Clinical Reasoning — Flashcards

Flashcard 541: Perforated viscus may present with _____, in which gas outlines the inner and outer surfaces of the intestine

Answer: Rigler sign (double-wall sign)

Flashcard 542: What CXR finding is often found in patients with coarctation of the aorta? _____

Answer: Notching of the ribs

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/ct-surgery/acquire?ref=anki 

Flashcard 543: What imaging modality is recommended to evaluate patients with suspected gallstone pancreatitis? _____

Answer: Ultrasound (RUQ)

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

Flashcard 544: Diagnosis of esophageal cancer = _____ Confirmation of esophageal cancer = _____

Answer: barium swallow

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

Flashcard 545: Young male with lower back pain and morning stiffness that improves with use is suggestive of _____

Answer: ankylosing spondylitis

Extra: https://onlinemeded.org/spa/rheumatology/approach-to-joint-pain/acquire?ref=anki

Flashcard 546: What is the likely diagnosis in a patient that presents with a hard, painless bump on the eyelid? _____

Answer: Chalazion

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

Flashcard 547: Severe fever, cough and myalgias is suggestive of _____

Answer: influenza

Extra:  https://onlinemeded.org/spa/infectious-disease/pneumonia/acquire?ref=anki 

Flashcard 548: Arm abducted and externally rotated (handshake position) = _____ shoulder dislocation

Answer: anterior

Extra: Anterior Dislocation: Abducted and externally rotated (handshake position). Posterior Dislocation: Adducted and internally rotated (shielding position); associated with seizures and electrocution. https://onlinemeded.org/spa/surgery-subspecialty/ortho-injuries/acquire?ref=anki

Flashcard 549: PE test of choice = _____

Answer: CT angiography

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

Flashcard 550: On standard urine drug screen, ketamine is an anesthetic that may be a false positive for _____

Answer: phencyclidine

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