NBME Answers : beanie368's page

Subcomments ...

submitted by thomasalterman(181), visit this page

get full access to all content ⋅ become a member

Patient has a ganglion cyst, which can spontaneously regress.

get full access to all content ⋅ become a member

medschul Mine would beg to differ >:O +36

usmleuser007 Where would I have come across something like this (FA, Pathoma, or out of my S)? +5

motherfucker2 I thought this bitch was a lipoma. Mother fucker +11

divya mf2 lipomas is fat. although fat may exist in liquid form, its still opaque, therefore negative transillumination. unlike ganglion cyst. +5

beanie368 Only knew this because I have one that comes and goes... +4

cbreland I thought these were like a 1-way valve? Didn't think it would regress if that was a case? +

yesa I had that exact ganglion cyst because of too much multichanneling in lab, it would go away if I didn't use my hand for a while but then come back if I did. Had to get it surgically removed during first year of med school... +

an1 So this is particularly stupid. I initially opted for regression but then remembered seeing cases in surgery rotations and in family med rotations. Ganglion cysts need triamcinaole steroid injections to reduce in size and often reappear. Also, they can grow and impinge nerves causing parasthesia. But sorry if NBME wants to make up stuff that clashes with IRL scenarios +

an1 @motherfucker2 transluminates means there's fluid in there. lipoma is made of fat, it would not transluminate +

submitted by hayayah(1212), visit this page

get full access to all content ⋅ become a member

Septic shock is a type of distributive shock which is marked by massive vasodilation (d/t inflammatory response) causing decreased SVR, decreased preload / PCWP, and increased CO.

get full access to all content ⋅ become a member

smc213 Septic shock can also present with hypothermia <36C +3

bethune Why is it not gastrointestinal bleeding? +4

beanie368 GI bleeding would present with increased SVR as a response to hypovolemia +10

mysteriousmantyping Why would this not be pulmonary embolism? +1

step1passfail Pulmonary embolism would cause a decrease in cardiac output. There is increased pressure in the high compliant RV which can bulge and compress the LV, decreasing its preload. CO=Heart rate x stroke volume and stroke volume is partially determined by preload. If the pulmonary embolism is large enough, it can also obstruct the pulmonary vessels and subsequently not have enough blood going to the LA and LV, ultimately making the cardiac output near 0. +3

chj7 Out of all the different types of shock, cardiac output is increased only in distributive shock (ie. anaphylactic, septic). +1