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Step 2 cs > STEP 2 CS - DDX > Flashcards

STEP 2 CS - DDX Flashcards

1
Q

46 M with Chest pain

A
  1. Myocardial ischemia or infarction
  2. cocaine induced myocardial infarction
  3. GERD
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2
Q

57 M to ED with bloody urine

A
  1. bladder cancer
  2. urolithiasis
  3. BPH
  4. prosate cancer
  5. RCC
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3
Q

51 M to office with back pain

A
  1. disk herniation
  2. lumbar spinal stenosis
  3. metastatic prostate cancer
  4. lumbar muscle strain
  5. degenerative arthritis
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4
Q

25 M to ED w s/p motor vehicle accident

A
  1. pneumothorax
  2. hemothorax
  3. pneumonia
  4. rib fracture
  5. splenic rupture
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5
Q

28 F to clinic for positive pregnancy test

A
  1. normal pregnancy
  2. ectopic pregnancy
  3. molar pregnancy
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6
Q

mother of 10 F diagnosed with diabetes

A
  1. T1DM
  2. T2DM
  3. secondary causes of diabetes (cushing)
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7
Q

74 m to ED with right arm pain

A
  1. humeral fracture
  2. shoulder dislocation
  3. osteoporsis
  4. elder abuse
  5. rotator cuff tear
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8
Q

56 M to clinic for diabetes follow up

A
  1. insulin induced hypoglycemia
  2. diabetic peripheral neuropathy
  3. ED
  4. alcoholic peripheral neuropathy
  5. multiple myeloma
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9
Q

25 F to ED s/p assault

A
  1. Rib fracture
  2. STI
  3. pregnancy
  4. pneumothorax/hemothorax
  5. muscle rupture
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10
Q

35 F to hospital with right calf pain

A
  1. DVT
  2. cellulitis
  3. baker cyst rupture
  4. hematoma
  5. gastrocnemius rupture
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11
Q

62 M to office with hoarseness

A
  1. laryngeal cancer
  2. laryngitis
  3. vocal cord polyps/nodules
  4. hypothyroidism
  5. Mitral valve stenosis
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12
Q

67 F to office with neck pain

A
  1. disk herniation
  2. cervical fracture
  3. neck muscle strain
  4. osteoarthritis
  5. cervical spondylosis
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13
Q

48 F to clinic with abdominal pain

A
  1. biliary colic
  2. peptic ulcer disease
  3. gastritis
  4. non-ulcer dyspepsia
  5. perforated ulcer
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14
Q

35 F to ED with headache

A
  1. migraine
  2. tension headache
  3. intracranial mass lesion
  4. pseudotumor cerebri
  5. cluster headache
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15
Q

36 F to office not having menstrual periods

A
  1. hyperprolactinemia
  2. PCOS
  3. pregnancy
  4. thyroid disease
  5. premature ovarian failure
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16
Q

28 F to office with pain during sex

A
  1. vulvovaginitis
  2. cervicitis
  3. endometriosis
  4. Pelvic inflammatory disease
  5. vulvodynia
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17
Q

75 M to office with hearing loss

A
  1. presbycusis
  2. cochlear nerve damage
  3. otosclerosis
  4. meniere disease
  5. ototoxicity
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18
Q

5 day old M, yellow skin

A
  1. physiologic jaundice
  2. ABO or Rh incompatibility
  3. neonatal sepsis
    EARLY JAUNDICE:
    cephalohematoma, breastfeeding failure jaundice, polycythemia,
    LATE JAUNDICE:
    breast milk jaundice, biliary atresia
19
Q

7 m old M with fever

A
  1. viral uri
  2. pneumonia
  3. otitis media
  4. meningitis
  5. UTI
20
Q

26 M to office with cough

A
  1. pneumonia
  2. URI-associated cough (postinfectious)
  3. acute bronchitis
  4. pleurodynia
21
Q

52 F yellow eyes and skin

A
  1. extrahepatic biliary obstruction
  2. viral hepatitis
  3. acetaminophen toxicity
  4. alcoholic hepatitis
  5. primary biliary cirrhosis
22
Q

53 M to ED with dizziness

A
  1. meniere
  2. benign paroxysmal positional vertigo
  3. orthostatic hypotension
  4. labrynthitis
  5. perilymphatic fistula
23
Q

