UC DD Exam 1 Study Guide Questions With Complete
Solutions
A 17-year-old high school senior presents to your clinic in acute
respiratory distress. Between shallow breaths, he states that he
was at home finishing his homework when he suddenly began
having right-sided chest pain and severe shortness of breath. He
denies any recent traumas or illnesses. His past medical history
is unremarkable. He doesn't smoke but drinks several beers on
the weekend. He has tried marijuana several times but denies
any other illegal drugs. He is an honors student and is on the
basketball team. His parents are both in good health. He denies
any recent weight gain, weight loss, fever, or night sweats. On
exam, you see a tall, thin young man in obvious distress. He is
diaphoretic and is breathing at a rate of 35 breaths per minute.
On auscultation, you hear no breath sounds on the right side of
his superior chest wall. On percussion, he is hyperresonant over
the right upper lobe. With palpation, h Correct Answers
Spontaneous Pneumothorax
A 35-year-old female complains of weakness, dyspnea on
exertion, abdominal pain, history of menorrhagia, and fatigue.
What diagnosis do you consider most likely?
Anemia
IDA
Aplastic anemia
Sickle Cell Correct Answers IDA
, As you are reviewing a male patient's routine CBC, you read:
HBG 11.2, HCT 35%, MCV 72, MCH 25. Based on this, how
would this anemia be classified?
Normocytic normochromic
Microcytic hypochromic
Macrocytic hypochromic
Microcytic normocrhomic Correct Answers Microcytic
hypochromic
Backward reasoning: Correct Answers Generates hypothesis
then tries to acquire data to uphold it.
Congestive heart failure is a diagnosis that may often be made
by physical examination. What are specific findings that would
indicate the onset?
Reduced QRS waves across the precordium on EKG
Bilateral basilar rales, S3, weight gain
2 pillow orthopnea
JVD, splenic tenderness, peripheral tenderness Correct Answers
Bilateral basilar rales, S3, weight gain
Definition of diagnositc process? Correct Answers Combination
of systematic analysis and intuitive knowledge.
Definition of diagnostic reasoning Correct Answers Dynamic
thinking process that leads to the identification of a hypothesis
that best explains the clinical evidence.
Solutions
A 17-year-old high school senior presents to your clinic in acute
respiratory distress. Between shallow breaths, he states that he
was at home finishing his homework when he suddenly began
having right-sided chest pain and severe shortness of breath. He
denies any recent traumas or illnesses. His past medical history
is unremarkable. He doesn't smoke but drinks several beers on
the weekend. He has tried marijuana several times but denies
any other illegal drugs. He is an honors student and is on the
basketball team. His parents are both in good health. He denies
any recent weight gain, weight loss, fever, or night sweats. On
exam, you see a tall, thin young man in obvious distress. He is
diaphoretic and is breathing at a rate of 35 breaths per minute.
On auscultation, you hear no breath sounds on the right side of
his superior chest wall. On percussion, he is hyperresonant over
the right upper lobe. With palpation, h Correct Answers
Spontaneous Pneumothorax
A 35-year-old female complains of weakness, dyspnea on
exertion, abdominal pain, history of menorrhagia, and fatigue.
What diagnosis do you consider most likely?
Anemia
IDA
Aplastic anemia
Sickle Cell Correct Answers IDA
, As you are reviewing a male patient's routine CBC, you read:
HBG 11.2, HCT 35%, MCV 72, MCH 25. Based on this, how
would this anemia be classified?
Normocytic normochromic
Microcytic hypochromic
Macrocytic hypochromic
Microcytic normocrhomic Correct Answers Microcytic
hypochromic
Backward reasoning: Correct Answers Generates hypothesis
then tries to acquire data to uphold it.
Congestive heart failure is a diagnosis that may often be made
by physical examination. What are specific findings that would
indicate the onset?
Reduced QRS waves across the precordium on EKG
Bilateral basilar rales, S3, weight gain
2 pillow orthopnea
JVD, splenic tenderness, peripheral tenderness Correct Answers
Bilateral basilar rales, S3, weight gain
Definition of diagnositc process? Correct Answers Combination
of systematic analysis and intuitive knowledge.
Definition of diagnostic reasoning Correct Answers Dynamic
thinking process that leads to the identification of a hypothesis
that best explains the clinical evidence.
