Clinical Reasoning — Flashcards

Flashcard 551: Severe fever, cough and myalgias is suggestive of _____

Answer: influenza

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

Flashcard 552: 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 553: How do you diagnose neonatal chlamydia infection? _____ of conjunctival or nasopharyngeal swabs

Answer: NAAT

Extra: 

Flashcard 554: What imaging modality is preferred for diagnosis of acute or chronic mesenteric ischemia? _____

Answer: CT angiography

Extra:  https://onlinemeded.org/spa/gastroenterology/gi-bleed/acquire?ref=anki  

Flashcard 555: Initial test for subarachnoid hemorrhage = _____

Answer: non-contrast CT

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

Flashcard 556: What is the likely diagnosis for asymptomatic keratinized hair follicles ("rough bumps") typically distributed over the extensor arms and thighs? _____

Answer: Keratosis pilaris

Flashcard 557: Lungs that appear _____ (hyperlucent) on CXR are characteristic of COPD.

Answer: lucent black

Extra: Other COPD CXR findings include flattened diaphragms, increased retrosternal airspace, and rapid tapering of vascular markings.

Flashcard 558: Bibasilar crackles, S3 gallop, displaced point of maximum impulse and lower extremity edema is suggestive of _____

Answer: dilated cardiomyopathy

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

Flashcard 559: Interferon-gamma release assay is not influenced by prior BCG vaccination _____

Answer: T

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

Flashcard 560: Meckel diverticulum is diagnosed using a(n) _____ study for uptake by ectopic gastric mucosa

Answer: technetium-99m pertechnetate

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