Fingerprints from S2D

Question 1

Pt w/ severe crampy generalised abd pain + hx of abd surgery. specific for ___

Answer 1

bowel obstruction

Question 2

specific: distention ASW increased bowel sounds, vomiting, constipation, or prior surgery

Answer 2

bowel obstruction

Question 3

increased bowel sounds w/ hx of prior surgery or vomiting. SPIN

Answer 3

bowel obstruction

Question 4

all pts w/ TB should be tested for ____

Answer 4

HIV

Question 5

urinary retention. sens and spec

Answer 5

cauda equina

Question 6

sciatica means herniated disc at ____ or ____

Answer 6

L4-L5, L5-S1

Question 7

straight leg raise elicits pain only in back. + or -?

Answer 7

negative

Question 8

best test to r/o CA as a cause of back pain

Answer 8

MRI

Question 9

abnormal post tibial pulse has high LR for ____

Answer 9

PAD

Question 10

pericardial friction rub SPIN

Answer 10

pericarditis

Question 11

can pts w/ PNA have a normal lung exam?

Answer 11

yes

Question 12

normal lung exam + ______ makes PNA unlikely

Answer 12

normal VS

Question 13

CAP rarely affects which lobes

Answer 13

upper

Question 14

if you suspect osteomyelitis in a pt w/ diabetic foot ulcer, order ______

Answer 14

MRI

Question 15

TZD for DM are CI in ___ and ____

Answer 15

HF, edema

Question 16

____ ischemia should be suspected in pts w/ vertigo who have significant cerebrovascular dz RFs

Answer 16

basilar

Question 17

______________ is a msut not miss dz that must be considered in all pts w/ HA and vertigo

Answer 17

cerebellar hemorrhage

Question 18

can a UTI be r/o by a negative UA?

Answer 18

no, not if high clinical suspicious

Question 19

dzs of _______ (3) are the MC causes of edema

Answer 19

heart, liver, kidneys

Question 20

2 MCC of cirrhosis in US

Answer 20

alcoholic liver dz, chornic hep C

Question 21

should compression stockings be used in pts w/ PAD

Answer 21

no

Question 22

3 MCC of fatigue

Answer 22

psych d/o, sleep d/o, med SE

Question 23

can a pt w/ a large hemorrhage have a normal Hgb?

Answer 23

yes

Question 24

most lethal type of GI bleeding

Answer 24

esophageal varices

Question 25

4/5 of POUND rules in migraine. stands for?

Answer 25

pulsitile 4-72 hours unilateral nausea disabling

Question 26

most important sx to differentiate migraine from tension HA

Answer 26

nausea

Question 27

pt w/ HA that starts abruptly and reaches max severity in secs is ____ until proven otherwise

Answer 27

SAH

Question 28

pts 40+ w visible urinary blood clots req _____ even if bleeding is glomerular

Answer 28

cystoscopy

Question 29

___________________ accounts for >90% of hyperCa in otherwise healthy ambulatory pts

Answer 29

primary hyperparathyroidism

Question 30

does a normal K level r/o hyperaldosteronism?

Answer 30

no

Question 31

is CT or MRI more sensitive for dx of acute ischemic stroke

Answer 31

MRI

Question 32

never give a pt w/ pheochromocytoma a BB w/o first giving ____________

Answer 32

alpha blocker

Question 33

should NS be given to pts w/ SIADH?

Answer 33

no

Question 34

suspect ___________________________ in hypoNa pts w/ hyperK

Answer 34

primary adrenal insufficiency

Question 35

must r/o ____ prior to dx of SIADH

Answer 35

adrenal insufficiency

Question 36

does a normal WBC r/o bacteremia?

Answer 36

no

Question 37

which happens first: scleral icterus or skin jaundice?

Answer 37

scleral icterus

Question 38

best lab test of liver's synthetic function

Answer 38

PT/INR

Question 39

do most pts w/ lyme have the classic target rash on presentation?

Answer 39

no

Question 40

MC type of AKI (not pre intra post)

Answer 40

ATN

Question 41

combo of lymphocytosis >50% AND atypical lymphs >10% is specific for?

Answer 41

mono

Question 42

abd discomfort prior to syncope has a high LR for what dx?

Answer 42

vasavagal syncope

Question 43

syncope during exertion has a high LR for what type?

Answer 43

cardiac syncope

Question 44

what can mimic vasovagal syncope, and what should you order?

Answer 44

long QT syndrome. ECG w/ QTc measured

Question 45

slow carotid upstroke is specific for __________

Answer 45

aortic stenosis

Question 46

most pts w/ NSAID-induced ulcers do not have what expected sx

Answer 46

pain

Question 47

does the absence of wheezing r/o asthma?

Answer 47

no

Question 48

dyspnea when is specific for ashtma?

Answer 48

nocturnal

Question 49

pt who takes ACEi develops angioedema and urticaria. is ACEi the cause?

Answer 49

no

Question 50

CP + radiation down b/l arms has high LR for ______

Answer 50

MI

Question 51

palpitations lasting >5min are likely due to which body system?

Answer 51

cardiac