Ms. Carpenter is a 28-year-old female who presents in significant pain she indicates that the discomfort is in the right lower quadrant. The discomfort is colicky in nature and has the patient in tears. Which of the following associated findings increases the index of suspicion for ureteral colic?

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Question 1 of 5

Ms. Carpenter is a 28-year-old female who presents in significant pain she indicates that the discomfort is in the right lower quadrant. The discomfort is colicky in nature and has the patient in tears. Which of the following associated findings increases the index of suspicion for ureteral colic?

Correct Answer: A

Rationale: Hematuria (blood in the urine) is a common associated finding in ureteral colic. The presence of blood in the urine suggests that there may be damage or irritation to the urinary tract, typically caused by the passage of a kidney stone through the ureter. Along with the sharp, colicky pain in the right lower quadrant, the presence of hematuria significantly raises the suspicion for ureteral colic.

Question 2 of 5

Justin F. is seen in the emergency department with an 8-cm jagged laceration on the dorsal surface of his right forearm. He says he was working with his brother-in-law yesterday morning building a deck on the back of his home. A pile of wooden planks fell on top of him, and he sustained a variety of cuts and superficial injuries. He cleaned the wound with soap and water but didnt want to go to the emergency room because he didnt want to risk being in the waiting room for hours. He wrapped up his arm and went back to work, and then took a normal shower and went to bed last night. This morning the cut on his arm was still flapping open, and he realized he needed sutures. The appropriate management of this patient includes

Correct Answer: D

Rationale: In this scenario, the patient presents with a jagged laceration on his forearm that is still open and requires sutures. The appropriate management for this patient involves local anesthesia to reduce pain, thorough cleansing of the wound to prevent infection, and wound exploration to assess for any foreign bodies that may be present. Suturing the wound is necessary to promote proper healing and reduce the risk of complications. Antibiotic therapy may be indicated if signs of infection are present, but it is not mentioned in the scenario as a primary management step. Tetanus prophylaxis should also be considered given the mechanism of injury involving a dirty object.

Question 3 of 5

Ms. Carpenter is a 28-year-old female who presents in significant pain she indicates that the discomfort is in the right lower quadrant. The discomfort is colicky in nature and has the patient in tears. Which of the following associated findings increases the index of suspicion for ureteral colic?

Correct Answer: A

Rationale: Hematuria (blood in the urine) is a common associated finding in ureteral colic. The presence of blood in the urine suggests that there may be damage or irritation to the urinary tract, typically caused by the passage of a kidney stone through the ureter. Along with the sharp, colicky pain in the right lower quadrant, the presence of hematuria significantly raises the suspicion for ureteral colic.

Question 4 of 5

What is the role of antenatal corticosteroids in preterm labor?

Correct Answer: B

Rationale: Corticosteroids accelerate fetal lung maturity to reduce the risk of respiratory distress syndrome.

Question 5 of 5

Congenital malformations are common in monozygotic twinning. Dichorionicity occurs only in dizygotic twinning.

Correct Answer: B

Rationale: Monozygotic twins typically have a single chorion, not two.

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