Diff Dx: Chest Pain, Gyn, Rashes, STDs Flashcards
58 yo male presents w/substernal chest pain that radiates to neck and jaw, and that lasts over 30 minutes. He is diaphoretic, has nausea and has vomited once. What is the most likely dx?
a) pericarditis
b) acute coronary syndrome
b) acute coronary syndrome
substernal pain that radiates to the neck and jaw is acute coronary syndrome myocardial infarction
what test is needed to dx aortic dissection?
a) cardiac enzymes
b) transesophageal echo
b) transesophageal echo
A 24 yo pt pesents w/a chief complaint of fever, cough, and upon auscultation, you hear crackles over the left lower lobe of the lungs. Which is the most likely dx?
a) pericarditis
b) pneumonia
b) pneumonia
What test is done specifically to identify pulmonary embolism?
a) D-dimer
b) cardiac enzymes
a) D-dimer
29 yo pt has heavy menses bleeding, pelvic and lbp. Palpating the lower abd indicates a mobile mass. A hysteroscopic exam reveals abnormal tissue growth. A laparscopic exam reveals no tissue growth. What is the dx?\
a) PID
b) uterine fibroids
b) uterine fibroids
A 23 yo has frothy yellow vag discharge w/foul odor. The wet mount test is positive for the flagellated protozoan parasite. NAAT is also positive. Which of the following is the most likely dx?
a) trichomonas vaginitis
b) bacterial vaginitis
a) trichomonas vaginitis
Which of the following is an INCORRECT comparison betw rubeola and rubella?
a) Rubeola is more sever and can be life threatening while rubella is milder but can threaten pregnancy
b) Rubeola has Forscheimer spots while rubella has Koplik spots
b) Rubeola has Forscheimer spots while rubella has Koplik spots
** the biggest difference betw the 2 types of measles is that rubella is a milder disease but can cause birth defects in an infected prego woman. Rubeola can casue serious complications (pneumonia, arthritis, testicular swelling) but most pt’s recover w/no problem
In comparing atopic dermatitis w/contact dermititis, which of the following is incorrect?
a) atopic dermatitis is form of eczema while contact dermatitis is not a form of eczema
b) skin prick testing helps in diagnosing atopic dermatitis while skin patch testing helps in diagnosing contact dermatitis
a) atopic dermatitis is form of eczema while contact dermatitis is not a form of eczema
* they are both eczema
Which of the following is an incorrect comparison betw measles and chickenpox?
a) measles is contagious from 4 days before to 4 days after the rash while chickenpox is contagious 1-2 days before rash until the lesions crust over
b) measles have a milder fever up to 102 degrees F while chickenpox can have fever up to 105 degrees
b) measles have a milder fever up to 102 degrees F while chickenpox can have fever up to 105 degrees
** measles can generally have a much higher fever than chickenpox
12 yo pt w/a history of asthma has an itchy rash for 2 years. The itch is intense at night, he scratches until skin bleeds. The rash is dry w/areaas of thickened skin affecting the inner creases of the knees and elbows. He is taking fluticasone. The skin prick test is positive for animal dander. What is the dx?
a) scabies
b) psoriasis
c) drug reaction
d) eczema
d) eczema
What is the recommendation of the american cancer society for detecting cervical cancer in normal at risk women?
a) HPV test every 3 years from 21-29 and pap test every 5 years from 30-65
b) pap test and HPV test every five years from 30-65
b) pap test and HPV test every five years from 30-65
Which of the following STDs can be transmitted either through vag, oral or anal sex and via childbirth except
a) gonorrhea and hep b
b) HIV and Trichomoniasis
b) HIV and Trichomoniasis
* Trich is only transmitted via vaginal sex