33 F to clinic with knee pain

A
  1. gout
  2. rheumatoid arthritis
  3. systemic lupus erythematosus
  4. pseudogout
  5. gonococcal septic arthritis
24
Q

31 M to PCP with heel pain

A
  1. plantar fasciitis
  2. calcaneal stress fracture
  3. achilles tendinitis
  4. retrocalcaneal bursitis
  5. foreign body
25
Q

18 m F with fever

A
  1. acute otitis media
  2. meningococcal meningitis
  3. scarlet fever
  4. fifth disease
  5. varicella
26
Q

54 F persistent cough

A
  1. pulmonary tuberculosis
  2. malignant neoplasm of the lung
  3. typical pneumonia
  4. lung abscess
  5. atypical pneumonia
27
Q

61 M to office with fatigue

A
  1. pancreatic cancer
  2. Major depressive disorder
  3. chronic pancreatitis
  4. peptic ulcer disease
  5. hypothyroidism
28
Q

54 M to clinic for HTN followup

A
  1. medication induced ED
  2. ED 2/2 vascular disease
  3. hypogonadism
  4. depression
  5. peyronie disease
29
Q

20 F to clinic with sleeping problems

A
  1. generalized anxiety disorder
  2. caffeine-induced insomnia
  3. hyperthyroidism
  4. insomnia due to MDD
  5. insomnia due to adjustment disorder
30
Q

2 y F with noisy/strange breathing

A
  1. foreign body aspiration
  2. croup
  3. epiglottitis
  4. laryngitis
  5. retropharyngeal abscess
31
Q

21 F to ED with abdominal pain

A
  1. appendicitis
  2. pelvic inflammatory disease
  3. ruptured ectopic pregnancy
  4. ruptured ovarian cyst
  5. adenexal torsion
32
Q

65 F to clinic with forgetfulness and confusion

A
  1. alzheimers
  2. vascular demenita
  3. dementia syndrome of depression
  4. subdural hematoma
  5. vit B12 deficiency
33
Q

46 M to office with fatigue

A
  1. MDD
  2. hypothyroidism
  3. PTSD
  4. HIV
34
Q

32 F to office with fatigue

A
  1. domestic violence
  2. DM
  3. anemia
  4. MDD
  5. hypothyroidism
35
Q

27 M to ED with seeing strange writing on wall

A
  1. PCP intoxication
  2. substance induced psychosis
  3. brief psychotic disorder
  4. psychosis 2/2 medical condition
  5. narcolepsy
36
Q

32 M to office for pre-employment physical

A
  1. COPD/chronic bronchitis
  2. pneumoconicocis
  3. pulmonary tuberculosis
37
Q

55 M to clinic with blood in stool

A
  1. colorectal cancer
  2. hemorrhoids
  3. pseudomembranous colitis ( c. difficile)
  4. diverticulosis
  5. angiodysplasia
38
Q

66 M to clinic with tremor

A
  1. parkinsons
  2. essential tremor
  3. physiologic tremor
  4. midbrain lesionm
  5. drug induced tremor
39
Q

30 F to office with weight gain

A
  1. hypothyroidism
  2. smoking cessation
  3. lithium related weight gain
  4. familiar obesity
  5. pregnancy
40
Q

6mF with diarrhea

A
  1. viral gastroenteritis
  2. bacterial diarrhea
  3. malabsorption
  4. UTI
  5. intussussception
41
Q

8 M to clinic with continued bed wetting

A
  1. monosymptomatic primary nocturnal enuresis
  2. UTI
  3. secondary enuresis
  4. constipation
  5. sleep apnea
42
Q

11 m F to ED with seizure

A
  1. febrile seizure
  2. meningitis
  3. hyponatremia
  4. UTI
  5. occult bacteremia
43
Q

21 M to clinic with sore throat

A
  1. infectious mononucleosis
  2. acute HIV
  3. streptococcal pharyngitis
  4. CMV
44
Q

49 M to ED s/p passing out

A
  1. convulsive syncope \
  2. cardiac arrythmia
  3. seizure
  4. vasovagal syncope
  5. drug induced orthostatic hypotension

Step 2 cs (3 decks)

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