Clinical Reasoning — Flashcards

Flashcard 161: What is the next step in management for patients with hyperbilirubinemia and a predominantly cholestatic pattern of liver function? _____

Answer: Abdominal ultrasound (or CT)

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

Flashcard 162: Weber test localizes to left ear → pt hears AC > BC bilaterally → _____

Answer: right-sided sensorineural hearing loss

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

Flashcard 163: _____

Answer: :)

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

Flashcard 164: Telescoping of the bowel into itself → vascular compromise is suggestive of _____

Answer: intussusception

Extra:  https://onlinemeded.org/spa/gastroenterology/gi-bleed/acquire?ref=anki 

Flashcard 165: Rapid Diagnosis Thyroid function test shows _____ in congenital hypothyroidism.

Answer: high TSH and low free T4

Flashcard 166: Smoker with persistent hoarseness and lesion on the vocal cord is suggestive of _____

Answer: laryngeal SCC

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

Flashcard 167: Diagnostics of **meconium ileus**? 1) _____ showing 'ground-glass' (soap bubble) appearance 2) _____ showing microcolon

Answer: X-ray

Extra: Meconium ileus is highly suggestive of Cystic Fibrosis. Gastrografin is a hyperosmolar, water-soluble contrast that helps dissolve the meconium obstruction and allows it to pass. The 'microcolon' seen on enema is a 'disuse' microcolon because the obstruction is proximal to the colon. https://onlinemeded.org/spa/pediatrics/failure-to-pass-meconium

Flashcard 168: Low risk of PE = _____ High risk of PE = _____

Answer: D-dimer

Extra:  https://onlinemeded.org/spa/pulmonology/pulmonary-embolism/acquire?ref=anki 

Flashcard 169: hyaline casts in urine is most likely caused by _____

Answer: hypovolemia (concentrated urine)

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

Flashcard 170: Under what conditions should a patient with a breast lump receive a mammogram and core needle biopsy? 1) The patient is older than _____ years old 2) The ultrasound shows a(n) _____ 3) The aspirate is _____ 4) The cyst _____

Answer: 30

Extra:  https://onlinemeded.org/spa/surgery-general/breast-cancer/acquire?ref=anki