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Step 2 CS > Differentials > Flashcards

Differentials Flashcards

1
Q

confusion/memory loss

A

vascular dementia
Alzheimer’s disease
Normal pressure hydrocephalus

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2
Q

loss of vision

A 
retinal artery occlusion
retinal vein occlusion
acute angle-closure glaucoma
Retinal detachment
temporal arteritis
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3
Q

depressed mood

A

Normal bereavement
Adjustment disorder with depressed mood
Major depressive disorder
Substance-induced mood disorder

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4
Q

psychosis

A 
schizophrenia
schizoid or schizotypal personality disorder
Schizophreniform disorder
Substance-induced psychosis
Depression with psychotic features
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5
Q

dizziness

A

Menier’s disease
Vestibular neuritis
Benign positional vertigo
Orthostatic hypotension due to dehydration

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6
Q

Loss of consciousness

A 
Generalized tonic-clonic seizure
Convulsive syncope
Substance abuse/overdose
Hypoglycemia
Vasovagal syncope
Stroke
PE
Cardiac arrhythmia
Severe aortic stenosis
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7
Q

numbness/weakness

A 
TIA
Hypoglycemia
Seizure
Stroke
Facial nerve palsy
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8
Q

bilateral loss of strength

A 
Guillain-Barre 
MS
Polymyositis
Myasthenia gravis
Peripheral neuropathy
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9
Q

double vision

A

Myasthenia gravis
Horner’s syndome
MS

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10
Q

tingling/numbness of thumb

A

Carpal tunnel syndrome secondary to hypothyroidism Median nerve compression in forearm/arm
Radiculopathy of nerve roots
De Quervain’s tenosynovitis

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11
Q

fatigue

A

Depression
Adjustment disorder
Hypothyroidism
Anemia

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12
Q

fatigue/insomnia after bad event

A

PTSD
Depression
Generalized anxiety disorder
Psychotic or delusional disorder

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13
Q

constipation

A

…

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14
Q

fatigue + weight gain + depression

A

hypothyroidism
depression
diabetes

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15
Q

fatigue + daytime sleepiness

A

OSA
hypothyroidism
narcolepsy

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16
Q

Diabetes-like presentation

A

Diabetes mellitus
Diabetes insipidus
Atypical depression
Primary polydipsia

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17
Q

fatigue after starting night job

A

shift work sleep disorder
sleep apnea
anemia

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18
Q

Night sweats

A 
TB
acute HIV infection
Lymphoma
Leukemia
Hyperthyroidism
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19
Q

hyperthyroidism presentation

A

Hyperthyroidism
Pheochromocytoma
Carcinoid syndrome

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20
Q

insomnia

A

Stress-induced insomnia
Caffeine-induced insomnia
Insomnia related to major depressive disorder

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21
Q

sore throat

A 
Infectious mononucleosis
Hepatitis
Viral or bacterial pharyngitis
Acute HIV infection
Secondary syphilis
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22
Q

sore throat in injection drug user

A 
HIV
Infectious mononucleosis
Hepatitis
Viral pharyngitis
Streptococcal tonsilitis
Secondary syphilis
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23
Q

fever + sore throat

A

Bacterial or viral pharyngitis
Mycoplasma pneumonia
Acute HIV infection
Infectious mononucleosis

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24
Q

SOB + cough + wheezing

A 
Asthma
GERD
Bronchitis
Pneumonitis
Foreign body
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25
Q

SOB + productive cough for 3 months over last two years

A

Chronic bronchitis
Bronchiectasis
Lung cancer
TB

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26
Q

Nonproductive cough following sore throat and runny nose a couple weeks ago

A 
atypical pneumonia
reactive airway disease
URI-associated cough
postnasal drip
GERD
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27
Q

cough for 6 months with hemoptysis, dyspnea, weakness, weight loss

A 
lung cancer
TB
lung abscess
COPD
vasculitis (GPA)
ILD
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28
Q

dyspnea + sputum production for three days in COPDer

A 
COPD exacerbation (bronchitis)
Lung cancer
Pneumonia
URI
CHF
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29
Q

