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About the MedStudy Internal Medicine Core Scripts Flash Cards
and Core Scripts answer book pages you will see here:
These are the Core Scripts Flash Cards and answer book pages for
the Pulmonary Medicine section of the product. The actual cards in
the product measure 3 x 5 but may display at a different size on
your screen depending on your computer/monitor settings.
For each Flash Card in this presentation, you will see the front
Script side first, followed immediately by the back Answer side of
the card. Note on the Answer side that the number in the upper
right corner corresponds to the number in the answer book where you
will find the correct diagnosis and other information for the
Script on the card. (The answer book pages are in the separate PDF
file you downloaded.)
Note also that the bar along the top of the card on the Answer
side is in color whereas the bar on the Script side is not. These
color bars identify which topic areas the Scripts cards fall into.
There is a unique color for Pulmonary, Gastroenterology, Infectious
Disease, etc. Since all the cards in this presentation are
Pulmonary Medicine, the color bar will be the same for all. When
you have the actual product with the full set of cards for all
topics, the varied color bars enable you to sort your cards so you
can focus your study and review by specific topic if you wish. But
if you prefer instead to do a randomized review, you simply use
your cards with the Script sides face-up and mix them up, which
keeps the topic area of each card unknown until you turn it
over.
Now click here to begin reviewing the Pulmonary Medicine Core
Scripts Flash Cards.
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2011 MedStudy All Rights Reserved
SCRIPT
A previously healthy patient with history of a troubled past
and/or substance abuse presents with:
Acute coma with stable BP RRpO2,pCO2 MiosisA-a gradient =
normal
The cause of the hypoxemia is ______________________. In
conjunction with hypoxemia, miosis is a physical exam finding that
suggests overdose of ______________________.
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
429
The cause of the hypoxemia is ______________________.
Inconjunctionwithhypoxemia,miosisisaphysicalexamfindingthat
suggests overdose of ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A previously healthy patient with no PMH presents with:
Coughingandwheezingthatbeginsapproximately1/2hour after exercise
and with exposure to cold air. Symptoms self-resolve within an
hour.
Spirometry: normal FEV1andFVCNormalDLCO
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
430
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A middle-aged smoker with a daily productive cough has the
following spirometry:
FEV1/FVC
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
431
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A young smoker with exertional dyspnea and a productive cough
has the following:
FEV1/FVC
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
432
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
Apatientpresents2yearsafterasignificantinhalationexposure to
pool chemicals with:
A chronic productive cough Sputum Gram stain: multiple
gram-positive
and -negative organismsSputum culture: Proteus
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
433
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A 30-year-old patient with PMH of recurrent sinusitis and
pneumonia presents with:
ChronicexertionaldyspneaCoughwithpurulentsputumSputum Gram
stain: gram-positive cocci in clusters
and gram-negative rods Sputum culture: S. aureus
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
434
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A middle-aged patient who owns a parakeet presents with:
Recurrent fever, cough, and
dyspneaChestradiograph:interstitialinfiltratesCBC:NormalSputum: no
eosinophils
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
435
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A foundry worker with a history of cough and egg-shell
calcificationsonchestradiographpresentswith3monthsof:
Weight loss Night sweatsProductive
coughOccasionalhemoptysisSputum: + acid-fast organisms
Diagnosis is ______________________ associated with
______________________.
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
436
Diagnosis is ______________________ associated with
______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A middle-aged male with no PMH presents with:
Progressive exertional dyspnea and dry cough
DiffusefinecracklesClubbingChestCT:reticularopacitiesandhoneycombing
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
437
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A young healthy patient presents for a routine pre-employment
physical:
Intermittent cough for years
Chestradiograph:significanthilaradenopathywithnormallungsTB skin
test: non-reactive
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
438
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A young, male smoker presents with:
Bone painPolyuriaA spontaneous pneumothorax
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
439
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A40-year-old,premenopausalCaucasianfemalewithahistory of dyspnea
presents with:
A spontaneous pneumothorax A chylous pleural effusion
Chestradiograph:diffusehoneycombing
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
440
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A male presents with:
Dyspnea Productive cough OccasionalhemoptysisA nasal ulcer
HgbandHctwithnormalMCVandMCHCU/A:+protein,+RBCs,RBCcastsCXR:cavitarylesionsandnodules
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
441
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
An asthmatic on montelukast develops:
A chronic cough and dyspnea
CBC:eosinophilsU/A:+proteinandRBCcasts
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
442
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A young male with intermittent, vague abdominal pain presents
with:
CoughTesticular pain and swelling + HBsAg
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
443
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A young, male patient from a southern state, who frequently
walks barefooted during the summers, presents with:
CoughWBC(differential:eosinophils)CXR:migratingpulmonaryinfiltrates
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
444
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A male patient, age 2040 years, presents with:
Acute respiratory failure that requires intubation, with no
obvious inciting cause
CXR:diffusealveolarandinterstitialinfiltratesBronchoalveolar
lavage: + eosinophils
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
445
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A middle-aged, asthmatic female presents with:
Intermittent cough and dyspnea
CXR:diffusealveolarinfiltratesBronchoalveolar lavage: +
eosinophils
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
446
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
An asthmatic presents with:
Asthma exacerbations every 2 months while on an inhaled
long-acting beta-agonist and medium-dose inhaled corticosteroid
Sputum: branching hyphae
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
447
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
Ayoungpatientwithhistoryofirondeficiencyanemiapresentswith:
Hemoptysis DLCONormal serum creatinine
U/A:noprotein,redcells,orRBCcasts
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
448
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A healthy female presents with:
Exertional syncope Large v waves, a loud P2, and a holosystolic
murmur at LLSB
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
449
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
Apatientwithatrialfibrillationonwarfarinisgivenpiperacillin-tazobactamfor10daystotreatascendingcholangitis.
