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Ahmed Zaghw (talk | contribs) (Created page with "{{WBRQuestion |QuestionAuthor={{AZ}} |ExamType=USMLE Step 2 |MainCategory=Pediatrics |SubCategory=Sickle Cell Disease |MainCategory=Pediatrics |SubCategory=Sickle Cell Disease...") |
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{{WBRQuestion | {{WBRQuestion | ||
|QuestionAuthor={{AZ}} | |QuestionAuthor={{AZ}} | ||
|Prompt=A 18-year-old African american male comes to the office for the evaluation of pain in his right hip that started 7 weeks ago. The pain has gradually progressed, and now it limits his daily activities. He has sickle cell disease and was hospitalized 4 months ago due to a painful crisis that was successfully treated with hydration, oxygen, and analgesics. His temperature is 37.4C (99F), blood pressure is 120/90 mmHg, pulse is 90/min, and respirations are 14/min. Physical examination reveals no local tenderness, but there is restriction of abduction and internal rotation of the hip. What is the most likely diagnosis? | |||
|Prompt=A 18-year-old African american male comes to the office for the evaluation of pain in his right hip that started 7 weeks ago. The pain has gradually progressed, and now it limits his daily activities. He has sickle cell disease and was hospitalized 4 months ago due to a painful crisis that was successfully treated with hydration, oxygen, and analgesics. His temperature is 37.4C (99F), blood pressure is 120/90 mmHg, pulse is 90/min, and respirations are 14/min. Physical examination reveals no local tenderness, but there is restriction of abduction and internal rotation of the hip. What is the most likely diagnosis? | |||
|Explanation=. | |Explanation=. | ||
'''Educational Objective:''' | '''Educational Objective:''' | ||
Avascualr necrosis should be considered in patients with multiple attacks of sickle cell crisis. | Avascualr necrosis should be considered in patients with multiple attacks of sickle cell crisis. | ||
|AnswerA= Femoral fracture | |AnswerA=Femoral fracture | ||
|AnswerAExp='''Incorrect'''-[[]] | |AnswerAExp='''Incorrect'''-[[]] | ||
|AnswerB= Joint effusion from septic arthritis | |AnswerB=Joint effusion from septic arthritis | ||
|AnswerBExp='''Incorrect'''-[[]]. | |AnswerBExp='''Incorrect'''-[[]]. | ||
|AnswerC=Avascular necrosis | |AnswerC=Avascular necrosis | ||
| Line 36: | Line 17: | ||
|RightAnswer=C | |RightAnswer=C | ||
|WBRKeyword=Drug induced myopathy, Steroid induced myopathy | |WBRKeyword=Drug induced myopathy, Steroid induced myopathy | ||
|Approved= | |Approved=No | ||
}} | }} | ||
Revision as of 22:51, 26 January 2014
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 18-year-old African american male comes to the office for the evaluation of pain in his right hip that started 7 weeks ago. The pain has gradually progressed, and now it limits his daily activities. He has sickle cell disease and was hospitalized 4 months ago due to a painful crisis that was successfully treated with hydration, oxygen, and analgesics. His temperature is 37.4C (99F), blood pressure is 120/90 mmHg, pulse is 90/min, and respirations are 14/min. Physical examination reveals no local tenderness, but there is restriction of abduction and internal rotation of the hip. What is the most likely diagnosis?]] |
| Answer A | AnswerA::Femoral fracture |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::Joint effusion from septic arthritis |
| Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
| Answer C | AnswerC::Avascular necrosis |
| Answer C Explanation | [[AnswerCExp::Correct-[[]]]] |
| Answer D | AnswerD:: |
| Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
| Answer E | AnswerE::Osteomyelitis caused by Staphylococcus |
| Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::.
Educational Objective:
Avascualr necrosis should be considered in patients with multiple attacks of sickle cell crisis. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Drug induced myopathy, WBRKeyword::Steroid induced myopathy |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |