Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
41 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
Sharon Smith, a 48-year-old female, comes to the clinic complaining of abdominal pain.
Vital Signs BP: 135/70 mmHg Temp: 98.5°F (36.9°C) RR: 16/minute HR: 76/minute, regular |
1. Peptic ulcer disease
2. Cholecystitis 3. Gastritis 4. Functional or nonulcer dyspepsia 5. Perforated ulcer 6. Gastric cancer 1. Rectal exam, stool for occult blood 2. AST/ALT/bilirubin/alkaline phosphatase, lipase 3. U/S—abdomen 4. Upper endoscopy 5. HIDA scan 6. H. pylori antibody testing |
1. Rectal exam, stool for occult blood
2. AST/ALT/bilirubin/alkaline phosphatase, lipase 3. U/S—abdomen 4. Upper endoscopy 5. HIDA scan 6. H. pylori antibody testing |
|
|
Jessica Anderson, a 21-year-old female, comes to the ER complaining of abdominal pain.
BP: 120/80 mmHg Temp: 100.5°F (38.1°C) RR: 20/minute HR: 88/minute, regular |
1. PID
2. Appendicitis 3. Ruptured ectopic pregnancy 4. Ruptured ovarian cyst 5. Adnexal torsion 6. Gastroenteritis 7. Abortion 8. Endometriosis 1. Rectal exam 2. Pelvic exam 3. Urine hCG 4. Cervical cultures 5. UA 6. CBC 7. U/S—abdomen/pelvis 8. CT—abdomen/pelvis 9. Laparoscopy |
1. Rectal exam
2. Pelvic exam 3. Urine hCG 4. Cervical cultures 5. UA 6. CBC 7. U/S—abdomen/pelvis 8. CT—abdomen/pelvis 9. Laparoscopy |
|
|
Richard Green, a 74-year-old male, comes to the ER complaining of pain in his right arm.
BP: 135/85 mmHg Temp: 98.0°F (36.7°C) RR: 12/minute HR: 76/minute, regular |
1. Humeral fracture
2. Osteoporosis 3. Shoulder dislocation 4. Elder abuse 5. Rotator cuff tear 1. XR—right shoulder and arm 2. MRI—shoulder 3. Bone density scan (DEXA) |
1. XR—right shoulder and arm
2. MRI—shoulder 3. Bone density scan (DEXA) |
|
|
Brian Davis, a 21-year-old male, comes to the office complaining of a sore throat.
BP: 120/80 mmHg Temp: 99.5°F (37.5°C) RR: 15/minute HR: 75/minute, regular |
1. Infectious mononucleosis
2. Acute HIV infection 3. Viral pharyngitis 4. Bacterial pharyngitis 1. CBC 2. Peripheral smear 3. Monospot 4. Rapid streptococcal antigen 5. Throat culture 6. Anti-EBV antibodies 7. HIV antibody and viral load |
1. CBC
2. Peripheral smear 3. Monospot 4. Rapid streptococcal antigen 5. Throat culture 6. Anti-EBV antibodies 7. HIV antibody and viral load |
|
|
Kenneth Klein, a 55-year-old male, comes to the clinic complaining of blood in his stool.
BP: 130/80 mmHg Temp: 98.5°F (36.9°C) RR: 16/minute HR: 76/minute, regular |
1. Colorectal cancer
2. Hemorrhoids 3. Diverticulosis 4. Angiodysplasia 5. Pseudomembranous (C. diffi cile) colitis 6. Other infectious colitis 7. Ulcerative colitis 1. Rectal exam, stool for occult blood 2. Stool for C. difficile toxin 3. Fecal leukocytes 4. CBC 5. Anoscopy 6. Flexible proctosigmoidoscopy 7. Colonoscopy 8. Double-contrast (air contrast) barium enema 9. CT—abdomen/pelvis |
1. Rectal exam, stool for occult blood
2. Stool for C. difficile toxin 3. Fecal leukocytes 4. CBC 5. Anoscopy 6. Flexible proctosigmoidoscopy 7. Colonoscopy 8. Double-contrast (air contrast) barium enema 9. CT—abdomen/pelvis |
|
|
Joseph Short, a 46-year-old male, comes to the ER complaining of chest pain.
BP: 165/85 mmHg Temp: 98.6°F (37°C) RR: 22/minute HR: 90/minute, regular |
1. Myocardial ischemia or infarction
2. Cocaine-induced myocardial ischemia 3. GERD 4. Aortic dissection 5. Pericarditis 6. Pneumothorax 7. Pulmonary embolism 8. Costochondritis 1. ECG 2. Cardiac enzymes (CPK, CPK-MB, troponin) 3. CXR 4. Transthoracic echocardiogram 5. Cardiac catheterization 6. Transesophageal echocardiogram 7. CT—chest with IV contrast 8. Upper endoscopy 9. Cholesterol panel |
1. ECG
2. Cardiac enzymes (CPK, CPK-MB, troponin) 3. CXR 4. Transthoracic echocardiogram 5. Cardiac catheterization 6. Transesophageal echocardiogram 7. CT—chest with IV contrast 8. Upper endoscopy 9. Cholesterol panel |
|
|
The mother of Josh White, a seven-month-old male child, comes to the offi ce complaining that her child has
a fever. |
1. Viral URI
2. Pneumonia 3. Meningitis 3. CBC with differential, blood culture, UA and 4. UTI 5. Otiti s media 6. Gastroenteritis 7. Occult bactere mia 1. Pneumatic otoscopy 2. Tympanometry 3. CBC with differential, blood culture, UA and urine culture 4. LP—CSF analysis 5. CT—head 6. CXR 7. Bronchoscopy 8. Serum antibody titers 9. U/S—renal 10. Voiding cystourethrogram |
1. Pneumatic otoscopy
2. Tympanometry 3. CBC with differential, blood culture, UA and urine culture 4. LP—CSF analysis 5. CT—head 6. CXR 7. Bronchoscopy 8. Serum antibody titers 9. U/S—renal 10. Voiding cystourethrogram |
|
|
The mother of Maria Sterling, an 18-month-old female child, comes to the offi ce complaining that her child
has a fever. |
1. Otitis media
2. Meningococcal meningitis 3. Scarlet fever 4. Fifth disease or other viral exanthem 5. Varicella 1. Pneumatic otoscopy 2. Tympanometry 3. LP—CSF analysis 4. Platelets, PT/PTT, D-dimer, fi brin split products,fibrinogen 5. CBC with differential, blood culture, UA and urine culture 6. Throat culture 7. Parvovirus B19 IgM antibody 8. Skin lesion scrapings 9. Varicella antibody titer |
1. Pneumatic otoscopy
2. Tympanometry 3. LP—CSF analysis 4. Platelets, PT/PTT, D-dimer, fi brin split products,fibrinogen 5. CBC with differential, blood culture, UA and urine culture 6. Throat culture 7. Parvovirus B19 IgM antibody 8. Skin lesion scrapings 9. Varicella antibody titer |
|
|
Eric Glenn, a 26-year-old male, comes to the offi ce complaining of cough.
BP: 120/80 mmHg Temp: 99.5°F (37.5°C) RR: 15/minute HR: 75/minute, regular |
1. Upper respiratory infection (URI)
2. Acute bronchitis 3. Pneumonia 4. Pleurodynia 5. Aspiration 1. CXR 2. CBC 3. Sputum Gram stain and culture 4. Urine Legionella antigen, serum Mycoplasma PCR,cold agglutinin measurement 5. Bronchoscopy with bronchoalveolar lavage 6. Pulse oximetry or ABG 7. HIV antibody |
1. CXR
2. CBC 3. Sputum Gram stain and culture 4. Urine Legionella antigen, serum Mycoplasma PCR,cold agglutinin measurement 5. Bronchoscopy with bronchoalveolar lavage 6. Pulse oximetry or ABG 7. HIV antibody |
|
|
Marilyn McLean, a 54-year-old female, comes to the offi ce complaining of persistent cough.
BP: 120/80 mmHg Temp: 99.5°F (37.5°C) RR: 15/minute HR: 75/minute, regular. |
1. Pulmonary tuberculosis
2. Lung cancer 3. Lung abscess 4. Atypical pneumonia 5. Typical pneumonia 6. COPD exacerbation 7. Wegener’s granulomatosis 1. CBC 2. c-ANCA 3. Blood cultures 4. PPD 5. Sputum Gram stain, AFB smear, routine and mycobacterial sputum cultures, and cytology 6. CXR—PA and lateral 7. CT—chest 8. Bronchoscopy 9. Lung biopsy |
1. CBC
2. c-ANCA 3. Blood cultures 4. PPD 5. Sputum Gram stain, AFB smear, routine and mycobacterial sputum cultures, and cytology 6. CXR—PA and lateral 7. CT—chest 8. Bronchoscopy 9. Lung biopsy |
|
|
Gail Abbott, a 52-year-old female, comes to the offi ce complaining of yellow eyes and skin.
BP: 130/80 mmHg Temp: 98.3°F (36.8°C) RR: 15/minute HR: 70/minute, regular |
1. Extrahepatic biliary obstruction:
Pancreatic cancer Choledocholithiasis Cholangiocarcinoma hepatitis serologies Carcinoma of the ampulla Sphincter of Oddi dysfunction 2. Viral hepatitis 3. Acetaminophen liver toxicity 4. Alcoholic hepatitis 5. Primary biliary cirrhosis 1. AST/ALT/bilirubin/alkaline phosphatase 2. CBC 3. PT/PTT 4. Viral 5. Acetaminophen level 6. U/S—abdomen 7. CT—abdomen 8. MRCP/ERCP |
1. AST/ALT/bilirubin/alkaline phosphatase
2. CBC 3. PT/PTT 4. Viral 5. Acetaminophen level 6. U/S—abdomen 7. CT—abdomen 8. MRCP/ERCP |
|
|
Virginia Black, a 65-year-old female, comes to the clinic complaining of forgetfulness and confusion.
BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 76/minute, regular |
1. Alzheimer’s disease
2. Vascular (“multi-infarct”) dementia 3. Depression with pseudodementia 4. Hypothyroidism 5. Vitamin B12 deficiency 6. Subdural hematoma 1. CBC 2. Electrolytes, calcium, glucose, BUN/Cr 3. Serum B12, TSH, RPR 4. CT—head or MRI—brain 5. EEG or SPECT |
1. CBC
2. Electrolytes, calcium, glucose, BUN/Cr 3. Serum B12, TSH, RPR 4. CT—head or MRI—brain 5. EEG or SPECT |
|
|
Raymond Stern, a 56-year-old male, comes to the clinic for diabetes follow-up.
BP: 139/85 mmHg Temp: 98.0°F (36.7°C) RR: 15/minute HR: 75/minute, regular |
1. Insulin-induced hypoglycemia
2. Peripheral neuropathy: Diabetic peripheral neuropathy Alcoholic peripheral neuropathy 3. Multiple myeloma 4. Diabetic autonomic neuropathy, vascular disease, or medication-induced erectile dysfunction 1. Genital exam 2. Serum glucose, HbA1c 3. UA, urine microalbumin, BUN/Cr 4. CBC, SPEP 5. Doppler U/S—penis 6. Nerve conduction studies |
1. Genital exam
2. Serum glucose, HbA1c 3. UA, urine microalbumin, BUN/Cr 4. CBC, SPEP 5. Doppler U/S—penis 6. Nerve conduction studies |
|
|
Edward Albright, a 53-year-old male, comes to the ER complaining of dizziness.
BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 76/minute, regular |
1. Ménière’s disease
2. Orthostatic hypotension due to dehydration 3. Benign paroxysmal positional vertigo 4. Labyrinthitis 5. Perilymphatic fistula 6. Acoustic neuroma 1. Dix-Hallpike maneuver 2. VDRL/RPR 3. Audiometry 4. MRI—brain 5. Brain stem auditory evoked potentials 6. Electronystagmography |
1. Dix-Hallpike maneuver
2. VDRL/RPR 3. Audiometry 4. MRI—brain 5. Brain stem auditory evoked potentials 6. Electronystagmography |
|
|
Gary Mitchell, a 46-year-old male, comes to the offi ce complaining of fatigue.
