【在 a*********d 的大作中提到】
: case 2
: A 25-year-old woman is 24 weeks’ pregnant. She has no concerns except for
: intermittent nervousness and insomnia. Her gynecologist notes that she has
: gained only 5 pounds and has developed diffuse enlargement of her thyroid
: gland.
: On physical examination she has slight lid lag and stare. The thyroid gland
: is diffusely enlarged (about 3 times normal size), soft, and without
: palpable nodules. Heart rate is 94 beats/min at rest. Obstetric findings are
: normal for 24 weeks’ gestation.
: Laboratory test results:
|
n***j
发帖数: 184 | |
|
|
h**********1
发帖数: 123 | 291 Team A correct 8, wrong 17 times
Team B correct 8, wrong 23 times
加油！ |
c***y
发帖数: 811 | |
a*********d
发帖数: 2763 | 293 should i give answer now |
D******D
发帖数: 1159 | |
D********3
发帖数: 786 | |
V*****G
发帖数: 337 | 296 Last question please. We need to go for sleep. Thanks. |
D*********t
发帖数: 140 | |
V*****G
发帖数: 337 | 298 Last question please. We need to go for sleep. Thanks. |
d******a
发帖数: 99 | 299 B
gland
are
【在 a*********d 的大作中提到】
: case 2
: A 25-year-old woman is 24 weeks’ pregnant. She has no concerns except for
: intermittent nervousness and insomnia. Her gynecologist notes that she has
: gained only 5 pounds and has developed diffuse enlargement of her thyroid
: gland.
: On physical examination she has slight lid lag and stare. The thyroid gland
: is diffusely enlarged (about 3 times normal size), soft, and without
: palpable nodules. Heart rate is 94 beats/min at rest. Obstetric findings are
: normal for 24 weeks’ gestation.
: Laboratory test results:
|
s******v
发帖数: 477 | 300 D, TSH reference should be around 0.2-2 |
|
|
b*****l
发帖数: 8603 | 301 yes,post answer then the last question
【在 a*********d 的大作中提到】
: should i give answer now
|
s******v
发帖数: 477 | 302 D, TSH reference should be around 0.2-2 |
a*********d
发帖数: 2763 | |
a*********d
发帖数: 2763 | 304 case 3
A 30-year-old man sees his primary care physician for routine follow-up and
is documented to have a serum calcium concentration of 12.9 mg/dL. He is
admitted to the hospital directly from the clinic for further evaluation and
treatment. The patient states that he has a 5-year history of sarcoidosis,
but admits to nonadherence to his follow-up care and treatment regimen. He
had 1 episode of nephrolithiasis approximately 1 year ago and was told that
his kidneys are “abnormal.” Before admission he was taking no medications
or over-the-counter supplements or vitamins.
On examination, he is afebrile with a blood pressure of 128/92 mm Hg and a
heart rate of 92 beats/min. Respiratory rate is 18 breaths/min, and oxygen
saturation is 96% on room air. He is alert and oriented, in no acute
distress. He has diffuse, palpable, nontender adenopathy in the cervical,
axillary, and inguinal regions. Findings from cardiac examination are normal
, and lungs are clear to auscultation. The abdomen is soft and nontender.
Skin is notable for a papular rash over the wrists bilaterally.
Additional laboratory test results:
Albumin = 4.6 g/dL
Calcium = 12.9 mg/dL
Phosphorus = 9.0 mg/dL
Serum creatinine = 2.8 mg/dL
Alkaline phosphatase =118 U/L
1,25-Dihydroxyvitamin D = 112 pg/mL
25-Hydroxyvitamin D = 6 ng/mL
Intact PTH = 7 pg/mL
TSH = 1.46 mIU/L
Urinary calcium = 561 mg/24 h
Urinary creatinine = 2 g/24 h
Urinary volume = 3050 mL/24 h
The admitting physician has initiated treatment with intravenous fluids.
In addition to instructing the patient to avoid sun exposure, limit vitamin
D and calcium intake, and maintain an intake of 2 L of fluid daily, which
one of the following medications is most appropriate now?
