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5. Medial meniscus is injured more frequently than lateral meniscus because:
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Mnemonic to remember goals of fracture reduction:
P-A-R-H → Pain relief, Alignment, Rotation correction, Healing foundation
Funny twist: “P-A-R-H” sounds like a pirate shouting “Arrr, keep my bones straight!”
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The goals of proper fracture reduction include all of the following EXCEPT:
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Internal hemorrhoids → painless rectal bleeding
Mnemonic: Internal bleeding? No pain, just red rain.
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77. Which of the following is a characteristic feature of internal hemorrhoids?
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Ruptured AAA → severe pain, hypotension, pulsatile midline mass
Mnemonic: AAArupts = Pain, Pressure drops, Pulsing belly.
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76. A 70-year-old male presents with sudden severe abdominal pain and hypotension. On examination, a pulsatile mass is palpable in the midline of the abdomen. The most likely diagnosis is:
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Diverticulitis → LLQ pain, fever, pericolic fat stranding
Mnemonic: Diverti-LLQ: Left lower quadrant inflamed party.
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75. A 40-year-old female presents with left lower quadrant pain, fever, and leukocytosis. CT scan shows colonic wall thickening with pericolic fat stranding. The most likely diagnosis is:
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Hallmark of perforated peptic ulcer = sudden severe pain with board-like rigidity
Mnemonic: Ulcer burst → Rigid gut like a board.
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Sudden severe abdominal pain in afib patient → mesenteric ischemia
Mnemonic: Afib clot, gut rot = mesenteric crisis.
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73. A 60-year-old female with a history of atrial fibrillation presents with sudden severe abdominal pain, vomiting, and bloody diarrhea. On examination, she has abdominal distension and absent bowel sounds. The most likely diagnosis is:
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Bloody nipple discharge → intraductal papilloma
Mnemonic: Papilloma pops blood, not fibrous or ovaries.
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72. A 50-year-old woman presents with bloody nipple discharge. The most likely diagnosis is:
