Clinical Reasoning — Flashcards

Flashcard 581: An ABI of _____ is considered diagnostic of occlusive peripheral arterial disease (PAD) in symptomatic patients

Answer: ≤ 0.90

Flashcard 582: Biopsy test of choice to confirm breast cancer = _____

Answer: core needle biopsy

Extra: hx of trauma doesn't rule out cancer!

Flashcard 583: In patients with a(n) anterior cerebral artery occlusion, involvement of the _____ can cause flat affect and lack of motivation (abulia)

Answer: frontal cortex

Flashcard 584: Bloody diarrhea, fever and history of travel or a local outbreak is suggestive of _____

Answer: infectious colitis

Flashcard 585: How does a pt. present w/ gallstone pancreatitis? _____

Answer: RUQ pain, elevated AST/ALT, lipase, amylase, and mild fever/leukocytosis

Extra: ALT > 150 U/L is highly suggestive of a biliary etiology (gallstone pancreatitis).

Flashcard 586: What is the best initial test in a patient found to have a cervical lymph node with metastatic squamous cell carcinoma? _____

Answer: Panendoscopy (esophagoscopy, bronchoscopy, laryngoscopy)

Flashcard 587: What is the likely diagnosis in a patient with an aortic dissection that develops hypotension, JVD, and pulsus paradoxus? _____

Answer: Cardiac tamponade

Flashcard 588: What is the preferred imaging modality for diagnosis of developmental dysplasia of the hip in infants > 4 months old? _____

Answer: Hip X-ray

Flashcard 589: Are iron studies or hemoglobin electrophoresis done first in someone suspicious for iron deficiency anemia and thalassemia? _____

Answer: Iron studies

Flashcard 590: Herniation-like lightning pain and older male is suggestive of _____

Answer: osteophyte