Other

Question 1

PE risk factors

Answer 1

DVT
Coagulopathy
malignancy
recent immobilization

Question 2

acute angle closure glaucoma presentation

Answer 2

sudden pain
seeing halos around light
red eye
nausea-vomiting
sudden decrease in vision

Question 3

for any ob-gyn related complaint always remember to include in work up…

Answer 3

pelvic exam

Question 4

PID orders

Answer 4

transvaginal US
Pelvic exam
NAAT-cultures for chlamydia + gonorrhea

Question 5

appendicitis orders

Answer 5

CBC with differential
US-abdomen
CT-abdomen if US inconclusive

Question 6

ovarian torsion HPI

Answer 6

exercise precipitated

radiates to flank or groin

Question 7

ovarian cyst rupture HPI

Answer 7

precipitated by sex or exercise

shoulder pain

Question 8

ovarian cyst orders

Answer 8

Pelvic US

Pelvic exam

Question 9

cholecystitis other order

Answer 9

AST, ALT, ALP, bilirubin

Question 10

other RA features

Answer 10

symmetric
morning stiffness over an hour
long duration

Question 11

RA orders

Answer 11

Anti-CCP antibody
ANA + RF
Hand + wrist x-ray

Question 12

other SLE features

Answer 12

oral ulcers
alopecia
weight loss
myalgia

Question 13

SLE orders

Answer 13

ANA
Anti-dsDNA AB
Anti-Sm AB
Complement level

Question 14

OA features

Answer 14

Relieved by rest
asymmetric
Morning stiffness less than half hour
insidious progression

Question 15

OA orders

Answer 15

x-ray of respective joint

Question 16

hip pain differential

Answer 16

OA
PMR
Multiple myeloma

Question 17

PMR features

Answer 17

Fatigue
Anorexia-weight loss
Fever
HA
Scalp tenderness

Question 18

PMR orders

Answer 18

ESR
CRP
MRI or US of involved joints

Question 19

myeloma features

Answer 19

Bone pain
Severe
fatigue
weight loss
generalized weakness

Question 20

MM orders

Answer 20

SPEP
UA
Peripheral smear
skeletal survey
serum CA

Question 21

gout features

Answer 21

monoarticular or oligoarticular

asymmetric

Question 22

gout work up

Answer 22

• joint aspiration with synovial fluid analysis

- x-ray

Question 23

other exam findings to ask patient about for PVD

Answer 23

shiny skin
hair loss
cold feet

Question 24

PVD orders

Answer 24

ABI’s

Duplex US

Question 25

cellulitis workup

Answer 25

CBC with diff

Question 26

hypothyroidism orders

Answer 26

TSH | free T4

Question 27

differential for fatigue

Answer 27

B12 deficiency IDA hypothyroidism

Question 28

other B12 deficiency features

Answer 28

stocking or glove sore tongue memory loss

Question 29

IDA features

Answer 29

``` angular cheilitis PICA pallor palpitations dyspnea on exertion poor exercise tolerance lightheadedness tachycardia ```

Question 30

IDA orders

Answer 30

peripheral smear | serum iron-ferritin-TIBC-CBC

Question 31

vaginal discharge orders

Answer 31

Pelvic exam Wet-saline prep Vaginal pH Whiff test

Question 32

trichomonas features

Answer 32

malodorous pruritic dysuria

Question 33

other candida vaginitis features

Answer 33

pruritic dyspareunia dysuria

Question 34

atrophic vaginitis features

Answer 34

vaginal dryness hot flashes-menopause symptoms post-coital bleeding dysuria-urgency-frequency

Question 35

atrophic vaginitis workup

Answer 35

pelvic exam FSH-LH estradiol

Question 36

location of MI chest pain

Answer 36

neck lower jaw down left arm

Question 37

aortic dissection workup

Answer 37

CXR transesophageal echo CT

Question 38

other PE features

Answer 38

Cough | Calf or thigh pain

Question 39

CHF other to order

Answer 39

CXR | BNP

Question 40

COPD workup

Answer 40

CXR | PFTs

Question 41

other pneumonia order

Answer 41

sputum gram stain and culture

Question 42

chest pain + cough differential

Answer 42

pneumonia pleural effusion pericarditis

Question 43

pleural effusion orders

Answer 43

CXR chest US pleural fluid cell count + cytology

Question 44

other TB features

Answer 44

weight loss night sweats TB contact HIV

Question 45

other pneumothorax features

Answer 45

male | thin

Question 46

other PUD features

Answer 46

epigastric fullness hematemesis melena NSAIDs or H pylori