Q4. You decide to send blood work in the patient in Q1. Which of the following labs may not be useful in her evaluation?
a. Serology for viral hepatitis
b. ESR
c. CRP
d. Complete blood count
e. Rheumatoid factor
f. Antinuclear antibody assay
Thursday, December 2, 2021
Wednesday, December 1, 2021
Clinical Case: Joint pain & fever
Q2. Her sister who has accompanied her also reveals presence of similar symptoms including inability to use her fingers. You quickly notice the sister’s finger deformity which you recognize it to be?
a. Trigger finger
b. Swan neck deformity
c. Boutonniere deformity
d. Mallet finger
e. Jersey finger
Clinical Case: Joint pain & Fever
Q1. A 33 yo Caucasian female presents with chief complaints of pain, fever, and swelling in multiple joints that make it difficult to type, lift or carry any items for the past 7 months. She has been experiencing morning stiffness and even tying shoe laces or buttoning her clothes is difficult. She has not been feeling well for several years and had used OTC medications for pain relief. She denies a rash, and has no allergies. The exam of her hands is shown below. Your immediate impression is that she has?
a. Osteoarthritis
b. Lupus
c. Psoriasis
d. Ankylosing spondylitis
e. Rheumatoid arthritis
f. Lyme disease
g. Sickle cell disease
Tuesday, November 9, 2021
Clinical Case MCQs: Abd Pain
Q3. If this patient was vomiting prior to the onset of abdominal pain, what would you order next?
A. CBC
B. Blood cultures
C. Urinalysis and dipstick
D. Abdominal x-ray
E. Transvaginal ultrasound
F. Perform a pelvic exam
https://youtu.be/7Awe58eMWIY
Clinical Case MCQs: Abd Pain
Q2. This is a male patient who presented with a 18-hour history of vague abdominal pain that started around the umbilicus and later localized to area ‘C.’ If the exam reveals localized tenderness and rebound pain, the next step is?
A. Order CBC
B. Get a bedside ultrasound
C. Order a CT scan
D. Blood cultures
E. Consult with the surgeon
F. Perform a rectal exam
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