NBME SERIES SURGERY questionS . PLZ answer them - carvidolol99

[ArchivalUser]

31 - BB?

[ArchivalUser]

doda for 31 dont know wat the answer is. i thought it is D. but her abdomen is no tender and she has fever . so i picked that

[ArchivalUser]

20. A 27-year-old man is brought to the emergency department 25 minutes after a motor vehicle collision in which he was the unrestrained driver. On arrival, his Glasgow
Coma Scale score is 5. His pulse is 150/min, respirations are 15/min and shallow, and blood pressure is 165/90 mm Hg. The right pupil is 6 mm, and the left pupil is 4
mm. There is minimal response to noxious stimuli. Which of the following is the most appropriate next step in management?
A) CT scan of the head
B) Intravenous administration of labetalol
C) Intubation and hyperventilation
D) EEG
E) Lumbar puncture

ANSWER is C since you MUST intubate when GCS is less equal than 8, please carvidolol why is not C as you stated? please further explain

26. Im really stuck between C and D --> since its clearly internal hemorrhoids by all the history and confirmed with the exam, wouldnt it be unnecessary to do colonoscopy?,
ruling out malignancy is def to take in mind as doba said, but still adenocarcinoma of the colon is vert rare to start with bright red colon per rectum without any other feature... please carvidolol say the answer if you have it.

31. B --> she has small bowel obstructions (ileal obstruction 2ary to an impacted gallstone revealed by the air in the biliary system) she is def septic, but choice A does not fit entirely with the vignette.

these questions are medium hard guys wow =/

[ArchivalUser]

37. E ?

[ArchivalUser]

39. An othewise healthy 30-year-old man has had an acneiform infection of the left axilla for 2 weeks. He has had previous infections in the same region and groin area.
Examination shows acute inflammatory changes with purulent drainage from small sinus openings along the indurated skin of the axilla. There are multiple sinus
openings along both groins and the right axilla. This infection most likely involves which of the following?
A) Apocrine glands
B) Eccrine glands
C) Hair follicles
D) Lymph nodes
E) Sebaceous glands

[ArchivalUser]

37 B Hypertension

[ArchivalUser]

39. It's hidradenitis (there was similar question in UWorld QBank) - eccrine glands.

[ArchivalUser]

39.AA It's Apocrine glands (no eccrine). Hidradenitis suppurativa.

[ArchivalUser]

thanku doba, interferon_advocate

[ArchivalUser]

yeah, 39. is hidradenitis supurativa, apocrine glands.
what I do for not get confused Eccrine glands are EVERYWHERE (sweat glands everywhere including palms and soles) apocrine has specific locations.