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CS cases Flashcards

1
Q

five DDs for patient with migraine sx (focal neuro signs)

A

migraine, tension HA, cluster HA, pseudotumor, seizure

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2
Q

workup for patient with migraine sx (+ focal neuro signs) (4)

A

CBC
CT head
MRI brain
LP

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3
Q

5 DDs for patient with cluster HA sx

A 
cluster HA
 migraine HA
 tension HA
 trigeminal neuralgia
 sinusitis
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4
Q

workup for patient with cluster HA sx (4)

A

CBC
ESR
CT head
MRI brain

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5
Q

5 DDs for patient with:
intermittent vision loss
jaw claudication
u/l HA

A 
GCA
 migraine HA
 tension HA
 meningitis
 carotid dissection
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6
Q

5 workups for patient with:
intermittent vision loss
jaw claudication
u/l HA

A 
CBC
 ESR
 temporal a. bx
 carotid doppler US
 MRI brain
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7
Q

4 DDs for patient with sinusitis sx (+ fever)

A

sinusitis
tension HA
migraine HA
meningitis

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8
Q

4 workups for patient with sinusitis sx (+ fever)

A

CBC
XR sinus
CT sinus
LP

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9
Q

4 DDs for patient with tension HA sx

A

tension HA
migraine HA
depression
caffeine withdrawal

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10
Q

2 workups for patient with tension HA sx

A

CBC

CT head

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11
Q

5 DDs for patient with SAH sx (+ nuchal rigidity, focal neuro sx)

A 
SAH
 other intracranial hemorrhage
 meningitis
 migraine HA
 sinus vein thrombosis
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12
Q

5 workups for patient with SAH sx (+ nuchal rigidity, focal neuro sx)

A 
CBC
 PT/PTT
 CT head- no contrast
 LP
 MRI brain
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13
Q

4 DDs for patient with meningitis sx

A

meningitis
SAH
migraine HA
intracranial or epidural abscess

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14
Q

3 workups for patient with meningitis sx

A

CBC
CT head
LP

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15
Q

5 DDs for patient with pseudotumor sx

A 
pseudotumor cerebri
 migraine HA
 meningitis
 sinus vein thrombosis
 intracranial neoplasm
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16
Q

4 workups for patient with pseudotumor cerebri sx

A

CBC
CT head
LP
MRI brain

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17
Q

5 DDs for patient with trigeminal neuralgia sx

A 
trigeminal neuralgia
 tension HA
 migraine HA
 TMJ dysfunction
 intracranial neoplasm
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18
Q

3 workups for patient with trigeminal neuralgia sx

A

CBC
ESR
MRI brain

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19
Q

5 DDs for patient with vascular dementia sx (+ falls)

A 
vascular dementia
 Alzheimer's
 NPH
 SDH
 neurosyphilis/B12 deficiency
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20
Q

4 workups for patient with vascular dementia sx (+ falls)

A

CBC
B12
VDRL/RPR
CT head

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21
Q

5 DDs for patient with Alzheimer’s sx

A 
Alzheimer's
 hypothyroidism
 B12 deficiency
 depression
 neurosyphilis
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22
Q

5 workups for patient with Alzheimer’s sx

A 
CBC
 TSH
 B12
 MRI brain
 VDRL/RPR
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23
Q

5 DDs for patient with NPH sx

A 
NPH
 chronic SDH
 Alzheimer's
 Vascular dementia
 intracranial neoplasm
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24
Q

2 workups for patient with NPH sx

A

CT head

LP

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25
Q

5 DDs for patient with CJD sx

A 
CJD
 vascular dementia
 Lewy body dementia
 Wernicke encephalopathy
 intracranial neoplasm
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26
Q

4 workups for patient with CJD sx

A

MRI brain
EEG
LP
brain bx

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27
Q

4 DDs for elderly patient with insulin-induced hypoglycemia sx

A

insulin-induced hypoglycemia
delirium
TIA
cardiac arrhythmia

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28
Q

5 workups for elderly patient with insulin-induced hypoglycemia sx

A 
CBC, electrolytes, glucose
 EKG
 carotid doppler
 cardiac echo
 CT head
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29
Q

