Clinical Reasoning — Flashcards

Flashcard 1: tuberous sclerosis

Answer:

Extra: cutaneous angiofibromas (adenoma sebaceum), hypopigmented "ash leaf" spots, seizures, mental retardation, cortical and retinal hamartomas, renal cysts and angiomyolipomas, cardiac rhabdomyomas, astrocytomas AD, but incomplete penetrance and variable expressivityTSC1/TSC2

Flashcard 2: What is the most common clinical application for an ELISA?

Answer: detection of antibodies in patient blood sample

Flashcard 3: accuracy (diagnostic testing)

Answer: the "trueness" of a test's results

Flashcard 4: precision (diagnostic testing)

Answer: consistency and reproducibility of a test's results

Flashcard 5: What is the next step in diagnosis for a patient with new-onset epigastric pain, nausea, hypotension, bradycardia and T-wave inversions in leads II, III, aVF? _____

Answer: Right-sided precordial ECG

Extra:  Watch Stable Angina, Vasospastic Angina, & Acute Coronary Syndromes (UA, NSTEMI, STEMI) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-ischemic-heart-disease-stable-angina-vasospastic-angina-and-acute-coronary-syndromes-ua-nstemi-stemi?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/cardiac?ref=anki 

Flashcard 6: Patients with psoas abscesses frequently position themselves to minimize psoas stretching and discomfort by engaging hip _____ and positioning into lumbar lordosis

Answer: flexion

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

Flashcard 7: What is the preferred next step for diagnosis of peripheral arterial disease in symptomatic patients? _____

Answer: Ankle-brachial index (ABI) with Doppler (ABI is <0.9 in PAD)

Extra:  * systolic BP of ankles divided by systolic BP of upper extemities Watch Peripheral Artery Disease [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-vascular/videos/medical-pathophysiology-vascular-atherosclerosis-peripheral-artery-disease?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/surgery-subspecialty/vascular/acquire?ref=anki 

Flashcard 8: Which diagnostic test is used to detect EBV infection? _____

Answer: Monospot Test

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

Flashcard 9: What is test used to measure bone density? _____

Answer: DEXA scan

Extra:   Watch Osteoporosis & Paget Disease of Bone [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-musculoskeletal-derm/videos/medical-pathophysiology-musculoskeletal-and-derm-bone-osteoporosis-and-paget-disease-of-bone?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki Atlas: 

Flashcard 10: Fibrotic changes in IPF appear as bilateral or diffuse reticular opacities, most prominent in _____ lobes on CXR/CT

Answer: lower

Extra:  Watch Idiopathic Pulmonary Fibrosis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-pulmonary/videos/medical-pathophysiology-pulmonary-restrictive-lung-disease-idiopathic-pulmonary-fibrosis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/pulmonology/videos/restrictive-lung-disease?index=2] https://onlinemeded.org/spa/pulmonary/restrictive-lung-disease/acquire?ref=anki