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OSCE 2 > Labs/Imaging > Flashcards

Labs/Imaging Flashcards

1
Q

acne vulgaris

A

none

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2
Q

rosacea

A

none

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3
Q

depression

A

PHQ-9, CBC

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4
Q

Dementia

A

CBC. CMP, B12, folate, syphilis testing, arterial blood gasses, UA, ECG, EEG, toxicology, CT, MRI, lumbar puncture, chest x-ray

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5
Q

impetigo

A

bacterial culture

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6
Q

folliculitis

A

bacterial culture

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7
Q

furuncle

A

incision + drainage for bacterial culture

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8
Q

carbuncle

A

same as furuncle (incision + drainage for bacterial culture)

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9
Q

erythema infectiosum

A

IgM, IgG can be measured

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10
Q

measles

A

IgM and IgG titers

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11
Q

rubella

A

IgG and IgM titers

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12
Q

pityriasis rosacea

A

If present on palms and/or soles - check RPR (to rule out secondary syphilis)

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13
Q

scarlet fever

A

culture for group A strep

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14
Q

roseola

A

none

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15
Q

hand, foot, and mouth disease

A

none

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16
Q

insect bites

A

biopsy (occasionally needed)

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17
Q

bed bugs

A

none (observe environment for bugs, stains)

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18
Q

herpes simplex virus

A
  • viral culture
  • Tzanck smear
  • screen for STIs + HIV (if hx warrants)
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19
Q

herpes zoster

A
  • viral culture
  • Tzanck smear
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20
Q

varicella zoster

A

ELISA titers (can confirm acute infection)

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21
Q

candidiasis

A
  • KOH
  • culture
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22
Q

tinea

A
  • KOH
  • culture
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23
Q

pityriasis (tinea) versicolor

A
  • KOH
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24
Q

eczema/atopic dermatitis

A
  • serum IgE
  • culture for bacteria or HSV if indicated
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25
Q

contact/allergic dermatitis

A

patch testing

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26
Q

psoriasis

A
  • ASO titer or strep culture (if indicated)
  • HIV testing (if indicated)
  • biopsy
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27
Q

seborrheic dermatitis

A

HIV testing (if indicated)

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28
Q

erythema multiforme

A
  • skin biopsy
  • chest x-ray (for Mycoplasma)
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29
Q

urticaria

A
  • biopsy
  • general workup to rule out systemic disease (for chronic urticaria)
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30
Q

malignant melanoma

A
  • skin biopsy
  • excisional biopsy
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31
Q

BCC

A

skin biopsy

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32
Q

SCC

A
  • skin biopsy
  • excisional biopsy
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33
Q

Delirium

A

CBC. CMP, B12, folate, syphilis testing, arterial blood gasses, UA, ECG, EEG, toxicology, CT, MRI, lumbar puncture, chest x-ray

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34
Q

Prostate cancer

A

CBC. CMP, B12, folate, syphilis testing, arterial blood gasses, UA, ECG, EEG, toxicology, CT, MRI, lumbar puncture, chest x-ray

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35
Q

DM

A

UA, serum glucose, hgA1C, insulin

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36
Q

Menopause

A

sleep diary, FSH/LH, TSH

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37
Q

Medication induced insomnia

A

none

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38
Q

Delayed sleep phase syndrome

A

sleep specialist

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39
Q

Narcolepsy

A

sleep specialist

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40
Q

Obstructive sleep apnea

A

sleep study, polysomnography, home testing

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41
Q

Periodic limb movement

A

sleep study

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42
Q

Restless leg

A

sleep study, serum ferritin

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43
Q

Multiple Myeloma

A

Monoclonal proteins, UA, peripheral smear, bone marrow, CT,

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44
Q

Thoracic outlet syndrome

A

electrodiagnostic testing, scalene muscle test injection, x-ray, US, CT, MRI

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45
Q

Lead

A

blood lead levels, X-ray fluorescence,

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46
Q

Tarsal tunnel

A

US, electrodiagnostic testing, MRI

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47
Q

Carpal tunnel

A

US, electrodiagnostic testing, MRI

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48
Q

Amyotrophic lateral sclerosis (ALS)

