Clinical Reasoning — Flashcards

Flashcard 291: What is the likely diagnosis for firm, dome-shaped, flesh-colored papules with central umbilication?\n\n_____

Answer: Molluscum contagiosum

Flashcard 292: What imaging study is used to confirm the diagnosis of a colovesical fistula? _____

Answer: Abdominal CT with oral or rectal contrast (not IV)

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Flashcard 293: What is the likely diagnosis in a patient that developed sudden-onset abdominal pain, nausea, and vomiting after returning from a hike and eating leftover Chinese food? _____

Answer: Bacillus cereus food poisoning

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

Flashcard 294: CSF analysis in _____ syndrome will reveal albuminocytologic dissociation

Answer: Guillain-Barré

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

Flashcard 295: What is the likely location of hemorrhage in a hypertensive patient that presents with occipital headache, neck stiffness, nausea/vomiting, and ipsilateral hemiataxia without hemiparesis? _____

Answer: Cerebellum

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Flashcard 296: Colicky abdominal pain, distension, obstipation + X-ray showing dilated small bowel loops with air-fluid levels and a transition point: _____

Answer: SBO (Small Bowel Obstruction)

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Flashcard 297: Inflammation of the small airways/bronchioles caused usually by RSV is suggestive of _____

Answer: bronchiolitis

Extra:  https://onlinemeded.org/spa/pediatrics/lower-airway/acquire?ref=anki 

Flashcard 298: Headache, systemic symptoms (fever/leukocytosis), history of sinusitis and cranial nerve symptoms (e.g. diplopia) is suggestive of _____

Answer: cavernous sinus thrombosis

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Flashcard 299: What is the recommended diagnostic test for patients with chest pain that have intermediate-risk for CAD and a normal ECG test? _____

Answer: Exercise stress ECG

Extra:  https://onlinemeded.org/spa/cardiology/coronary-artery-disease/acquire?ref=anki 

Flashcard 300: What is the likely diagnosis in a patient that presents with flu-like symptoms without a rash after being bitten by a tick two weeks ago? Laboratory exam reveals leukopenia, thrombocytopenia, and elevated LFTs. _____

Answer: Ehrlichiosis

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