Clinical Reasoning — Flashcards

Flashcard 381: What is the diagnostic test for pseudotumor cerebri (benign/idiopathic intracranial hypertension)? _____

Answer: LP with increased opening pressure

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

Flashcard 382: What is the next step in management for a patient with suspected vertebral metastasis? _____

Answer: MRI of the spine

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

Flashcard 383: What is seen on U/S of GB in pt. with choledocholithiasis? _____

Answer: Mild duct dilation, gallstones in GB

Extra:  https://onlinemeded.org/spa/gastroenterology/gallbladder/acquire?ref=anki 

Flashcard 384: What is the best initial diagnostic step for thyroglossal duct cyst? _____

Answer: U/S

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

Flashcard 385: "Oil cysts" and "foam cells" on mammography = _____

Answer: fat necrosis

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

Flashcard 386: What is the patch test?\n_____

Answer: Gold standard for diagnosis of allergic contact dermatitis (type IV HSR)

Flashcard 387: What diagnosis is characterized by transient, pruritic, erythematous wheals that occur after exposure to antigens? _____

Answer: Urticaria

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

Flashcard 388: Intraabdominal bleeding - imaging? Stable patient = _____ Unstable patient = FAST

Answer: CT scan

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

Flashcard 389: Sudden-onset pleuritic chest pain and dyspnea in a tall, thin young male with decreased breath sounds and hyperresonance on percussion suggests a _____.

Answer: spontaneous pneumothorax

Extra: Primary spontaneous pneumothorax is caused by the rupture of subpleural apical blebs. It typically occurs in tall, thin young males. Secondary spontaneous pneumothorax occurs in patients with underlying lung disease (e.g., COPD, PCP pneumonia).

Flashcard 390: Nausea/vomiting, headache and focal neuro deficits following otitis media is suggestive of _____

Answer: brain abscess

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/neuro-brain-bleeds/acquire?ref=anki  FND may include oculomotor or abducens nerve palsies secondary to increased intracranial pressure