BP: 120/85 mmHg Temp: 98.2°F (36.8°C) RR: 12/minute HR: 65/minute, regular |
1. Depression
2. Adjustment disorder with depressed mood 3. Hypothyroidism 4. Obstructive sleep apnea 5. Post-traumatic stress disorder 6. HIV infection 1. CBC 2. TSH 3. Ambulatory nocturnal pulse oximetry 4. Polysomnography 5. HIV antibody 6. MRI—brain |
1. CBC
2. TSH 3. Ambulatory nocturnal pulse oximetry 4. Polysomnography 5. HIV antibody 6. MRI—brain |
|
|
Jessica Lee, a 32-year-old female, comes to the office complaining of fatigue.
BP: 120/85 mmHg Temp: 98.2°F (36.8°C) RR: 13/minute HR: 80/minute, regular |
1. Domestic violence
2. Depression 3. Diabetes mellitus 4. Diabetes insipidus 5. Anemia 6. Myasthenia gravis 7. Hypothyroidism 1. CBC, iron level, TIBC, ferritin, serum B12 2. Electrolytes 3. UA 4. Serum glucose, HbA1c 5. TSH 6. MRI—brain (pituitary protocol) 7. DDAVP nasal spray test (vasopressin) |
1. CBC, iron level, TIBC, ferritin, serum B12
2. Electrolytes 3. UA 4. Serum glucose, HbA1c 5. TSH 6. MRI—brain (pituitary protocol) 7. DDAVP nasal spray test (vasopressin) |
|
|
William Jordan, a 61-year-old male, comes to the office complaining of fatigue.
BP: 135/85 mmHg Temp: 98.6°F (37°C) RR: 13/minute HR: 70/minute, regular |
1. Depression
2. Pancreatic cancer 3. Chronic pancreatitis 4. Peptic ulcer disease 5. Hypothyroidism 1. CBC, stool for occult blood 2. Glucose 3. Amylase, lipase 4. AST/ALT/bilirubin/alkaline phosphatase 5. TSH 6. AXR 7. CT or U/S—abdomen 8. Upper endoscopy |
1. CBC, stool for occult blood
2. Glucose 3. Amylase, lipase 4. AST/ALT/bilirubin/alkaline phosphatase 5. TSH 6. AXR 7. CT or U/S—abdomen 8. Upper endoscopy |
|
|
Kelly Clark, a 35-year-old female, comes to the ER complaining of headache.
BP: 135/90 mmHg Temp: 98.6°F (37°C) RR: 16/minute HR: 76/minute, regular |
1. Migraine
2. Tension headache 3. Depression 4. Pseudotumor cerebri 5. Intracranial mass lesion 6. Cluster headache 7. Sinusitis 1. CBC 2. CT—head or MRI—brain 3. LP 4. CT—sinus |
1. CBC
2. CT—head or MRI—brain 3. LP 4. CT—sinus |
|
|
Carl Fisher, a 57-year-old male, comes to the ER complaining of bloody urine.
BP: 130/80 mmHg Temp: 98.5°F (36.9°C) RR: 13/minute HR: 72/minute, regular |
1. Bladder cancer
2. Urolithiasis 3. BPH 4. Prostate cancer 5. Renal cell carcinoma 6. Glomerulonephritis 7. UTI 1. Genital exam 2. Rectal exam 3. UA 4. Urine culture 5. Urine cytology 6. BUN/Cr 7. PSA 8. U/S—renal 9. Cystoscopy 10. CT—abdomen/pelvis 11. IVP |
1. Genital exam
2. Rectal exam 3. UA 4. Urine culture 5. Urine cytology 6. BUN/Cr 7. PSA 8. U/S—renal 9. Cystoscopy 10. CT—abdomen/pelvis 11. IVP |
|
|
James Miller, a 54-year-old male, comes to the clinic for hypertension follow-up.
BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 70/minute, regular |
1. Drug-induced erectile dysfunction (ED)
2. Hypogonadism 3. ED caused by vascular disease 4. Depression 5. Alcohol-related ED 6. Peyronie’s disease 1. Genital exam 2. Rectal exam 3. Serum glucose 4. Testosterone 5. LH/FSH 6. Prolactin, TSH 7. Ferritin 8. MRI—brain 9. Doppler U/S—penis 10. Dynamic cavernosography 11. BUN/Cr, electrolytes, cholesterol, UA, ECG |
1. Genital exam
2. Rectal exam 3. Serum glucose 4. Testosterone 5. LH/FSH 6. Prolactin, TSH 7. Ferritin 8. MRI—brain 9. Doppler U/S—penis 10. Dynamic cavernosography 11. BUN/Cr, electrolytes, cholesterol, UA, ECG |
|
|
Kathleen Moore, a 33-year-old female, comes to the clinic complaining of knee pain.
BP: 130/80 mmHg Temp: 99.5°F (37.5°C) RR: 16/minute HR: 76/minute, regular |
1. Gout
2. Pseudogout 3. SLE 4. Rheumatoid arthritis 5. Gonococcal septic arthritis 6. Nongonococcal septic arthritis 7. Osteoarthritis 1. Pelvic exam and cervical cultures 2. Knee aspiration and synovial fluid analysis 3. XR—left knee and both hands 4. CBC 5. ANA, anti-dsDNA, RF 6. Blood culture |
1. Pelvic exam and cervical cultures
2. Knee aspiration and synovial fluid analysis 3. XR—left knee and both hands 4. CBC 5. ANA, anti-dsDNA, RF 6. Blood culture |
|
|
Charles Andrews, a 66-year-old male, comes to the clinic complaining of a tremor.
BP: 135/90 mmHg Temp: 98.6°F (37°C) RR: 16/minute HR: 70/minute, regular |
1. Parkinson’s disease
2. Essential tremor 3. Physiologic tremor 4. Midbrain lesion 5. Drug-induced tremor 6. Psychogenic tremor 7. Wilson’s disease 8. Hyperthyroidism 1. TSH 2. Heavy metal screen 3. MRI—brain 4. Ceruloplasmin, slit lamp examination for Kayser-Fleischer rings, AST/ALT, CBC, 24-hour urinary copper, liver biopsy |
1. TSH
2. Heavy metal screen 3. MRI—brain 4. Ceruloplasmin, slit lamp examination for Kayser-Fleischer rings, AST/ALT, CBC, 24-hour urinary copper, liver biopsy |
|
|
Jay Keller, a 49-year-old male, comes to the ER complaining of passing out a few hours earlier.
BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 76/minute, regular |
1. Convulsive syncope
2. Vasovagal syncope 3. Cardiac arrhythmia 4. Drug-induced orthostatic hypotension 5. Seizure 6. Aortic stenosis 1. CBC, electrolytes 2. CXR 3. CT—head or MRI—brain 4. ECG and Holter monitor 5. Echocardiography 6. Prolactin 7. EEG |
1. CBC, electrolytes
2. CXR 3. CT—head or MRI—brain 4. ECG and Holter monitor 5. Echocardiography 6. Prolactin 7. EEG |
|
|
Kristin Grant, a 30-year-old female, comes to the office complaining of weight gain.
BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 13/minute HR: 65/minute, regular BMI: 30 |
1. Smoking cessation
2. Hypothyroidism 3. Lithium-related obesity 4. Familial obesity 5. Pregnancy 6. Cushing’s syndrome 1. TSH 2. Urine hCG 3. Glucose, cholesterol, triglycerides 4. Dexamethasone suppression test 5. 24-hour urine free cortisol |
1. TSH
2. Urine hCG 3. Glucose, cholesterol, triglycerides 4. Dexamethasone suppression test 5. 24-hour urine free cortisol |
|
|
Patricia Garrison, a 36-year-old female, comes to the office complaining of not having menstrual periods recently.
BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 13/minute HR: 65/minute, regular |
1. Pregnancy
2. Hyperprolactinemia 3. Polycystic ovary syndrome 4. Thyroid disease 5. Premature ovarian failure 6. Asherman’s syndrome 1. Pelvic and breast exam 2. Urine hCG 3. LH/FSH 4. Prolactin, TSH 5. Electrolytes, glucose, BUN/Cr, AST/ALT/bilirubin/alkaline phosphatase 6. Testosterone, DHEAS 7. MRI—brain 8. Hysteroscopy |
1. Pelvic and breast exam
2. Urine hCG 3. LH/FSH 4. Prolactin, TSH 5. Electrolytes, glucose, BUN/Cr, AST/ALT/bilirubin/alkaline phosphatase 6. Testosterone, DHEAS 7. MRI—brain 8. Hysteroscopy |
|
|
Stephanie McCall, a 28-year-old female, comes to the office complaining of pain during sex.
BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 13/minute HR: 65/minute, regular |
1. Vulvovaginitis
2. Cervicitis 3. Endometriosis 4. Vulvodynia 5. Domestic violence 6. Pelvic tumor 7. Vaginismus 1. Pelvic exam 2. Wet mount, KOH prep, “whiff” test 3. Cervical cultures (chlamydia and gonorrhea DNA probes) 4. U/S—pelvis 5. MRI—pelvis 6. Laparoscopy |
1. Pelvic exam
2. Wet mount, KOH prep, “whiff” test 3. Cervical cultures (chlamydia and gonorrhea DNA probes) 4. U/S—pelvis 5. MRI—pelvis 6. Laparoscopy |
|
|
Rick Meyer, a 51-year-old male construction worker, comes to the offi ce complaining of back pain.
BP: 120/85 mmHg Temp: 98.2°F (36.8°C) RR: 20/minute HR: 80/minute, regular |
1. Disk herniation
2. Lumbar muscle strain 3. Degenerative arthritis 4. Lumbar spinal stenosis 5. Metastatic prostate cancer 6. Multiple myeloma 7. Malingering 1. Rectal exam 2. XR—L-spine 3. MRI—L-spine 4. PSA 5. CBC, calcium, BUN/Cr 6. Serum and urine protein electrophoresis |
1. Rectal exam
2. XR—L-spine 3. MRI—L-spine 4. PSA 5. CBC, calcium, BUN/Cr 6. Serum and urine protein electrophoresis |
|
|
The mother of Theresa Wheaton, a six-month-old female child, calls the offi ce complaining that her child has
diarrhea. |
1. Rotavirus
2. Bacterial diarrhea 3. Malabsorption 4. UTI pH 5. Intus susception 6. Bacteremia 1. Rotavirus enzyme immunoassay 2. Electrolytes 3. Stool leukocytes, culture, ova and parasitology, and 4. UA 5. AXR 6. Blood cultures |
1. Rotavirus enzyme immunoassay
2. Electrolytes 3. Stool leukocytes, culture, ova and parasitology, and 4. UA 5. AXR 6. Blood cultures |
|
|
Paul Stout, a 75-year-old male, comes to the offi ce complaining of hearing loss.
BP: 132/68 mmHg Temp: 98.4°F (36.9°C) RR: 18/minute HR: 84/minute, regular |
1. Presbycusis
2. Cochlear nerve damage due to loud noise 3. Otosclerosis 4. Ménière’s disease 5. Ototoxicity 6. Acoustic neuroma 1. Audiometry 2. Tympanography 3. Brain stem auditory evoked potentials 4. CT—head 5. VDRL/RPR |
1. Audiometry
2. Tympanography 3. Brain stem auditory evoked potentials 4. CT—head 5. VDRL/RPR |
|
|
The mother of Adam Davidson, an eight-year-old male child, comes to the office concerned that her son continues to wet the bed.