[ A ] Cinacalcet, 30 mg daily
[ B ] Pamidronate, 60 mg intravenously
[ C ] Hydroxychloroquine, 250 mg daily
[ D ] Prednisone, 30 mg daily
[ E ] Ketoconazole, 800 mg daily |
V*****G
发帖数: 337 | 305 For ,resident friend, please let me know if you can stay,
so I will let others to leave. |
r*****1
发帖数: 805 | |
D******D
发帖数: 1159 | |
n***j
发帖数: 184 | |
c***y
发帖数: 811 | |
h*******r
发帖数: 182 | |
|
|
D********3
发帖数: 786 | |
D*********t
发帖数: 140 | 312 Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right? |
h**********1
发帖数: 123 | |
V*****G
发帖数: 337 | 314 Most of resident team members left for sleeping. |
a*********d
发帖数: 2763 | |
V*****G
发帖数: 337 | 316 Most of resident team members left for sleeping. |
s******v
发帖数: 477 | 317 I can stay, but my computer constantly give me trouble. |
s******v
发帖数: 477 | 318 I can stay, but my computer constantly give me trouble. |
a*********d
发帖数: 2763 | 319 because of the time difference, i tried my best to get online, my mother's
birthday today. just come to return a favor to A++
【在 V*****G 的大作中提到】
: Most of resident team members left for sleeping.
|
V*****G
发帖数: 337 | 320 Most of resident team members left for sleeping. |
|
|
V*****G
发帖数: 337 | 321 Thanks so much!
【在 s******v 的大作中提到】
: I can stay, but my computer constantly give me trouble.
|
h**********1
发帖数: 123 | 322 A++呢？ R we continue, or we are done here? |
A*******s
发帖数: 9638 | 323 Tonight we really witnessed our CMG’s ability for medical practice. I am
personally very surprised to see so many IDs here. We definitely had a good
time. Did all of us learn something tonight? Sure, we do.:)
I’d like to appreciate the attending who sacrifice their precious time for
preparing the Qs. Special kudos to Rubyheart, Garland, Snowforest, Micasa,
MADMD, Wind, icetea, Stareee and Againstwind.
I would also thank out attendees including DaobanID, VictorG and their crews
. Amazing performance!
Last, I have to give credit to Blubell and hippocampus for their time and
efforts. Without their input, it is impossible to finish.
See you guys next time. |
D*********t
发帖数: 140 | 324 Dr. Againstwind:
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right? |
D******D
发帖数: 1159 | 325 I think we should adjourn |
A*******s
发帖数: 9638 | 326 太不好意思了，下次你母亲过生日我一定补偿。：）
【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++
|
W*T
发帖数: 241 | |
J*********4
发帖数: 1274 | 328 非常感谢各位大牛。 很欢乐的周末，学了好多！
鞠躬！ |
D*********t
发帖数: 140 | 329 Dr. Againstwind:
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right? |
D********3
发帖数: 786 | 330 Thanks so much for all your inputs! I did learn a lot! definitely will
participate again next time. Sleep well! :) |
|
|
a*********d
发帖数: 2763 | 331 you are totally right,PTU is only recommended in 1st trimester. since
options did not include methimazole, PTU will be the best answer here.
Aiming for a normal serum TSH concentration (Answer D) is not appropriate
because it may remain low even after reaching the euthyroid state.
【在 D*********t 的大作中提到】
: Dr. Againstwind:
: Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
: trimester with the concern of teratogenic effect of PTU. We prefer
: Methemozal to PTU from 2nd trimester. Is that right?
|
J*********4
发帖数: 1274 | |
D*********t
发帖数: 140 | 333 Sorry, dont know why my post appeared so many times.... |
V*****G
发帖数: 337 | 334 I want to thank all the resident team members's great contribution in spite
of your extremely busy schedule! Without you guys' sacrifice and
contribution, this is mission impossible. All of you guys did a fantastic
job! |
a*********d
发帖数: 2763 | 335 no need, i owe you and i agreed to do this. sorry i could not make it on
time.
