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Comp review > Fingerprints from S2D > Flashcards

Fingerprints from S2D Flashcards

1
Q

Pt w/ severe crampy generalised abd pain + hx of abd surgery. specific for ___

A

bowel obstruction

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2
Q

specific: distention ASW increased bowel sounds, vomiting, constipation, or prior surgery

A

bowel obstruction

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3
Q

increased bowel sounds w/ hx of prior surgery or vomiting. SPIN

A

bowel obstruction

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4
Q

all pts w/ TB should be tested for ____

A

HIV

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5
Q

urinary retention. sens and spec

A

cauda equina

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6
Q

sciatica means herniated disc at ____ or ____

A

L4-L5, L5-S1

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7
Q

straight leg raise elicits pain only in back. + or -?

A

negative

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8
Q

best test to r/o CA as a cause of back pain

A

MRI

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9
Q

abnormal post tibial pulse has high LR for ____

A

PAD

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10
Q

pericardial friction rub SPIN

A

pericarditis

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11
Q

can pts w/ PNA have a normal lung exam?

A

yes

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12
Q

normal lung exam + ______ makes PNA unlikely

A

normal VS

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13
Q

CAP rarely affects which lobes

A

upper

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14
Q

if you suspect osteomyelitis in a pt w/ diabetic foot ulcer, order ______

A

MRI

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15
Q

TZD for DM are CI in ___ and ____

A

HF, edema

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16
Q

____ ischemia should be suspected in pts w/ vertigo who have significant cerebrovascular dz RFs

A

basilar

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17
Q

______________ is a msut not miss dz that must be considered in all pts w/ HA and vertigo

A

cerebellar hemorrhage

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18
Q

can a UTI be r/o by a negative UA?

A

no, not if high clinical suspicious

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19
Q

dzs of _______ (3) are the MC causes of edema

A

heart, liver, kidneys

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20
Q

2 MCC of cirrhosis in US

A

alcoholic liver dz, chornic hep C

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21
Q

should compression stockings be used in pts w/ PAD

A

no

22
Q

3 MCC of fatigue

A

psych d/o, sleep d/o, med SE

23
Q

can a pt w/ a large hemorrhage have a normal Hgb?

A

yes

24
Q

most lethal type of GI bleeding

A

esophageal varices

25
Q

4/5 of POUND rules in migraine. stands for?

A

pulsitile
4-72 hours
unilateral
nausea
disabling

26
Q

most important sx to differentiate migraine from tension HA

A

nausea

27
Q

pt w/ HA that starts abruptly and reaches max severity in secs is ____ until proven otherwise

A

SAH

28
Q

pts 40+ w visible urinary blood clots req _____ even if bleeding is glomerular

A

cystoscopy

29
Q

___________________ accounts for >90% of hyperCa in otherwise healthy ambulatory pts

A

primary hyperparathyroidism

30
Q

does a normal K level r/o hyperaldosteronism?

A

no

31
Q

is CT or MRI more sensitive for dx of acute ischemic stroke

A

MRI

32
Q

never give a pt w/ pheochromocytoma a BB w/o first giving ____________

A

alpha blocker

33
Q

should NS be given to pts w/ SIADH?

A

no

34
Q

suspect ___________________________ in hypoNa pts w/ hyperK

A

primary adrenal insufficiency

35
Q

must r/o ____ prior to dx of SIADH

A

adrenal insufficiency

36
Q

does a normal WBC r/o bacteremia?

A

no

37
Q

which happens first: scleral icterus or skin jaundice?

A

scleral icterus

38
Q

best lab test of liver’s synthetic function

A

PT/INR

39
Q

do most pts w/ lyme have the classic target rash on presentation?

A

no

40
Q

MC type of AKI (not pre intra post)

A

ATN

41
Q

combo of lymphocytosis >50% AND atypical lymphs >10% is specific for?

A

mono

42
Q

abd discomfort prior to syncope has a high LR for what dx?

A

vasavagal syncope

43
Q

syncope during exertion has a high LR for what type?

A

cardiac syncope

44
Q

what can mimic vasovagal syncope, and what should you order?

A

long QT syndrome. ECG w/ QTc measured

45
Q

slow carotid upstroke is specific for __________

A

aortic stenosis

46
Q

most pts w/ NSAID-induced ulcers do not have what expected sx

A

pain

47
Q

does the absence of wheezing r/o asthma?

A

no

48
Q

dyspnea when is specific for ashtma?

A

nocturnal

49
Q

pt who takes ACEi develops angioedema and urticaria. is ACEi the cause?

A

no

50
Q

CP + radiation down b/l arms has high LR for ______

A

MI

51
Q

palpitations lasting >5min are likely due to which body system?

A

cardiac

Comp review (5 decks)

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