Shared Flashcard Set

Details

Clinical Vignettes
USMLE clinical vignettes
17
Medical
Graduate
12/25/2008

Additional Medical Flashcards

 


 

Cards

Term

Pregnant woman in 3rd trimester has normal  blood pressure when standing and sitting. When supine, bp drops to 90/50.

 

What is diagnosis?

Definition
Compression of IVC
Term

35-year old man has high bp in his arms and low pressure in legs.

 

What is diagnosis?

Definition
Coarctation of the aorta
Term

5-year old boy presetns with systolic murmur and wide fixed split S2

 

What is the diagnosis?

Definition
ASD
Term

Duringa  game, a young football player collapses and dies immediately.

 

What is most likely type of cardiac disease?

Definition
Hypertrophic cardiomyopathy
Term

Patient has stroke after incurring multiple long bone fractures in trauma stemming from MVA. 

 

What cuased infarct?

Definition
Fat emboli
Term

Elderly woman presents with headache and jaw pain. Labs show elevated ESR.

 

What is diagnosis?

Definition
Temporal arteritis
Term

80-year-old man prsetns with systolic crescend-decrescendo murmur.

 

What is most likely cause?

Definition
Aortic stenosis
Term

Man starts medication for hyperlipidemia. He tehn develops a rash, prurirtus and GI upset.

 

What drug was it?

Definition
Niacin
Term

Patient develops a cough and must discontuinue captopril.

 

What is good replacement drug and why doesn't it have same side effects?

Definition
Losartan, an angiotensin II receptor antagonist, does not increase bradykinin as captopril does.
Term

Baby vomits milk when fed and has a gastric air bubble. 

 

What kind of fistula is present?

Definition
Blind esophagus wiht lower segment of esophagus attached to trachea.
Term

After stressful life event, 30-year old man has diarrhea and blood per rectum; internal biopsy shows transmural inflammation.

 

What is the diagnosis?

Definition
Crohn's
Term

Young man presents with mental deterioration and tremors. He has brown pigmentation in a ring around the periphery of his cornea and altered LFT's.

 

What treatment should he recieve?

Definition
Penicillamine for Wilson's Disease
Term

20-year old male presents with idiopathic hyperbilirubinemia.

 

What is most common cause?

Definition
Gilbert's disease
Term

Patient exhibits an extended expiratory phase.

 

What is the disease process?

Definition
Obstructive lung disease
Term

Tall, thin male teenager has abrupt-onset dyspnea and left sided chest pain. There is hyperresonant percussion on the affected side, and breath sounds are diminished.

 

What is the diagnosis?

Definition
Spontaneous pneumothorax
Term

Young man is concenred abotu his wife's inability to concieve and her recurrent URIs. She has dextrocardia.

 

Which of her proteins is defective?

Definition
Dynein (Kartagener's)
Supporting users have an ad free experience!