SOB + cough + unprotected sex

A 
TB
Pneumonia
Bronchitis
Asthma
Acute HIV infection
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30
Q

Cough worse when laying down + improved when propping up on pillows

A 
CHF
Cardiac valvular disease
GERD
Pulmonary Fibrosis
COPD
Postnasal drip
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31
Q

dyspnea of 6 hrs duration + cough with sputum production

A

pulmonary edema
CHF
mitral valve stenosis
pneumonia

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32
Q

pneumonia clinical features

A 
Cough
Increased sputum production
SOB
Pleuritic chest pain
Fever
Chills
Weakness
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33
Q

CHF clinical features

A 
paroxysmal nocturnal dyspnea
orthopnea
dyspnea on exertion
fatigue and weight gain
cough
exercise intolerance
increasing abdominal girth
lower extremity edema
shortness of breath when bending forward.
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34
Q

MI features

A

dyspnea
diaphoresis
nausea
history of HTN, HLD, smokin

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35
Q

MI differential

A 
MI
GERD
angina
costochondritis
aortic dissection
pericarditis
PE
Pneumothorax
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36
Q

chest pain in SCD patient

A 
acute chest syndrome
PE
pneumonitis
MI
pneumothorax
aortic dissection
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37
Q

GERD differential

A

GERD
esophagitis
peptic ulcer disease
esophageal spasm

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38
Q

stable angina differential

A

stable angina
esophageal spasm
esophagitis

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39
Q

pericarditis differential

A 
pericarditis
aortic dissection
MI
costochondritis
GERD
esophageal spasm
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40
Q

PE differential

A 
PE
Pneumonia
Costochondritis
MI
CHF
Aortic dissection
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41
Q

PE features

A 
acute onset SOB
pleuritic hcest pain
tachycardia
hypotension
tachypnea
mild fever
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42
Q

aortic dissection differential

A 
Aortic dissection
MI
Pericarditis
Esophageal rupture
Esophageal spasm
GERD
Pancreatitis
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43
Q

palpitations and diaphoresis in diabetic patient

A 
Hypoglycemia
Cardiac arrhythmia
Angina
Hyperthyroidism
Panic atack
Pheochromocytoma
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44
Q

panic attack differential

A 
Panic attack
GAD
Acute stress disorder
Specific phobia
Hyerthyroidism
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45
Q

palpitations during speeches

A

Social phobia
Avoidant personality disorder
Generalized anxiety disorder
Panic attack

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46
Q

young woman with episodic palpitations accompanied by lightheadedness and sharp chest pain

A

MVP
cardiac arrhythmia
panic attack
pheochromocytoma

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47
Q

weight loss + tremor + tachy

A 
Hyperthyroidism
Cancer
HIV infection
Dieting drugs
Anorexia nervosa
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48
Q

weight gain after quitting smoking (and otherwise)

A 
Smoking cessation
Drug side effect
Hypothyroidism
Cushing's syndrome
PCOS
DM
Atypical depression
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49
Q

Insulinoma presentation

A 
Tremor
Palpitations
Anxiety
Hunger
Proximal muscle eeakness
Easy bruising
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50
Q

Dysphagia differential

A 
Esophageal cancer
Achalasia
Esophagitis
Systemic sclerosis
Esophageal stricture
ALS
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51
Q

Plummer-Vinson syndrome presentation

A

Dysphagia
Odynophagia
Fatigue
Pika

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52
Q

dysphagia + odynophagia

A 
Esophagitis
Systemic sclerosis
GERD
Esophageal stricture
Zenker's diverticulum
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53
Q

