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chief complaint2 Flashcards

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USMLE® Step 1 flashcards
1
Q

HEADACHE (9)

A 
Migraine 
Cluster headache
Tension headache
Sinusitis 
Temporal arteritis
Pseudotumor cerebri 
Trigeminal neuralgia
Meningitis
Subarachnoid hemorrhage
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2
Q

CONFUSION/ MEMORY LOSS (6)

A 
Vascular dementia 
Alzheimer 
Normal pressure hydrocephalus 
Credtzfield-Jakob disease 
Hypoglycemia 
Subdural hematoma
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3
Q

LOSS OF VISION

A

Retinal artery occlusion

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4
Q

DEPRESSED MOOD (3)

A

Normal Bearevement
Major Depressive Dso
Bipolar I disorder

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5
Q

PSYCHOSIS (3)

A

Schizophrenia
Substance induced psychosis
Schizoaffective Dso

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6
Q

DIZZINESS (6)

A 
Meniere's disease
Orthostatic hypotension
Drug induced orthostatic hypotension
Benign paroxysmal positional vertigo
Vestibular neuritis
Labyrinthitis
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7
Q

LOSS OF CONSCIOUSNESS (3)

A 
Generalized tonic-clonic seizure 
Drug induced orthostatic hypotension (causing syncope) 
Cardiac arrhythmia (causing syncope)
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8
Q

NUMBNESS/WEAKNESS (9)

A 
TIA
Stroke
Gullian-Barre
Multiple Sclerosis
Myasthenia Gravis
Diabetic Peripheral Neuropathy
Todd's Paraysis
Carpel tunnel syndrome sec to hypothyroidism
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9
Q

FATIGUE AND SLEEPINESS (7)

A 
Depression
Post Traumatic Stress Disorder
Diabetes Mellitus
Hypothyroidism
Obstructive Sleep Apnea
Sleep-work Sleep Disorder
Colon Cancer
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10
Q

NIGHTS SWEATS

A

Tuberculosis Hyperthyroidism

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11
Q

INSOMNIA (3)

A

Insomnia Related to MDD
Stress induced insomnia
Obstructive sleep apnea

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12
Q

SORE THROAT (3)

A

Infectious mononucleosis
HIV, acute retroviral syndrome
Pharyngitis (bacterial or viral)

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13
Q

COUGH/SHORTNESS OF BREATH (9)

A 
Asthma
COPD chronic
COPD acute exacerbation
Pneumonia
Atypical pneumonia
Lung CA
Tuberculosis
CHF
Pulmonary edema
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14
Q

CHEST PAIN (8)

A 
GERD
Pericarditis
Costochondritis
MI
Stable angina
Aortic dissection
Pulmonary embolism
Sickle cell disease - acute chest syndrome
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15
Q

PALPITATIONS (4)

A

Social phobia
Panic attack
Hypoglycemia
Mitral valve prolapse

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16
Q

WEIGHT LOSS

A

Hyperthyroidism

17
Q

WEIGHT GAIN

A

Smoking cessation

Insulinoma

18
Q

DYSPHAGIA (4)

A

Esophageal CA
Plummer Vinson syndrome
Achalasia
Esophagitis

19
Q

NECK MASS

A

Hodgkins/Nonhodgkins lymphoma

20
Q

NAUSEA/VOMITING (6)

A 
Pregnancy
Gastritis
UTI
Diabetes M
Hypercalcemia
Depression
21
Q

ABDOMINAL PAIN (15)

A 
Peptic ulcer disease
Ruptured peptic ulcer
Hepatitis
Ascending cholangitis
Acute cholecystitis
Pancreatic CA
Acute pancreatitis
Splenic rupture
Diverticulitis
Intestinal obstruction
Mesenteric ischemia/infarction
Nephrolithiasis
Acute appendicitis
Ovarian torsion
Pelvic inflammatory disease
22
Q

CONSTIPATION/DIARRHEA (8)

A 
Lactose intolerance
Low fiber diet
Irritable bowel yndrome
Infectious diarrhea
Traveler's diarrhea
Pseudomembranous colitis
Crohn's disease
Colorectal cancer
23
Q

UPPER GI BLEED

A

Bleeding peptic ulcer

Gastritis

24
Q

BLOOD IN STOOL (3)

A

Colorectal cancer
Diverticulosis
Ulcerative colitis

25
Q

HEMATURIA (3)

A

Bladder cancer
Polycystic kidney disease
Renal cell carcinoma

26
Q

OTHER URINARY SYMPTOMS (6)

A 
Benign prostatic hypertrophy
Prostate cancer
Urethritis
Acute pyelonephritis
Stress incontinence
Urge incontinence
27
Q

ERECTILE DYSFUNCTION

A

Drug-related ED

28
Q

AMENORRHEA (7)

A 
Anxiety-induced amenorrhea
Anorexia nervosa
Pregnancy
Amenorrhea sec to prolactinoma
Sheehan's syndrome
Polycystic ovarian syndrome
Menopause
29
Q

VAGINAL BLEEDING (5)

A 
Dysfunctional vaginal bleed
Endometrial cancer
Cervical cancer
Ectopic pregnancy
Spontaneous abortion
30
Q

VAGINAL DISCHARGE (3)

A

Bacterial vaginosis
Vaginitis-bacterial
Vaginitis-candidal

31
Q

DYSPAREUNIA

A

Atrophic vaginitis

Endometriosis

32
Q

ABUSE

A

Domestic violence

Rape

33
Q

JOINT/LIMB PAIN (18)

A 
Domestic violence
Carpel tunnel syndrome
Rheumatoid arthritis
Systemic lupus erythematosis
Psoriatic arthritis
Hip dislocation
Hip fracture
Shoulder dislocation Osteoarthritis
Septic arthritis
Plantar fasciitis
Tennis elbow
Stress fracture
Peripheral vascular disease
DVT
Angina/MI
Desiminated gonorrhea
Rhabdomyolysis due to statins
34
Q

LOW BACK PAIN (4)

A

Disk herniation
Lumbar muscle stenosis
Lumbar spinal stenosis
Malingering

35
Q

CHILD WITH FEVER (4)

A

Neonatal sepsis
Acute otitis media
Measles (or other viral exanthems)
Gastroenteritis (viral, bacterial, parasitic)

36
Q

CHILD WITH GI SYMPTOMS (5)

A 
Pyloric stenosis
Hirschsprung disease
Intussusception
Somatoform disorder
Colic
37
Q

CHILD WITH RED EYE

A

Bacterial conjuctivitis

38
Q

CHILD WITH SHORT STATURE

A

Constitutional short stature

39
Q

BEHAVIORAL PROBLEMS IN CHILDHOOD (4)

A

ADHD
Adjustment disorder
Substance abuse
Age-appropriate behavior

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