Common OSCE Complaints and DDX Flashcards
1
Q
Amenorrhea
A
- Pregnancy
- Anovulatory cycle
- UTI
- Hyperprolactinemia
- UTI
- Hypothyroidism
- PCOS
- Thyroid disease
- Premature ovarian failure
- Ovarian or adrenal malignancy
- Menopause
- Sheehan’s syndrome
- Anorexia nervosa
2
Q
Numbness/weakness
A
- TIA
- Hypoglycemia
- Seizure
- Stroke
- Facial nerve palsy
- Intracranial neoplasm
- Subdural hematoma
- MS
- GBS
- Myasthenia gravis
- Peripheral neuropathy
- Conversion disorder
- Neurosyphilis
- Syringomyelia
- CNBS vasculitis
3
Q
Child with fever
A
- Neonatal sepsis
- Acute otitis media
- URI
- Menigintis
- Pneumonia
- Pyelonephritis
- Childhood disease
- Gastroenteritis
4
Q
Child with GI sxs
A
- Pyloric stenosis
- Volvulus
- Intussception
- GERD
- Dudenal atresia
- Hirschsprung’s disease
- Anal stenosis
- Lead poisoning
- Colic
- Strangulated bowel
5
Q
Palpitation
A
- Hyperthyroidism
- Hypoglycemia
- Arrhythmia
- Panic attack
- Pheochromocytoma
- Social phobia
- Mitral valve prolapse
6
Q
Dysuria, frequncy changes
A
- BPH
- UTI
- Prostate cancer
- Bladder stones
- Renal cell carcinoma
- Urethritis
- Cystitis
- Prostitits
7
Q
Erectile dysfunction
A
- Drug-related ED
- ED by hypertension
- DM induced
- Psychogenic ED
- Peyronie’s disease
8
Q
Neck mass
A
- Hodgkin’s or non-hodgkin’s lymphoma
- TB
- Thyroid nodule
- Gastic carcinoma
- Esophageal cancer
9
Q
Dizziness
A
- Meniere’s disease
- Labyrinitis
- BPPV
- Acoustic neuroma
- Vestibular neuronitis
- Orsthostatic hypotension
- Vertebrobasilar insufficiency
- Brain stem tumor
10
Q
Abdominal pain
A
- Nephrolithiasis
- Renal cell carcinoma
- Pyelonephritis
- Appendicitis
- Pancreatic cancer
- All GI disease
- Fitz-Hugh_Curtis Syndrome
11
Q
Child wiht short stature
A
- Constitutional short stature
- GH deficiency
- Hypothyroidism
- Chronic renal insufficiency
- Genetic cuases
- Cystic fibrosis
12
Q
Vaginal discharge
A
- BV
- Vaginitis
- Cervicitis
13
Q
Psychosis
A
- Schizophrenia
- Schizotypal
- Schizoid
- Psychotic disorder secondary to general medical condition
- Subtance-induced
- Mood disorder with psychotic feature
14
Q
Sore throat
A
- Strep pharyngitis
- Viral pharyngitis
- Mono
- Acute HIV infection
- Secondary syphilis
15
Q
Joint/limb pain
A
- OA
- RA
- SLE
- Nerve palsy
- Gout
- Septic joint
- Domestic violence
- Psoriatic arthritis
- Myositis
- Rhabdomyolysis
16
Q
Headache
A
- Migraine
- Tension headache
- Cluster headache
- CNS vasculitis
- Paritial seizure
- Intracranial neoplasm
- Pseudotumor cerebri
- Temporal arteritis
- Meningitis
- Carotid artery dissection
- TMJ disorder
- Trigeminal neuralgia
17
Q
Constipation/diarrhea
A
- Colorectal cancer
- IBS
- IBD
- GI infection
- Low-fiber diet
- Substance abuse
- Celiac disease
- Lactose intolerance
- Gastroenteritis
- Food poisoning
- C diff infection
18
Q
Confusion/memory loss
A
- Vasular dementia
- Alzheimer’s disease
- NPH
- Chronic subdural hematoma
- Intracranial neoplasm
- Depression
- B12 deficiency
- Neurosyphillis
- Hypothyroidism
- Delirium
19
Q
Blood in the stool
A
- Colorectal cancer
- Anal fissure
- Hemorrhoids
- Diverticulosis
- IBS
- Angiodysplasia
- Upper GI bleed
- IBS
- Dysentery
20
Q
Weight gain
A
- Smoking cessation
- Drug side effect
- Hypothyroidism
- Cushing’s syndrome
- PCOS
- DM
- Atypical depression
- Insulinoma
21
Q
Upper GI bleeding
A
- Peptic ulcer
- Gastritis
- Gastric cancer
- Esophageal varices
- Mallory-Weiss tear
22
Q
Fatigue and sleepiness
A
- OSA
- Hypothyroidism
- Hypoglycemia
- Anemia
- Depression/Adjustment
- PTSD
- Renal failure
- Colon cancer
- DM
- Shift work sleep disorder
23
Q
Cough/SOB
A
- Asthma
- GERD
- Pneumonia
- PE
- COPD
- Bronchitis
- Foreign body
- Lung cancer
- TB
24
Q
Depressed mood
A
- Normal bereavment
- Major depressive disorder
- Adjustment disorder
- Schizoaffective disorder
- Depressive disorder
- Substance-induced mood disorder
- Dysthymic disorder
- Bioploar
- Cyclothymic disorder
25
Behavior problems in child
1. ADHD
2. Adjustment
3. Oppositional disorder
4. Conduct disorder
5. Substance induced
6. Manic episode
26
Weight loss
1. Hyperthyroidism
2. Cancer
3. HIV infection
4. Dieting
5. Anorexia nervosa
6. Malabsorption
27
Hematuria
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
Dysparenuia
1. Atrophic vaginitis
2. Endometriosis
3. Cervicitis
4. Depression
5. Domestic violence
6. PID
7. Vaginismus
29
Insomina
1. Primary insomina
2. Caffeine induced
3. Stress-induced
4. Insomina with circadian rhythm sleep disorder
5. Depression-induced
30
Night sweat
1. TB
2. HIV
3. Cancer
4. Hyperthyroidism
5. Carcinoid syndrome
6. Pheochromacytoma
31
Vaginal bleeding
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
Child with red eye
1. Bacterial conjuctivitis
2. Viral conjuctivitis
3. Keratiits
4. Seasonal allergies
5. Uveitis
33
N/V
1. Pregnancy
2. Gastritis
3. Hypercalcemia
4. DM
5. UTI
6. Depression
34
Loss of vision
1. Retinal artery occlusion
2. Retinal vein occlusion
3. Acute angle glaucoma
4. Retinal detachment
5. TIA
6. Temporal arteritis
35
Dysphagia
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
Chest pain
1. MI
2. GERD
3. Esphogitis
4. Pneumonitis
5. Costochronditis
6. Aortic dissection
7. PE
8. Pneumothorax
9. PUD
10. Pericarditis
37
Loss consiciousness
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
Lower back pain
1. Disk hernation
2. Muscle strain
3. Spinal stenosis
4. Tumor
5. Ankylosing spondylitis