Step 3: CCS Cases || A+ Guaranteed.
What three tests should be ordered when a women of child-bearing age presents with dysuria?
correct answers -beta-hcg
-urinalysis
-urine culture
What tests should be ordered when working a patient up for ulcerative colitis or crohn's disease?
correct answers -ESR
-sigmoidoscopy
-rectal biops
-CBC
-BMP
-stool ova and parasites
-stool for white cells
-stool culture
-LFTs
-PT/INR
-PTT
Therapy for ulcerative colitis? correct answers -topical 5-ASA
-antidiarrheals (loperamide)
-antispasmodics (dicyclomine)
-dietary consult
What does the differential diagnosis for BRBPR include? correct answers -UC
-crohn's disease
-diverticulosis
-angiodysplasia
-hemorrhoids
-anal fissure
-infectious colitis
-ischemic colitis
-colic polyps/cancer
-brisk upper GI bleed
Differential diagnosis for ectopic pregnancy? correct answers -spontaneous abortion
-molar pregnancy
-degenerating leiomyoma
-adnexal torsion
-ruptured corpus luteum
-PID
-acute appendicitis
-pyelonephritis
, Management if b-hcg > 1500 and TVUS does not show an IUP or EP? correct answers -EP is
likely --> repeat testing in two days
Management if b-hcg < 1500 and TVUS does not show an IUP or EP? correct answers -repeat
testing in 2-3 days
When should ectopic pregnancy be treated with MTX? correct answers -beta HCG is less than
5000
-tubal mass is less than 3.5 cm
-no fetal cardiac activity
Contraindications to methotrexate? correct answers -renal failure
-liver failure
-breast feeding
True or false: all Rh negative patients treated for ectopic pregnancy must receive Rh
immunoglobulin. correct answers -true
Clinical presentation of IBS? correct answers -crampy abdominal pain
-stool containing mucus but no blood
Differential diagnosis for IBS? correct answers -inflammatory bowel diseaes
-celiac disease
-food allergies
-lactose intolerance
-infections
-bowel obstruction
-colon cancer
What diagnostic tests should be ordered during the work-up for IBS? correct answers -CBC
-BMP
-TSH
-FOBT
-ESR
-Stool O&P
-Stool for WBC
-Stool bacterial culture
-72 hour stool fat
-pap smear
Treatment for IBS? correct answers -dicyclomine
-loperamide
-lactose free diet
-high fiber diet
-reassurance
-relaxation
What three tests should be ordered when a women of child-bearing age presents with dysuria?
correct answers -beta-hcg
-urinalysis
-urine culture
What tests should be ordered when working a patient up for ulcerative colitis or crohn's disease?
correct answers -ESR
-sigmoidoscopy
-rectal biops
-CBC
-BMP
-stool ova and parasites
-stool for white cells
-stool culture
-LFTs
-PT/INR
-PTT
Therapy for ulcerative colitis? correct answers -topical 5-ASA
-antidiarrheals (loperamide)
-antispasmodics (dicyclomine)
-dietary consult
What does the differential diagnosis for BRBPR include? correct answers -UC
-crohn's disease
-diverticulosis
-angiodysplasia
-hemorrhoids
-anal fissure
-infectious colitis
-ischemic colitis
-colic polyps/cancer
-brisk upper GI bleed
Differential diagnosis for ectopic pregnancy? correct answers -spontaneous abortion
-molar pregnancy
-degenerating leiomyoma
-adnexal torsion
-ruptured corpus luteum
-PID
-acute appendicitis
-pyelonephritis
, Management if b-hcg > 1500 and TVUS does not show an IUP or EP? correct answers -EP is
likely --> repeat testing in two days
Management if b-hcg < 1500 and TVUS does not show an IUP or EP? correct answers -repeat
testing in 2-3 days
When should ectopic pregnancy be treated with MTX? correct answers -beta HCG is less than
5000
-tubal mass is less than 3.5 cm
-no fetal cardiac activity
Contraindications to methotrexate? correct answers -renal failure
-liver failure
-breast feeding
True or false: all Rh negative patients treated for ectopic pregnancy must receive Rh
immunoglobulin. correct answers -true
Clinical presentation of IBS? correct answers -crampy abdominal pain
-stool containing mucus but no blood
Differential diagnosis for IBS? correct answers -inflammatory bowel diseaes
-celiac disease
-food allergies
-lactose intolerance
-infections
-bowel obstruction
-colon cancer
What diagnostic tests should be ordered during the work-up for IBS? correct answers -CBC
-BMP
-TSH
-FOBT
-ESR
-Stool O&P
-Stool for WBC
-Stool bacterial culture
-72 hour stool fat
-pap smear
Treatment for IBS? correct answers -dicyclomine
-loperamide
-lactose free diet
-high fiber diet
-reassurance
-relaxation
