MedStudyCS Cards Pulm

About the MedStudy Internal Medicine Core Scripts Flash Cards and Core Scripts answer book pages you will see here:

These are the Core Scripts Flash Cards and answer book pages for the Pulmonary Medicine section of the product. The actual cards in the product measure 3 x 5 but may display at a different size on your screen depending on your computer/monitor settings.

For each Flash Card in this presentation, you will see the front Script side first, followed immediately by the back Answer side of the card. Note on the Answer side that the number in the upper right corner corresponds to the number in the answer book where you will find the correct diagnosis and other information for the Script on the card. (The answer book pages are in the separate PDF file you downloaded.)

Note also that the bar along the top of the card on the Answer side is in color whereas the bar on the Script side is not. These color bars identify which topic areas the Scripts cards fall into. There is a unique color for Pulmonary, Gastroenterology, Infectious Disease, etc. Since all the cards in this presentation are Pulmonary Medicine, the color bar will be the same for all. When you have the actual product with the full set of cards for all topics, the varied color bars enable you to sort your cards so you can focus your study and review by specific topic if you wish. But if you prefer instead to do a randomized review, you simply use your cards with the Script sides face-up and mix them up, which keeps the topic area of each card unknown until you turn it over.

Now click here to begin reviewing the Pulmonary Medicine Core Scripts Flash Cards.

2011 MedStudy All Rights Reserved

SCRIPT

A previously healthy patient with history of a troubled past and/or substance abuse presents with:

Acute coma with stable BP RRpO2,pCO2 MiosisA-a gradient = normal

The cause of the hypoxemia is ______________________. In conjunction with hypoxemia, miosis is a physical exam finding that suggests overdose of ______________________.


ANSWER

2011-2012 Edition Internal Medicine Core Scripts MedStudy

429

The cause of the hypoxemia is ______________________. Inconjunctionwithhypoxemia,miosisisaphysicalexamfindingthat suggests overdose of ______________________.


SCRIPT

A previously healthy patient with no PMH presents with:

Coughingandwheezingthatbeginsapproximately1/2hour after exercise and with exposure to cold air. Symptoms self-resolve within an hour.

Spirometry: normal FEV1andFVCNormalDLCO

What is the diagnosis?


ANSWER


430

Diagnosis is ______________________.


SCRIPT

A middle-aged smoker with a daily productive cough has the following spirometry:

FEV1/FVC


ANSWER


431

Diagnosis is ______________________.


SCRIPT

A young smoker with exertional dyspnea and a productive cough has the following:

FEV1/FVC


ANSWER


432

Diagnosis is ______________________.


SCRIPT

Apatientpresents2yearsafterasignificantinhalationexposure to pool chemicals with:

A chronic productive cough Sputum Gram stain: multiple gram-positive

and -negative organismsSputum culture: Proteus



ANSWER


433

Diagnosis is ______________________.


SCRIPT

A 30-year-old patient with PMH of recurrent sinusitis and pneumonia presents with:

ChronicexertionaldyspneaCoughwithpurulentsputumSputum Gram stain: gram-positive cocci in clusters

and gram-negative rods Sputum culture: S. aureus



ANSWER


434

Diagnosis is ______________________.


SCRIPT

A middle-aged patient who owns a parakeet presents with:

Recurrent fever, cough, and dyspneaChestradiograph:interstitialinfiltratesCBC:NormalSputum: no eosinophils



ANSWER


435

Diagnosis is ______________________.


SCRIPT

A foundry worker with a history of cough and egg-shell calcificationsonchestradiographpresentswith3monthsof:

Weight loss Night sweatsProductive coughOccasionalhemoptysisSputum: + acid-fast organisms

Diagnosis is ______________________ associated with ______________________.


ANSWER


436

Diagnosis is ______________________ associated with ______________________.


SCRIPT

A middle-aged male with no PMH presents with:

Progressive exertional dyspnea and dry cough DiffusefinecracklesClubbingChestCT:reticularopacitiesandhoneycombing



ANSWER


437

Diagnosis is ______________________.