4 DDs for patient with chronic SDH sx

A

chronic SDH
SIADH
intracranial neoplasm
CJD

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30
Q

4 workups for patient with chronic SDH sx

A

CBC
electrolytes
CT head
MRI brain

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31
Q

4 DDs for low mood after death of spouse

A

normal bereavement
adjustment disorder
major depression
schizoaffective disorder

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32
Q

5 workups for low mood after death of spouse

A 
physical exam
 mental status exam
 TSH
 CBC
 urine tox
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33
Q

3 DDs for low mood + fatigue, insomnia

A

major depression
substance-induced mood disorder
dysthymia

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34
Q

5 workups for low mood + fatigue, insomnia

A 
physical exam
 mental status exam
 TSH
 CBC
 urine tox + blood EtOH
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35
Q

4 DDs for low mood + manic episode 6 months ago

A

bipolar I
bipolar II
cyclothymia
schizoaffective disorder

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36
Q

3 workups for low mood + manic episode 6 months ago

A

physical exam
mental status exam
urine tox

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37
Q

5 DDs for psychosis

A 
schizophreniform disorder
 schizophrenia
 schizoid/schizotypal PD
 depression with psychotic feature
 substance induced psychosis
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38
Q

5 workups for psychosis

A 
mental status exam
 urine tox
 TSH
 CBC
 electrolytes
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39
Q

3 DDs for substance-induced psychosis

A

substance-induced psychosis
brief psychotic disorder
schizophreniform disorder

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40
Q

workups for substance-induced psychosis

A

urine tox

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41
Q

5 DDs for schizoaffective disorder

A 
schizoaffective disorder
 mood disorder with psychotic features
 schizophrenia
 schizophreniform disorder
 psychotic disorder due to general medical condition
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42
Q

5 workups for schizoaffective disorder

A 
mental status exam
 beck depression inventory
 TSH
 CBC
 electrolytes
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43
Q

5 DDs for intermittent vertigo + tinnitus

A 
Meniere's disease
 labyrinthitis
 acoustic neuroma
 vestibular neuritis
 BPPV
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44
Q

3 workups for intermittent vertigo + tinnitus

A

CBC
VDRL
MRI brain

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45
Q

3 DDs for dizziness + volume depletion

A

orthostatic hypotension 2/2 dehydration
vertebrobasilar insufficiency
cerebellar SOL

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46
Q

5 workups for dizziness + volume depletion

A 
orthostatic BP measurement/tilt test
 CBC, electrolytes
 if 2/2 diarrhea: stool exam for blood, electrolytes
 MRA brain
 MRI brain
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47
Q

4 DDs for BPPV sx

A

BPPV
vestibular neuritis
labyrinthitis
Meniere disease

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48
Q

workups for BPPV sx

A

MRI brain
electronystagmography
audiogram

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49
Q

4 DDs for hours-long dizziness + hearing loss

A

labyrinthitis
meniere’s disease
acoustic neuroma
vertebrobasilar insufficiency

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50
Q

4 workups for hours-long dizziness + hearing loss

A

audiogram
electronystagmography
MRI brain
MRA brain

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51
Q

5 DDs for hours-long dizziness without hearing loss

A 
vestibular neuritis
 BPPV
 vertebrobasilar insufficiency
 labyrinthitis
 meniere's disease
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52
Q

5 workups for hours-long dizziness without hearing loss

A 
CBC
 electrolytes
 electronystagmography
 MRI brain
 MRA brain
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53
Q

5 DDs for GTC sx

A 
GTC seizure
 convulsive syncope
 substance abuse
 malingering
 hypoglycemia
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54
Q

5 workups for GTC sx

A 
CBC, electrolytes, Glc
 urine tox
 EEG
 CT head
 EKG
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55
Q

4 DDs for LOC without prodrome (but + palpitations)

A 
syncope 2/2 cardiac arrythmia
 syncope 2/2 aortic stenosis
 syncope NOS
 seizure
 hypoglycemia
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56
Q

5 workups for LOC without prodrome (but + palpitations)

A 
EKG
 holter monitoring
 cardiac echo
 CT head
 CBC, electrolytes, glucose
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57
Q

3 DDs for transient hemiparesis + hemisensory deficit + dysarthria

A

TIA
seizure
hypoglycemia

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58
Q

5 workups for transient hemiparesis + hemisensory deficit + dysarthria

A 
CBC, Glc, electrolytes
 CT head
 MRI brain
 carotid doppler
 cardiac echo
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59
Q

