CMS II Cumulative Random Details

a. Endoscopy/EGD

Pt presents with an "alarm symptom." What form of imaging should be ordered?

a. Endoscopy/EGD

b. Abdominal U/S

c. Esophageal manometry

d. CT

c. Esophageal manometry

Gold standard imaging for motility disorders

a. Endoscopy/EGD

b. Abdominal U/S

c. Esophageal manometry

d. CT

d. Patient with diabetes

Who is most at risk for gastroparesis?

a. Patient with ulcerative colitis

b. Patient who is obese

c. Patient with H. pylori

d. Patient with diabetes

c.Hirschsprung disease

Exists with down syndrome

a. Volvulus

b. Intussusception

c.Hirschsprung disease

d. Acute paralytic ileus

b. Ampulla of vater

Where are adenocarcinomas mostly found?

a. Distal small intestine

b. Ampulla of vater

c. Rectum

d. Duodenum

b. CT abd

(kids --> U/S)

Imaging of choice for appendicitis

a. X-ray abd

b. CT abd

c. U/S abd

d. MRI

a. 1st stage

Stage of labor that begins with cervical effacement & dilation, ends with complete dilation

a. 1st stage

b. 2nd stage

c. 3rd stage

d. 4th stage

b. 2nd stage

Stage of labor that begins with complete dilation, ends with birth of baby. Includes pushing

a. 1st stage

b. 2nd stage

c. 3rd stage

d. 4th stage

c. 3rd stage

Stage of labor from delivery of baby to delivery of placenta

a. 1st stage

b. 2nd stage

c. 3rd stage

d. 4th stage

d. Late deceleration

When monitoring the fetal heart monitor, which of these findings is realllllyyyyy no bueno

a. Early acceleration

b. Variable acceleration

c. Variable deceleration

d. Late deceleration

a. Oxygenated blood

Umbilical vein carries...

a. Oxygenated blood

b. Deoxygenated blood

a. First-degree

Perineal tears: break in the skin or mucosa only

a. First-degree

b. Second-degree

c. Third-degree

d. Fourth-degree

b. Second-degree

Perineal tears: laceration that extends into the submucosa

a. First-degree

b. Second-degree

c. Third-degree

d. Fourth-degree

c. Third-degree

Perineal tears: involves the anal sphincter, partial or full-thickness

a. First-degree

b. Second-degree

c. Third-degree

d. Fourth-degree

d. Fourth-degree

Perineal tears: extends through sphincter into rectal mucosa

a. First-degree

b. Second-degree

c. Third-degree

d. Fourth-degree

c. Bicornuate uterus

Mullerian defect with 2 uteri, but 1 cervix

a. Arcuate uterus

b. Didelphys uterus

c. Bicornuate uterus

d. Septate uterus

b. 2 signs at age <8

When to refer for precocious puberty?

a. 1 sign at age <8

b. 2 signs at age <8

c. 1 sign at age <10

d. 2 signs at age <10

d. PCOS

MCC of infertility in the US

a. Radiation therapy

b. STIs

c. Smoking

d. PCOS

d. Adhesions from prior surgeries

MCC of mechanical SBO

a. Hernias

b. Crohn's disease

c. Ulcerative colitis

d. Adhesions from prior surgeries

b. Frank

(hips are flexed & both knees are extended so that the feet lie close in proximity to the head)

MC breech presentation

a. Footling

b. Frank

c. Complete

d. Incomplete

d. C. jejuni

Infection that often precedes GBS

a. E. coli

b. Staph

c. Strep

d. C. jejuni

a. Tension

MC type of HA in general population

a. Tension

b. Migraine

c. Cluster

d. Post-traumatic

c. Unopposed estrogen

Risk factor for endometrial cancer

a. Smoking

b. Young age

c. Unopposed estrogen

d. Unopposed progestin

d. 20; 2

___% reduction in wound size over ___ weeks is a reliable predictive indicator of healing

a. 15; 1

b. 15; 2

c. 20; 1

d. 20; 2

b. INC volume of distribution results from INC in body fat relative to skeletal muscle with aging

Which is TRUE about elderly in the aging process?

a. INC volume of distribution results from DEC in body fat relative to skeletal muscle with aging

b. INC volume of distribution results from INC in body fat relative to skeletal muscle with aging

c. DEC volume of distribution results from INC in body fat relative to skeletal muscle with aging

d. DEC volume of distribution results from DEC in body fat relative to skeletal muscle with aging

d. Unicornuate uterus

Complete, or almost complete, arrest of development of 1 mullerian duct, rudimentary horn +/- functioning endometrium is present.

a. Arcuate uterus

b. DES-related uterus

c. Bicornuate uterus

d. Unicornuate uterus

b. Didelphys uterus

Complete nonfusion of both mullerian ducts, individual horns are fully developed, 2 cervices are present

a. Arcuate uterus

b. Didelphys uterus

c. Bicornuate uterus

d. Septate uterus

a. Inversion

(ankle sprain = MC injury in sports)

Most ankle injuries are ______ injuries- sprains

a. Inversion

b. Eversion

b. Infiltrating ductal carcinoma (IDC)

(appears as stellate or well-circumscribed)

MC type of breast cancer

a. Phyllodes tumor

b. Infiltrating ductal carcinoma (IDC)

c. Lobular carcinoma in situ (LCIS)

d. Ductal carcinoma in situ (DCIS)

d. Tardive dyskinesia

BBW for Metoclopramide (Reglan)

a. Cerebral edema

b. Bone density loss

c. Osteosarcoma

d. Tardive dyskinesia

b. Missed abortion

Embryo or fetus dies in utero, but POC are retained

a. Inevitable abortion

b. Missed abortion

c. Complete abortion

d. Incomplete abortion

a. Inevitable abortion

Bleeding of uterine origin before week 20, dilation of cervix without expulsion of POC

a. Inevitable abortion

b. Missed abortion

c. Complete abortion

d. Incomplete abortion

a. Week 16

Fundus at midpoint b/t pubic symphysis & umbilicus

a. Week 16

b. Week 20

c. Week 24

d. Week 28

b. Week 20

Fundus at the level of the umbilicus

a. Week 16

b. Week 20

c. Week 24

d. Week 28

b. BRUDzinski

Pain is RUDuced with knee flexion = meningeal irritation

a. LherMitte’s

b. BRUDzinski

c. Spurling

d. Kernig's

d. Coronary artery aneurysms

Complication of Kawasaki's

a. Cerebral edema

b. Respiratory depression

c. GI hemorrhage

d. Coronary artery aneurysms

c. Comp eval needed

Tug test takes >20 seconds

a. All good

b. Increased fall risk

c. Comp eval needed

d. PT is needed

a. All good

Tug test takes <10 seconds

a. All good

b. Increased fall risk

c. Comp eval needed

d. PT is needed

b. Increased fall risk

Tug test takes 12-19 seconds

a. All good

b. Increased fall risk

c. Comp eval needed

d. PT is needed

b. DSM-5

(PHQ-9 is for depression)

Gold standard for diagnosing delirium

a. PHQ-9

b. DSM-5

c. 4AT rapid clinical test for delirium

d. Confusion assessment method (CAM)