Dx Tests

Question 1

breast cancer dx tests

Answer 1

• mammogram
• US
• MRI

Question 2

cervical cancer dx tests

Answer 2

• pap smear
• HPV test

Question 3

colon cancer dx tests

Answer 3

colonoscopy, sigmoidoscopy

Question 4

lung cancer dx tests

Answer 4

CT chest

Question 5

prostate cancer dx tests

Answer 5

• digital recta exam
• prostate spcific antigen

Question 6

allergic reaction dx tests

Answer 6

• skin prick
• IgE (Ab)

Question 7

cognitive impairment dx tests

Answer 7

MMSE

Question 8

cystic fibrosis dx tests

Answer 8

sweat test

Question 9

glaucoma dx tests

Answer 9

intraocular pressure

Question 10

gout dx tests

Answer 10

uric acid

Question 11

liver disease dx tests

Answer 11

• increas in LFTs: AST/ALT, alk phos, Tbili

• cirrhosis: increase in PT/INR, decrease in albumin
• hepatic encephalopathy: ammonia increase

Question 12

movement disorders dx tests

Answer 12

abnormal involuntary movement scale (AIMS)

Question 13

myopathy dx tests

Answer 13

creatine phsophokiase (CPK)

Question 14

peripheral neuropathy dx tests

Answer 14

sensation test with 10g monofilament

Question 15

osteoporosis dx tests

Answer 15

• ## bone mineral density with DEXA

• osteoporosis if T score < -2.5
• osteopenia if - 1-2.4

Question 16

pancreatitis dx tests

Answer 16

increase in amylase/lipase

Question 17

psychiatric disease dx tests

Answer 17

• DSM-5
• Depression: Ham-D or HDRS assessment scale

Question 18

renal disease dx tests

Answer 18

• increase in BUN, SCr
• CrCl, eGFr

Question 19

seizure/epilepsy dx tests

Answer 19

EEG (electroencephalogram)

Question 20

peptic ulcer disease dx tests

Answer 20

• duodenal ulcer: pain 2-3 hrs fater eating (NO food in stomack), relief with food/antacids
• gastric ulcer: pain right after eating (food in stomach), no relief with food/antacids

Question 21

GERD dx tests

Answer 21

esophageal pH monitoring

Question 22

H. pylori dx tests

Answer 22

urea breath test

Question 23

brochopsastic diseases dx tests

Answer 23

spirometry: FEV1, FVC, FEV1/FVC

• FEV: how much air exhale in 1 second
• FVC: max amount of air that can be exhaled
• FEV1/FVC: % of totoal air capacity that can be exhaled in 1 sec

Question 24

asthmma dx tests

Answer 24

FC, FEV1

skin test if allergic asthma

Question 25

COPD dx tests

Answer 25

post-bronchodilator FEV1/FVC < 0.7

Question 26

metabolic acidsosis dx tests

Answer 26

ABG (pH, pCO2, HCO3)

Question 27

HIV dx tests

Answer 27

- HIV antigen/Ab immunoassay - HIV-1.HIV-2 antimody asssay - HIV RNA viral load

Question 28

lyme disease dx tests

Answer 28

ELISA test

Question 29

meningitis dx tests

Answer 29

lumbar puncture

Question 30

onychomycosis (fungal nail infection) dx tests

Answer 30

20% KOH smear

Question 31

lice dx tests

Answer 31

pruitis or visible lice and eggs (nits) on scalp

Question 32

pinworm dx tests

Answer 32

- tape test to chekc for presence of eggs - helminths (worms) in blood, feces or urine

Question 33

PNA dx tests

Answer 33

c-xray

Question 34

syphilis dx tests

Answer 34

rapid plasma reagin (RPR) or venereal diseases resarch laboratory (VDRL)

Question 35

Tb dx tests

Answer 35

- TST (skin test aka PPD) - interferon release assay (IGRA) blood test ## Footnote if active Tb can do a sputum test and look for acid-fast bacilli (AFB) on stain

Question 37

autoimmune diseases dx tests | various

Answer 37

- increase in ESR - increase in CRP - positive rheumtoid factor Ab - positive anti-nuclear Ab

Question 38

MS dx tests

Answer 38

MRI

Question 39

anemia dx tests

Answer 39

low Hgb/Hct/RBC ## Footnote - microcytic: small MCV - macrocytic: big MCV

Question 40

VTE dx tests

Answer 40

- d-dimer test (marker of fibrinolysis) - US

Question 41

stroke prevention dx tests

Answer 41

CHA2DS2-VASc

Question 42

HIT dx tests

Answer 42

- plt decrease 50% from baseline

Question 43

acute coroary syndrome (ACS) dx tests

Answer 43

- ECG - EKG - troponin

Question 44

arryhtymias dx tests

Answer 44

- ECG - holter monitor

Question 45

CHF dx tests

Answer 45

ECHO