SCRIPT

A young healthy patient presents for a routine pre-employment physical:

Intermittent cough for years Chestradiograph:significanthilaradenopathywithnormallungsTB skin test: non-reactive



ANSWER


438

Diagnosis is ______________________.


SCRIPT

A young, male smoker presents with:

Bone painPolyuriaA spontaneous pneumothorax



ANSWER


439

Diagnosis is ______________________.


SCRIPT

A40-year-old,premenopausalCaucasianfemalewithahistory of dyspnea presents with:

A spontaneous pneumothorax A chylous pleural effusion Chestradiograph:diffusehoneycombing



ANSWER


440

Diagnosis is ______________________.


SCRIPT

A male presents with:

Dyspnea Productive cough OccasionalhemoptysisA nasal ulcer HgbandHctwithnormalMCVandMCHCU/A:+protein,+RBCs,RBCcastsCXR:cavitarylesionsandnodules



ANSWER


441

Diagnosis is ______________________.


SCRIPT

An asthmatic on montelukast develops:

A chronic cough and dyspnea CBC:eosinophilsU/A:+proteinandRBCcasts



ANSWER


442

Diagnosis is ______________________.


SCRIPT

A young male with intermittent, vague abdominal pain presents with:

CoughTesticular pain and swelling + HBsAg



ANSWER


443

Diagnosis is ______________________.


SCRIPT

A young, male patient from a southern state, who frequently walks barefooted during the summers, presents with:

CoughWBC(differential:eosinophils)CXR:migratingpulmonaryinfiltrates



ANSWER


444

Diagnosis is ______________________.


SCRIPT

A male patient, age 2040 years, presents with:

Acute respiratory failure that requires intubation, with no obvious inciting cause

CXR:diffusealveolarandinterstitialinfiltratesBronchoalveolar lavage: + eosinophils



ANSWER


445

Diagnosis is ______________________.


SCRIPT

A middle-aged, asthmatic female presents with:

Intermittent cough and dyspnea CXR:diffusealveolarinfiltratesBronchoalveolar lavage: + eosinophils



ANSWER


446

Diagnosis is ______________________.


SCRIPT

An asthmatic presents with:

Asthma exacerbations every 2 months while on an inhaled long-acting beta-agonist and medium-dose inhaled corticosteroid

Sputum: branching hyphae



ANSWER


447

Diagnosis is ______________________.


SCRIPT

Ayoungpatientwithhistoryofirondeficiencyanemiapresentswith:

Hemoptysis DLCONormal serum creatinine U/A:noprotein,redcells,orRBCcasts



ANSWER


448

Diagnosis is ______________________.


SCRIPT

A healthy female presents with:

Exertional syncope Large v waves, a loud P2, and a holosystolic murmur at LLSB



ANSWER


449

Diagnosis is ______________________.


SCRIPT

Apatientwithatrialfibrillationonwarfarinisgivenpiperacillin-tazobactamfor10daystotreatascendingcholangitis.

The normal dose of warfarin is given, but the patients INR increases.

What is the cause of the increase in the INR?


ANSWER


450

The cause is ______________________.


SCRIPT

A patient with history of bilateral hand and knee pain presents with:

Dyspnea Pleural effusion ActivesynovitisofbilateralMCPsandPIPsSoft tissue nodular lesions over the olecranon bursaPleuralfluidglucose:


ANSWER


451

Diagnosis is ______________________.


SCRIPT

A young, healthy patient presents with:

FeverDyspnea Cough,productiveofrust-coloredsputumWBC(differential:neutrophilswithbandforms)CXR:lobarconsolidationSputum Gram stain: gram-positive, lancet-shaped, diplococci



ANSWER


452

Diagnosis is ______________________.


SCRIPT

AmalewithHIV/AIDSwithaCD4count300/L presents with:

Fever DyspneaProductive coughWBC(differential:neutrophilswithbandforms)CXR:lobarconsolidationSputum Gram stain: gram-negative coccobacilliBlood cultures grow the same organism.



ANSWER


453

Diagnosis is ______________________.


