Clinical Reasoning — Flashcards

Flashcard 121: The next best test following a pulmonary nodule found on X-ray with possible growth is _____

Answer: Chest CT

Flashcard 122: Scuba diver develops SOB, chest pain, hyperresonance to percussion and decrease in breath sounds is suggestive of _____

Answer: pneumothorax

Flashcard 123: Multiple small pustules localized to hair follicles on any body surface? _____

Answer: Folliculitis

Flashcard 124: A CXR showing cranial displacement of abdominal organs into the thorax, mediastinal shift, and compressive atelectasis is indicative of _____.

Answer: diaphragmatic rupture

Flashcard 125: What is the management in a patient with asymptomatic proteinuria? _____

Answer: First morning urine protein/creatinine ratio

Flashcard 126: Rule out fracture = _____

Answer: X-ray (at least 2 views perpendicular to each other)

Flashcard 127: What is the most accurate test of ejection fraction? _____

Answer: Nuclear ventriculography; multiple-gated acquisition scan (MUGA)

Extra: Note: Cardiac MRI is technically the current gold standard for EF and volume assessment, but MUGA (Nuclear Ventriculography) is the classic board answer for the 'most accurate' test, particularly for monitoring cardiotoxicity.

Flashcard 128: A loud P2 implies _____

Answer: pulmonary hypertension

Flashcard 129: A postviral patient who develops RBC casts: _____

Answer: IgA nephropathy glomerulonephritis

Flashcard 130: Ultrasound shows thin walled, dilated gallbladder is suggestive of _____

Answer: distal tumor