Clinical Reasoning — Flashcards

Flashcard 541: Suprasellar tumor, ↓ FSH/LH and bitemporal hemianopsia is suggestive of _____

Answer: Craniopharyngioma

Extra: MRI is used to visualize the mass and distinguish between Craniopharyngioma and Kallman syndrome (no mass in Kallman).

Flashcard 542: Perforated viscus may present with _____, in which gas outlines the inner and outer surfaces of the intestine

Answer: Rigler sign (double-wall sign)

Flashcard 543: Diagnosis of esophageal cancer = _____ Confirmation of esophageal cancer = _____

Answer: barium swallow

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

Flashcard 544: What CXR finding is often found in patients with coarctation of the aorta? _____

Answer: Notching of the ribs

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/ct-surgery/acquire?ref=anki 

Flashcard 545: What is the likely diagnosis in a young woman with significant hypertension, amaurosis fugax, and a carotid bruit? _____

Answer: Fibromuscular dysplasia

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

Flashcard 546: What is the likely diagnosis in a patient that presents with a hard, painless bump on the eyelid? _____

Answer: Chalazion

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

Flashcard 547: How do you diagnose HIV during the primary infection? _____

Answer: 4th generation antigen/antibody assay and p24 antigen

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

Flashcard 548: Arm abducted and externally rotated (handshake position) = _____ shoulder dislocation

Answer: anterior

Extra: Anterior Dislocation: Abducted and externally rotated (handshake position). Posterior Dislocation: Adducted and internally rotated (shielding position); associated with seizures and electrocution. https://onlinemeded.org/spa/surgery-subspecialty/ortho-injuries/acquire?ref=anki

Flashcard 549: On standard urine drug screen, ketamine is an anesthetic that may be a false positive for _____

Answer: phencyclidine

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

Flashcard 550: Clusters of vesicles on anterior mucosa / lips is suggestive of _____

Answer: herpetic gingivostomatitis

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