Hodgkin’s presentation

A 
night sweats
fever
weight loss
loss of appetite
early satiety
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54
Q

sudden onset of colicky right-sided flank pain radiating to testicles

A

Nephrolithiasis
Renal cell carcinoma
Pyelonephritis
Appendicitis

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55
Q

nephrolithiasis presentation

A 
colicky pain
flank pain
pain radiating to testicles
nausea
vomiting
hematuria
CVA tenderness
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56
Q

pancreatitis presentation differential

A 
pancreatic cancer
cholangiocarcinoma
acute viral hepatitis
acute alcoholic hepatitis
Chronic pancreatitis
Abdominal aortic aneurysm
Peptic ulcer disease
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57
Q

acute pancreatitis differential

A 
Acute pancreatitis
Peptic ulcer disease
Cholecystitis
Gastritis
Abdominal aortic aneurysm
Mesenteric ischemia
Alcoholic hepatitis
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58
Q

cholecystitis differential

A 
Acute cholecystitis
Choledocholithiasis 
Hepatitis 
Ascending cholangitis
Peptic ulcer disease
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59
Q

burning epigastric pain after meal differential

A 
Peptic ulcer disease
Gastritis
Cholecystitis
Chronic pancreatitis
Mesenteric ischemia
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60
Q

Severe LUQ abdominal pain

A 
Splenic rupture
Kidney stone
Rib fracture
Pneumonia
Perforated peptic ulcer
Splenic infarct
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61
Q

intestinal obstruction differential

A 
Small bowel obstruction
Small bowel or colon cancer
Volvulus
Gastroenteritis
Food poisoning
Ileus
Hernia
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62
Q

Dark bowel movement/bloody bowel movement

A 
mesenteric ischemia/infarction
Diverticulitis
PUD
Gastroenteritis
acute pancreatitis
cholecystitis
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63
Q

severe RLQ pain in young woman

A 
ovarian torsion
appendicitis
nephrolithiasis
ectopic pregnancy
ruptured ovarian cyst
pelvic inflammatory disease
Bowel infection or perforation
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64
Q

diverticulitis differential

A 
Diverticulitis
Crohn's disease
Ulcerative colitis
Gastroenteritis
Abscess
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65
Q

young male with severe RLQ abdominal pain

A 
Acute appendicitis
Gastroenteritis
Crohn's disease
Nephrolithiasis
Perforation
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66
Q

IBS differential

A 
Irritable bowel syndrome
Inflammatory bowel disease
Crohn's disease
Celiac disease
Chronic pancreatitis
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67
Q

pelvic inflammatory disease differential

A 
Pelvic inflammatory disease
Endometriosis
Dysmenorrhea
Vaginitis 
Cystitis
Spontaneous abortion
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68
Q

constipation differential

A 
Low-fiber diet
Depression
Substance abuse (heroin)
Irritable bowel syndrome
Hypothyroidism
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69
Q

infectious diarrhea differential

A

Infectious diarrhea

Food poisoning

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70
Q

Traveler’s diarrhea differential

A 
Traveler's diarrhea
Giardiasis
Amebiasis
Food poisoning 
Hepatitis A
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71
Q

coffee-ground emesis + epigastric pain

A

Bleeding peptic ulcer
Gastritis
Gastric cancer
Esophageal varices

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72
Q

blood in stool differential

A 
colorectal cancer
anal fissure
hemorrhoids
diverticulosis
ischemic bowel disease
angiodysplasia
IBD
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73
Q

painless hematuria differential

A 
Bladder cancer
Renal cell carcinoma
Nephrolithiasis
Acute glomerulonephritis
Prostate cancer
Coagulation disorder
Polycystic kidney disease
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74
Q

BPH differential

A

BPH
Prostate cancer
UTI
Bladder stones

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75
Q

dysuria + discharge + unprotected sex

A

Urethritis
Cystitis
Prostatitis

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76
Q

pyelo differential

A

Acute pyelonephritis
Nephrolithiasis
Lower UTI (cystitis, urethritis)
Renal cell carcinoma

