The secret of change is to focus all of your energy, not on fighting the old, but on building the new.–Socrates
Now onto this week’s podcast
Which of the following is typically seen in Korsakoff syndrome?
A. Cerebellar dysfunction
B. Long-term memory impairment
D. Recent memory impairment
Which of the following is the most common physical exam finding in an abdominal aortic aneurysm?
A. Abdominal bruit
B. Diminished femoral pulses
C. Duodenal obstruction
D. Pulsatile abdominal mass
A 24-year-old woman at full term presents with rupture of membranes and contractions. Sterile exam reveals a crowning infant with a visible cord. After elevating the fetal head, what management is indicated?
A. Clamp and cut cord and proceed with delivery
B. Continue with standard delivery
C. Emergent cesarean section
D. Intravenous tocolytics
You suspect a 35-year-old man has epiglottitis with impending airway compromise. Which of the following is the best method for confirming the diagnosis?
A. Computed tomography of the neck
B. Frontal cervical soft tissue radiograph
C. Indirect laryngoscopy
D. Lateral cervical soft tissue radiograph
A 21-year-old man presents with a stab wound to the right chest. His vitals are HR 157/min, BP 81/43 mm Hg, RR 28/min, and oxygen saturation 91%. The patient is intubated, and packed red blood cells are started. Physical examination reveals a bleeding wound to the right chest, a midline trachea, and decreased breath sounds on auscultation of the right hemithorax. Which of the following should be performed next?
A. Application of a pelvic binder
B. Placement of a right thoracostomy tube
C. Right chest thoracotomy
D. Transfer to operating room
A 65-year-old man with a history of hypertension presents with left-sided weakness beginning two hours prior to arrival. Vitals are BP 155/85 mm Hg, HR 102/min, RR 12/min, oxygen saturation 100% on RA. His CT scan is shown above. Which of the following therapies is appropriate?
A. Antihypertensives to lower mean arterial pressure by 25%
B. Head of bed at 30°
C. Neurosurgical evacuation
D. Prophylactic antiepileptic drugs
That wraps up RoshCast Episode 42! Be sure to also check out RoshCast blog for questions from this episode and prior episodes, related images and tables, as well as bonus teaching points. There are also tons of other great free resources there to help prepare you for the boards and the wards. Don’t forget to follow us on twitter @RoshCast and @RoshReview. And you can always email us at RoshCast@RoshReview.com with any feedback, corrections, or suggestions. You can also help us pick questions by identifying ones you would like us to review. Write “RoshCast” in the submit feedback box as you go through the question bank. Lastly, if you have a minute, make sure to rate us and leave comments on iTunes to help spread the word about RoshCast.
Good luck on the in-training exam next week!
Jeff and Nachi
The post Podcast Ep 42: Korsakoff Syndrome, AAA, Prolapsed Umbilical Cord appeared first on RoshReview.com.