5 DDs for persistent hemiparesis + stroke RFs

A 
stroke
 TIA
 seizure
 intracranial SOL
 SDH
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60
Q

5 workups for persistent hemiparesis + stroke RFs

A 
CBC, electrolytes
 CT head
 MRI brain
 carotid doppler
 cardiac echo
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61
Q

5 DDs for symmetric ascending weaknes over 2 weeks

A 
GBS
 MS
 polymyositis
 MG
 spinal SOL
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62
Q

5 workups for symmetric ascending weaknes over 2 weeks

A 
LP
 MRI spine
 EMG/NCS
 tensilon test
 CPK
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63
Q

5 DDs for MS sx

A 
MS
 stroke
 malingering
 CNS SOL
 CNS vasculitis
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64
Q

5 workups for MS sx

A 
CBC
 ESR
 MRI brain
 LP
 retinal evoked potentials
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65
Q

4 DDs for diabetic neuropathy sx + alcoholism hx

A

diabetic neuropathy
alcoholic neuropathy
B12 deficiency
hypocalcemia

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66
Q

3 workups for diabetic neuropathy sx + alcoholism hx

A

HbA1c
calcium
serum B12

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67
Q

5 DDs for MG sx

A 
MG
 MS
 horner's syndrome
 intracranial SOL
 ALS
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68
Q

5 workups for MG sx

A 
tensilon test, anti-AChR serology
 CXR
 CT chest
 MRI brain
 EMG
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69
Q

4 DDs for fatigue + low mood

A

depression
adjustment disorder
hypothyroidism
anemia

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70
Q

2 workups for fatigue + low mood

A

CBC

TSH

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71
Q

5 DDs for fatigue + hx of trauma 1 yr ago

A 
PTSD
 depression
 GAD
 hypothyroidism
 substance abuse
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72
Q

4 workups for fatigue + hx of trauma 1 yr ago

A

CBC
TSH
Ca2+
urine tox

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73
Q

4 DDs for fatigue + constipation

A

CRC
hypothyroidism
hypercalcemia
renal failure

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74
Q

4 workups for fatigue + constipation

A

rectal exam, stool guiac
CBC, electrolytes, Ca2+
colonoscopy
BUN/Cr

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75
Q

4 DDs for hypothyroidism sx

A

hypothyroidism
depression
DM
anemia

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76
Q

3 workups for hypothyroidism sx

A

TSH, FT3, FT4
CBC
Glc, HbA1c

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77
Q

4 DDs for OSA sx

A

OSA
hypothyroidism
chronic fatigue syndrome
narcolepsy

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78
Q

4 workups for OSA sx

A

CBC
TSH
polysomnography
nocturnal pulse oximetry

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79
Q

4 DDs for fatigue + incresed urination

A

DM
DI
1’ polydipsia
atypical depression

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80
Q

5 workups for fatigue + increased urination

A 
CBC, electrolytes, Glc
 OGTT
 HbA1c
 UA
 BUN/Cr
81
Q

4 DDs for fatigue + change in work shift

A

sleep deprivation
circadian rhythm sleep disorder
depression
anemia

82
Q

1 workup for fatigue + change in work shift

A

CBC

83
Q

5 DDs for night sweats + lymphadenopathy

A 
TB
 acute HIV
 Ly
 leukemia
 hyperthyroidism
84
Q

5 workups for night sweats + lymphadenopathy

A 
PPD, sputum gram stain, acid fast stain + culture
 CBC
 CXR
 HIV antibodies
 TSH
85
Q

5 DDs for insomnia

A 
stress
 caffeine
 circadian rhythm sleep disorder
 depression
 OSA
86
Q

4 workups for insomnia

A

CBC
TSH
polysomnography
mental status (if depressed)

87
Q

4 DDs for sore throat + abd pain

A

infectious mono
hepatitis
pharyngitis (viral or bacterial)
acute HIV

88
Q

5 workups for sore throat + abd pain

A 
CBC
 monospot (heterophile Abs)
 throat culture
 AST, ALT, ALP, bilirubin
 HIV Abs
89
Q

