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Step 2 CS > Common OSCE Complaints and DDX > Flashcards

Common OSCE Complaints and DDX Flashcards

1
Q

Amenorrhea

A
  1. Pregnancy
  2. Anovulatory cycle
  3. UTI
  4. Hyperprolactinemia
  5. UTI
  6. Hypothyroidism
  7. PCOS
  8. Thyroid disease
  9. Premature ovarian failure
  10. Ovarian or adrenal malignancy
  11. Menopause
  12. Sheehan’s syndrome
  13. Anorexia nervosa
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2
Q

Numbness/weakness

A
  1. TIA
  2. Hypoglycemia
  3. Seizure
  4. Stroke
  5. Facial nerve palsy
  6. Intracranial neoplasm
  7. Subdural hematoma
  8. MS
  9. GBS
  10. Myasthenia gravis
  11. Peripheral neuropathy
  12. Conversion disorder
  13. Neurosyphilis
  14. Syringomyelia
  15. CNBS vasculitis
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3
Q

Child with fever

A
  1. Neonatal sepsis
  2. Acute otitis media
  3. URI
  4. Menigintis
  5. Pneumonia
  6. Pyelonephritis
  7. Childhood disease
  8. Gastroenteritis
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4
Q

Child with GI sxs

A
  1. Pyloric stenosis
  2. Volvulus
  3. Intussception
  4. GERD
  5. Dudenal atresia
  6. Hirschsprung’s disease
  7. Anal stenosis
  8. Lead poisoning
  9. Colic
  10. Strangulated bowel
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5
Q

Palpitation

A
  1. Hyperthyroidism
  2. Hypoglycemia
  3. Arrhythmia
  4. Panic attack
  5. Pheochromocytoma
  6. Social phobia
  7. Mitral valve prolapse
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6
Q

Dysuria, frequncy changes

A
  1. BPH
  2. UTI
  3. Prostate cancer
  4. Bladder stones
  5. Renal cell carcinoma
  6. Urethritis
  7. Cystitis
  8. Prostitits
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7
Q

Erectile dysfunction

A
  1. Drug-related ED
  2. ED by hypertension
  3. DM induced
  4. Psychogenic ED
  5. Peyronie’s disease
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8
Q

Neck mass

A
  1. Hodgkin’s or non-hodgkin’s lymphoma
  2. TB
  3. Thyroid nodule
  4. Gastic carcinoma
  5. Esophageal cancer
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9
Q

Dizziness

A
  1. Meniere’s disease
  2. Labyrinitis
  3. BPPV
  4. Acoustic neuroma
  5. Vestibular neuronitis
  6. Orsthostatic hypotension
  7. Vertebrobasilar insufficiency
  8. Brain stem tumor
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10
Q

Abdominal pain

A
  1. Nephrolithiasis
  2. Renal cell carcinoma
  3. Pyelonephritis
  4. Appendicitis
  5. Pancreatic cancer
  6. All GI disease
  7. Fitz-Hugh_Curtis Syndrome
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11
Q

Child wiht short stature

A
  1. Constitutional short stature
  2. GH deficiency
  3. Hypothyroidism
  4. Chronic renal insufficiency
  5. Genetic cuases
  6. Cystic fibrosis
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12
Q

Vaginal discharge

A
  1. BV
  2. Vaginitis
  3. Cervicitis
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13
Q

Psychosis

A
  1. Schizophrenia
  2. Schizotypal
  3. Schizoid
  4. Psychotic disorder secondary to general medical condition
  5. Subtance-induced
  6. Mood disorder with psychotic feature
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14
Q

Sore throat

A
  1. Strep pharyngitis
  2. Viral pharyngitis
  3. Mono
  4. Acute HIV infection
  5. Secondary syphilis
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15
Q

Joint/limb pain

A
  1. OA
  2. RA
  3. SLE
  4. Nerve palsy
  5. Gout
  6. Septic joint
  7. Domestic violence
  8. Psoriatic arthritis
  9. Myositis
  10. Rhabdomyolysis
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16
Q

Headache

A
  1. Migraine
  2. Tension headache
  3. Cluster headache
  4. CNS vasculitis
  5. Paritial seizure
  6. Intracranial neoplasm
  7. Pseudotumor cerebri
  8. Temporal arteritis
  9. Meningitis
  10. Carotid artery dissection
  11. TMJ disorder
  12. Trigeminal neuralgia
17
Q

Constipation/diarrhea

A
  1. Colorectal cancer
  2. IBS
  3. IBD
  4. GI infection
  5. Low-fiber diet
  6. Substance abuse
  7. Celiac disease
  8. Lactose intolerance
  9. Gastroenteritis
  10. Food poisoning
  11. C diff infection
18
Q

