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OSCE 2 > Common Conditions > Flashcards

Common Conditions Flashcards

1
Q

DVT

A

ECG, troponin
ED

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2
Q

Endocarditis

A

ECG, CRP, ESR, Chest x-ray, Echo
ED, antibiotics

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3
Q

HTN

A

albumin, CMP, ECG, lipids, HgA1C
antihypertensives, low sodium

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4
Q

MI

A

ECG, troponin,
ED

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5
Q

pericarditis

A

ECG, CXR, needle aspiration, echocardiogram
ED, NSAIDs, steroids, colchicine,

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6
Q

PE

A

ECG, CBC, CMP, ferritin, CXR, echo, troponin
ED

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7
Q

Syncope

A

ECG, CMP, CBC, ferritin, stress test, tilt test
compression socks, increase water/Na, cardiologist, ID cause

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8
Q

Valve Disease

A

ECG, echo, CXR
antihypertensives, surgery, anticoagulants, cardiologist

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9
Q

Cushing’s disease

A

salivary cortisol, urine cortisol, fasting blood glucose
refer to endo, surgery, adrenal enzyme inhibitors, glucocorticoid antagonist, D2 agonists

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10
Q

DM 1

A

UA, serum glucose, hga1c
glucose monitor, metformin, insulin

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11
Q

DM 2

A

UA, fasting glucose, hgA1C, CMP
insulin, metformin, diet

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12
Q

Hyperthyroidism

A

TSH, T3/T4, autoantibodies, thyroid US
antithyroid drugs, radioiodine, surgery, refer to endo

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13
Q

Hypoglycemia

A

blood glucose
ED

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14
Q

Hypothyroidism

A

TSH, T3/T4, autoantibodies, thyroid US
T3/T4, levothyroxine

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15
Q

Hypopituitarism (Sheehan’s)

A

ACTH, cortisol, TSH, LH, FSH,
corticosteroids. levothyroxine, testosterone, estrogen, endo

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16
Q

Pre-diabetes

A

UA, serum glucose, hgA1C, insulin
diet

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17
Q

Acute gastroenteritis

A

CMP
hydration, antiemetics, antimotility agents

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18
Q

Acute intestinal obstruction

A

CT, US
ED

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19
Q

Appendicitis

A

CBC, US, CT, MRI
ED

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20
Q

Biliary obstruction

A

CBC with differential, US, X-ray, serum amylase and lipase
ED

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21
Q

Candida Albicans Overgrowth

A

KOH prep
antifungals

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22
Q

Colon Cancer

A

colonoscopy, CBC, FOBT, FIIT
oncology

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23
Q

Crohn’s

A

CBC, colonoscopy, barium enema
glucocorticoids, budesonide

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24
Q

Gastritis

A

endoscopy, H. pylori testing
PPI

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25
Q

GERD

A

pH monitoring, endoscopy
PPI, antacids

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26
Q

Hypochlorhydria

A

H. pylori testing
HCL supplements and enzymes

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27
Q

IBS

A

proctosigmoidoscopy, colonoscopy
diet

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28
Q

Pancreatic cancer

A

biopsy, US, CT
oncology

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29
Q

Pancreatitis

A

CBC, CMP, CRP, amylase, lipase, HgA1C, x-ray, CT
ED

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30
Q

B. hominis

A

stool culture
antibiotics

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31
Q

Pinworms

A

scotch tape test
anthelmintics

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32
Q

G. lambila

A

stool sample
antimicrobial, fluids

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33
Q

E. histolytica

A

Stool sample (PCR, stool microscopy, antigen testing)
antimicrobials

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34
Q

Peptic Ulcers

A

CBC, CMP, ferritin, H. pylori testing, endoscopy
antisecretory therapy, PPI

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35
Q

Ulcerative colitis

A

PCR for C. diff, stool culture, O&P, STI testing, CBC, CMP, ESR, CRP, albumin, colonoscopy
topical mesalamine, 5-ASA, steroids

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36
Q

Ankylosing spondylitis

A

x-ray, ESR, CRP, alk phos, synovial fluid, HLA B27
exercise, PT, NSAIDs, TNF inhibitors, IL-17 inhibitors

