Irene Gold Part 3

LBP and SI tenderness, uveitis

C4

Additional sign

High levels of _____; physical exam finding of ____

MM

Nightstick fracture involves

Claw hand deformity

72 yo female with recurrent substernal pain during walking or exercise. Rapid relief with rest.

35 yo male with a headache that is recurrent debilitating stabbing pain behind left eye. Pain wakes him up at night.

Most likely the cause

Most appropriate for a 42 yo carpenter with adhesive capsulitis

Pt states “later in the afternoon is when the air is most sharp and stabbing.” This best addresses which history part?

23 yo male with pain & paresthesia down the right leg. Positive Fajersztajn’s test. Which MRI finding best supports?

Middle digit

The underlying etiologic cause associated with an Argyll Robertson pupil is best identified with which study?

Yellow eyelid

52 yo male with a monotone voice, resting tremor and festinatng gate. Further investigate for:

Imaging modality best for evaluating for cauda equina syndrome

To confirm dx of Orthostatic hypotension: pt BP lowest when immediately ____ from a ___ position

Jaw

Non-comminuted fracture of the base of the 1st metacarpal

Most appropriate management

Which lymph node quality is most suggestive that further investigation for malignancy is warranted?

Isolated muscle weakness with resisted wrist extension

Next most appropriate management for 13 yo female with left convex structural scoliosis, Cobb method measures 60 degrees

Elderly pt who fell radiograph reveals a left femoral neck fracture. Further investigate for the development of:

Most beneficial in confirming a diagnosis of intercostal neuritis

Most likely in past history

23 yo male with painless sore on his penis. Exam reveals enlarge inferior superior inguinal lymph nodes. Most likely dx?

Wernicke-Korsakoff syndrome is associated with a ____ deficiency

Examination reveals ____; Pulmonary percussive note of ____

Swan neck deformity

21 yo male with insidious onset of chills, vomiting, neck stiffness/pain. Positive Kernig’s sign. Which correlates?

Best confirms the suspicion of a rotator cuff tear in 21 yo baseball pitcher

Muscle strength testing, resisting pt’s active hip extension best evaluates the ___ neurological level

Achilles tendon rupture

41 yo male with LBP that radiates to lateral left leg & the big toe webbing. Unable to heel-walk on Ipsilateral side.

Pain that begins in the left flank and radiates to the groin

52 yo with relentless epigastric pain reveals Cullen’s sign. Which historical question best supports the suspected dx?

Murphy’s sign is alteration of the patient’s ____ and prompts further investigation for ____

58 yo male

Best assists in the reduction of a lumbar hyperlordosis

Shock-like pain, had the flu

B/L sacroilitis

Right sided heart failure is most likely to directly cause ____

Relief with rest

Best dietary supplement recommendation for a female expressing desire to become pregnant in the next 6 months

36 yo female with intention tremor, optic neuritis and spastic paralysis. Symptoms began sporadic & periodically remit.

The patient is displaying a ____ gait

SP pull move

Next course of action

Tongue deviates ____ the lesion; Uvula deviates ___

74 yo male with insidious onset of chills, coughing up red-tinged sputum, 105 fever & heavy chest pain. Physical exam:

During tongue protrusion, the tongue deviates to the left. Indicates CN ___ lesion on the ____