The normal dose of warfarin is given, but the patients INR
increases.
What is the cause of the increase in the INR?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
450
The cause is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A patient with history of bilateral hand and knee pain presents
with:
Dyspnea Pleural effusion
ActivesynovitisofbilateralMCPsandPIPsSoft tissue nodular lesions
over the olecranon bursaPleuralfluidglucose:
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
451
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A young, healthy patient presents with:
FeverDyspnea
Cough,productiveofrust-coloredsputumWBC(differential:neutrophilswithbandforms)CXR:lobarconsolidationSputum
Gram stain: gram-positive, lancet-shaped, diplococci
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
452
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
AmalewithHIV/AIDSwithaCD4count300/L presents with:
Fever DyspneaProductive
coughWBC(differential:neutrophilswithbandforms)CXR:lobarconsolidationSputum
Gram stain: gram-negative coccobacilliBlood cultures grow the same
organism.
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
453
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A college wrestler presents with:
Fever
DyspneaCough,productiveofsalmon-pinksputumWBC(differential:neutrophilswithbandforms)CXR:patchyalveolarconsolidationwithpneumatocelesSputum
Gram stain: gram-positive cocci in clusters
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
454
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
An elderly smoker with FEV1/FVC0.35presentswith:
Fever Dyspnea Worsening cough
CXR:lobarconsolidation,inadditiontochronicchangesSputum Gram stain:
+ gram-negative cocci
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
455
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
Young female presents with:
Fever DyspneaProductive coughPulmonary consolidation Erythema
nodosumHgbandHctwithI.bilirubinandreticulocytes+Coombs+Coldagglutinins
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
456
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A patient presents with:
Sorethroatfor7dayswithgradualonsetoflow-gradefever,cough, and
hoarseness
NormalWBCCXR:patchyinfiltrate
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
457
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A healthy patient with a history of fever, dyspnea, and a
productive cough is given empiric amoxicillin/clavulanic acid for
audible pulmonary consolidation. He returns with:
Severe dyspnea Persistent fever New diarrheaConfusionpO2
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
458
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
AyoungpatientreturnsfromavisittoArizonawith:
CoughArthralgias
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
459
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
10 days after returning home from a spelunking adventure, a
healthy patient with a well appearance develops:
CoughFever CXR:patchyinfiltratesandhilaradenopathy
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
460
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A non-smoking hunter from Alabama develops:
An indolent productive cough
CXR:mass-likelesionSputumKOH:+broad-basedbuddingyeasts
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
461
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
An alcoholic patient presents with: Weight loss Night
sweatsChroniccough,productiveofbloody,fetid,purulentmaterialPulmonary
consolidationHalitosis
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
462
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
An elderly female with chronic cough and dyspnea presents
with:Increased cough Night sweatsWeight loss Unsuccessful sputum
sampling because the patient
swallows sputum
CXR:patchyinfiltratesandapicalbullousdiseaseCTchest:nodulesandevidenceofbronchiectasisBAL:
+ acid-fast organisms TB skin test: reactive to 8 mm
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
463
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A healthy, female patient presents with:
An indolent, draining wound 10 days after vacationing in the
Bahamas
She is 4-weeks statuspost tummy tuck surgery.
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
464
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
ApatientwithHIV/AIDSandaCD4count
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
465
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A patient with AML, undergoing bone marrow transplant,
develops:
CoughanddyspneawithoutfeverCBC:absoluteneutrophilcount
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
466
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A patient with PMH of treated cavitary tuberculosis presents
with:
HemoptysisWeight loss
CXR:obviouscavitieswithamobileintracavitarylesion
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
467
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A male patient with BMI > 30 presents complaining of:
Dyspnea New lower extremity edema SerumHCO3
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
468
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A non-smoking patient presents with 4 months of:
Progressive, indolent cough, productive of frothy, salty
sputum
What is the diagnosis?
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2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
469
Diagnosis is ______________________.
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2011 MedStudy All Rights Reserved
SCRIPT
A non-smoking female presents with:
Intermittent cough with hemoptysisLong bone pain ClubbingPain
with palpation of the anterior tibias
What is the diagnosis?
-
2011 MedStudy All Rights Reserved
ANSWER
2011-2012 Edition Internal Medicine Core Scripts MedStudy
470
Diagnosis is ______________________.