4 DDs for sore throat + fever, rash, weight loss

A

acute HIV (acute retroviral syndrome)
infectous mono
viral pharyngitis
strep tonsillitis

90
Q

4 workups for sore throat + fever, rash, weight loss

A

CBC
HIV Abs, viral load, CD4 count
monospot test
throat culture

91
Q

4 DDs for sore throat + fever

A

pharyngitis (viral or bacterial)
Mycoplasma pneumonia
infectious mono
acute HIV

92
Q

5 workups for sore throat + fever

A 
throat culture
 rapid strep test
 monospot test
 CBC
 HIV Abs
93
Q

5 DDs for cough + wheezing

A 
asthma
 GERD
 bronchitis
 pneumonitis
 foreign body aspiration
94
Q

4 workups for cough + wheezing

A

CBC
CXR
PFTs
methacholine challenge test

95
Q

4 DDs for productive cough over last 2 years

A

chronic brochitis
bronchiectasis
lung Ca
TB

96
Q

5 workups for productive cough over last 2 years

A

CBC
PPD, sputum gram stain, acid fast stain, culture
CXR
CT chest

97
Q

5 DDs for productive cough + fever, chest pain

A 
pneumonia
 bronchitis
 lung abscess
 lung Ca
 TB
98
Q

5 workups for productive cough + fever, chest pain

A

CBC
PPD, sputum gram stain, acid fast stain, culture
CXR
CT chest

99
Q

3 DDs for nonproductive cough 2 weeks after URI

A

atypical pneumonia
postnasal drip
GERD

100
Q

5 workups for nonproductive cough after URI

A 
CBC
 sputum gram stain, culture
 CXR
 Mycoplasma IgM
 urine Legionella Ag
101
Q

4 DDs for hemoptysis for 6 months

A

lung Ca
TB
lung abscess
COPD

102
Q

5 workups for hemoptysis for 6 months

A 
CBC
 PPD, sputum Gram stain, acid fast stain, culture
 CXR
 CT chest
 bronchoscopy
103
Q

5 DDs for productive cough + dyspnea in COPDer

A 
COPD exacerbation
 pneumonia
 URI
 lung Ca
 CHF
104
Q

5 workups for productive cough + dyspnea in COPDer

A 
CBC
 CXR
 CT chest
 PFTs
 sputum Gram stain, culture
105
Q

5 DDs for cough + night sweats + TB exposure

A 
TB
 Ly
 pneumonia
 lung abscess
 other Ca
106
Q

5 workups for cough + night sweats + TB exposure

A 
CBC
 PPD, sputum Gram stain, acid fast stain, culture
 CXR
 CT chest
 bronchoscopy
107
Q

5 DDs for cough + dyspnea + AIDS RFs + TB exposure

A 
TB
 pneumonia (e.g. PCP)
 bronchitis
 acute HIV
 asthma
108
Q

4 workups for cough + dyspnea + AIDS RFs + TB exposure

A

CBC
PPD, sputum gram stain, acid fast stain, silver stain, culture
CXR
HIV Abs

109
Q

3 DDs for cough + orthopnea

A

CHF
cardiac valvular disease
GERD

110
Q

5 workups for cough + orthopnea

A 
CBC
 BNP
 cardiac echo
 EKG
 esophageal pH monitoring
111
Q

5 DDs for typical chest pain

A 
ACS
 stable angina
 aortic dissection
 PTX
 GERD
112
Q

5 workups for typical chest pain

A 
EKG
 CK-MB, Tn
 cardiac echo
 cardiac cath
 CBC, electrolytes
113
Q

4 DDs for chest pain in young African American

A 
acute chest syndrome (HbS disease pulmonary infarction)
 pneumonia
 PE
 PTX
 ACS
114
Q

5 workups for chest pain in young African American

A 
CBC, reticulocytes, peripheral smear
 ABG
 CXR
 EKG
 CT chest + contrast
115
Q