【在 A*******s 的大作中提到】
: 太不好意思了，下次你母亲过生日我一定补偿。：）
|
D*********t
发帖数: 140 | 336 Thank you for your answer! Enjoy your time with your Mom! |
a*********d
发帖数: 2763 | 337 thank you
【在 J*********4 的大作中提到】
: 祝逆风姐姐妈妈生日快乐！
|
s**********t
发帖数: 217 | 338 赶快订个🎂送去。
【在 A*******s 的大作中提到】
: 太不好意思了，下次你母亲过生日我一定补偿。：）
|
h**********1
发帖数: 123 | 339 hi, guys, the result is so tight that I need to double check to make sure.
Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举，我要
重新点票，以示公允。 |
b*****l
发帖数: 8603 | 340 后面的题，我把它们都贴这儿吧，感兴趣的话可以学习。不算分了。 |
|
|
b*****l
发帖数: 8603 | 341 祝阿姨生日快乐！谢谢逆风！
【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++
|
b*****l
发帖数: 8603 | 342 不如你先睡觉去吧，明天再弄，很晚了
【在 h**********1 的大作中提到】
: hi, guys, the result is so tight that I need to double check to make sure.
: Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举，我要
: 重新点票，以示公允。
|
A*******s
发帖数: 9638 | 343 现在还来得及吗，不过明年一定。
【在 s**********t 的大作中提到】
: 赶快订个🎂送去。
|
h**********1
发帖数: 123 | 344 好啊，谢谢大家。
【在 b*****l 的大作中提到】
: 不如你先睡觉去吧，明天再弄，很晚了
|
J*********4
发帖数: 1274 | 345
====
哈哈， 很正规的哟
【在 h**********1 的大作中提到】
: hi, guys, the result is so tight that I need to double check to make sure.
: Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举，我要
: 重新点票，以示公允。
|
V*****G
发帖数: 337 | 346 Happy birth day to your mom!
【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++
|
b*****l
发帖数: 8603 | 347 我现在贴的这些感兴趣的同学可以学习学习，如果回答的话点击本贴回复就好，要不就
不知道那个是那个了
Pediatric~~
15m old boy without significant medical history presented to the ED for
pallor and fatigue. Mother said he had a cold a few weeks ago. He has one
year well child visit at his pediatrician's office and at the time the CBC
was reported normal. Tachycardia, HR 150, afebrile, other VSS. Exam: Pale,
playful and active. No jaundice, No HSM, No LAD, the rest exam WNL. No
dismorphic feature. CBC showed WBC 11.7, normal diff, Hb 5.1, MCV 86, PLT
230. What is the most likely diagnosis? What blood test can confirm your
diagnosis? |
A*******s
发帖数: 9638 | 348 谢谢海马，慢慢点就是了。
【在 h**********1 的大作中提到】
: hi, guys, the result is so tight that I need to double check to make sure.
: Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举，我要
: 重新点票，以示公允。
|
M****a
发帖数: 577 | 349 感动~ 祝老人家生日快乐！
【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++
|
b*****l
发帖数: 8603 | 350 Question from MADMD:
A 14 year old girl with past history of depression is admitted due
to a suicidal attempt by overdosing on OTC melatonin. The girl became
depressed 2 months ago after her boyfriend broke up with her. She was
started on zoloft for her depression by her primary care physician. Prior to
her suicidal attempt, the girl had felt better with zoloft treatment and
started dating again. However, her new boyfriend broke up with her 1 week
ago because he found out the girl is also "seeing" other two boys. Since the
break up with her new boyfriend, the girl has been suffering from paranoia.