SCRIPT

A college wrestler presents with:

Fever DyspneaCough,productiveofsalmon-pinksputumWBC(differential:neutrophilswithbandforms)CXR:patchyalveolarconsolidationwithpneumatocelesSputum Gram stain: gram-positive cocci in clusters



ANSWER


454

Diagnosis is ______________________.


SCRIPT

An elderly smoker with FEV1/FVC0.35presentswith:

Fever Dyspnea Worsening cough CXR:lobarconsolidation,inadditiontochronicchangesSputum Gram stain: + gram-negative cocci



ANSWER


455

Diagnosis is ______________________.


SCRIPT

Young female presents with:

Fever DyspneaProductive coughPulmonary consolidation Erythema nodosumHgbandHctwithI.bilirubinandreticulocytes+Coombs+Coldagglutinins



ANSWER


456

Diagnosis is ______________________.


SCRIPT

A patient presents with:

Sorethroatfor7dayswithgradualonsetoflow-gradefever,cough, and hoarseness

NormalWBCCXR:patchyinfiltrate



ANSWER


457

Diagnosis is ______________________.


SCRIPT

A healthy patient with a history of fever, dyspnea, and a productive cough is given empiric amoxicillin/clavulanic acid for audible pulmonary consolidation. He returns with:

Severe dyspnea Persistent fever New diarrheaConfusionpO2


ANSWER


458

Diagnosis is ______________________.


SCRIPT

AyoungpatientreturnsfromavisittoArizonawith:

CoughArthralgias



ANSWER


459

Diagnosis is ______________________.


SCRIPT

10 days after returning home from a spelunking adventure, a healthy patient with a well appearance develops:

CoughFever CXR:patchyinfiltratesandhilaradenopathy



ANSWER


460

Diagnosis is ______________________.


SCRIPT

A non-smoking hunter from Alabama develops:

An indolent productive cough CXR:mass-likelesionSputumKOH:+broad-basedbuddingyeasts



ANSWER


461

Diagnosis is ______________________.


SCRIPT

An alcoholic patient presents with: Weight loss Night sweatsChroniccough,productiveofbloody,fetid,purulentmaterialPulmonary consolidationHalitosis



ANSWER


462

Diagnosis is ______________________.


SCRIPT

An elderly female with chronic cough and dyspnea presents with:Increased cough Night sweatsWeight loss Unsuccessful sputum sampling because the patient

swallows sputum CXR:patchyinfiltratesandapicalbullousdiseaseCTchest:nodulesandevidenceofbronchiectasisBAL: + acid-fast organisms TB skin test: reactive to 8 mm



ANSWER


463

Diagnosis is ______________________.


SCRIPT

A healthy, female patient presents with:

An indolent, draining wound 10 days after vacationing in the Bahamas

She is 4-weeks statuspost tummy tuck surgery.



ANSWER


464

Diagnosis is ______________________.


SCRIPT

ApatientwithHIV/AIDSandaCD4count


ANSWER


465

Diagnosis is ______________________.


SCRIPT

A patient with AML, undergoing bone marrow transplant, develops:

CoughanddyspneawithoutfeverCBC:absoluteneutrophilcount


ANSWER


466

Diagnosis is ______________________.


SCRIPT

A patient with PMH of treated cavitary tuberculosis presents with:

HemoptysisWeight loss CXR:obviouscavitieswithamobileintracavitarylesion



ANSWER


467

Diagnosis is ______________________.


SCRIPT

A male patient with BMI > 30 presents complaining of:

Dyspnea New lower extremity edema SerumHCO3



ANSWER


468

Diagnosis is ______________________.


SCRIPT

A non-smoking patient presents with 4 months of:

Progressive, indolent cough, productive of frothy, salty sputum



ANSWER


469

Diagnosis is ______________________.


SCRIPT

A non-smoking female presents with:

Intermittent cough with hemoptysisLong bone pain ClubbingPain with palpation of the anterior tibias



ANSWER


470

Diagnosis is ______________________.

Documents

MedStudyCS Cards Pulm