STEP 2 CS - DDX Flashcards
1
Q
46 M with Chest pain
A
- Myocardial ischemia or infarction
- cocaine induced myocardial infarction
- GERD
2
Q
57 M to ED with bloody urine
A
- bladder cancer
- urolithiasis
- BPH
- prosate cancer
- RCC
3
Q
51 M to office with back pain
A
- disk herniation
- lumbar spinal stenosis
- metastatic prostate cancer
- lumbar muscle strain
- degenerative arthritis
4
Q
25 M to ED w s/p motor vehicle accident
A
- pneumothorax
- hemothorax
- pneumonia
- rib fracture
- splenic rupture
5
Q
28 F to clinic for positive pregnancy test
A
- normal pregnancy
- ectopic pregnancy
- molar pregnancy
6
Q
mother of 10 F diagnosed with diabetes
A
- T1DM
- T2DM
- secondary causes of diabetes (cushing)
7
Q
74 m to ED with right arm pain
A
- humeral fracture
- shoulder dislocation
- osteoporsis
- elder abuse
- rotator cuff tear
8
Q
56 M to clinic for diabetes follow up
A
- insulin induced hypoglycemia
- diabetic peripheral neuropathy
- ED
- alcoholic peripheral neuropathy
- multiple myeloma
9
Q
25 F to ED s/p assault
A
- Rib fracture
- STI
- pregnancy
- pneumothorax/hemothorax
- muscle rupture
10
Q
35 F to hospital with right calf pain
A
- DVT
- cellulitis
- baker cyst rupture
- hematoma
- gastrocnemius rupture
11
Q
62 M to office with hoarseness
A
- laryngeal cancer
- laryngitis
- vocal cord polyps/nodules
- hypothyroidism
- Mitral valve stenosis
12
Q
67 F to office with neck pain
A
- disk herniation
- cervical fracture
- neck muscle strain
- osteoarthritis
- cervical spondylosis
13
Q
48 F to clinic with abdominal pain
A
- biliary colic
- peptic ulcer disease
- gastritis
- non-ulcer dyspepsia
- perforated ulcer
14
Q
35 F to ED with headache
A
- migraine
- tension headache
- intracranial mass lesion
- pseudotumor cerebri
- cluster headache
15
Q
36 F to office not having menstrual periods
A
- hyperprolactinemia
- PCOS
- pregnancy
- thyroid disease
- premature ovarian failure
16
Q
28 F to office with pain during sex
A
- vulvovaginitis
- cervicitis
- endometriosis
- Pelvic inflammatory disease
- vulvodynia
17
Q
75 M to office with hearing loss
A
- presbycusis
- cochlear nerve damage
- otosclerosis
- meniere disease
- ototoxicity
18
Q
5 day old M, yellow skin
A
- physiologic jaundice
- ABO or Rh incompatibility
- 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
- viral uri
- pneumonia
- otitis media
- meningitis
- UTI
20
Q
26 M to office with cough
A
- pneumonia
- URI-associated cough (postinfectious)
- acute bronchitis
- pleurodynia
21
Q
52 F yellow eyes and skin
A
- extrahepatic biliary obstruction
- viral hepatitis
- acetaminophen toxicity
- alcoholic hepatitis
- primary biliary cirrhosis
22
Q
53 M to ED with dizziness
A
- meniere
- benign paroxysmal positional vertigo
- orthostatic hypotension
- labrynthitis
- perilymphatic fistula
23
Q
33 F to clinic with knee pain
A
- gout
- rheumatoid arthritis
- systemic lupus erythematosus
- pseudogout
- gonococcal septic arthritis
24
Q
31 M to PCP with heel pain
A
- plantar fasciitis
- calcaneal stress fracture
- achilles tendinitis
- retrocalcaneal bursitis
- foreign body
25
18 m F with fever
1. acute otitis media
2. meningococcal meningitis
3. scarlet fever
4. fifth disease
5. varicella
26
54 F persistent cough
1. pulmonary tuberculosis
2. malignant neoplasm of the lung
3. typical pneumonia
4. lung abscess
5. atypical pneumonia
27
61 M to office with fatigue
1. pancreatic cancer
2. Major depressive disorder
3. chronic pancreatitis
4. peptic ulcer disease
5. hypothyroidism
28
54 M to clinic for HTN followup
1. medication induced ED
2. ED 2/2 vascular disease
3. hypogonadism
4. depression
5. peyronie disease
29
20 F to clinic with sleeping problems
1. generalized anxiety disorder
2. caffeine-induced insomnia
3. hyperthyroidism
4. insomnia due to MDD
5. insomnia due to adjustment disorder
30
2 y F with noisy/strange breathing
1. foreign body aspiration
2. croup
3. epiglottitis
4. laryngitis
5. retropharyngeal abscess
31
21 F to ED with abdominal pain
1. appendicitis
2. pelvic inflammatory disease
3. ruptured ectopic pregnancy
4. ruptured ovarian cyst
5. adenexal torsion
32
65 F to clinic with forgetfulness and confusion
1. alzheimers
2. vascular demenita
3. dementia syndrome of depression
4. subdural hematoma
5. vit B12 deficiency
33
46 M to office with fatigue
1. MDD
2. hypothyroidism
3. PTSD
4. HIV
34
32 F to office with fatigue
1. domestic violence
2. DM
3. anemia
4. MDD
5. hypothyroidism
35
27 M to ED with seeing strange writing on wall
1. PCP intoxication
2. substance induced psychosis
3. brief psychotic disorder
4. psychosis 2/2 medical condition
5. narcolepsy
36
32 M to office for pre-employment physical
1. COPD/chronic bronchitis
2. pneumoconicocis
3. pulmonary tuberculosis
37
55 M to clinic with blood in stool
1. colorectal cancer
2. hemorrhoids
3. pseudomembranous colitis ( c. difficile)
4. diverticulosis
5. angiodysplasia
38
66 M to clinic with tremor
1. parkinsons
2. essential tremor
3. physiologic tremor
4. midbrain lesionm
5. drug induced tremor
39
30 F to office with weight gain
1. hypothyroidism
2. smoking cessation
3. lithium related weight gain
4. familiar obesity
5. pregnancy
40
6mF with diarrhea
1. viral gastroenteritis
2. bacterial diarrhea
3. malabsorption
4. UTI
5. intussussception
41
8 M to clinic with continued bed wetting
1. monosymptomatic primary nocturnal enuresis
2. UTI
3. secondary enuresis
4. constipation
5. sleep apnea
42
11 m F to ED with seizure
1. febrile seizure
2. meningitis
3. hyponatremia
4. UTI
5. occult bacteremia
43
21 M to clinic with sore throat
1. infectious mononucleosis
2. acute HIV
3. streptococcal pharyngitis
4. CMV
44
49 M to ED s/p passing out
1. convulsive syncope \
2. cardiac arrythmia
3. seizure
4. vasovagal syncope
5. drug induced orthostatic hypotension
