. Most common nerve injured in supracondylar fracture humeru

Discussion in 'Question Zone' started by Guest, Feb 28, 2011.

  1. Guest

    Guest Guest

    . Most common nerve injured in supracondylar fracture humerus?
    a. Median
    b. Radial
    c. Ulnar
    d. Anterior interosseus nerve
    Ans: D
    I would not like to discuss much on this question since it has already been discussed in detail previously...The Mnemonic for the order of nerves injured in Supracondylar fracture is AMRU
    That is:
    Ant . Interosseus Nerve> Median > Radial >Ulnar


    2. Earliest symptom of GERD in an infant is?
    A. Respiratory distress answer
    B. Upper GI bleed
    C. regurgitation
    D.obstruction

    Ans: C REGURGITATION....
    Reference from Nelson Pediatrics
    Infantile reflux manifests more often with regurgitation (especially postprandially), signs of esophagitis (irritability, arching, choking, gagging, feeding aversion), and resulting failure to thrive; symptoms resolve spontaneously in the majority by 12–24 mo. Older children, in contrast, may have regurgitation during the preschool years; complaints of abdominal and chest pain supervene in later childhood and adolescence. Occasional children present with neck contortions (arching, turning of head) designated Sandifer syndrome. The respiratory presentations are also age dependent: GERD in infants may manifest as obstructive apnea or as stridor or lower airway disease in which reflux complicates primary airway disease such as laryngomalacia or bronchopulmonary dysplasia. Otitis media, sinusitis, lymphoid hyperplasia, hoarseness, vocal cord nodules, and laryngeal edema have all been associated with GERD. In contrast, airway manifestations in older children are more frequently related to asthma or to otolaryngologic disease such as laryngitis or sinusitis.
    3. Basal metabolic rate is closely associated with?
    A. Lean body mass
    B. Body surface area
    C. Body mass index
    D. Body weight
    Ans: A Lean Body mass (REPEAT...shall not spend much time on repeats)
    4. A girl presented with recurrent occipital headache associated with ataxia and vertigo. Mother also has similar complaints. Most probable diagnosis is?
    A. Vestibular neuronitis
    B. Basillar migraine
    C. TIA
    D. –
    Ans: b Basilar migraine

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