Clinical Reasoning — Flashcards

Flashcard 421: What is the likely diagnosis in an asymptomatic young adult female with a solitary liver mass with a hypodense central stellate scar on CT? _____

Answer: Focal nodular hyperplasia

Flashcard 422: Nephrolithiasis = _____ or _____

Answer: non-contrast CT scan

Flashcard 423: HbA1c ≥ _____ = diabetes HbA1c < _____ = normal

Answer: 6.5%

Flashcard 424: Unilateral ear pain and **pain with traction of the pinna** is suggestive of _____

Answer: otitis externa

Extra: Otitis externa (swimmer's ear) is characterized by inflammation of the external auditory canal. A classic physical exam finding is the 'tragus sign' or pain with pinna traction (tug test), which helps distinguish it from otitis media (where the external ear is typically not tender).

Flashcard 425: At what time of day is plantar fasciitis the worst? _____

Answer: In the morning

Flashcard 426: Cholecystitis is associated with a positive _____ sign, which is inspiratory arrest after RUQ palpation due to pain

Answer: Murphy's

Flashcard 427: A positive screening test for Treponema pallidum (via VDRL or RPR) is confirmed via _____

Answer: FTA-ABS (fluorescent treponemal antibody-absorption)

Flashcard 428: How is choledocholithiasis dx'd? _____

Answer: U/S or MRCP

Flashcard 429: Sestamibi scan = localize _____ glands

Answer: parathyroid

Flashcard 430: What imaging modality is used to confirm the diagnosis of rotator cuff tear? _____

Answer: MRI