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Step 2 CS > CS Cases > Flashcards

CS Cases Flashcards

1
Q

Ddx throbbing HA with weakness on R side and family history of migraines

A 
hemiplegic migraine
tension HA
cluster HA
TIA
partial seizures
pseudotumor cerebri
Intracrainal neoplasm
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2
Q

workup throbbing HA

A

MRI-brain
CT-head
CBC
ESR

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3
Q

Ddx R temporal HA with ipsilateral rhinorrhea, eye tearing, and redness

A 
cluster HA
migraine
trigeminal neuralgia
intracranial neoplasm
tension HA
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4
Q

Ddx R temporal HA with fever, tenderness, jaw pain

A 
temporal arteritis
vasculitis 
migraine
cerebral abscess
cluster HA
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5
Q

Workup R temporal HA with jaw pain

A 
temporal artery biopsy
ESR
CRP
CBC
Doppler U/S carotid
MRI-brain
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6
Q

Ddx frontal HA with nasal dc, HA worsens with leaning forward

A 
acute sinusitis
migraine
tension HA
cerebral abscess
meningitis
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7
Q

Workup HA with nasal dc

A

CBC
XR-sinus
CT-sinus

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8
Q

Ddx recurring HA, worse at the end of the day

A 
tension HA
migraine
caffeine or analgesic withdrawal 
depression
intracranial neoplasm
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9
Q

Workup recurring HA

A 
CBC
electrolytes 
ESR
MRI-brain
LP-CSF analysis
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10
Q

Ddx sudden onset HA with vomiting and left hemiplegia

A 
subarachnoid hemorrhage
meningitis
intracerebral hemorrhage 
vertebral artery dissection
migraine
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11
Q

Workup sudden onset HA with vomiting and left hemiplegia

A 
CT head w/o contrast
LP
CBC
MRI
CTA
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12
Q

Ddx HA with fever, confusion, photophobia, nuchal rigidity

A

meningitis
subarachnoid hemorrhage
encephalitis
migraine

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13
Q

Workup HA with fever, confusion

A 
LP-CSF analysis
Blood culture
CBC
CT-head
MRI-brain
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14
Q

Ddx HA in obese female, OCPs

A

pseudotumor cerebri
migraine
tension HA
intracranial neoplasm

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15
Q

Workup HA obese female

A

UPT
LP
MRI-brain
visual field testing

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16
Q

Ddx electric sensation to cheek lasting 1-2 minutes

A 
trigeminal neuralgia
tension HA
migrane
cluster HA
TMJ
temporal arteritis
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17
Q

Workup electric sensation

A

MRI-brain
CBC
ESR

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18
Q

progressive history of forgetfulness and HTN

A 
vascular dementia
Alzheimer
NPH
B12 deficiency 
hypothyroidism
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19
Q

workup progressive forgetfulness and HTN

A 
CBC
TSH
MRI-brain
CT-head
LP-CSF analysis
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20
Q

history of forgetfulness and difficulty performing daily activities

A

AD
Vascular dementia
Depression
hypothyroidism

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21
Q

gait disturbance, memory loss, urinary incontinence

A

NPH
AD
Vascular dementia

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22
Q

change in mental status, myoclonus, ataxia, startle response

A

CJD
Vascular dementia
Wernicke encephalopathy

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23
Q

insulin dependent diabetic with episodes

A 
hypoglycemia
TIA
arrhythmia 
delirium 
medication induced
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24
Q

slipped and now has AMS and HA

A

subdural hematoma
SIADH
CNS infection

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25
Q

loss of vision left eye, no eye pain, discharge, redness, or photophobia

A

RAO
RVO
acute angle-closure glaucoma

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26
Q

workup loss of vision

A 
fluorescein angiogram
echo
doppler U/s
ESR/CRP
temporal artery biopsy
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27
Q

