CCS CASES QUESTIONS & UPDATED
CORRECT ANSWERS (ACCURATE)
What three tests should be ordered when a women of child-bearing age presents with dysuria?
- correct answer ✔✔-beta-hcg
-urinalysis
-urine culture
What tests should be ordered when working a patient up for ulcerative colitis or crohn's
disease? - correct answer ✔✔-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 answer ✔✔-topical 5-ASA
-antidiarrheals (loperamide)
-antispasmodics (dicyclomine)
-dietary consult
,What does the differential diagnosis for BRBPR include? - correct answer ✔✔-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 answer ✔✔-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 answer ✔✔-EP is
likely --> repeat testing in two days
Management if b-hcg < 1500 and TVUS does not show an IUP or EP? - correct answer ✔✔-
repeat testing in 2-3 days
, When should ectopic pregnancy be treated with MTX? - correct answer ✔✔-beta HCG is less
than 5000
-tubal mass is less than 3.5 cm
-no fetal cardiac activity
Contraindications to methotrexate? - correct answer ✔✔-renal failure
-liver failure
-breast feeding
True or false: all Rh negative patients treated for ectopic pregnancy must receive Rh
immunoglobulin. - correct answer ✔✔-true
Clinical presentation of IBS? - correct answer ✔✔-crampy abdominal pain
-stool containing mucus but no blood
Differential diagnosis for IBS? - correct answer ✔✔-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 answer ✔✔-CBC
-BMP
-TSH
-FOBT
CORRECT ANSWERS (ACCURATE)
What three tests should be ordered when a women of child-bearing age presents with dysuria?
- correct answer ✔✔-beta-hcg
-urinalysis
-urine culture
What tests should be ordered when working a patient up for ulcerative colitis or crohn's
disease? - correct answer ✔✔-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 answer ✔✔-topical 5-ASA
-antidiarrheals (loperamide)
-antispasmodics (dicyclomine)
-dietary consult
,What does the differential diagnosis for BRBPR include? - correct answer ✔✔-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 answer ✔✔-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 answer ✔✔-EP is
likely --> repeat testing in two days
Management if b-hcg < 1500 and TVUS does not show an IUP or EP? - correct answer ✔✔-
repeat testing in 2-3 days
, When should ectopic pregnancy be treated with MTX? - correct answer ✔✔-beta HCG is less
than 5000
-tubal mass is less than 3.5 cm
-no fetal cardiac activity
Contraindications to methotrexate? - correct answer ✔✔-renal failure
-liver failure
-breast feeding
True or false: all Rh negative patients treated for ectopic pregnancy must receive Rh
immunoglobulin. - correct answer ✔✔-true
Clinical presentation of IBS? - correct answer ✔✔-crampy abdominal pain
-stool containing mucus but no blood
Differential diagnosis for IBS? - correct answer ✔✔-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 answer ✔✔-CBC
-BMP
-TSH
-FOBT
