chief complaint2

Question 1

HEADACHE (9)

Answer 1

Migraine 
Cluster headache
Tension headache
Sinusitis 
Temporal arteritis
Pseudotumor cerebri 
Trigeminal neuralgia
Meningitis
Subarachnoid hemorrhage

Question 2

CONFUSION/ MEMORY LOSS (6)

Answer 2

Vascular dementia 
Alzheimer 
Normal pressure hydrocephalus 
Credtzfield-Jakob disease 
Hypoglycemia 
Subdural hematoma

Question 3

LOSS OF VISION

Answer 3

Retinal artery occlusion

Question 4

DEPRESSED MOOD (3)

Answer 4

Normal Bearevement
Major Depressive Dso
Bipolar I disorder

Question 5

PSYCHOSIS (3)

Answer 5

Schizophrenia
Substance induced psychosis
Schizoaffective Dso

Question 6

DIZZINESS (6)

Answer 6

Meniere's disease
Orthostatic hypotension
Drug induced orthostatic hypotension
Benign paroxysmal positional vertigo
Vestibular neuritis
Labyrinthitis

Question 7

LOSS OF CONSCIOUSNESS (3)

Answer 7

Generalized tonic-clonic seizure 
Drug induced orthostatic hypotension (causing syncope) 
Cardiac arrhythmia (causing syncope)

Question 8

NUMBNESS/WEAKNESS (9)

Answer 8

TIA
Stroke
Gullian-Barre
Multiple Sclerosis
Myasthenia Gravis
Diabetic Peripheral Neuropathy
Todd's Paraysis
Carpel tunnel syndrome sec to hypothyroidism

Question 9

FATIGUE AND SLEEPINESS (7)

Answer 9

Depression
Post Traumatic Stress Disorder
Diabetes Mellitus
Hypothyroidism
Obstructive Sleep Apnea
Sleep-work Sleep Disorder
Colon Cancer

Question 10

NIGHTS SWEATS

Answer 10

Tuberculosis Hyperthyroidism

Question 11

INSOMNIA (3)

Answer 11

Insomnia Related to MDD
Stress induced insomnia
Obstructive sleep apnea

Question 12

SORE THROAT (3)

Answer 12

Infectious mononucleosis
HIV, acute retroviral syndrome
Pharyngitis (bacterial or viral)

Question 13

COUGH/SHORTNESS OF BREATH (9)

Answer 13

Asthma
COPD chronic
COPD acute exacerbation
Pneumonia
Atypical pneumonia
Lung CA
Tuberculosis
CHF
Pulmonary edema

Question 14

CHEST PAIN (8)

Answer 14

GERD
Pericarditis
Costochondritis
MI
Stable angina
Aortic dissection
Pulmonary embolism
Sickle cell disease - acute chest syndrome

Question 15

PALPITATIONS (4)

Answer 15

Social phobia
Panic attack
Hypoglycemia
Mitral valve prolapse

Question 16

WEIGHT LOSS

Answer 16

Hyperthyroidism

Question 17

WEIGHT GAIN

Answer 17

Smoking cessation

Insulinoma

Question 18

DYSPHAGIA (4)

Answer 18

Esophageal CA
Plummer Vinson syndrome
Achalasia
Esophagitis

Question 19

NECK MASS

Answer 19

Hodgkins/Nonhodgkins lymphoma

Question 20

NAUSEA/VOMITING (6)

Answer 20

Pregnancy
Gastritis
UTI
Diabetes M
Hypercalcemia
Depression

Question 21

ABDOMINAL PAIN (15)

Answer 21

Peptic ulcer disease
Ruptured peptic ulcer
Hepatitis
Ascending cholangitis
Acute cholecystitis
Pancreatic CA
Acute pancreatitis
Splenic rupture
Diverticulitis
Intestinal obstruction
Mesenteric ischemia/infarction
Nephrolithiasis
Acute appendicitis
Ovarian torsion
Pelvic inflammatory disease

Question 22

CONSTIPATION/DIARRHEA (8)

Answer 22

Lactose intolerance
Low fiber diet
Irritable bowel yndrome
Infectious diarrhea
Traveler's diarrhea
Pseudomembranous colitis
Crohn's disease
Colorectal cancer

Question 23

UPPER GI BLEED

Answer 23

Bleeding peptic ulcer

Gastritis

Question 24

BLOOD IN STOOL (3)

Answer 24

Colorectal cancer
Diverticulosis
Ulcerative colitis

Question 25

HEMATURIA (3)

Answer 25

Bladder cancer Polycystic kidney disease Renal cell carcinoma

Question 26

OTHER URINARY SYMPTOMS (6)

Answer 26

``` Benign prostatic hypertrophy Prostate cancer Urethritis Acute pyelonephritis Stress incontinence Urge incontinence ```

Question 27

ERECTILE DYSFUNCTION

Answer 27

Drug-related ED

Question 28

AMENORRHEA (7)

Answer 28

``` Anxiety-induced amenorrhea Anorexia nervosa Pregnancy Amenorrhea sec to prolactinoma Sheehan's syndrome Polycystic ovarian syndrome Menopause ```

Question 29

VAGINAL BLEEDING (5)

Answer 29

``` Dysfunctional vaginal bleed Endometrial cancer Cervical cancer Ectopic pregnancy Spontaneous abortion ```

Question 30

VAGINAL DISCHARGE (3)

Answer 30

Bacterial vaginosis Vaginitis-bacterial Vaginitis-candidal

Question 31

DYSPAREUNIA

Answer 31

Atrophic vaginitis | Endometriosis

Question 32

ABUSE

Answer 32

Domestic violence | Rape

Question 33

JOINT/LIMB PAIN (18)

Answer 33

``` Domestic violence Carpel tunnel syndrome Rheumatoid arthritis Systemic lupus erythematosis Psoriatic arthritis Hip dislocation Hip fracture Shoulder dislocation Osteoarthritis Septic arthritis Plantar fasciitis Tennis elbow Stress fracture Peripheral vascular disease DVT Angina/MI Desiminated gonorrhea Rhabdomyolysis due to statins ```

Question 34

LOW BACK PAIN (4)

Answer 34

Disk herniation Lumbar muscle stenosis Lumbar spinal stenosis Malingering

Question 35

CHILD WITH FEVER (4)

Answer 35

Neonatal sepsis Acute otitis media Measles (or other viral exanthems) Gastroenteritis (viral, bacterial, parasitic)

Question 36

CHILD WITH GI SYMPTOMS (5)

Answer 36

``` Pyloric stenosis Hirschsprung disease Intussusception Somatoform disorder Colic ```

Question 37

CHILD WITH RED EYE

Answer 37

Bacterial conjuctivitis

Question 38

CHILD WITH SHORT STATURE

Answer 38

Constitutional short stature

Question 39

BEHAVIORAL PROBLEMS IN CHILDHOOD (4)

Answer 39

ADHD Adjustment disorder Substance abuse Age-appropriate behavior