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37
Q

Giant cell arteritis

A

CBC, ESR, CRP, US, MRA
glucocorticoids, DMARDs, rheum

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38
Q

Lupus

A

CMP, ANA, ESR,
NSAIDs, glucocorticoids, antimalarial, rheum

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39
Q

Mixed Connective Tissue Disorder

A

CBC, CMP, UA. ANA, anti-U1 RNP
glucocorticoids, rheum

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40
Q

Psoriatic arthritis

A

CBC, CMP, uric acid, UA, ESR, CRP, RF, anti-CCP, ANA, HLA B27 arthrocentesis, x-ray

NSAIDs, DMARDS, TNF inhibitors, exercise, PT, rheum

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41
Q

Reactive arthritis

A

stool culture, NAAT, ESR, CRP, HLA B27, synovial fluid, xray
antibiotics, NSAIDs, glucocorticoids, rheum

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42
Q

RA

A

RF, CRP, ANA, anti-CCP, ESR
exercise, rheum, DMARDs, NSAIDs

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43
Q

Sjogren’s syndrome

A

Schirmer test, ocular surface staining, US, antibodies, biopsy
muscarinic agonist, glucocorticoids, antimalarial, DMARDs

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44
Q

Acute urolithiasis

A

CMP, UA, CT, US
hydration, NSAIDs, xanthine oxidase inhibitor,

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45
Q

BPH

A

UA, CMP, PSA, culture

surgery, alpha-adrenergic receptor blockers

46
Q

Cystitis

A

UA, culture
antibiotics

47
Q

Hemolytic Uremic Syndrome

A

CBC, stool culture, C. diff toxin assay,
ED

48
Q

Acute kidney injury

A

CMP, UA
ED

49
Q

Chronic Kidney disease

A

CMP, US, UA, eGFR
diuretics, nephrologist, dialysis

50
Q

Prostate cancer

A

CMP, CBC, biopsy, UA, CT
referral to oncology

51
Q

Pyelonephritis

A

UA, culture, urine dipstick
antibiotics

52
Q

Allergic rhinitis

Workup and TX

A

skin test, serum allergy test, nasal cytology
antihistamines, nasal spray, glucocorticoids

53
Q

Asthma

A

peak flow, spirometry, CXR
inhalers, oral steroids

54
Q

Bronchitis

A

CBC, CMP, CXR, sputum culture
NSAIDs, fluids, rest, decongestants

55
Q

Emphysema

Workup

A

CBC, CMP, spirometry, CXR, CT
surgery, stop smoking

56
Q

Influenza

A

none
fluid, NSAIDs, rest

57
Q

Lung cancer

A

CBC, CMP, albumin, biopsy
refer

58
Q

Otitis media

A

tympanogram, pneumatic otoscopy
antibiotics

59
Q

Pneumonia

A

CBC, CMP, CRP, ESR, CXR, blood gasses
antibitoics

60
Q

Bacteria sinusitis

A

x-ray
antibiotics

61
Q

Viral sinusitis

A

x-ray
saline irrigation, NSAIDs, steroids

62
Q

Strep throat/Pharyngitis

A

throat culture, CBC, monospot, rapid strep test
antibiotics

63
Q

URI

A

none
hydration, rest, NSAIDs, antihistamines, anticholinergics,

64
Q

Vertigo (BPPV)

A

electronystagmography
epley

65
Q

Alcoholic liver disease/cirrhosis

A

CMP, CBC, albumin, PT, INR, US, CT, liver biopsy
stop alcohol, hydration, glucocorticoid, refer

66
Q

Cholecystitis

A

CBC, CMP, US
ED, NSAIDs

67
Q

Cholelithiasis

A

CBC, CMP, pancreatic enzymes, US
NSAIDs, ED, gallstone breaking drugs, surgery

68
Q

NAFLD

A

CMP, CBC with differential, US, hepatitis serology
exercise, Vit E, reduce alcohol, vaccination,

69
Q

Cauda Equina

A

MRI, CT, nerve conduction studies, electromyography
ED

70
Q

Fibromyalgia

A

CBC, ESR, CRP
exercise, antidepressants

71
Q

Herniated Disk

A

MRI, nerve conduction study, CSF analysis
NSAIDs, active modification, PT, glucocorticoids

