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