Clinical Reasoning — Flashcards

Diagnosis of strep throat in adults is based around the CENTOR criteria: C: _____ (+1) E: _____ (+1) N: _____ (+1) T: _____ (+1) OR: _____ (+1) OR _____ (-1)

Subarachnoid hemorrhage: 1) _____ to detect blood 2) If #1 is (+) use angiography to detect source of bleed 3) If #1 is (-) use lumbar puncture if clinical suspicion still high

Hint: First line diagnostic imaging

What is the likely diagnosis in a patient with sudden-onset pleuritic chest pain, hemoptysis, and dyspnea? _____

Interferon-γ release assay (IGRA) has _____ false positives from BCG vaccination than PPD testing

Hint: greater/fewer

The initial step in evaluation of Cushing syndrome is confirmation of hypercortisolism via one of the following tests: 1. _____ 2. _____ 3. _____

What is the likely diagnosis in a patient that presents with sudden onset flashes of light and floaters in the left eye? The patient felt like "a curtain came down" over her eye. Ophthalmoscopy reveals a grayish-appearing retina. _____

What is the likely diagnosis in a patient with diverticulosis, pneumaturia, fecaluria, and frequent UTI? _____

Palpable breast mass > 30 y.o. woman → do mammogram +/- ultrasound and _____ to exclude cancer

What is the diagnosis for a patient with an x-ray of the lumbar spine showing bone destruction, sequestrum formation, and periosteal reactions? _____

_____ is a biliary cancer with obstructive jaundice and anemia/UGI bleed