72
Q

Lateral epicondylitis

A

US
reduce activity, bracing, NSAIDs, PT, ice

73
Q

Osteoarthritis

A

none
exercise, NSAIDs, glucocorticoids, surgery

74
Q

Osteoporosis

A

DEXA, CMP, Vit D, CBC
bisphosphates, calcium, Vit D, exercise, anabolic agents, parathyroid hormone replacement

75
Q

Sciatica

A

MRI, CT, electrodiagnostic, CSF
NSAIDs, activity modification, PT, glucocorticoids,

76
Q

Sprained ankle

A

x-ray
RICE, NSAIDs, bracing, splints, PT, surgery,

77
Q

Sprained wrist

A

US, x-ray
RICE, NSAIDs, brace, splints, PT, surgery,

78
Q

Tension headache

A

MRI
NSAIDs, acetaminophen, antiemetics, antidepressant, anticonvulsants

79
Q

Thoracic Outlet Syndrome

A

electrodiagnostic test, scalene muscle test injection, x-ray
PT, anesthetic agents, steroids, botulinum toxin, anticoagulation, catheter, surgery

80
Q

Acute Onset Lyme Disease

A

serologic test, synovial fluid
antimicrobials

81
Q

Condyloma acuminata

A

biopsy
antibiotics, cryotherapy, surgery, keratolytic agents, antimitotic drugs,

82
Q

Hepatitis A

A

CMP, hepatitis serology
supportive therapy, hydration

83
Q

Hepatitis B

A

serology testing, CMP
antivirals, hydration, NSAIDs,

84
Q

Hepatitis C

A

serology testing, CMP
antivirals

85
Q

HIV

A

serology testing, CBC
antivirals

86
Q

HPV

A

pap test, biopsy, cytology
topical interferons, cytodestrutive, antivirals

87
Q

HSV 1,2

A

virologic tests, Tzanck smear
antivirals, NSAIDs, sitz bath, diet

88
Q

Meningitis

A

lumbar puncture, CBC with differential, CMP, PT, thrombin time, blood culture
ED

89
Q

Scabies

A

skin scraping
antiparasitic, antihelminth

90
Q

Lice (P. capitis, pubis, cilaris, carporis)

A

visualize lice
manual removal, topical pediculicides, pyrethroids, antiparasitic, anthelmintic

91
Q

C, trachomatis

A

NAAT,
antibiotics

92
Q

N. gonorrhea

A

NAAT
antibiotics

93
Q

T. vaginalis

A

NAAT, wet prep, culture, rapid antigen,
antibiotics

94
Q

TB

A

tuberculin skin test, IGRA blood test
antiruberculous drugs

95
Q

ALS

A

electrodiagnostic study, MRI
glutamate inhibitors, free radical scavengers, histone deacetylase inhibitors

96
Q

Alzheimer’s disease

A

CBC. CMP, B12, UA, ECG, CT, MRI, CXR, folate, syphilis serology, arterial blood gases, toxicology, lumbar puncture
cholinesterase inhibitors

97
Q

Bell’s palsy

A

Lyme testing, MRI, CT, ESR, CRP, blood culture, lumbar puncture, parotid gland biopsy
glucocorticoids, antivirals, artificial tears, PT

98
Q

Brain tumor

A

MRI, CT, lumbar puncture
refer to neurologist

99
Q

Carpal tunnel syndrome

A

US, electrodiagnostic testing, MRI
splinting, glucocorticoid, surgery

100
Q

CVA (stroke)

A

CT, MRI, ECG
ED

101
Q

Migraines

A

none
NSAIDs, triptans

102
Q

MS

A

MRI, CSF analysis, autoantibody testing, optical coherence tomography
monoclonal antibodies

103
Q

Parkinson’s disease

A

MRI
dopaminergic therapy

104
Q

Contact dermatitis

A

patch testing
avoid/ID trigger, corticosteroids

105
Q

Atopic dermatitis

A

serum IgE, culture
avoid trigger, keep skin moisturized, topical corticosteroids

106
Q

Seborrheic dermatitis

A

HIV testing
topical antifungals

107
Q

Impetigo

A

bacterial culture
antibiotics

108
Q

Psoriasis

A

ASO titer, strep culture, HIV testing, biopsy
corticosteroids, emollients, phototherapy,

109
Q

Urticaria

A

serum IgE, allergy testing
antihistamines, glucocorticoids

110
Q

Tinea

A

KOH, PCR testing
antifungals, corticosteroids

OSCE 2 (3 decks)

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