excessive sleep, crying spells, after loss of wife 2 months ago

A

normal bereavement

adjustment disorder with depressed mood

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28
Q

workup depression

A

TSH
Urine toxicology
PHQ-9

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29
Q

4 week history fatigue, made two previous suicide attempts

A

MDD
substance induced mood disorder
persistent depressive disorder

30
Q

workup bipolar

A

mood disorder questionnaire
urine toxicology
TSH

31
Q

workup schizophrenia

A

urine toxicology
mental status exam
TSH

32
Q

bugs crawling on bed and hearing voices

substance ingestion

A

substance induced psychosis

brief psychotic disorder

33
Q

workup substance induced psychosis

A

urine toxicology
mental status exam
TSH

34
Q

intermittent vertigo, tinnitus, nausea, and hearing loss

A

Meniere disease
BPPV
labyrinthitis
vestibular neuronitis

35
Q

workup vertigo and tinnitus

A

Dix-Hallpike maneuver
audiometry
VDLR/RPR
MRI-brain

36
Q

dizziness on standing, furosemide for HTN

A

orthostatic hypotension
cardiac arrhythmias
BPPV

37
Q

workup orthostatic hypotension

A

orthostatic vital signs
rectal exam
ECG
occult blood and leukocytes stool

38
Q

dizziness on moving head to left, room is spinning, nystagmus on Dix-Hallpike

A

BPPV
Meniere
vestibular neuronitis
labyrinthitis

39
Q

workup BPPV

A

audiometry
electronystagmograph
MRI-brain

40
Q

URI 2 days ago, now dizziness

A

vestibular neuronitis

41
Q

workup vestibular neuronitis

A

audiogram
CT-head
MRI-brain

42
Q

URI 2 days ago and dizziness and not hearing well

A

labyrinthitis

43
Q

workup

A

audiogram

electronystagmogram

44
Q

rhythmic jerking, lost control of bladder, confused

A

generalized tonic-clonic seizure
substance abuse
malingering
hypoglycemia

45
Q

workup seizure

A 
CBC
electrolytes, glucose 
urine toxicology
EEG
MRI-brain
LP-CSF
46
Q

dizzy and unsteady, transient loss of consciousness, HTN and DM

A

drug induced orthostatic hypotension
hypoglycemia
syncope

47
Q

falling and losing consciousness, palpitations, CABG

A

cardiac arrhythmias
aortic stenosis
syncope

48
Q

workup arrhyhtmias

A

ECG
Holter monitoring
echo
CT-head

49
Q

20 minute R sided arm and face numbness, history of HTN, migraine, DM, smoking

A

TIA
stroke
migraine with sensory aura

50
Q

workup tia

A

CT-head
MRI-brain with DWI
doppler U/S carotid
echo

51
Q

slurred speech, right facial drooping and numbness

A

stroke
TIA
seizure with Todd paralysis

52
Q

ascending loss of strength and numbness in legs after recent URI

A 
GBS
MS
transverse myelitis 
spinal cord compression
peripheral neuropathy
53
Q

workup GBS

A

CBC
MRI-spine
EMG
nerve conduction studies

54
Q

weakness and tingling of leg, R eye pain with reduced vision, electric shocks down spine upon flexing her neck

A

MS
stroke
CNS vasculitis

55
Q

tingling and numbness in hands and feet

history of DM

A

peripheral neuropathy
alcoholic peripheral neuropathy
B12 deficiency

56
Q

workup diabetic peripheral neuropathy

A

HbA1c
ESR
B12

57
Q

double vision and droopy eyes at night

hypothyroidism

A

Myasthenia graves
MS
Horner syndrome
botulism

58
Q

workup myasthenia

A 
ice pack test
tensilon test
Anti-Ach receptor Ab
EMG
CXR
59
Q

hemiparesis after tonic-clonic seizure

A

Todd paralysis
TIA
stroke

60
Q

tingling middle finger, relieved by rest

20lb weight gain

A

carpal tunnel syndrome
overuse injury of median nerve
cervical disc disease
medial epicondylitis

61
Q

fatigue, hopelessness, and worthlessness

fights with husband about money

A

depression
adjustment disorder
hypotyhroidism
anemia

62
Q

fatigue, insomnia, and nightmares about a murder that he witnessed
avoided mall

A

PTSD
depression
GAD

63
Q

fatigue, weight loss and constipation

family history of colon cancer

A

colon cancer
hypothyroidism
renal failure
depression

64
Q

fatigue and daytime sleepiness, snores heavily and naps 3-4x/day
HTN

A

OSA
hypothyroidism
chronic fatigue syndrome
narcolepsy

65
Q

fatigue, thirst, increased appetite, polyuria

A

DM
atypical depression
primary polydipsia
diabetes insipidus

66
Q

workup DM

A

HbA1c
GTT
UA

67
Q

tired during the day, changed to night shift last week

A

shift work sleep disorder
sleep apnea
depression
anemia

68
Q

night sweats, cough, swollen glands after emigrating from Africa

A 
TB
acute HIV infection
lymphoma 
leukemia
hyperthyroidism
69
Q

workup TB

A 
PDD
CBC
CXR
sputum gram stain
HIV antibody/RNA levels
70
Q

sweating, weight loss, palpitations, diarrhea

A

hyperthyroidism
pheochromocytoma
carcinoid syndrome
TB

Step 2 CS (2 decks)

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