Clinical Reasoning — Flashcards

Flashcard 471: What is the next step in diagnosis for a patient with secondary amenorrhea and a negative pregnancy test? _____

Answer: Measure serum prolactin, TSH, and FSH

Flashcard 472: On chest CT, fat embolism may appear as bilateral scattered _____

Answer: ground-glass opacities

Flashcard 473: What test is most likely to reveal the underlying etiology of amaurosis fugax? _____

Answer: Duplex ultrasound of the neck

Flashcard 474: Flushing, diarrhea and right-sided valvular disease is suggestive of _____

Answer: carcinoid syndrome

Flashcard 475: Suspected pneumonia = _____

Answer: X-ray

Flashcard 476: hyperextension injury → marked weakness and loss of temperature/pain in the upper extremities compared to the lower extremities _____

Answer: Central cord syndrome

Flashcard 477: A nonhealing tonsillar ulcer in the absence of smoking/alcohol is suggestive of _____

Answer: head and neck SCC caused by HPV

Flashcard 478: What is the gold standard diagnostic test for acute cervicitis? _____

Answer: Nucleic acid amplification testing (NAAT)

Flashcard 479: What is seen on manometry in achalasia? _____

Answer: Failure to relax

Flashcard 480: The **next step** in the evaluation of hematuria is _____

Answer: urinalysis

Extra: The first step in evaluating a patient with hematuria (or red urine) is a urinalysis (microscopy) to confirm the presence of red blood cells and to look for other clues (e.g., dysmorphic RBCs or casts suggesting a glomerular cause).