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77
Q

urinary leakage differential

A

Stress incontinence
Mixed incontinence
Urge incontinence
Overflow incontinence

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78
Q

pregnancy differential

A

pregnancy
anovulatory cycle
Hyperprolactinemia

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79
Q

PCOS/amenorrhea differential

A

PCOS
Thyroid disease
Hyperprolactinemia
Pregnancy

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80
Q

menopause differential

A

Menopause
Pregnancy
Pituitary tumor
Thyroid disease

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81
Q

Sheehan’s syndrome presentation

A 
amenorrhea
cold intolerance
coarse hair
weight loss
fatigue
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82
Q

amenorrhea in young woman differential

A

Anorexia nervosa
Pregnancy
Hyperthyroidism
Anxiety-induced amenorrhea

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83
Q

vaginal bleeding history

A
  • pre vs. post menopausal
  • status
  • duration
  • amount
  • menstrual history and relation to last menstrual period
  • associated discharge
  • pelvic or abdominal pain
  • urinary symptoms
  • trauma
  • medications (especially blood thinners, contraceptives)
  • history of easy bleeding or bruising
  • history of abnormal pap smears
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84
Q

differential for prolonged, excessive, irregular bleeding

A
  • dysfunctional uterine bleeding
  • coagulation disorder
  • cervical cancer
  • molar pregnancy
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85
Q

vaginal bleeding in post-menopause differential

A 
endometrial cancer
cervical cancer
atrophic endometrium
endometrial hyperplasia
endometrial polyp
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86
Q

postcoital bleeding differential

A

cervical cancer
endometrial cancer
cervical polyp
cervicitis

87
Q

vaginal bleeding in pregnant patient differential

A

spontaneous abortion
ectopic pregnancy
molar pregnancy

88
Q

left lower abdominal pain in female differential

A

ectopic pregnancy
ruptured ovarian cyst
ovarian torsion
PID

89
Q

grayish-white, foul-smelling vaginal discharge differential

A

Bacterial vaginosis
Candidal vaginitis
Trichomonal vaginitis
Cervicitis (chlamydia, gonorrhea)

90
Q

painful intercourse differential

A

Atrophic vaginitis
Endometriosis
Cervicitis
Domestic violence

91
Q

dyspareunia + dysmenorrhea differential

A 
Endometriosis
Cervicitis
Vaginismus
Vulvodynia
PID
domestic violence
92
Q

Domestic violence differential

A

Domestic violence
Osteogenesis Imperfecta
Substance abuse

93
Q

Rape differential

A

Rape

Domestic violence

94
Q

Lupus differential

A

SLE
RA
Psoriatic arthritis
Parvovirus B19 infection

95
Q

young person with joint pain

A

RA
SLE
Disseminated gonorrhea
Arthritis associated with IBD

96
Q

changes associated with pregnancy

A

polyuria
breast tenderness
nausea/morning sickness
constipation

97
Q

murphy’s sign

A

ask pt to breathe out – place the hand below the costal margin on the right side at the mid-clavicular line (the approximate location of the gallbladder) – tell patient to breathe in – positive if pt stops breathing in and whinces (gallbladder comes in contact with examiner’s fingers)

98
Q

Mcburney’s point

A

have patient lay supine – place hand one-third of the distance from the anterior superior iliac spine to the umbilicus (navel) –

99
Q

ROS frame

A 
Head to Toe
Constitutional
HEENT
CV
PULM
GI
GU
MSK
DERM
Neuro
Psych
Endocrine
100
Q

constitutional ROS

A

weight loss
night sweats
fatigue/malaise
sleeping appetite fever

101
Q

HEENT ROS

A 
Vision changes
HA
Double vision
Runny nose
Nose bleeds
sinus pain
Ear pain
sore throat
odynophagia
102
Q

CV ROS

A 
chest pain
PND
orthopnea
edema
palpitations
faintness
LOS
103
Q

Pulm ROS

A 
cough
sputum
wheeze
hemoptysis
SOB
Exercise intolerance
104
Q

GI ROS

A 
abdominal pain
weight loss
dysphagia
indigestion
bloating/cramping
anorexia
N - V
diarrhea/constipation
obstipation
hematemesis
BRBPR
melena
105
Q