5 DDs for GERD-like chest pain

A 
GERD
 esophagitis
 PUD
 esophageal spasm
 ACS
116
Q

4 workups for GERD-like chest pain

A

EKG
EGD
esophageal pH monitoring
barium swallow

117
Q

3 DDs for stable angina sx

A

stable angina
esophageal spasm
esophagitis

118
Q

5 workups for stable angina sx

A 
EKG
 CK-MB, Tn
 cardiac cath
 EGD
 esophageal pH monitoring
119
Q

5 DDs for atypical chest pain worse on inspiration

A 
pericarditis
 costochondritis
 GERD
 esophageal rupture
 ACS
120
Q

5 workups for atypical chest pain worse on inspiration

A 
CBC
 EKG
 CK-MB, Tn
 cardiac echo
 EGD
121
Q

3 DDs for atypical chest pain + dyspnea

A

PE
pneumonia
costochondritis

122
Q

5 workups for atypical chest pain + dyspnea

A 
CBC
 EKG
 CT chest + contrast
 doppler US legs
 CXR
123
Q

5 DDs for palpitations in diabetic

A 
hypoglycemia
 hyperthyroidism
 cardiac arrhythmia
 panic attack
 pheochromocytoma
124
Q

4 workups for palpitations in diabetic

A

CBC, electrolytes, glucose
TSH
EKG
holter monitor

125
Q

4 DDs for unintentional weight loss

A

hyperthyroidism
Ca
malabsorption
HIV

126
Q

4 workups for unintentional weight loss

A

TSH, FT4
HIV Abs
anti TTG, anti-gliadin serology
colonscopy + bx

127
Q

5 DDs for unintentional weight gain

A 
hypothyroidism
 cushing's syndrome
 DM
 smoking cessation
 drug side effect
128
Q

4 workups for unintentional weight gain

A

CBC, electrolytes, glucose
TSH
24h urine free cortisol
dexamethasone suppression test

129
Q

5 DDs for dysphagia in smoker

A 
esophageal Ca
 achalasia
 esophagitis
 systemic sclerosis
 ALS
130
Q

5 workups for dysphagia in smoker

A 
CBC
 CXR
 CT neck + chest
 EGD
 barium swallow
131
Q

4 DDs for RUQ or LUQ pain + flank tenderness

A

nephrolithiasis
RCC
pyelonephritis
appendicitis

132
Q

5 workups for RUQ or LUQ pain + flank tenderness

A 
rectal exam
 UA, urine culture + sensitivity
 Bun/Cr
 CT abdomen
 US renal
133
Q

4 DDs for epigastric pain + weight loss + acholic stool

A

pancreatic ca
acute hepatitis
cholecystitis/choledocholithiasis
PUD

134
Q

5 workups for epigastric pain + weight loss + acholic stool

A 
rectal exam
 CBC, electrolytes
 amylase, lipase
 AST, ALT, ALP, bilirubin
 CT abdomen
135
Q

5 DDs for epigastric pain + vomiting in alcoholic

A 
acute pancreatitis
 PUD
 cholecystitis/choledocholithiasis
 gastritis
 alchoholic hepatitis
136
Q

5 workups for epigastric pain + vomiting in alcoholic

A 
amylase, lipase
 EGD
 AST, ALT, ALP, bilirubin
 US abdomen
 CT abdomen
137
Q

5 DDs for RUQ pain + fever

A 
cholecystitis
 acending cholangitis (esp. if jaundice present)
 other GB disease
 PUD
 acute hepatitis
138
Q

5 workups for RUQ pain + fever

A 
rectal exam
 CBC
 AST, ALT, ALP, bilirubin
 EGD
 US abdomen
139
Q

4 DDs for postprandial epigastric pain

A

PUD
gastritis
GERD
cholecystitis

140
Q

4 workups for postprandial epigastric pain

A

rectal exam
amylase, lipase
EGD
AST, ALT, ALP, bilirubin

141
Q

5 DDs for intestinal obstruction sx

A 
intestinal obstruction
 intestinal cancer
 volvulus
 ileus
 hernia
142
Q

5 DDs for intestinal obstruction sx

A 
rectal exam
 AXR
 CXR
 CT abdomen
 CBC, electrolytes
143
Q

4 DDs for crampy abdominal pain in patient with AF

A

bowel ischemia/infarction
ACS
diverticulitis
PUD

144
Q

5 workups for crampy abdominal pain in patient with AF

A 
rectal exam
 CBC, amylase, lipase, lactate
 mesenteric angio
 CT abdomen
 EKG
145
Q

