Step2CS Minicases Flashcards

1
Q

Throbbing unilateral HA w/ visual aura, N/V, neuro symptoms

A

Migraine

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2
Q

Severe unilateral HA w/ ipsilateral rhinorrhea, ear tearing, redness, with characteristic pattern

A

Cluster

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3
Q

Older woman w/ severe intermittent unilateral temporal HA, fever, blurred vision in her right eye, and pain in her jaw while chewing

A

Temporal arteritis

W/u: CBC, ESR, CRP, temporal artery biopsy, doppler ultrasound

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4
Q

Frontal HA, fever, nasal discharge, & sinus tenderness

A

sinusitis

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5
Q

bilateral squeezing HAs

A

tension (also caffeine or drug w/d)

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6
Q

sudden severe HA, vomiting, confusion, hemiplegia, nuchal rigidly

A

SAH

W/u: NC head CT, LP

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7
Q

High fever, severe HA, confusion, photophobia, nuchal rigidity

A

Meningitis

W/u LP

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8
Q

young, obese F w/ pulsatile HA, N/V, blurred vision, on OCPs

A

Pseudotumor

W/u LP

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9
Q

electric, stabbing pain in R cheek

A

trigeminal neuralgia

w/u? ddx TMJ

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10
Q

step wise decline in cognitive function

A

vascular dementia

w/u (general for memory loss/delerium): CBC, electrolytes, VDRL/ RPR, serum B12, TSH, HIV?, MRI?

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11
Q

Progressive forgetfulness in older person

A

Alzheimers

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12
Q

Common (on boards) HA ddx

A

Migraine, cluster, tension, GCA, pseudotumor, meningitis, carotid artery dissection (Horner), SAH, subdural, epidural

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13
Q

memory loss, ataxia, urinary incontinence

A

NPH

W/u CT

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14
Q

Rapidly progressive AMS, myoclonus, ataxia, +startle

A

CJD

W/u EEG, general AMS

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15
Q

Gradual AMS s/p trauma`

A

Subdural

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16
Q

acute unilateral painless loss of vision, palpitations, SOB, w/ hx of afib

A

Retinal artery occlusion

17
Q

sudden painless vision loss w/ hx of atherosclerosis

A

Retinal vein occlusion

18
Q

sudden painful vision loss (?!?!)

A

Acute angle-closure glaucoma

19
Q

curtain coming down over eye (??!?!)

A

Retinal detachment vs amargoix fugax??!?!

20
Q

Grief

A

Normal

W/u: CBC, TSH, utox, beck depression inventory?

21
Q

+4 SIGECAPS > 2weeks

A

MDD

W/u: CBC, TSH, utox, blood alcohol level?, beck depression inventory?

22
Q

+/- full SIGECAPS

+ 3 DIGFAST x1 time

A

Bipolar 1

Ddx: Bipolar II (hypomania plus depression, no mania), cyclothymic d/o, schizoaffective, MDD

23
Q

+positive sx: thought broadcasting, delusions of reference, paranoia,
+negative sx: catatonia

A

schizophrenia

ddx: drugs, brief psychotic, depression w/ psychotic features, schiophreniform, personality d/os, schizoaffective