A

electrodiagnostic studies, MRI,

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49
Q

Guillain-Barré syndrome

A

CBC, lumbar puncture, Electrodiagnostic studies, CBC, CMP, ESR, serum glucose,

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50
Q

Diabetic neuropathy

A

Electrodiagnostic testing, insulin, hgA1c, CMP, fasting glucose

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51
Q

HIV

A

HIV RNA, HIV antigen, CBC

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52
Q

Lyme

A

western blot, ELISA

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53
Q

Rhabdomyolysis

A

creatine kinase, UA, BC, BUN, creatinine, CMP, liver function test, PT, aPTT, d-dimer, fibrinogen

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54
Q

Hyponatremia

A

CMP, CBC, serum osmolality

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55
Q

Hypernatremia (diabetes insipidus)

A

urine osmolality, UA specific gravity, CMP

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56
Q

Adrenal insufficiency/Addisons disease

A

ACTH stimulation test, serum cortisol, salivary cortisol, urinary cortisol,

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57
Q

Chronic Kidney disease

A

CMP, US, UA, creatinine, eGFR

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58
Q

Hypoparathyroidism

A

CMP, serum PTH, Mg, Phosphate, Vit D metabolites

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59
Q

Hypophosphatemia

A

24-hour urine collection, CMP, electrolytes

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60
Q

Hypokalemia

A

ECG, CMP

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61
Q

Cushing’s syndrome

A

salivary cortisol, 24-hour urinary free cortisol, dexamethasone suppression test, fasting blood glucose

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62
Q

Sjogrens

A

CBC with differential, ESR, total globulins, immunoglobulin, UA, CMP, urine protein/creatinine

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63
Q

RA

A

ESR, rheumatoid factor, CBC, x-ray

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64
Q

Systemic sclerosis

A

CBC with differential, serum creatinine levels, creatine kinase, UA with urine sediment, ANA, serologic testing

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65
Q

SLE

A

CMP, kidney function tests, antinuclear antibodies, ESR

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66
Q

Dermatomyosisits

A

CK, aldolase, CBC with differential, CMP, ESR, CRP, TSH, serologic tests

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67
Q

Polymyositis

A

CK, aldolase, CBC with differential, CMP, ESR, CRP, TSH, serologic tests

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68
Q

Inclusion body myositis

A

creatinine kinase, CMP, lactate dehydrogenase, serum aminotransferases, TSH, autoantibodies

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69
Q

MS

A

MRI, CSF analysis, autoantibody testing, optical coherence tomography

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70
Q

Fibromyalgia

A

CBC, ESR, CRP

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71
Q

Cancer

A

CBC, leukocyte count, CMP, UA, glucose, hgA1c, TSH, HIV, ESR, CRP, x-ray

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72
Q

Anemia

A

CBC with differential, ferritin, serum iron, transferrin, TIBC

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73
Q

Hypothyroid

A

TSH, antibodies, T3, T4

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74
Q

Myasthenia gravis

A

ice pack test, edrophonium test, failure of neuromuscular blockade reversal, serologic testing

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75
Q

Intracerebral hemorrhage

A

CT, MRI

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76
Q

Brain abscess

A

MRI, serologic evaluation for a parasitic pathogen, cryptococcal antigen

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77
Q

Pseudotumor cerebri

A

CT

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78
Q

Subdural hematoma

A

CT

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79
Q

Hydrocephalus

A

CT

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80
Q

Intracranial tumor

A

CT

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81
Q

Dietary ingestion (tyramines, MSG, and nitrates)

A

blood chemistry

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82
Q

Drug withdrawal

A

blood chemistry

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83
Q

Severe hypoglycemia

A

blood glucose or continuous glucose monitoring

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84
Q

Carbon monoxide poisoning

A

blood gasses and carboxyhemoglobin levels

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85
Q

Temporal arteritis

A

elevated ESR

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86
Q

Cervical spine disorders

A

x-ray

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87
Q

Optic neuritis

A

ophthalmology

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88
Q

Trigeminal neuralgia

A

MRI

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89
Q

Meningitis

A

lumbar puncture, CBC with differential, CMP, BUN, creatinine, PT, thrombin time, blood culture

