Clinical Reasoning — Flashcards

Flashcard 431: Congenital cardiac defects are diagnosed with _____

Answer: echo

Flashcard 432: _____ is characterized by optic disc atrophy with characteristic cupping

Answer: Glaucoma

Flashcard 433: To grade GCS of eye opening: 4: _____ 3: _____ 2: _____ 1: _____

Answer: Spontaneously

Flashcard 434: What laboratory finding has a high sensitivity for the diagnosis of congestive heart failure? _____

Answer: Elevated brain natriuretic peptide (BNP) levels

Flashcard 435: What is the likely diagnosis in a patient who develops a spike in creatinine a day after having a CT with IV contrast? _____

Answer: Contrast-induced nephropathy

Flashcard 436: What is the diagnosis in an elderly patient with swelling and tenderness of the parotid gland and erythema with scant purulent drainage? _____

Answer: Suppurative sialadenitis

Flashcard 437: What is the next step in management for an elderly man with a significant smoking history that presents with urinary frequency and episodic gross hematuria for the past two months? Physical exam, including rectal exam, is unremarkable. _____

Answer: Cystoscopy

Flashcard 438: Bilateral hypoattenuation of the globus pallidus is often seen in _____ poisoning

Answer: CO

Flashcard 439: What is used to dx complications of pancreatitis but should be reserved until after complications are seen? _____

Answer: CT scan

Flashcard 440: What is the likely diagnosis in a patient with a firm, mobile nodule on the back? The nodule does not change shape when pinched at the edge. The patient had a similar bump in the same location months ago, which spontaneously resolved. _____

Answer: Epidermal inclusion cyst

Extra: Epidermal inclusion cysts often fluctuate in size and may spontaneously resolve if they rupture, though the cyst wall usually remains, often leading to recurrence.