Podcast Episode 87: Ten Internal Medicine EOR Questions

Welcome to episode 87 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten internal medicine rotation EOR content blueprint questions from the Smarty PANCE physician assistant board and rotation review website. Special from today's episode: Check out the updated Smarty PANCE Internal Medicine Rotation (EOR) Review CourseDownload your Free Trello Smarty PANCE PAEA Internal Medicine EOR Tracking TemplateMembers can take the all-new Internal Medicine Rotation Practice ExamView the interactive Smarty PANCE Internal Medicine Rotation (EOR) Topic List Below you will find an interactive exam to complement the podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of Smarty PANCE. You can download and listen to past FREE episodes here, on iTunes, Spotify, on Google Play Music or Stitcher.You can listen to the latest episode, take an interactive quiz, and download more resources below. Listen Carefully Then Take The Practice Exam If you can't see the audio player click here to listen to the full episode. Podcast Episode 87: Ten Internal Medicine EOR Pulmonology Questions The following questions are linked to PAEA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member, you will be able to login and view this interactive video lesson. 1. A 67-year-old man with a long history of constipation presents with steady left lower quadrant pain. Physical exam reveals low-grade fever, mid abdominal distention, and lower left quadrant tenderness. Stool guaiac is negative. An absolute neutrophilic leukocytosis and a shift to the left are noted on the CBC. Which of the following is the most accurate test for this patient's condition? A Barium enemaB ColonoscopyC CT scanD. Sigmoidoscopy Click here to see the answer Answer: C CT scan Diverticulitis presents with left lower quadrant abdominal pain, systemic symptoms (such as fever), nausea, vomiting, and leukocytosis on lab values. It typically occurs in a patient with a history of diverticulosis. The most accurate test for diverticulitis is a CT scan. Colonoscopy is contraindicated as it could cause rupture. Further management is keeping the patient NPO and administering ciprofloxacin, metronidazole, and IV fluids. Patients who can not tolerate oral antibiotics should be started on IV antibiotics. (Review topic: Diverticular disease) Barium enema is contraindicated in diverticulitis as it could cause irritation. A barium enema is the most accurate test in diverticulosis. Colonoscopy and sigmoidoscopy are contraindicated in diverticulitis as they could cause rupture. Colonoscopy is an accurate test for diverticulosis. 2. A 42-year-old homeless man presents to the emergency department with fever, painful muscle spasms in his arms and legs, and difficulty eating because of painful spasms in his jaw muscles. Until a week ago, he was wandering around the city looking for food and work and taking shelter in a commercial construction site. He reports not having seen a medical professional in more than 15 years. Examination of his feet reveals shoes with holes in the soles and a small, puncture-type wound on the bottom of the right foot. It is surrounded by erythema and somewhat tender to touch. The patient is uncertain what he may have stepped on. X-ray is negative for any radiopaque foreign body. In addition to hospital admission, which of the following is the first-line therapy for this patient? A Tetanus immune globulin and tetanus toxoidB Tetanus immune globulin and metronidazoleC Tetanus toxoid and penicillinD Tetanus immune globulin, tetanus toxoid, and metronidazole Click here to see the answer The answer is D Tetanus immune globulin, tetanus toxoid,