Clinical Reasoning — Flashcards

Flashcard 131: What is the likely diagnosis in an African-American male who presents with fever, jaundice, and dark urine?\n\n_____

Answer: Glucose-6-phosphate dehydrogenase (G6PD) deficiency

Flashcard 132: What do decreased pulmonary markings mean? _____

Answer: Pulmonary undercirculation

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 133: Preceding sore throat → sandpaper skin that eventually desquamates (peels), strawberry tongue and circumoral pallor is suggestive of _____

Answer: Scarlet fever

Extra:  https://onlinemeded.org/spa/pediatrics/peds-infectious-rashes/acquire?ref=anki 

Flashcard 134: What is the initial imaging study of choice in a patient that presents to the ED after an unprovoked first seizure? _____

Answer: CT head without contrast

Extra:  https://onlinemeded.org/spa/neurology/seizure/acquire?ref=anki 

Flashcard 135: Osteoporosis is defined as a(n) _____ at least _____ standard deviations below normal

Answer: bone mineral density

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 136: What is the most appropriate and confirmatory diagnostic step for suspected primary adrenal insufficiency? _____

Answer: Cosyntropin or ACTH stimulation test

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 137: How do you diagnose HIV during the asymptomatic infection (pre-AIDS)? Screen: _____ Confirm: _____

Answer: 4th generation HIV-1/2 Ag/Ab immunoassay

Extra: If the antibody differentiation immunoassay is indeterminate, the next step is an HIV-1 Nucleic Acid Test (NAT). https://onlinemeded.org/spa/infectious-disease/hiv/acquire

Flashcard 138: If hypoglycemia is not present at the time of evaluation, a(n) _____ is indicated

Answer: 72-hour fasting test

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 139: Asthma, eosinophils and p-ANCA is suggestive of _____

Answer: churg-strauss syndrome

Extra:  https://onlinemeded.org/spa/rheumatology/vasculitis/acquire?ref=anki 

Flashcard 140: Herpes simplex virus is definitively diagnosed with _____ or _____

Answer: cultures

Extra:  https://onlinemeded.org/spa/infectious-disease/genital-ulcers/acquire?ref=anki