GU ROS

A 
incontinence
dysuria
hematuria
nocturia
polyuria
Genital -- 
discharge
pain with urination, menstruation
use of pads/tampons
duration 
LMP
contraception
106
Q

MSK ROS

A

pain, stiffness, joint swelling, ROM, crepitus, arthritis

107
Q

Neuro ROS

A 
sight, smell, hearing, taste
seizures
faints
HA
numbness/paresthesias
weakness
speech problems
108
Q

psych ROS

A 
depression
sleep 
anxiety
concentrating
energy
personality
109
Q

inability to use leg

A

Hip fracture
Hip dislocation
Pelvic fracture

110
Q

fever + joint pain

A

Septic arthritis
Gout
Pseudogout
Lyme arthritis

111
Q

right foot pain related to overuse

A

stress fracture
plantar fasciitis
foot sprain or strain

112
Q

plantar fasciitis differential

A

plantar fasciitis

heel fracture

113
Q

pain in both legs induced by walking and relieved by rest differential

A

peripheral vascular disease
Lumbar spinal stenosis
Osteoarthritis

114
Q

DVT differential

A

DVT
baker’s cyst rupture
cellulitis
Superficial venous thrombosis

115
Q

shoulder dislocation differential

A

shoulder dislocation
fracture of the humerus
rotator cuff injury

116
Q

crampy muscle pain + fatigue + dark urine

A

rhabdomyolysis due to statins
polymyositis
Inclusion body myositis

117
Q

low back pain differential

A 
Disc herniation
Lumbar muscle strain
vertebral compression fracture
Lumbar spinal stenosis
Peripheral vascular disease
118
Q

fever + lethargy in infant differential

A

neonatal sepsis
meningitis
pneumonia

119
Q

gastroenteritis in kid differential

A

gastroenteritis
food poisoning
volvulus
intussusception

120
Q

infant spitting up milk

A

pyloric stenosis
GERD
gastroenteritis

121
Q

hirschprung’s differential

A

Hirschprung’s
Low-fiber diet
anal stenosis
hypothyroidism

122
Q

bloody stools + abdominal pain in infant

A 
intussusception
appendicitis
Meckel's diverticulum
volvulus
gastroenteritis
123
Q

kid with abdominal pain worse at school

A

somatoform disorder
malingering
IBS

124
Q

persistent crying differential

A

colic
formula allergy
GERD

125
Q

pink eye differential

A

Bacterial conjunctivitis
Viral conjunctivitis
Keratitis

126
Q

short kid + lack of sexual development differential

A

Constitutional short stature
Growth hormone deficiency
Hypothyroidism

127
Q

ADHD differential

A 
ADHD
Oppositional defiant disorder
Conduct disorder
Adjustment disorder
Substance abuse
Age-appropriate behavior
128
Q