She feels everybody at school is laughing at her. Also she started hearing
voices telling her "to end it all" by killing herself. She says the voices
keeping her up during night. This is also why she is taking the OTC
melatonin for sleep. The girl's late mother was an accountant, she had
depression and committed suicide at age of 35 after she was diagnosed with
AIDS, and was charged with driving without a license and check fraud. What
is the most likely diagnosis for this girl? |
|
|
s**********t
发帖数: 217 | 351 贝儿辛苦了
【在 b*****l 的大作中提到】
: 我现在贴的这些感兴趣的同学可以学习学习，如果回答的话点击本贴回复就好，要不就
: 不知道那个是那个了
: Pediatric~~
: 15m old boy without significant medical history presented to the ED for
: pallor and fatigue. Mother said he had a cold a few weeks ago. He has one
: year well child visit at his pediatrician's office and at the time the CBC
: was reported normal. Tachycardia, HR 150, afebrile, other VSS. Exam: Pale,
: playful and active. No jaundice, No HSM, No LAD, the rest exam WNL. No
: dismorphic feature. CBC showed WBC 11.7, normal diff, Hb 5.1, MCV 86, PLT
: 230. What is the most likely diagnosis? What blood test can confirm your
|
J*********4
发帖数: 1274 | 352
----
B19 infection?
【在 b*****l 的大作中提到】
: 我现在贴的这些感兴趣的同学可以学习学习，如果回答的话点击本贴回复就好，要不就
: 不知道那个是那个了
: Pediatric~~
: 15m old boy without significant medical history presented to the ED for
: pallor and fatigue. Mother said he had a cold a few weeks ago. He has one
: year well child visit at his pediatrician's office and at the time the CBC
: was reported normal. Tachycardia, HR 150, afebrile, other VSS. Exam: Pale,
: playful and active. No jaundice, No HSM, No LAD, the rest exam WNL. No
: dismorphic feature. CBC showed WBC 11.7, normal diff, Hb 5.1, MCV 86, PLT
: 230. What is the most likely diagnosis? What blood test can confirm your
|
b*****l
发帖数: 8603 | 353 Question from Snowforest
1.A 55 year old female is admitted to the ICU from the emergency department
with ARDS. She is currently being mechanically ventilated with a tidal
volume of 6 mL/kg and a PEEP of 14 cmH2O, with a FiO2 of 60%. Her
inspiratory plateau pressure is 32 cmH2O.
What are you going to do to improve survival in this patient? |
b*****l
发帖数: 8603 | 354 Question from Snowforest
2. To avoid malfunction of ventilators, wast is the most appropriate
minimum distance at which cellular phones should be used from intensive care
ventilators? |
b*****l
发帖数: 8603 | 355 我先哄孩子去了，明天算出最后分数来我就去问站方申请奖励。
大家都辛苦了！周末愉快！晚安！ |
r*****1
发帖数: 805 | 356 Hippocampus: WST is working instead of me. I had to leave early. Hope u can
count it~~Thx |
A*******s
发帖数: 9638 | 357 C'mon， you owe me nothing, but now I owe you a birthday cake. :(
【在 a*********d 的大作中提到】
: no need, i owe you and i agreed to do this. sorry i could not make it on
: time.
|
A*******s
发帖数: 9638 | 358 辛苦了，blubell
【在 b*****l 的大作中提到】
: 我先哄孩子去了，明天算出最后分数来我就去问站方申请奖励。
: 大家都辛苦了！周末愉快！晚安！
|
s******v
发帖数: 477 | 359 schizophrenia
to
the
paranoia.
hearing
【在 b*****l 的大作中提到】
: Question from Snowforest
: 2. To avoid malfunction of ventilators, wast is the most appropriate
: minimum distance at which cellular phones should be used from intensive care
: ventilators?
|
s******v
发帖数: 477 | 360 lower PEEP
department
【在 b*****l 的大作中提到】
: Question from Snowforest
: 2. To avoid malfunction of ventilators, wast is the most appropriate
: minimum distance at which cellular phones should be used from intensive care
: ventilators?
|
|
|
A*******s
发帖数: 9638 | 361 Right
【在 s******v 的大作中提到】
: Don't know why can't reply a post. Re-start my computer.
: Q2 image has a line, is it a fracture?
|
D********3
发帖数: 786 | 362
department
keep inspiratory plateau pressure under 30 cmH2O.
