Clinical Reasoning — Flashcards

Flashcard 201: Congestion, bilateral purulent nasal discharge and pain with facial tap is suggestive of _____

Answer: sinusitis

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

Flashcard 202: Strabismus or congenital cataracts → cortical blindness is suggestive of _____

Answer: amblyopia

Extra:  https://onlinemeded.org/spa/pediatrics/ophthalmology/acquire?ref=anki 

Flashcard 203: What is the ankle brachial index for diagnosis of peripheral artery disease? _____

Answer: <0.9

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

Flashcard 204: What is the likely diagnosis in a patient with hemolytic anemia with an increased MCHC and negative Coombs test? _____

Answer: Hereditary spherocytosis

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Flashcard 205: Prolonged fever, cough with foul-smelling sputum and air-fluid levels on imaging is suggestive of _____

Answer: lung abscess

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

Flashcard 206: What do you do to confirm dx of SBO? _____

Answer: CT scan w/oral contrast

Extra:  https://onlinemeded.org/spa/surgery-general/small-bowel/acquire?ref=anki 

Flashcard 207: What is the best test for the diagnosis of central cord syndrome? _____

Answer: MRI of the cervical spine without contrast

Flashcard 208: Diagnosis of early disseminated Lyme disease = _____

Answer: ELISA then Western if need confirmation

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

Flashcard 209: Heavy lifting → lightning pain shooting down leg (sciatica) and positive straight leg test is suggestive of _____

Answer: herniation of disc

Extra:  https://onlinemeded.org/spa/neurology/back-pain/acquire?ref=anki 

Flashcard 210: Right mid-to-upper quadrant or flank pain during pregnancy with peritoneal signs but without uterine tenderness= _____

Answer: appendicitis

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