FATIGUE AND SLEEPINESS

Question 1

Depression DDx:

3

Answer 1

1. Adjustment disorder.
2. Hypothyroidism.
3. Anemia.

Question 2

Depression workup:

4

Answer 2

1. CBC.
2. TSH.
3. HIV/STD testing.
4. Beck depression inventory.

Question 3

Posttraumatic stress disorder DDx:

4

Answer 3

1. Depression.
2. Generalized anxiety disorder.
3. Psychotic or delusion disorder.
4. Hypothyroidism.

Question 4

Posttraumatic stress disorder workup:

4

Answer 4

1. CBC.
2. TSH.
3. Urine tox.
4. Beck depression inventory.

Question 5

Colon cancer DDx:

4

Answer 5

1. Hypothyroidism.
2. Renal failure.
3. Hypercalcemia.
4. Depression.

Question 6

Colon cancer workup:

8

Answer 6

1. Rectal exam, stool for occult blood.
2. CBC.
3. Electrolytes, BUN/Cr, calcium.
4. AST/ALT.
5. TSH.
6. Colonoscopy.
7. Barium enema.
8. CT abdomen/pelvis.

Question 7

Hypothyroidism DDx:

3

Answer 7

1. Depression.
2. Diabetes.
3. Anemia.

Question 8

Hypothyroidism workup:

4

Answer 8

1. TSH, FT3, FT4.
2. CBC.
3. Fasting glucose.
4. HbA1C.

Question 9

OSA DDx:

3

Answer 9

1. Hypothyroidism.
2. Chronic fatigue syndrome.
3. Narcolepsy.

Question 10

OSA workup:

5

Answer 10

1. CBC.
2. TSH.
3. Nocturnal pulse oximetry.
4. Polysomnography.
5. ECG.

Question 11

DM DDx:

3

Answer 11

1. Atypical depression.
2. Primary polydipsia.
3. DI.

Question 12

DM workup:

5

Answer 12

1. Glucose tolerance test.
2. HbA1c.
3. UA.
4. CBC.
5. Electrolytes, BUN/Cr, glucose.

Question 13

Shift work sleep disorder DDx:

3

Answer 13

1. Sleep apnea.
2. Depression.
3. Anemia.

Question 14

Shift work sleep disorder workup:

3

Answer 14

1. CBC.
2. Nocturnal pulse oximetry.
3. Polysomnography.