Tests

Question 1

Asthma

wheezing

Answer 1

PFTs
Methacholine challenge test
Peak flow

Question 2

Tracheomalacia

wheezing

Answer 2

Laryngoscopy
CT scan
CXR

Question 3

Retropharyngeal abscess

wheezing

Answer 3

CBC
ESR
throat swab

Question 4

BPPV

vertigo

Answer 4

Dix hallpike
audiometry
full neuro exam

Question 5

acoustic neuroma

vertigo

Answer 5

ct head
audiometry
otoscopic exam

Question 6

Diuretic abuse

vertigo

Answer 6

electrolytes
orthostatics
urinary electrolytes

Question 7

Prostate cancer

urinary symptoms

Answer 7

digital rectal exam
PSA
transrectal prostate U/S

Question 8

prostatitis

urinary symptoms

Answer 8

CBC
ESR/CRP
digital rectal exam

Question 9

lichen sclerosus
(discharge)

Answer 9

genital exam
biopsy
cough stress test

Question 10

cystitis

discharge

Answer 10

CBC
UA + Cx
bladder ultrasound

Question 11

overflow incontinece

urinary symptoms

Answer 11

postvoid bladder ultrasound
cough stress test
BUN/Cr

Question 12

psychogenic ED

Answer 12

MSE
neuropsychiatric testing
depression screen

Question 13

Hypogonadism in ED

Answer 13

testosterone serum level
serum prolactin
head CT scan

Question 14

Arterial insufficiency in ED

Answer 14

genital exam
serum cholesterol, LDL, HDL
pelvic angiogram

Question 15

Vasovagal syncope

syncope

Answer 15

orthostatics
electrolytes
CBC

Question 16

Convulsive syncope

syncope

Answer 16

EEG
MRI
LP

Question 17

Arrhythmia

syncope

Answer 17

EKG/holter monitor
TSH
echo

Question 18

Hyperbilirubinemia

pruritus

Answer 18

RUQ ultrasound
ERCP
bilirubin, AST/ALT, ALk phos, GGT

Question 19

Polycythemia vera

pruritus

Answer 19

CBC
bone marrow biopsy
reticulocyte count

Question 20

Shingles

pruritus

Answer 20

varicella abs
CBC
lesion biopsy viral cx

Question 21

Mitral valve prolapse

syncope

Answer 21

Echo
heart cath
BNP

Question 22

Hyperthyroidism

palpitations

Answer 22

TSH/freeT3 or T4
iodine uptake
CBC

Question 23

Carcinoid syndrome

palpitations

Answer 23

octreotide scan
urine HIAA
CT scan/MRI

Question 24

Pheochromocytoma

palpitations

Answer 24

ct scan
plasma/urine metaneprhins
serial BPs

Question 25

Head and neck cancer | neck pain

Answer 25

endoscopy + biopsy ct scan CBC

Question 26

PMR | neck pain

Answer 26

ESR/CRP MRI CBC

Question 27

spinal mets | neck pain

Answer 27

CBC ESR/CRP MRI

Question 28

Appendicitis | nausea vomiting

Answer 28

CBC CT scan laparoscopy

Question 29

Hyperparathyroidism | nausea vomtiitng

Answer 29

serum calcium/phosphate PTH TSH, T3/T4

Question 30

Kidney stones | nausea vomtiing

Answer 30

kidney ultrasound ct scan U/A + microscopy

Question 31

NPH | confusion

Answer 31

Full MSE CT head LP

Question 32

Neurosyphilis | confusion

Answer 32

VLDR, RPR Genital exam CBC

Question 33

Wernicke's | confusion

Answer 33

Full MSE | MMA + serum homocysteine

Question 34

Hyperthyroidism | weight loss

Answer 34

TSH, T3/T4 iodine uptake Thyroid stimulating Abs

Question 35

IBD | weight loss

Answer 35

ANCA colonoscopy + biopsy ESR, CRP

Question 36

MM | weight loss

Answer 36

Bone marrow biopsy LP + SPEP lambda/gamma light chains

Question 37

Giant cell arteritis | jaw pain

Answer 37

biopsy ESR/CRP CBC

Question 38

trigeminal neuralgia | jaw pain

Answer 38

head MRI CBC spinal tap

Question 39

otitis media | jaw pain

Answer 39

Otoscopy + insufflation CBC Head CT

Question 40

Gastrinoma | constipation

Answer 40

duodenoscopy abdominal CT serum gastrin

Question 41

``` Pernicious anemia (constipation) ```

Answer 41

Anti parietal/IF abs Endoscopy + biopsy homocysteine and MMA levels

Question 42

Gastric cancer | Constipation

Answer 42

endoscopy plus biopsy urea breath test stool guaiac

Question 43

PID | abd pain

Answer 43

Pelvic exam cervical culture U/S abdomen and pelvis

Question 44

Ectopic pregnancy | abd pain

Answer 44

beta HCG Laparoscopy transvaginal U/S

Question 45

Fracture | fall

Answer 45

Dexa scan X ray MRI

Question 46

Pharyngitis

Answer 46

Monospot Throat culture HIV abs and viral load

Question 47

gastroenteritis | diarrhea

Answer 47

Fecal leukocytes CBC stool for C diff toxin, stool pH

Question 48

MI

Answer 48

CK, CK-MB, trop cardiac cath EKG

Question 49

Diabetes

Answer 49

Central vasopressin challenge test HBA1C, glucose, electrolytes MRI brain

Question 50

Meniere's disease

Answer 50

Brain stem evoked potentials audiometry, tympanography VDRL/RPR (association with syphilis)