Acute abdomen, trauma triage, and perioperative management scenarios tested on USMLE Step 2 CK.
43 cards · mixed cards · AI-written, checked twice. Edit anything.
- Where is McBurney's point located?
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Two-thirds of the way from the umbilicus to the anterior superior iliac spine- What is Rovsing's sign?
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Palpation of the left lower quadrant causes pain in the right lower quadrant- What does a positive psoas sign indicate?
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Pain on hip extension, suggesting retrocecal appendicitis- What does a positive obturator sign suggest?
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Pain on internal rotation of the flexed hip, suggesting a pelvic appendix- What is Murphy's sign?
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Inspiratory arrest on palpation of the right upper quadrant- Charcot's triad for ascending cholangitis consists of ____.
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fever, jaundice, and right upper quadrant pain- What two additional findings turn Charcot's triad into Reynolds' pentad?
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Hypotension and altered mental status- What causes Boerhaave syndrome?
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Full-thickness esophageal rupture, usually from forceful vomiting- How does a Mallory-Weiss tear differ from Boerhaave syndrome in depth of injury?
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Mallory-Weiss is a mucosal tear only; Boerhaave is a full-thickness rupture- What does free air under the diaphragm on an upright chest x-ray indicate?
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Perforation of a hollow viscus- A Sister Mary Joseph nodule (periumbilical nodule) suggests what?
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Metastatic intra-abdominal malignancy- What does Cullen's sign (periumbilical ecchymosis) indicate?
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Retroperitoneal hemorrhage, classically from hemorrhagic pancreatitis- What does Grey Turner's sign (flank ecchymosis) indicate?
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Retroperitoneal hemorrhage, classically from hemorrhagic pancreatitis- What is the purpose of Ranson's criteria?
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To estimate the severity and mortality risk of acute pancreatitis- What is the first-line imaging study for suspected appendicitis in a pregnant patient?
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Ultrasound
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