Order the vasculitic syndrome assignment
collision. She has right-sided pneumothorax and a unilateral pubic ramus fracture, for which she is
being treated. Review of records indicates that her blood type is A negative. Which of the following is
the most appropriate next step in management?
A. Transfusion of one unit packed red blood cells
B. Transfusion of six units of fresh frozen plasma (FFP)
C. Administration of 50 mcg RhIG
D. Administration of 300 mcg RhIG
E. No specific management
56. A 65-year-old male presents with acute onset of back pain and bilateral leg weakness after a recent
diagnosis of prostate cancer. Physical examination demonstrates 3/5 strength in both of his lower
extremities and tenderness to palpation of his lower back. An emergent MRI demonstrates epidural
lumbar spinal cord compression secondary to metastasis. Which of the following is the most
appropriate initial consultation?
A. Radiation oncology
B. General surgery
C. Urology
D. Neurology
E. Neurosurgery
57. A 23-year-old female presents with pain in her right lateral chest after a low-speed motor vehicle
collision. She is most tender in the fifth rib at the posterior axillary line. Her vital signs are normal.
Which of the following is the most appropriate next step in evaluation?
A. Chest x-ray
B. Rib x-rays
C. CT abdomen/pelvis
D. CT brain
E. Cervical spine radiographs
58. A 35-year-old female presents in a coma (Glasgow Coma Scale 3) after a motor vehicle crash and is
intubated for airway protection. Further evaluation reveals no life-threatening chest, abdomen, or
pelvic injuries. Vital signs are normal. A computed tomography (CT) scan of the head is normal.
Which of the following is the most likely diagnosis?
A. Epidural hematoma
B. Subdural hematoma
C. Diffuse axonal injury (DAI)
D. Cerebral contusion
E. Intraparenchymal hematoma
59. Which of the following correctly matches the vasculitic syndrome to its primary clinical
manifestations?
A. Polyarteritis nodosa (PAN) and peripheral neuropathy and bowel ischemia
B. Takayasu arteritis and oral and genital ulcerations
C. Wegener granulomatosis and cardiac ischemia
D. Behçet disease and sinusitis, otitis, and nasal congestion
E. Churg–Strauss syndrome and glomerulonephritis
60. A 52-year-old previously healthy female collapses while coaching her daughter’s soccer team and
bystanders initiate chest compressions. When EMS arrives, they find the patient in ventricular
fibrillation. EMS immediately defibrillates the patient and initiates ACLS. They also placed a
temporary supraglottic airway. After following ACLS algorithms for 14 minutes including three
defibrillation attempts, the patient experiences a return of spontaneous circulation (ROSC). Shortly
after arrival in the emergency department (ED), a definitive airway is obtained and placement is
confirmed by x-ray. The patient is noted to be comatose, with a GCS of 3, and has the following vital
signs: T 95.8°F, P 115, BP 79/40 (mean arterial pressure [MAP] = 53), SaO2 97% on the ventilator.
Which of the following is true?
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