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90
Q

Otitis media

A

pneumatic otoscopy, tympangram

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91
Q

Pharyngitis

A

throat culture, CBC, monospot, rapid strep test

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92
Q

Dental disorders

A

dental referral

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93
Q

Sinusitis

A

x-ray

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94
Q

Benign exertional headache

A

MRI, CT

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95
Q

Cluster headache

A

MRI

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96
Q

Mixed headache

A

MRI

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97
Q

Migraine w/o aura

A

none

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98
Q

Migraine w/ aura

A

none

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99
Q

Tension-type headache

A

none

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100
Q

Head Trauma

A

MRI or CT

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101
Q

Ototoxic and salt-retaining drugs

A

audiometry

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102
Q

Neurosyphilis

A

serology for syphilis

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103
Q

Arrhythmia

A

EKG, Holter monitor

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104
Q

Orthostatic

A

tilt table

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105
Q

Anxiety

A

hyperventilation, GAD7, AUDIT, CBC, CMP, TSH, T3/T4, salivary cortisol, urine drug screen

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106
Q

Reflex syncope

A

ECG, tilt table

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107
Q

Cholesteatoma

A

audiometry

108
Q

Perilymph fistula

A

CT, audiometry

109
Q

Acoustic neuroma

A

MRI, audiometry

110
Q

Labyrinthitis

A

audiometry,

111
Q

Vestibular neuronitis

A

MRI, CT

112
Q

Meniere disease

A

audiometry, electronystagmography

113
Q

Benign Paroxysmal Positional Vertigo

A

electronystagmography

114
Q

Stroke

A

CT or MRI, ECG

115
Q

Vascular insufficiency

A

US, venography

116
Q

TIA

A

MRI

117
Q

Balanitis

A

none

118
Q

Gonococcal urethritis

A

urine NAAT test, gram stain culture

119
Q

Nongonococcal Fitis

A

gram stain, culture, NAAT testing for chlamydia

120
Q

Acute bacterial prostatitis

A

segmental urine specimens, culture and sensitivity or urine and discharge

121
Q

Epididymitis or Orchitis

A

doppler flow studies, urethral gram stain, urinalysis, culture, molecular testing for chlamydia and gonorrhea

122
Q

Kidney stones (calcium or uric acid)

A

CMP, UA, CT or US

123
Q

Renal abscess

A

UA, CT or US, CMP, CBC

124
Q

Renal cell carcinoma

A

CT or US, MRI, biopsy

125
Q

Transitional cell carcinoma (kidney)

A

CT, retrograde pyelography, CT urography, Ureteropyeloscopy with cystoscopy

126
Q

IgA nephropathy

A

kidney biopsy, UA, creatinine

127
Q

Polycystic kidney disease

A

CT, genetic testing, MRI

128
Q

Pyelonephritis

A

UA and culture, urine dipstick,

129
Q

Hydronephrosis

A

creatinine, UA, CMP, US

130
Q

Sickle cell disease

A

UA, culture, hemoglobin electrophoresis, DNA testing, CBC, CMP, serum iron, ferritin, transferrin, sickly solubility test, ALT, AST, ALP