orders for headache workup

A

ESR
CT-head
MRI-brain

129
Q

temporal arteritis orders

A

ESR
CRP
Temporal artery biopsy

130
Q

sinusitis differential

A

Sinusitis
Migraine
Tension headache
Meningitis

131
Q

subarachnoid hemorrhage differential

A

SAH
Migraine
Meningitis
Intracranial hemorrhage

132
Q

meningitis differential

A

meningitis
migraine
SAH
Encephalitis

133
Q

SAH orders

A

Noncontrast CT-head
LP-CSF analysis
CBC

134
Q

meningitis orders

A

CT-head
MRI-brain
LP-CSF

135
Q

pseudotumor orders

A

urine hCG
CT-head
LP–opening pressure + CSF

136
Q

dementia orders

A 
CBC
VDRL - RPR
B12
TSH
MRI-brain
CT-head
LP-CSF
137
Q

hypoglycemic episode orders

A

Glucose
CBC
Troponin
ECG

138
Q

subdural hematoma orders

A

CT-head
CBC
LP-CSF

139
Q

pysch disorders orders

A

TSH

Urine toxicology

140
Q

BPV order

A

Dix-hallpike maneuver

141
Q

orthostatic hypotension order

A

orthostatic vital signs

BMP

142
Q

Menier’s disease order

A

audiogram

electronystagmography

143
Q

other disorder that can cause positional dizziness

A

vertebrobasilar insufficiency

144
Q

seizure workup

A 
BMP
Blood glucose
Utox
EEG
CT-head
ECG
145
Q

syncope orders

A 
ECG
Holter monitoring
CT-head
BMP-glucose
Echocardiography
146
Q

TIA-stroke orders

A 
CT-head
Fasting lipid panel
ECG
MRI_brain
Doppler US-carotid
Echocardiography
EEG
147
Q

GBS-MS orders

A 
LP-CSF
MRI-brain,spine
nerve conduction studies
Edrophonium test (MG)
serum B12
148
Q

carpal tunnel syndrome orders

A

TSH

Nerve conduction studies

149
Q

colon cancer orders

A

Colonoscopy
rectal exam
CBC
(CT abdomen-pelvis)

150
Q

OSA orders

A

Nocturnal pulse oximetry
Polysomnography
TSH

151
Q

DM2 orders

A 
Glucose tolerance test
HbA1c
UA
CBC
BMP
152
Q

TB orders

A 
Quantiferon gold
CBC
CXR
Sputum grain stain, acid-fast stain
HIV antibody
153
Q

pheochromoctyoma orders

A

24-hour urinary catecholamines

TSH

154
Q

carcinoid syndrome order

A

5-HIAA

155
Q

mono-sore throat orders

A

Monospot test
Throat culture
HIV antibody test
Anti-EBV antibodies

156
Q

orders for fever + sore throat

A

Rapid streptococcal antigen
Throat swab for culture
Monospot test
Cold agglutinin titer for mycoplasma

