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STOP CALLING IT AN ACCIDENT GODDAMIT	LIVER WITH A NICE CHIANTI	APPENDIX AND OTHER MEAN PEOPLE	A THORACIC CATEGORY ... GO!	SMELLS LIKE GI BLEED	HIS AND HERNIAS
100 CNS INJURY THE MOST COMMON CAUSE OF IMMEDIATE DEATH FOLLOWING BLUNT TRAUMA STOP CALLING IT AN ACCIDENT GODDAMIT 100	100 SMA AN ACCESSORY RIGHT HEPATIC ARTERY MOST FREQUENTLY ARISES FROM THIS ARTERY LIVER WITH A NICE CHIANTI 100	100 Question 100 Answer 100 APPENDIX AND OTHER MEAN PEOPLE 100	100 Question 100 Answer 100 A THORACIC CATEGORY ... GO! 100	100 Question 100 Answer 100 SMELLS LIKE GI BLEED 100	100 Question 100 Answer 100 HIS AND HERNIAS 100
200 BRIDGING VEINS BETWEEN DURA AND ARACHNOID TYPICAL SOURCE OF BLEEDING IN A SUBDURAL HEMATOMA STOP CALLING IT AN ACCIDENT GODDAMIT 200	200 BUDD-CHIARI DISEASE (HEPATIC VEIN THROMBOSIS) ISOLATED CAUDATE LOBE HYPERTROPHY IS ASSOCIATED WITH THIS CONDITION LIVER WITH A NICE CHIANTI 200	200 Question 200 Answer 200 APPENDIX AND OTHER MEAN PEOPLE 200	200 Question 200 Answer 200 A THORACIC CATEGORY ... GO! 200	200 Question 200 Answer 200 SMELLS LIKE GI BLEED 200	200 Question 200 Answer 200 HIS AND HERNIAS 200
300 OR FOR LAPAROTOMY PANCHO IS SHOT JUST UNDER THE LEFT COSTAL MARGIN AT THE ANTERIOR AXILLARY LINE; A CHEST TUBE IS PLACED WITH 900 CC BLOODY OUTPUT; FLUIDS AND BLOOD TRANSFUSION HAVE STARTED; HIS PRESSURE IS 90/58 HR IS 120 BPM; WHAT SHOULD BE DONE NEXT? STOP CALLING IT AN ACCIDENT GODDAMIT 300	300 FIBROLAMELLAR HEPATOCELLULAR CARCINOMA THIS MALIGNANT LIVER NEOPLASM DOES NOT TYPICALLY PRODUCE AFP, IS USUALLY DIAGNOSED IN YOUNG ADULTS, AND MAY BE HAVE A CENTRAL SCAR ON IMAGING LIVER WITH A NICE CHIANTI 300	300 DC TO HOME WITHOUT ABX AMONG DISCHARGE WITH 7 DAYS OF PO ABX, DISCHARGE WITHOUT ABX, AND CONTINUED ADMISSION WITH IV ABX; WHAT IS THE BEST COURSE OF MANAGMENT FOR A 9 YO BOY WHO HAD AN APPENDECTOMY FOR RUPTURED APPENDICITIS 3 DAYS AGO AND NOW IS AFEBRILE, TOLERATING REGULAR DIET WITH PASSAGE OF FLATUS, AND HAS A NORMAL WBC COUNT WITH NO LEFT SHIFT? APPENDIX AND OTHER MEAN PEOPLE 300	300 Question 300 Answer 300 A THORACIC CATEGORY ... GO! 300	300 Question 300 Answer 300 SMELLS LIKE GI BLEED 300	300 Question 300 Answer 300 HIS AND HERNIAS 300
400 BLUNT CEREBROVASCULAR INJURY CTA-NECK ANTI-COAGULATION (ASA OR HEP. GTT) A 46 YO WOMAN WAS THE BELTED DRIVER IN A MVC. SHE IS HEMODYNAMICALLY STABLE WITH GCS 15. ON EXAM SHE HAS ABRASIONS ON HER LEFT FACE, NECK, AND TENDERNESS IN HER LEFT CHEST. SHE HAS MOTORSENSORY DEFICIT ON HER RIGHT SIDE. CT HEAD AND C-SPINE, CXR, AND CT ABD/PELVIS ARE ALL NORMAL APART FROM LEFT 4-7TH RIB FXS. WHAT IS THE MOST LIKELY DIAGNOSIS, WHAT IS THE BEST WAY TO CONFIRM, AND HOW WOULD YOU TREAT? STOP CALLING IT AN ACCIDENT GODDAMIT 400	400 ALBENDAZOLE AROON PRESENTS TO THE ED WITH RUQ PAIN AND FEVER. HE IS HEMODYNAMICALLY STABLE WITH A WBC OF 23K. ON CT, HE HAS A 6-CM CYST WITH CALCIFIED RIM IN HIS RIGHT HEPATIC LOBE WITH THREE 1-CM CYSTS ADJACENT TO THE LARGER CYST. ALONG WITH BOWEL REST AND FLUIDS, WHAT SHOULD BE THE NEXT BEST STEP IN MANAGMENT? LIVER WITH A NICE CHIANTI 400	400 Question 400 Answer 400 APPENDIX AND OTHER MEAN PEOPLE 400	400 Question 400 Answer 400 A THORACIC CATEGORY ... GO! 400	400 Question 400 Answer 400 SMELLS LIKE GI BLEED 400	400 Question 400 Answer 400 HIS AND HERNIAS 400
500 ERCP OR MRCP MILTON IS A 13 YO BOY WHO WENT OVER THE HANDLEBARS IN A BICYCLE ACCIDENT. HE PRESENTS WITH STABLE VITALS, IS GCS 15, COMPLAINING OF SEVERE EPIGASTRIC PAIN. ON EXAM HE HAS FOCAL TENDERNESS OVER THE EPIGASTRIUM WITH ECCHYMOSIS. CT SCAN SHOWS A SMALL FLUID COLLECTION ANTERIOR TO THE NECK OF THE PANCREAS AND A LACERATION THAT LOOKS TO INVOLVE THE PARENCHYMA. WHAT SHOULD BE DONE NEXT? STOP CALLING IT AN ACCIDENT GODDAMIT 500	500 PRE-OP PORTAL VEIN EMBOLIZATION A 58 YEAR OLD MAN WITH KNOWN ALCOHOL INDUCED CHILDS CLASS A LIVER DISEASE PRESENTS WITH A 4-CM LESION WITHIN SEGMENT 7 OF HIS LIVER. HE QUIT DRINKING 5 YEARS AGO AND IS OTHERWISE HEALTHY. AN EXTENDED RIGHT HEPATECTOMY IS PLANNED BUT HIS HEPATOLOGIST RAISES CONCERN OVER HIS FUNCTIONAL LIVER RESERVE. WHAT MAY BE OFFERED TO MAKE THIS PATIENT A BETTER OPERATIVE CANDIDATE? LIVER WITH A NICE CHIANTI 500	500 Question 500 Answer 500 APPENDIX AND OTHER MEAN PEOPLE 500	500 Question 500 Answer 500 A THORACIC CATEGORY ... GO! 500	500 Question 500 Answer 500 SMELLS LIKE GI BLEED 500	500 Question 500 Answer 500 HIS AND HERNIAS 500
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STOP CALLING IT AN ACCIDENT GODDAMIT	100
THE MOST COMMON CAUSE OF IMMEDIATE DEATH FOLLOWING BLUNT TRAUMA
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