Always do your best. What you plant now, you will harvest later.–Og Mandino
Now onto this week’s podcast
Which of the following is the most common presenting vital sign abnormality seen in patients presenting with a pulmonary embolism?
A 72-year-old man presents with pain in the right knee. It has increased over the last 24 hours with redness and swelling. Joint aspiration reveals negative birefringent crystals. He reports an allergy to NSAIDs and is a brittle diabetic. Colchicine is prescribed. Which side effect limits its usefulness due to a narrow therapeutic window?
B. Nausea and vomiting
D. Sore throat
A patient presents to the ED after waking up and finding that he was drooling while drinking his coffee. When he looked in the mirror he noticed that the left side of his face was drooping. Which of the following findings is suggestive of a central process?
A. Hyperacusis of the left ear
B. Inability to close the left eye completely
C. Loss of taste sensation
D. Preserved ability to raise the eyebrows
Which of the following is considered a stable cervical spine injury?
A. Bilateral facet dislocation
B. Clay-shoveler’s fracture
C. Hangman fracture
D. Teardrop fracture
A 28-year-old man presents to the emergency department via ambulance after a terrorist set off a large bomb in an airport. On physical exam, he has bilateral tympanic membrane ruptures. Chest X-ray shows bilateral pulmonary contusion. These injuries are most consistent with which category of blast injury?
A 19-year-old man presents with eye pain and photophobia in his left eye after being punched there two days ago. He describes blurry vision. On exam, you note consensual photophobia. Which of the following is the most appropriate treatment?
A. Homatropine drops
C. Topical ketorolac drops
D. Topical vasoconstrictor
That wraps up RoshCast Episode 43! Rosh Review is excited to announce the launch of a new podcast called The PA Way hosted by Alison Callahan, PA-C. Definitely worth a listen. Be sure to also check out the 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.
Megha and Nachi
The post Podcast Ep 43: Pulmonary Embolism, Colchicine & More appeared first on RoshReview.com.