Clinical Reasoning — Flashcards

Flashcard 451: Diagnosis of a crescent-shaped intracranial collection on CT scan: _____

Answer: Chronic subdural hematoma

Extra: Chronic subdural hematoma typically presents in elderly or alcoholic patients after minor trauma due to tearing of bridging veins.

Flashcard 452: What is seen on x-ray for diagnosis of congenital diaphragmatic hernia? _____

Answer: Loops of bowel in the thorax

Extra:  https://onlinemeded.org/spa/pediatrics/congenital-defects/acquire?ref=anki 

Flashcard 453: Rapidly progressive dementia and myoclonus, sharp wave complexes on EEG _____

Answer: Creutzfeldt-Jakob Disease (dead within year)

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

Flashcard 454: Cystic and sclerotic changes (moth-eaten appearance) on X-ray suggest a diagnosis of _____.

Answer: osteonecrosis

Flashcard 455: What is the next step in a patient with suspected acromegaly that is found to have elevated IGF-1 levels? _____

Answer: Oral glucose suppression test

Extra:  https://onlinemeded.org/spa/endocrinology/anterior-pituitary/acquire?ref=anki 

Flashcard 456: PSA is used to **diagnose** BPH _____

Answer: False

Extra: Initial evaluation of BPH includes DRE, urinalysis, and PSA (if life expectancy >10y). https://onlinemeded.org?ref=anki

Flashcard 457: Assessment of cardiac risk and able to exercise = _____ Assessment of cardiac risk + not able to exercise = _____

Answer: exercise stress test

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

Flashcard 458: Polyarthritis, recurrent fever and salmon-pink rash is suggestive of _____

Answer: adult Still's disease

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

Flashcard 459: Can serology for H. Pylori differentiate active vs latent infection? _____

Answer: No

Extra:  https://onlinemeded.org/spa/gastroenterology/peptic-ulcer/acquire?ref=anki 

Flashcard 460: What do you order if dx of pancreatitis is certain AND enzymes are negative? _____

Answer: CT scan

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