|
1. Monosymptomatic primary nocturnal enuresis
2. Secondary enuresis 3. Urinary tract infection 4. Constipation 5. Sleep apnea 6. Functional bladder disorder 1. Genital exam 2. UA 3. Urine culture 4. First-morning urine specific gravity 5. U/S—renal |
1. Genital exam
2. UA 3. Urine culture 4. First-morning urine specific gravity 5. U/S—renal |
|
|
John Matthews, a 25-year-old male, comes to the ER following a motor vehicle accident.
|
1. Pneumothorax
2. Hemothorax 3. Pneumonia 4. Rib fracture 5. Splenic rupture 6. Pleuritis 1. CXR 2. XR/CT—abdomen 3. Pulse oximetry 4. Urine toxicology 5. Blood alcohol level 6. Sputum Gram stain and culture |
1. CXR
2. XR/CT—abdomen 3. Pulse oximetry 4. Urine toxicology 5. Blood alcohol level 6. Sputum Gram stain and culture |
|
|
Julia Melton, a 25-year-old female, comes to the ER after having been assaulted.
BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 17/minute HR: 90/minute, regular |
1. Rib/bone fracture
2. Pneumothorax/hemothorax 3. STDs 4. Pregnancy 1. Pelvic exam 2. Urine hCG 3. Wet mount, KOH prep, cervical culture 4. XR—skeletal survey 5. HIV antibody, VDRL, HBV antigen 6. CXR 7. Evidence collection using rape kit |
1. Pelvic exam
2. Urine hCG 3. Wet mount, KOH prep, cervical culture 4. XR—skeletal survey 5. HIV antibody, VDRL, HBV antigen 6. CXR 7. Evidence collection using rape kit |
|
|
Tanya Parker, a 28-year-old female, comes to the clinic with a positive pregnancy test.
BP: 120/70 mmHg Temp: 98.6ºF (37ºC) RR: 14/minute HR: 76/minute |
1. Normal pregnancy
2. Ectopic pregnancy 3. Molar pregnancy 1. Breast/pelvic exam 2. Urine hCG 3. U/S—pelvis 4. CBC, serum glucose 5. TSH 6. RPR, rubella IgG, HBsAg, HIV antibody 7. Blood type, Rh, antibody screen 8. Pap smear 9. Cervical GC DNA testing 10. UA, urine culture |
1. Breast/pelvic exam
2. Urine hCG 3. U/S—pelvis 4. CBC, serum glucose 5. TSH 6. RPR, rubella IgG, HBsAg, HIV antibody 7. Blood type, Rh, antibody screen 8. Pap smear 9. Cervical GC DNA testing 10. UA, urine culture |
|
|
Gwen Potter, a 20-year-old female, comes to the clinic complaining of sleeping problems.
BP: 120/80 mmHg Temp: 98.6ºF (37ºC) RR: 18/minute HR: 102/minute |
1. Anxiety
2. Caffeine-induced insomnia 3. Hyperthyroidism 4. Insomnia related to depression 5. Adjustment insomnia 6. Illicit drug abuse 7. Obstructive sleep apnea 1. TSH, free T4 2. CBC with differential, chem 8 3. Urine toxicology 4. Polysomnography 5. ECG |
1. TSH, free T4
2. CBC with differential, chem 8 3. Urine toxicology 4. Polysomnography 5. ECG |
|
|
Jack Edwards, a 27-year-old male, comes to the ER complaining of seeing strange writing on the wall.
BP: 140/80 mmHg Temp: 98.3° F (36.8°C) RR: 15/minute HR: 98/minute, regular |
1. Substance-induced psychosis
2. Brief psychotic disorder 3. Psychosis secondary to a medical condition 4. Narcolepsy 5. Seizure 1. Urine toxicology 2. Mental status exam 3. Electrolytes, BUN/Cr 4. AST/ALT 5. TSH, free T4 6. EEG |
1. Urine toxicology
2. Mental status exam 3. Electrolytes, BUN/Cr 4. AST/ALT 5. TSH, free T4 6. EEG |
|
|
The mother of Louise Johnson, a 10-year-old female child, comes to the offi ce because she is concerned that
her daughter was recently diagnosed with diabetes. |
1. Type 1 diabetes mellitus
2. Type 2 diabetes mellitus 3. Secondary causes of diabetes (such as Cushing’s) 1. Basal metabolic profile 2. Glycosylated hemoglobin/HbA1c 3. UA, urine microalbumin 4. Insulin and C-peptide levels 5. Islet cell antibodies 6. 24-hour urine free cortisol |
1. Basal metabolic profile
2. Glycosylated hemoglobin/HbA1c 3. UA, urine microalbumin 4. Insulin and C-peptide levels 5. Islet cell antibodies 6. 24-hour urine free cortisol |
|
|
Riva George, a 35-year-old female, comes to the hospital complaining of pain in her right calf.