131
Q

Urothelial carcinoma of the bladder

A

cystoscopy

132
Q

Squamous cell carcinoma of bladder

A

UA, cystoscopy, urine cytology, CT,

133
Q

Acute cystitis

A

UA and culture

134
Q

Radiation cystitis

A

UA, culture, cystoscopy, CT

135
Q

BPH

A

UA, culture, creatinine, PSA

136
Q

Schistosomiasis infection

A

antigen tests, PCR, serology

137
Q

Drugs induced hematuria

A

creatinine, UA,

138
Q

Wegner’s granulomatosis

A

ANCA, creatinine, UA, CBC, ESR, CRP, CT

139
Q

Hemolytic Uremic Syndrome

A

CBC, c. difficile toxin assay or stool culture, molecular testing

140
Q

pregnancy

A

pregnancy test, US

141
Q

drug induced hematuria

A

UA, blood chemistry

142
Q

Cystocele

A

US, postvoid residual (PVR) urine volume, Defecography

143
Q

Reactive arthritis

A

x-ray, arthrocentesis, NAAT testing (chlamydia), CBC, CMP, UA

144
Q

Urethral stricture

A

UA, dipstick,

145
Q

Cauda Equina

A

MRI, CT, Nerve conduction studies and electromyography

146
Q

Urge incontinence

A

UA, culture, office cystometrography, BUN/Creatinine

147
Q

Bladder outlet obstruction

A

UA, culture, BUN, Creatinine,

148
Q

Detrusor underactivity

A

UA, culture, BUN, Creatinine,

149
Q

Chronic urinary retention

A

UA, culture, BUN, Creatinine,

150
Q

Stress incontinence

A

UA, culture,

151
Q

Mixed incontinence

A

UA, culture, office cystometrography

152
Q

Interstitial cystitis

A

UA, culture, postvoid residual volume, STI testing

153
Q

Vaginitis

A

gram stain, KOH, culture, molecular testing

154
Q

Genitourinary syndrome of menopause/vaginal atrophy

A

vaginal pH,

155
Q

Sickle cell anemia

A

CBC, CMP, iron panel, peripheral smear, UA, hemoglobin electrophoresis, DNA testing

156
Q

breast cancer

A
  • diagnostic mammogram
  • ultrasound
  • tissue biopsy
157
Q

breast cysts

A
  • clinical exam
  • FNA
  • mammogram
  • ultrasound
158
Q

fibroadenoma (breast)

A
  • diagnostic mammogram
  • US
  • biopsy
159
Q

breast abcess

A

incision and drainage with culture

160
Q

fat necrosis (breast)

A

biopsy

161
Q

lipoma (breast)

A

biopsy

162
Q

TB

A

biopsy, HIV testing, chest x-ray, purified protein derivative, QuantiFERON-TB gold test

163
Q

ruptured implant

A
  • diagnostic mammogram
  • US
  • MRI
164
Q

mastitis/acute abcess

A
  • bacterial culture
  • CBC
165
Q

fibrocystic breast changes

A
  • mammogram
  • if nipple d/c present: ductogram, maybe MRI
166
Q

intraductal papilloma (breast)

A
  • diagnostic mammogram
  • US
  • ductogram
  • maybe MRI
167
Q

duct ectasia

A
  • diagnostic mammogram
  • US
  • ductogram
  • maybe MRI
168
Q

hyperprolactinemia

A
  • serum prolactin
  • TSH
  • MRI (if indicated)
169
Q

cyclic mastalgia

A

none (hx and clinical exam)

170
Q

noncyclic mastalgia

A
  • mammogram
  • US
171
Q

costochondritis

A
  • none
  • trial of NSAIDs
  • ECG
  • CXR, ultrasound, MRI/PET
172
Q

Klinefelter syndrome

A

karyotyping

173
Q

stable angina

A
  • ECG
  • CBC/CMP, urea, electrolytes
  • fasting blood glucose, cholesterol, triglycerides
  • ALP, ALT, AST (baseline for statin)
  • troponin, cardiac enzymes
  • echo
  • exercise testing/ECG
174
Q

muscle strain of the chest (intercostal muscle, pectoralis minor/major)

A
  • diagnosis is clinical
  • CXR
  • MRI to rule out rib fracture
175
Q

pneumonia

A
  • CBC, CMP, differential WBC count
  • CRP, ESR
  • BUN, electrolytes
  • ALP, ALT, AST
  • blood culture, sputum culture
  • CXR
  • pulse ox, blood gases
  • aspiration of pleural fluid
176
Q

pneumothorax

A
  • CXR
  • lung ultrasound (traumatic pneumothorax)
  • CT scanning
  • pulse ox, arterial blood gases
177
Q

ischemic heart disease

A
  • CBC, CMP, ferritin
  • BNP
  • fasting glucose, HbA1c
  • ECG
  • Echo
178
Q

