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USMLE Step 2 CS > Minicase - HA > Flashcards

Minicase - HA Flashcards

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USMLE® Step 1 flashcards
1
Q

W/u for migraine (4)

A
  1. MRI brain (intracranial neoplasm)
  2. CT head
  3. CBC
  4. ESR
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2
Q

W/u for cluster headache (4)

A
  1. MRI brain (intracranial neoplasm)
  2. CT head
  3. CBC
  4. ESR
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3
Q

W/u for temporal arteritis (6)

A
  1. temporal artery biopsy
  2. ESR (temporal arteritis)
  3. CRP (temporal arteritis)
  4. CBC
  5. doppler U/S-carotid
  6. MRI brain (intracranial neoplasm)
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4
Q

W/u for acute sinusitis (3)

A
  1. CBC
  2. XR sinus
  3. CT sinus
    (ddx inccludes tension headache, meningitis in which case you’d want the meningitis w/u below)
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5
Q

W/u for tension HA (4)

A
  1. lytes
  2. CBC
  3. MRI brain (neoplasm)
  4. LP w/ CSF analysis (pseudotumor cerebri w/ openig pressure)
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6
Q

W/u for SAH (8)

A
  1. CT head w/o contrast
  2. LP w/ CSF analysis and opening pressure
  3. CBC
  4. PT/PTT/INR
  5. Urine toxicology
  6. Digital subtraction angiography
  7. MRI brain
  8. CT angiography
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7
Q

W/u for meningitis (6)

A
  1. LP w/ CSF analysis, opening pressure, gram stain, PCR, culture)
  2. BCx
  3. CBC
  4. CT head w/o contrast (SAH, intracranial abscess)
  5. MRI brain
  6. PT/PTT/INR (SAH)
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8
Q

W/u for pseudotumor cerebri (6)

A
  1. Urine hCG
  2. LP w/ CSF analysis and opening pressure
  3. dilated fundoscopy examination
  4. funduscopic eye exam
  5. MRI brain (intracranial neoplasm)
  6. visual field testing
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9
Q

W/u for trigeminal neuralgia

A
  1. MRI brain
  2. CBC
  3. ESR
    (ddx includes: cluster HA, TMJ disorder, temporal arteritis)
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10
Q

Migraine hx findings (7)

A
  1. HA
  2. episodic
  3. throbbing nature
  4. unilateral
  5. duration (hours to days, I think)
  6. neurologic symptoms (N/V, aura, photophobia)
  7. alleviation by rest/dark room
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11
Q

Cluster hx findings (6)

A
  1. HA
  2. gender and age- young male
  3. unilateral
  4. rhinorrhea, eye tearing and redness
  5. episodic and same time at night
  6. duration (~45 min)
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12
Q

Tension hx findings (5)

A
  1. HA
  2. bilateral
  3. squeezing nature
  4. episodic
  5. associated with stress
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13
Q

Temporal arteritis hx findings (10, exam included as 1)

A
  1. HA
  2. elderly
  3. episodic
  4. unilateral
  5. blurred vision
  6. temporal location
  7. weight loss
  8. jaw pain when chewing
  9. shoulder, hip pain
  10. Exam: temporal TTP, reduced visual acuity
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14
Q

Acute sinusitis hx findings (6)

A
  1. HA
  2. frontal HA
  3. fever
  4. nasal dicharge
  5. worsen when bend forward
  6. hx of allergies
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15
Q

SAH hx findings (7)

A
  1. HA
  2. severe
  3. acute
  4. vomiting
  5. confusion/AMS
  6. FNDs (hemiplegia)
  7. nuchal rigidity
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16
Q

Meningitis hx findings (6)

A
  1. HA
  2. confusion
  3. photophobia
  4. high fever
  5. nuchal rigidity
  6. consider exposures (dorms, army, etc)
17
Q

Pseudotumor cerebri hx findings (8)

A
  1. HA
  2. obesity
  3. female gender
  4. blurred vision
  5. pulsatile in nature
  6. N/V
  7. OCP use
  8. frequency - daily for 2-3 wks
18
Q

Trigeminal neuralgia hx findings

A
  1. HA
  2. elderly
  3. unilateral
  4. cheek location
  5. triggered by touch
  6. frequency - daily for month
  7. duration - 1-2 minutes
  8. stabbing and electric character
19
Q

What is TMJ (temporomandibular joint) disorder?

A
  • TMJ joint dysfunction
  • crepitus with jaw movement
  • pain with chewing
20
Q

HA hx question nemonnic

A
  1. OPQRST
  2. AT&T WIRELESS
A - aura
T - timing (in OPQRST)
N - N/V
T - tearing, eye symptoms
W - wt loss
I - injury
E - estrogen exposure (OCPs)
L - leg (jt) pain
E - energy level (consititutional symptoms)
S - stress
S - speech difficulties
21
Q

Basic HA differential (9)

A
  1. migraine
  2. tension
  3. cluster
  4. pseudotumor cerebri
  5. sinusitis
  6. meningitis
  7. temporal arteritis
  8. SAH
  9. intracranial mass

USMLE Step 2 CS (9 decks)

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