BP: 130/70 mmHg Temp: 98.2ºF (36.8ºC) RR: 13/minute HR: 74/minute |
1. Deep venous thrombosis
2. Cellulitis/myositis 3. Rupture of Baker’s cyst 4. Hematoma 5. Rupture of the medial head of the gastrocnemius 6. Spasm due to injury or sprain 1. Doppler U/S 2. D-dimer 3. Hypercoagulability testing 4. CBC with differential 5. CPK and myoglobin level 6. CT venography 7. MRI |
1. Doppler U/S
2. D-dimer 3. Hypercoagulability testing 4. CBC with differential 5. CPK and myoglobin level 6. CT venography 7. MRI |
|
|
Will Foreman, a 31-year-old male, comes to his primary care physician complaining of heel pain.
BP: 125/80 mmHg Temp: 99.5°F (37.5°C) RR: 14/minute HR: 69/minute, regular |
1. Plantar fasciitis
2. Calcaneal stress fracture 3. Achilles tendinitis 4. Retrocalcaneal bursitis 5. Tarsal tunnel syndrome 6. Foreign body 7. Ankle sprain 1. XR—right ankle 2. Bone scan 3. MRI |
1. XR—right ankle
2. Bone scan 3. MRI |
|
|
The mother of David Whitestone, a fi ve-day-old male child, calls the offi ce complaining that her child has
yellow skin and eyes. |
1. Physiologic jaundice
2. ABO or Rh incompatibility 3. Neonatal sepsis 4. Cephalohematoma 5. Breast-feeding jaundice 6. Polycythemia 7. Familial neonatal hyperbilirubinemia 1. Total and indirect bilirubin 2. Blood typing 3. Direct Coombs’ test 4. C-reactive protein 5. CBC 6. Titers for CMV, toxoplasmosis, and rubella (if required) |
1. Total and indirect bilirubin
2. Blood typing 3. Direct Coombs’ test 4. C-reactive protein 5. CBC 6. Titers for CMV, toxoplasmosis, and rubella (if required) |
|
|
The mother of Angelina Harvey, a two-year-old female child, calls the offi ce complaining that her child has
noisy and strange breathing. |
1. Foreign body aspiration
2. Croup 3. Laryngitis 4. Epiglottitis 5. Retropharyngeal abscess 6. Angioedema 7. Peritonsillar abscess 8. Laryngeal papilloma 1. ABG 2. CXR—PA and lateral 3. XR—neck, AP and lateral 4. CBC with differential 5. Direct laryngoscopy 6. Bronchoscopy |
1. ABG
2. CXR—PA and lateral 3. XR—neck, AP and lateral 4. CBC with differential 5. Direct laryngoscopy 6. Bronchoscopy |
|
|
Frank Emanuel, a 32-year-old male, comes to the offi ce for a pre-employment medical checkup as requested
by his prospective employer. BP: 130/85 mmHg Temp: 98.3°F (36.8°C) RR: 15/minute HR: 70/minute, regular |
1. Pulmonary tuberculosis
2. COPD/chronic bronchitis 3. Pulmonary silicosis 4. Asthma 5. GERD 1. CXR—PA and lateral 2. PPD test 3. Sputum Gram stain, AFB smear, routine and mycobacterial sputum cultures 4. CBC |
1. CXR—PA and lateral
2. PPD test 3. Sputum Gram stain, AFB smear, routine and mycobacterial sputum cultures 4. CBC |