157
Q

MI orders

A

troponin x3
CXR
Echo
d-dimer

158
Q

acute chest syndrome orders

A

CBC with reticulocyte count and peripheral smear

159
Q

GERD-esopaghitis-PUD workup

A

ECG

Upper endoscopy

160
Q

stable angina workups

A 
Exercise stress test
Cardiac catheterization
ECG
Troponins
CXR
161
Q

PE order

A

CTA-chest with IV contrast

Doppler U/S legs

162
Q

pancreatitis orders

A

amylase, lipase

163
Q

what to order for weight loss + fine tremor + tachycardia

A

TSH + Utox + BMP

164
Q

what to order for Cushing’s

A

24-hour urine free cortisol

165
Q

Hodgkin’s orders

A

CBC with differential
Lymph node biopsy
Thyroid US

166
Q

pregnancy orders

A

Urine hCG
Pelvic exam
Pelvic US

167
Q

nephrolithiasis orders

A

KUB
Renal US
CT–abdomen

168
Q

hepatitis orders

A

viral hepatitis serologies

169
Q

PID-endometriosis orders

A 
Pelvic exam
US-pelvis
Urine hCG
CBC
UA-Urine culture
170
Q

constipation orders

A

rectal exam
TSH
Electrolytes
U toxicology

171
Q

pseudomembranous colitis order

A

stool for c diff toxin

172
Q

lactose interolerance order

A

hydrogen breath test

173
Q

bladder cancer order

A

cystoscopy

CT–abdomen-pelvis

174
Q

painless hematuria other oder

A

Genitourinary exam

175
Q

BPH-prostate cancer orders

A 
PSA
US-prostate
Rectal exam
CBC
prostate biopsy
176
Q

STD-dysuria orders

A

UA-urine culture
Chlamydia and gonorrhea PCR
Gram stain and culture of discharge

177
Q

pyelo orders

A

UA, urine culture and sensitivity
Blood cultures
US-renal
CT-abdomen

178
Q

incontinence orders

A

UA-culture
Urodynamic testing
IVP
Cystourethroscopy

179
Q

impotence differential

A

Drug-related ED
ED caused by HTN
ED caused by DM
Psychogenic ED

180
Q

impotence orders

A

GU exam
Glucose
CBC
Testosterone level

181
Q

PCOS orders

A

LH-FSH, TSH, prolactin

182
Q

molar pregnancy order

A

pelvic US

183
Q

endometrial cancer orders

A

endometrial biopsy-curretage

US pelvics

184
Q

cervical cancer order

A

Colposcopy

185
Q

spontaneous abortion-ectopic pregnancy-molar pregnancy

A 
Urine hCG
quantitative serum hCG
US-abdomen-pelvis
Pelvic exam
CBC
186
Q

vaginal discharge orders

A

Pelvic exam
Wet mount, KOH prep
vaginal fluid pH
Cervical cultures

187
Q

order for rape

A

forensic exam

pelvic exam

188
Q

SLE orders

A

ANA, anti-dsDNA, ESR, C4, C4

189
Q

parvovirus B19 infection

A

antibody titers for parvovirus B19

190
Q

gout-psuedogout orders

A

knee arthroentesis and synovial fluid analysis

uric acid

191
Q

PVD order

A

ankle-brachial index

angiography

192
Q

back pain orders

A

XR-L-spine

MRI-L-spine

193
Q

infant with constipation orders

A 
Anorectal manometry
Rectal exam
Stool exam and culture
TSH
electrolytes
194
Q

conjunctivitis orders

A

Discharge cultures

Slit lamp exam

195
Q

delayed growth orders

A 
GH stimulation test
IGF-1, IGFBP-3
TSH
XR-hand
Sweat chloride testing
196
Q

cholecystitis clinical features

A 
after eating fatty food
colicky
nausea
vomiting
fever on exam
197
Q

choledocholothiaisis presentation

A

jaundice

198
Q

endometrial cancer

A 
abdominal-pelvic pain
abdominal distention
bloating
early satiety
change in bowel-bladder function
199
Q

retinal artery occlusion presentation

A

sudden painless, monocular vision loss or degradation

200
Q

lung cancer presentation

A

dyspnea
persistent cough
wheezing
hemoptysis

201
Q

schizophrenia features

A

hearing voices which are often critical or abusive (auditory hallucinations)
articulating strange beliefs (delusions)
disorganized speech and thought (thought disorder)
disorganized social behavior
social withdrawal and loss of will (negative symptoms)
flattened affect

202
Q

GERD features

A
  • burning behind sternum
  • burning worse after meals or in recling position
  • eased by antacids
  • hoarseness
  • throat clearing
  • chronic cough
203
Q

asthma features

A

cough
chest tightness
wheezing
dyspnea

204
Q

OSA features

A 
insomnia
snoring
awakenings
excessive daytime sleepiness
decreased concentration and memory
morning HA
205
Q

Infectious mononucleosis

features

A 
fever
pharyngitis
fatigue
HA
abdominal pain
nausea
vomiting
206
Q

PCOS

A 
infertility
hirsutism
acne
amenorrhea
obesity
hair loss
207
Q

AAA features

A

smoking
back pain
hematuria

208
Q

colon cancer presentation

A 
rectal bleeding
change in bowel habit
fatigue
weight loss
generalized or localized abdominal pain
209
Q

meniere’s disease presentation

A 
hearing loss
tinnitus
fullness
vertigo
hearing loss
210
Q

meningitis presentation in infant

A 
neck pain
HA
fevers
poor cry
poor feeding
altered behavior
altered muscle tone
signs of respiratory distress
seizure
oliguria
211
Q

sepsis in child

A 
fever
hypothermia
tachypnea
abdominal pain with vomiting or diarrhea
lethargy, which may be profound
altered mental status
212
Q

Neonatal Jaundice differential

A

crigjler-najjar
breast milk jaundice
hemolytic disease of newborn

213
Q

diarrhea in a child

A

intussusception
gastroenteritits
functional diarrhea
lactase deficiency

Step 2 CS (9 decks)

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