【在 b*****l 的大作中提到】
: Question from Snowforest
: 2. To avoid malfunction of ventilators, wast is the most appropriate
: minimum distance at which cellular phones should be used from intensive care
: ventilators?
|
D******D
发帖数: 1159 | 363 嘎嘎，人多力量大果然灰常有道理，面对强大滴双270级别滴Resident Team，偶们pre
resident team居然米有输滴很惨^_^
秘诀1：出场队员拥有日不落优势（Njwwj童鞋身在东八时区）。
秘诀2：Cathy (双270),JennyGao,海马，sumo,Dora, dongyang, D216,mcqueen,
macula, jjj9471,doublemd, ginger, yili 等童鞋领衔滴庞大（三十余人）外援团队
给予超级强力支持 LOL |
A*******s
发帖数: 9638 | 364 你的组织能力也太强了，我看到了很多很强的ID，像Njwwj， deedee还有那个马甲，我
觉得有必要选出答对最多题的ID， 并给予重奖。
pre
【在 D******D 的大作中提到】
: 嘎嘎，人多力量大果然灰常有道理，面对强大滴双270级别滴Resident Team，偶们pre
: resident team居然米有输滴很惨^_^
: 秘诀1：出场队员拥有日不落优势（Njwwj童鞋身在东八时区）。
: 秘诀2：Cathy (双270),JennyGao,海马，sumo,Dora, dongyang, D216,mcqueen,
: macula, jjj9471,doublemd, ginger, yili 等童鞋领衔滴庞大（三十余人）外援团队
: 给予超级强力支持 LOL
|
h**********1
发帖数: 123 | 365 yes, I got you
can
【在 r*****1 的大作中提到】
: Hippocampus: WST is working instead of me. I had to leave early. Hope u can
: count it~~Thx
|
h**********1
发帖数: 123 | 366 收到指示
【在 A*******s 的大作中提到】
: 你的组织能力也太强了，我看到了很多很强的ID，像Njwwj， deedee还有那个马甲，我
: 觉得有必要选出答对最多题的ID， 并给予重奖。
:
: pre
|
h**********1
发帖数: 123 | 367 各位，final result已经send给版大和bluebel了，先卖个关子，等A大宣布吧 :) |
J*********4
发帖数: 1274 | |
M***D
发帖数: 249 | 369 Psychiatry question: A 14 year old girl with past history of depression is
admitted due to a suicidal attempt by overdosing on OTC melatonin. The girl
became depressed 2 months ago after her boyfriend broke up with her. She was
started on zoloft for her depression by her primary care physician. Prior
to her suicidal attempt, the girl had felt better with zoloft treatment and
started dating again. However, her new boyfriend broke up with her 1 week
ago because he found out the girl is also "seeing" other two boys. Since the
break up with her new boyfriend, the girl has been suffering from paranoia.
She feels everybody at school is laughing at her. Also she started hearing
voices telling her "to end it all" by killing herself. She says the voices
keeping her up and this is why she is taking the OTC melatonin for sleep.
The girl's late mother was an accountant, she had depression and committed
suicide at age of 35 after she was diagnosed with AIDS, and was charged with
driving without a license and check fraud. What is the most likely
diagnosis for this girl?
Answer: The girl most likely has bipolar disorder. Three risk factors for
bipolar disorder are (1) early onset depression with psychosis; (2) "
switching" from depression to mania or hypomania by SSRIs (zoloft in this
case) and (3) family history of bipolar disorder (the girl's late mother had
depression and committed suicide, had manic symptoms of being hypersexual,
had risky illegal behaviors and impulsive spending spree). |
b******a
发帖数: 704 | 370 Transient erythroblastopenia of childhood.
Work up: Serial measurements of MCV, blood smear, reticulocyte count,
Hemoglobin F
如果回答的话点击本贴回复就好，要不就
【在 b*****l 的大作中提到】
: 我先哄孩子去了，明天算出最后分数来我就去问站方申请奖励。
: 大家都辛苦了！周末愉快！晚安！
|
