Clinical Reasoning — Flashcards

Flashcard 141: What is the best initial test for carcinoid tumor? _____

Answer: Urinary 5-HIAA

Extra:  https://onlinemeded.org/spa/gastroenterology/chronic-diarrhea/acquire?ref=anki 

Flashcard 142: Atretic or anatomically stenosed connection between the nose and throat is suggestive of _____

Answer: choanal atresia

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

Flashcard 143: Palpable subcutaneous lesion > 1 cm = _____

Answer: nodule

Extra:  https://onlinemeded.org/spa/dermatology/hyperpigmentation/acquire?ref=anki 

Flashcard 144: What is the likely diagnosis in a patient with unilateral hearing loss with a dull, hypomobile tympanic membrane with air-fluid level behind the TM on otoscopic exam? _____

Answer: Serous otitis media (otitis media with effusion)

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

Flashcard 145: Asthma, eosinophils and p-ANCA is suggestive of _____

Answer: churg-strauss syndrome

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

Flashcard 146: 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 147: Bone mineral density (DEXA) T-score between -1.0 and -2.5 is _____

Answer: osteopenia

Extra: WHO Classification of Bone Mineral Density (T-score): - Normal: ≥ -1.0 - Osteopenia: between -1.0 and -2.5 - Osteoporosis: ≤ -2.5

Flashcard 148: Other than X-ray, what is another appropriate step in evaluation of rotator cuff tears? _____

Answer: Musculoskeletal ultrasound (MSUS)

Flashcard 149: A pt presents with burning/pain/numbness in the sole of her right foot that worsens with walking. Which nerve is most likely affected? _____

Answer: Tibial nerve

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

Flashcard 150: Inability to flex middle finger but pops with forced flexion is suggestive of _____

Answer: trigger finger

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/ortho-hand/acquire?ref=anki