COPD

A
  • spirometry, peak flow
  • CXR
  • CBC, CMP
  • ECG
  • CT scan
  • sputum culture
179
Q

pulmonary embolism

A
  • CBC, CMP, ferritin, clotting screen
  • ECG
  • CXR
  • pulse ox, arterial blood gases
  • echo
  • troponins
  • D-dimer
180
Q

pericarditis

A
  • diagnosis is clinical
  • CXR
  • ECG
  • echo
  • MRI, CT
  • needle aspiration
181
Q

GERD

A

endoscopy, upper GI barium swallow, CBC, CMP, ferritin, esophageal pH monitoring (catheter, pH capsule)

182
Q

peptic ulcer

A
  • CBC, CMP, ferritin
  • H. pylori testing (urea breath test, stool antigen test, serology)
  • endoscopy
183
Q

cholecystitis

A
  • CBC, CMP, differential WBC count
  • abdominal ultrasound
  • HIDA Cholescintigraphy (blocked cystic duct)
  • ALT, AST, ALP, GGT
184
Q

pancreatitis

A
  • CBC, CMP
  • CRP, creatinine, calcium, serum amylase, lipase
  • glucose, Hba1c
  • serum trypsinogen
  • secretin stimulation test
  • plain abdominal x-ray
    CT scan, US, MRI
  • peritoneal aspiration, bacterial culture
  • laparoscopy, pancreatic biopsy
185
Q

myocarditis

A
  • ECG
  • CBC, CMP, creatine kinase, urea, electrolytes, ESR, CRP
  • Troponin
  • CXR
  • Viral or Chagas’s serology
  • Systemic autoantibodies
  • Echo
  • Cardiac MRI
  • Endomyocardial biopsy
186
Q

rib fracture

A
  • pain radiograph
  • CT
  • Ultrasound
186
Q

Frailty syndrome

A

CBC

186
Q

Hyperthyroidism

A

TSH, T3/T4, autoantibodies, thyroid ultrasound, CRP, ESR

187
Q

Malabsorption

A

colonoscopy, stool culture, fecal fat

188
Q

Anorexia nervosa

A

TSH, T4, CMP,

189
Q

Crohn disease

A

CBC, colonoscopy, barium enema, small bowel follow-through

190
Q

Nonorganic failure to thrive

A

CBC, CMP

191
Q

Cystic fibrosis

A

sweat test

192
Q

URI

A

none

193
Q

Gastroenteritis

A

none

194
Q

PID

A

CBC, culture, molecular testing

195
Q

Osteomyelitis

A

culture, CBC, radionuclide scan, CT, MRI

196
Q

Kawasaki disease

A

CBC, CRP, ESR, serum IgM, IgE

197
Q

Enterovirus

A

none

198
Q

Drugs and alcohol

A

CAGE alcohol screening

199
Q

Heart failure

A

ECG, chest x-ray, arterial blood gases

200
Q

Mononucleosis

A

Monospot, CBC with differential,

201
Q

Hepatitis

A

liver enzyme function, BUN

202
Q

anorexia or bulimia

A
  • TSH
  • prolactin
  • FSH/LH
  • glucose
  • ECG
203
Q

exercise-induced amenorrhea

A
  • TSH
  • prolactin
204
Q

Turner syndrome

A

karyotype

205
Q

Cushing syndrome

A
  • cortisol levels
206
Q

PCOS

A
  • FSH/LH
  • DHEA-S
  • pelvic exam
  • US
207
Q

Asherman syndrome

A
  • hysteroscopy
  • PCT
208
Q

ovarian failure

A
  • FSH/LH
  • estradiol
209
Q

Sheehan syndrome

A
  • hemoglobin
  • pituitary hormones
210
Q

pituitary adenoma

A
  • PRL
  • MRI
211
Q

spontaneous or threatened abortion

A
  • beta-hCG levels
  • US
212
Q

placenta previa

A

US

213
Q

ectopic pregnancy

A
  • beta-hCG levels
  • US
  • laparoscopy
214
Q

leiomyoma

A
  • pelvic exam
  • US
215
Q

adenomyosis

A
  • pelvic exam
  • US
216
Q

uterine or endometrial cancer

A
  • endometrial biopsy
  • D&C
  • US
  • CT or MRI
217
Q

perimenopause

A
  • FSH/LH
  • estradiol
218
Q

PID

A
  • WBC
  • ESR/CRP
  • gram staining
  • bacterial cultures
  • molecular testing
  • pregnancy test
  • HIV and syphilis testing
219
Q