5 DDs for RLQ pain + vomiting in woman

A 
ovarian torsion (if no peritoneal sx)
 appendicitis (if peritoneal sx, fever)
 ruptured ectopic
 ruptured ovarian cyst
 nephrolithiasis
146
Q

5 workups for RLQ pain + vomiting in woman

A 
rectal exam
 pelvic exam
 bhCG
 doppler US pelvis
 CT abdomen
147
Q

4 DDs for LLQ pain + alternating diarrhea/constipation

A

diverticulitis
Crohn’s
UC
IBS (if no N/V or weight loss)

148
Q

5 workups for LLQ pain + alternating diarrhea/constipation

A 
rectal exam
 AXR
 CXR
 CBC, electrolytes
 CT abdomen
149
Q

4 DDs for appendicitis sx

A

appendicitis
Crohn’s
nephrolithiasis
volvulus

150
Q

5 workups for appendicitis sx

A 
rectal exam
 CBC, electrolytes
 AXR
 CT abdomen
 US abdomen
151
Q

5 DDs for b/l lower abdominal pain in woman associated with menstruation

A 
PID (if sexual hx supports)
 endometriosis
 dysmenorrhea
 vaginitis
 cystitis
152
Q

5 workups for b/l lower abdominal pain in woman associated with menstruation

A 
rectal exam
 pelvic exam
 US pelvis
 UA, urine culture, cervical cultures
 urine hCG
153
Q

5 DDs for alternating constipation + diarrhea, + weight loss

A 
CRC
 IBS
 diverticulosis
 IBD
 parasite
154
Q

5 workups for alternating constipation + diarriea, + weight loss

A 
rectal exam
 CBC
 colonoscopy
 barium enema
 CT abdomen
155
Q

5 DDs for constipation

A 
low fiber diet
 IBS
 substance abuse (esp. heroin)
 depression
 hypothyroidism
156
Q

4 workups for constipation

A

rectal exam
CBC, electrolytes
TSH
urine tox

157
Q

3 DDs for infectious diarrhea sx

A

infectious diarrhea
food poisoning
IBD

158
Q

5 workups for infectious diarrhea sx

A 
rectal exam, stool for occult blood
 stool leukocytes + culture
 CBC, electrolytes
 CT abdomen
 CT pelvis
159
Q

5 DDs for diarrhea + diffuse abdominal pain (without vomiting or fever)

A 
Crohn's
 UC
 Celiac
 gastroenteritis
 hyperthyroidism
160
Q

5 workups for diarrhea + diffuse abdominal pain (without vomiting or fever)

A 
rectal exam
 stool exam, culture
 CBC, electrolytes
 colonoscopy
 CT abdomen
161
Q

5 DDs for coffee ground emesis

A 
PUD
 gastritis (esp if taking NSAIDs chronically)
 gastric cancer
 esophageal varices
 Mallory-Weiss tear
162
Q

4 workups for coffee ground emesis

A

rectal exam
CBC
EGD
AST, ALT, ALP, bilirubin

163
Q

5 DDs for blood in stool in older person

A 
anal fissure
 hemorrhoids
 CRC
 diverticulosis
 bowel ischemia
164
Q

5 workups for blood in stool in older person

A 
rectal exam
 CBC, PT/PTT
 CEA, AST, ALT, ALP, bilirubin
 colonoscopy
 CT abdomen, pelvis
165
Q

5 DDs for blood in stool in younger person

A 
UC
 Crohn's
 proctitis
 hemorrhoids
 dysentery
166
Q

5 workups for blood in stool in younger person

A 
rectal exam
 CBC, PT/PTT
 colonoscopy
 AXR
 CT abdomen, pelvis
167
Q

5 DDs for painless hematuria

A 
TCC
 RCC
 acute GN
 bleeding disorder
 ADPKD (esp if FHx)
168
Q

5 workups for painless hematuria

A 
genitourinary exam
 UA, urine cytology
 cystoscopy
 CBC, PT/PTT
 CT abdomen, pelvis
169
Q

