Clinical Reasoning — Flashcards

Flashcard 451: What is the next step in a patient with suspected acromegaly that is found to have elevated IGF-1 levels? _____

Answer: Oral glucose suppression test

Extra:  https://onlinemeded.org/spa/endocrinology/anterior-pituitary/acquire?ref=anki 

Flashcard 452: What is seen on x-ray for diagnosis of congenital diaphragmatic hernia? _____

Answer: Loops of bowel in the thorax

Extra:  https://onlinemeded.org/spa/pediatrics/congenital-defects/acquire?ref=anki 

Flashcard 453: Cystic and sclerotic changes (moth-eaten appearance) on X-ray suggest a diagnosis of _____.

Answer: osteonecrosis

Flashcard 454: PSA is used to **diagnose** BPH _____

Answer: False

Extra: Initial evaluation of BPH includes DRE, urinalysis, and PSA (if life expectancy >10y). https://onlinemeded.org?ref=anki

Flashcard 455: Rapidly progressive dementia and myoclonus, sharp wave complexes on EEG _____

Answer: Creutzfeldt-Jakob Disease (dead within year)

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

Flashcard 456: What do you order if dx of pancreatitis is certain AND enzymes are negative? _____

Answer: CT scan

Extra:  https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki 

Flashcard 457: Can serology for H. Pylori differentiate active vs latent infection? _____

Answer: No

Extra:  https://onlinemeded.org/spa/gastroenterology/peptic-ulcer/acquire?ref=anki 

Flashcard 458: What are the key features used to diagnose postrenal failure? (2) _____

Answer: Anuria Hydronephrosis

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

Flashcard 459: What is the most likely diagnosis in a 16 y/o with HbA1c of 7.6% and BMI at the 95th percentile? _____

Answer: Type 2 diabetes mellitus

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

Flashcard 460: Anti-tissue transglutaminase antibodies is suggestive of _____

Answer: GSE (celiac disease)

Extra:  https://onlinemeded.org/spa/dermatology/bullous-diseases/acquire?ref=anki