genital warts

A

acetic acid test

220
Q

vulvovaginitis

A

STI testing: G&C, syphilis, HIV

221
Q

bacterial vaginosis

A
  • KOH whiff test
  • microscopy
222
Q

candida vulvovaginitis

A
  • KOH prep
223
Q

trichomoniasis

A

microscopy

224
Q

syphilis

A

syphilis and molecular testing

225
Q

cholelithiasis

A
  • CBC, CMP, differential WBC count
  • abdominal ultrasound
  • HIDA Cholescintigraphy (blocked cystic duct)
  • ALT, AST, ALP, GGT
226
Q

infectious endocarditis

A
  • echo
  • CT, PET, MRI
  • CRP, ESR
  • CXR
  • ECG
  • blood culture, serology testing
227
Q

ACS/MI

A
  • ECG
  • CBC, CMP
  • BUN, electrolytes
  • troponins
  • CK-MB
  • CXR
  • pulse ox, arterial gases
  • CT coronary angiograph, echo
228
Q

Rheumatic fever/RHD

A
  • throat swab, culture
  • ASO, anti-DNase B, anti-streptokinase, anti-NAD, anti-streptococcal esterase
  • ECG
  • CXR
  • doppler echo
229
Q

pericardial effusion

A
  • CBC, CMP, ferritin, differential WBC count
  • urea, GFR, electrolytes
  • TSH, T3, T4
  • troponin
  • autoantibodies (RF)
  • blood culture
  • echo
  • CXR
  • ECG
  • pericardial fluid aspiration
  • MRI/CT scan
  • pericardial biopsy
230
Q

tuberculosis

A
  • CXR
  • rapid nucleic acid amplification testing
  • sputum sample culture
  • biopsy, needle aspiration
231
Q

atrial fibrillation

A
  • ECG
  • 24-hour heart monitor
  • echo
232
Q

supraventricular tachycardia

A
  • ECG
  • 24-hour heart monitor
  • echo
233
Q

mitral valve prolapse

A
  • echo
  • transthoracic echo
  • ECG
  • CXR
  • 24-hour heart monitor
  • stress test
234
Q

mitral regurgitation

A
  • CXR
  • ECG
  • echo
  • cardiac MRI
  • coronary angiograph
  • BNP
235
Q

heart valve disease

A
  • CXR
  • ECG
  • Echo
  • CT, MRI
236
Q

bronchitis

A
  • CBC, CMP
  • CXR
  • sputum culture
237
Q

emphysema

A
  • CBC, CMP
  • spirometry
  • CXR
  • CT
238
Q

cardiac tamponade

A
  • creatinine kinase
  • urea, GFR, electrolytes
  • CBC, CMP, ferritin
  • ESR, CRP, rhematic factor
  • HIV testing, TB testing
  • ECG
  • CXR
  • echo
  • MRI, CT scan
  • pericardiocentesis
  • pericardial biopsy
239
Q

cardiomyopathy

A
  • CBC, CMP, ferritin
  • electrolytes, ALT, AST, ALP
  • ESR, CRP
  • thyroid function: TSH, T3/T4
  • CXR
  • ECG
  • transthoracic doppler
  • BNP
  • MRI
  • endomyocardial biopsy
240
Q

mitral valve stenosis

A
  • CBC, CMP, ferritin
  • CXR
  • ECG
  • Echo (transthoracic/transesophageal)
241
Q

aortic coarctation

A
  • urea, electrolytes, creatinine
  • CBC, CMP, ferritin, blood glucose
  • CXR
  • echo
  • MRI scan
  • ECG
242
Q

