Clinical Reasoning — Flashcards

Flashcard 401: What is the likely diagnosis in a patient with colicky flank pain that radiates to the groin? _____

Answer: Nephrolithiasis

Extra:  https://onlinemeded.org/spa/nephrology/kidney-stones/acquire?ref=anki 

Flashcard 402: ADPKD = _____

Answer: ultrasound

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

Flashcard 403: Diagnosis of C. difficile colitis is made by stool assay for _____ or PCR for genes

Answer: toxins

Extra:  https://onlinemeded.org/spa/surgery?ref=anki  the presence of C. difficile itself does not indicate infection as many individuals (8-15%) are asymptomatic carriers

Flashcard 404: - Urticaria (widespread) - Hypotension - Wheezing = _____

Answer: Anaphylaxis

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

Flashcard 405: A chest X-ray showing a hyperlucent lung field (too black) and a visible visceral pleural line (thin white line) is characteristic of _____.

Answer: Pneumothorax

Extra: Pneumothorax is the presence of air between the parietal and visceral pleura, leading to partial or complete lung collapse. On CXR, look for the absence of bronchovascular markings peripheral to the visceral pleural line.

Flashcard 406: Congestive Heart Failure (CHF) is diagnosed with _____

Answer: echocardiography

Extra:  https://onlinemeded.org/spa/cardiology/heart-failure/acquire?ref=anki 

Flashcard 407: Diagnosis of sore throat (viral vs. strep) is based around the CENTOR criteria: C: _____ (+1) E: _____ (+1) N: _____ (+1) T: _____ (+1) OR: _____ (+1) OR _____ (-1)

Answer: absent cough

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

Flashcard 408: What is the preferred initial study to evaluate patients with suspected oropharyngeal dysphagia? _____

Answer: Videofluoroscopic modified barium swallow

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

Flashcard 409: _____ often presents with fever, cough, and foul-smelling sputum, and is frequently caused by anaerobes.

Answer: Lung abscess

Flashcard 410: What is the test of choice for confirming the diagnosis of Zenker's diverticulum? _____

Answer: Barium contrast esophagram

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