Differential Diagnoses Quiz #1

Question 1

The comparison of symptoms of similar disease and medical diagnostics so a correct assessment of the patients actual problem can be made

Answer 1

Differential diagnoses

Question 2

Process of screening for referral

Answer 2

Medical screening

Question 3

3 different clinical diagnostic strategies

Answer 3

1. Hypothetico-deductive
2. Hypothesis oriented algorithm
3. Pattern recognition

Question 4

Most common strategy, start out with all diagnoses I know, and see what sticks

Answer 4

Hypothetico deductive

Question 5

Pattern recognition

Answer 5

See symptoms such as sore throat, cough, runny nose, and associate it with illness

Question 6

What four components make up the Goodman screening for referral model?

Answer 6

History, risk factor assessment, clinical presentation , review of systems

Question 7

Admitting that one does not know and is willing to learn from patients about their experiences while being aware of ones own embeddeldness in culture

Answer 7

Cultural humility

Question 8

Use the screening interview to listen for red flags and risk factors from the medical history.

Answer 8

Knowing risk factors

Question 9

Associated with signs and symptoms of systemic disease

Answer 9

Clinical presentation

Question 10

Warning - generally deal with systemic conditions

Answer 10

Red flags

Question 11

Caution- generally deal with patients beliefs and emotions regarding condition (ex, patient is self employed and have 5 kids and can’t work and stressed they need to get back to work

Answer 11

Yellow flags

Question 12

Examples of red flags

Answer 12

Tumor, fracture, cauda equina

Question 13

Orange symptoms

Answer 13

Psychiatric symptoms

Question 14

Yellow flags

Answer 14

Unhelpful beliefs about pain, expectation of poor treatment outcome, worries, fears, anxieties,

Question 15

Pain is an

Answer 15

Experience

Question 16

When pain is constant it is

Answer 16

Bad

Question 17

When pain is variable it is

Answer 17

Good

Question 18

A red flag is an insidious (no known reason)

Answer 18

Onset

Question 19

Race is a _____ construct - not biological

Answer 19

Social

Question 20

Vital signs

Answer 20

Heart rate , respiratory rate, temperature, and blood pressure

Question 21

Normal heart rate

Answer 21

60-100 beats per minute

Question 22

What medication can alter heart rate?

Answer 22

Beta blockers

Question 23

Normal respiratory rate

Answer 23

12-18 rpm

Question 24

Normal body temperature

Answer 24

98.6, temperature should be considered in patients with back pain of unknown cause

Question 25

Normal range for blood pressure

Answer 25

120/80

Question 26

Normal variations for blood pressure SYSTOLIC

Answer 26

Arms : 5-10 mmhg
Legs : 10-40 mmhg

Question 27

There should be no variation in

Answer 27

Diastolic pressure

Question 28

Less than 120 and less than 80

Answer 28

Normal blood pressure

Question 29

120-129 and less than 80

Answer 29

Elevated

Question 30

130-139 and 80-89

Answer 30

High blood pressure stage 1

Question 31

140 or higher

Answer 31

High blood pressure stage 2

Question 32

Higher than 180 and higher than 120 (diastolic)

Answer 32

Hypertensive crisis

Question 33

Systolic blood pressure increases linearly with exercise , takes 10-20 min to return to normal, diastolic changes minimally

Answer 33

Exercise

Question 34

4 sources of pain

Answer 34

Cutaneous, deep somatic, visceral, and referred

Question 35

Skin=

Answer 35

Cutaneous

Question 36

Well localized with one finger (patient points to pain)

Answer 36

Cutaneous pain

Question 37

Deep somatic

Answer 37

(bone, nerve, muscle, tendon, ligament, arteries, joints, spongy or cancellous bone, periosteum)
Poorly localized

Question 38

Dull aching gnawing

Answer 38

Deep somatic

Question 39

Internal organs/heart

Answer 39

Visceral

Question 40

Pain comes in waves (stomach ache )

Answer 40

Visceral or cyclic pain

Question 41

Pain corresponds to dermatomes from which the organ receives its innervations

Answer 41

Visceral