congestive heart failure

A
  • BNP
  • ECG
  • echo
  • urea, electrolytes
243
Q

hypertension

A
  • albumin, creatinine
  • ECG
  • HbA1c, electrolytes, GFR, cholesterol
  • renal US
244
Q

aortic stenosis

A
  • ECG
  • CXR
  • Echo
  • stress test
  • BNP
245
Q

aortic dissection

A
  • ECG
  • CXR
  • CT, MRI
  • color flow doppler
246
Q

pulmonary stenosis

A
  • echo
  • ECG
  • angiography
  • CXR
247
Q

aortic regurgitation

A
  • ECG
  • CXR
    -Echo
  • Cardiac MRI
248
Q

coronary artery disease

A
  • CBC, CMP, ferritin, differential WBC count
  • cardiac enzymes, troponins
  • ECG
  • coronary angiography
  • stress echo
  • MRI
249
Q

congenital heart disease

A
  • US, echo
  • pulse ox, arterial blood gases
  • CXR
  • ECG
250
Q

ventricular tachycardia

A
  • ECG
  • electrolytes, urea
  • troponin
  • CXR
251
Q

vasovagal syncope

A
  • ECG
  • CBC, CMP, ferritin, differential WBC count
  • fasting blood glucose
  • echo, CT, MRI
  • stress testing
  • tilt test
252
Q

asthma

A
  • peak expiratory flow rate
  • peak flow, spirometry, FeNO
  • CXR
253
Q

anaphylaxis

A
  • serum mast-cell tryptase
  • ESR, CRP
254
Q

HIV/AIDS

A
  • HIV antibody (ELISA, western blot)
  • viral load. HIV RNA or bDNA assay
    CBC, CMP, ferritin, differential WBC count
  • ESR, CRP
  • screening for co-existing infections
  • CXR
255
Q

pulmonary hypertension

A
  • electrolytes, ALT, AST, ALP
  • TSH, T3, T4
  • autoantibodies (SLE, scleroderma)
  • CXR
  • ECG
  • spirometry, peak flow
  • lung biopsy
  • echo
  • thorax CT
  • MRI
256
Q

pulmonary regurgitation

A
  • ECG
  • CXR
  • echo
257
Q

atherosclerosis

A
  • Ultrasound
  • MRI, CT
  • cholesterol, triglycerides, blood glucose
  • CRP/ESR
  • stress test
  • ECG
  • Echo
  • coronary calcium scan
  • ankle-brachial index
  • angiogram
258
Q

iron deficiency anemia

A
  • CBC, CMP, serum iron, ferritin, transferrin
  • endoscopy/CT
  • urinalysis
  • celiac disease screening
259
Q

hemolytic anemia

A
  • CBC, CMP, serum iron, ferritin, transferrin
  • LDH, bilirubin
  • Coomb’s test
  • CXR
  • ECG
  • abdominal US (spleen)
  • autoantibodies
260
Q

macrocytic anemia

A
  • CBC, CMP, serum iron, ferritin, transferrin, reticulocyte count
  • serum folate levels
  • serum B12
  • ALT, AST, ALP
  • Coomb’s test
261
Q

pernicious anemia/B12 deficiency

A
  • serum B12
  • plasma homocysteine, methylmalonic acid
  • CBC, CMP, ferritin
  • ALT, AST, ALP
  • TSH, T3, T4
  • autoantibody screen, intrinsic factor
  • bone marrow aspiration
262
Q

thalassemia

A
  • CBC, CMP, serum iron, ferritin
  • hemoglobin electrophoresis
  • DNA testing
  • plain film x-ray, CT, MRI
  • ECG
  • HLA typing (bone marrow transplant)
  • liver biopsy
263
Q

sideroblastic anemia

A
  • CBC, CMP, serum iron, ferritin, transferrin
264
Q

anemia of chronic disease

A
  • CBC, CMP, ferritin, transferrin
  • bone marrow aspiration
  • ESR, CRP

OSCE 2 (3 decks)

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