Clinical Reasoning — Flashcards

Flashcard 141: Atretic or anatomically stenosed connection between the nose and throat is suggestive of _____

Answer: choanal atresia

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Flashcard 142: Palpable subcutaneous lesion > 1 cm = _____

Answer: nodule

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Flashcard 143: Herpes simplex virus is definitively diagnosed with _____ or _____

Answer: cultures

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Flashcard 144: What is the best initial test for carcinoid tumor? _____

Answer: Urinary 5-HIAA

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Flashcard 145: A pt is found to have microcytic anemia after his MCV is found to be < 80. What is the most appropriate next step in workup regardless of etiology? _____

Answer: Iron studies (ferritin)

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Flashcard 146: 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)

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Flashcard 147: Young patient with hypertensive emergency (blood pressure 185/125 mm Hg, papilledema, severe headache, confusion, and vomiting) and an abdominal bruit on examination that is best heard at the right costovertebral angle is suggestive of _____

Answer: fibromuscular dysplasia (FMD)

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Flashcard 148: 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

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Flashcard 149: Other than X-ray, what is another appropriate step in evaluation of rotator cuff tears? _____

Answer: Musculoskeletal ultrasound (MSUS)

Flashcard 150: When the likelihood of pulmonary embolism is low, do a(n) _____ to rule it out.

Answer: D-dimer test

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