4 DDs for dysuria + fever + flank tenderness

A

acute pyeplonephritis
nephrolithiasis
RCC
lower UTI

170
Q

4 workups for dysuria + fever + flank tenderness

A

UA, culture, sensitivity
CBC, BUN/Cr
US renal
CT abdomen

171
Q

5 DDs for amenorrhea in non-elderly

A 
pregnancy
 anovulatory cycle
 thyroid
 hyper-PRL
 PCOS
172
Q

5 workups for amenorrhea in non-elderly

A 
pelvic exam
 urine hCG
 CBC, electrolytes
 US pelvis
 PRL, TSH, LH, FSH
173
Q

6 DDs for non-traumatic vaginal bleeding in young person

A 
DUB
 bleeding disorder
 thyroid
 DM
 Cx cancer
 abnormal/aborting pregnancy
174
Q

5 workups for non-traumatic vaginal bleeding in young person

A 
pelvic exam
 urine bhCG
 Cx cultures, Pap smear
 TSH
 CBC, PT/PTT, glucose
175
Q

5 DDs for vaginal bleeding in older person

A 
endometrial ca
 cervical ca
 endometrial hyperplasia
 atrophic endometrium
 atrophic vaginitis
176
Q

5 workups for vaginal bleeding in older person

A 
pelvic exam
 pap smear
 endometrial bx
 US pelvis
 colposcopy
177
Q

5 DDs for dyspareunia in young person

A 
endometriosis
 cervicitis/PID
 vulvodynia/vaginismus
 abuse
 depression
178
Q

5 DDs for MCP/PIP/DIP joint pain

A 
SLE
 RA
 OA
 gonococcal arthritis
 psoriatic arthritis
179
Q

5 workupss for MCP/PIP/DIP joint pain

A 
CBC, ESR
 ANA, RF serology
 X-ray hands
 synovial fluid aspiration, analysis + culture
 UA
180
Q

4 DDs for hip pain

A

hip fx
hip dislocation
trochanteric bursitis
avascular necrosis (LCP in Peds/HbS in AfAm)

181
Q

patients with hip fx hold leg ___ly

patients with hip dislocation hold leg ___ly

A

in external rotation

in internal rotation

182
Q

patients with hip joint problem have pain on ___patients with trochanteric bursitis have pain on ___

A

internal rotation

external rotation

183
Q

4 workups for hip pain

A

XR hip
MRI hip
serum Ca2+, Vit D
DEXA scan

184
Q

5 DDs for red, hot, painful knee

A 
septic arthritis
 gonococcal arthritis
 gout/pseudogout
 Lyme arthritis
 rheumatic fever
185
Q

5 workups for red, hot, painful knee

A

synovial fluid aspiration, analysis + culture
XR knee
CBC
ESR

186
Q

3 DDs for foot pain

A

plantar fasciitis
stress fx
foot sprain

187
Q

3 workups for foot pain

A

XR foot
bone scan foot
MRI foot

188
Q

2 PhEx tests for tennis elbow

A

point tenderness on lateral epicondyle

pain on resisted wrist dorsiflexion with elbow extended

189
Q

5 DDs for thigh pain on exertion

A 
PVD
 Leriche's syndrome
 lumbar spinal stenosis
 OA
 statin myopathy
190
Q

4 workups for thigh pain on exertion

A

ABI
doppler US legs
angio
MRI L spine

191
Q

5 DDs for calf pain

A 
DVT
 Baker's cyst rupture
 myositis/statin myopathy
 cellulitis
 superficial venous thrombosis
192
Q

5 workups for calf pain

A 
Doppler US leg
 CBC
 CPK
 d-dimer
 PT/PTT
193
Q

5 DDs for L shoulder pain on exertion

A 
angina
 OA
 tendonitis
 dislocation
 rotator cuff injury
194
Q

5 workups for L shoulder pain on exertion

A 
EKG
 CK-MB, Tn
 cardiac echo
 XR shoulder
 MRI shoulder
195
Q

4 DDs for baby with fever + lethargy

A

neonatal sepsis
meningitis
pneumonia
UTI

196
Q

5 workups for baby with fever + lethargy, no rash

A 
physical exam
 CBC, electrolytes
 UA, urine culture
 Blood culture
 LP
197
Q

5 DDs for baby with diarrhea + vomiting

A 
gastroenteritis
 food poisoning
 UTI
 URI
 intususception
198
Q

5 workups for baby with diarrhea + vomiting

A 
physical exam
 CBC, electrolytes
 UA, urine culture
 stool exam + culture
 AXR

Step2 CS (4 decks)

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