Confusion/memory loss

A
  1. Vasular dementia
  2. Alzheimer’s disease
  3. NPH
  4. Chronic subdural hematoma
  5. Intracranial neoplasm
  6. Depression
  7. B12 deficiency
  8. Neurosyphillis
  9. Hypothyroidism
  10. Delirium
19
Q

Blood in the stool

A
  1. Colorectal cancer
  2. Anal fissure
  3. Hemorrhoids
  4. Diverticulosis
  5. IBS
  6. Angiodysplasia
  7. Upper GI bleed
  8. IBS
  9. Dysentery
20
Q

Weight gain

A
  1. Smoking cessation
  2. Drug side effect
  3. Hypothyroidism
  4. Cushing’s syndrome
  5. PCOS
  6. DM
  7. Atypical depression
  8. Insulinoma
21
Q

Upper GI bleeding

A
  1. Peptic ulcer
  2. Gastritis
  3. Gastric cancer
  4. Esophageal varices
  5. Mallory-Weiss tear
22
Q

Fatigue and sleepiness

A
  1. OSA
  2. Hypothyroidism
  3. Hypoglycemia
  4. Anemia
  5. Depression/Adjustment
  6. PTSD
  7. Renal failure
  8. Colon cancer
  9. DM
  10. Shift work sleep disorder
23
Q

Cough/SOB

A
  1. Asthma
  2. GERD
  3. Pneumonia
  4. PE
  5. COPD
  6. Bronchitis
  7. Foreign body
  8. Lung cancer
  9. TB
24
Q

Depressed mood

A
  1. Normal bereavment
  2. Major depressive disorder
  3. Adjustment disorder
  4. Schizoaffective disorder
  5. Depressive disorder
  6. Substance-induced mood disorder
  7. Dysthymic disorder
  8. Bioploar
  9. Cyclothymic disorder
25
Q

Behavior problems in child

A
  1. ADHD
  2. Adjustment
  3. Oppositional disorder
  4. Conduct disorder
  5. Substance induced
  6. Manic episode
26
Q

Weight loss

A
  1. Hyperthyroidism
  2. Cancer
  3. HIV infection
  4. Dieting
  5. Anorexia nervosa
  6. Malabsorption
27
Q

Hematuria

A
  1. Bladder cancer
  2. Nephroliathsis
  3. UTI
  4. PID
  5. Renal cell carcinoma
  6. Glomerulonephritis
  7. Prostate cancer
  8. Coagulation disorder
  9. Polycystic kidney disease
28
Q

Dysparenuia

A
  1. Atrophic vaginitis
  2. Endometriosis
  3. Cervicitis
  4. Depression
  5. Domestic violence
  6. PID
  7. Vaginismus
29
Q

Insomina

A
  1. Primary insomina
  2. Caffeine induced
  3. Stress-induced
  4. Insomina with circadian rhythm sleep disorder
  5. Depression-induced
30
Q

Night sweat

A
  1. TB
  2. HIV
  3. Cancer
  4. Hyperthyroidism
  5. Carcinoid syndrome
  6. Pheochromacytoma
31
Q

Vaginal bleeding

A
  1. Dysfunctional uterine bleeding
  2. Coagulation disorder
  3. Cervical cancer
  4. Molar pregnancy
  5. Abortion
  6. Thyroid disease
  7. Endometrial cancer
  8. Cervical cancer
  9. Ectopic pregnancy
32
Q

Child with red eye

A
  1. Bacterial conjuctivitis
  2. Viral conjuctivitis
  3. Keratiits
  4. Seasonal allergies
  5. Uveitis
33
Q

N/V

A
  1. Pregnancy
  2. Gastritis
  3. Hypercalcemia
  4. DM
  5. UTI
  6. Depression
34
Q

Loss of vision

A
  1. Retinal artery occlusion
  2. Retinal vein occlusion
  3. Acute angle glaucoma
  4. Retinal detachment
  5. TIA
  6. Temporal arteritis
35
Q

Dysphagia

A
  1. Esophageal cancer
  2. Plummer-vinson syndrome
  3. Achalasia
  4. SS
  5. Stricuture
  6. ALS
  7. Mitral valve stenosis
  8. Esophagitis
  9. Zenker’s diverticulum
36
Q

Chest pain

A
  1. MI
  2. GERD
  3. Esphogitis
  4. Pneumonitis
  5. Costochronditis
  6. Aortic dissection
  7. PE
  8. Pneumothorax
  9. PUD
  10. Pericarditis
37
Q

Loss consiciousness

A
  1. Generalized seizure
  2. Convulsive syncope
  3. Substance-induced
  4. Malingering
  5. Hypoglycemia
  6. Stroke
  7. Syncope
  8. Arrythythmia
  9. Aortic stenosis
  10. HOCM
38
Q

Lower back pain

A
  1. Disk hernation
  2. Muscle strain
  3. Spinal stenosis
  4. Tumor
  5. Ankylosing spondylitis

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