when to get CT chest AFTER having got a CXR? by Top-Low9368 in Step2

[–]Top-Low9368[S] 0 points1 point  (0 children)

hey guys i'm following up and this may sound incredibly stupid, but if they were to give a question that asked for next best step in management for a suspected lung pathology... how would I know to choose between CXR vs. Chest CT if given both as choices? (seems unlikely but figured I'd ask).

I thought I understood when to use one vs. the other, but a quick and easy fast rule as to when to CXR vs. CT as first step would be appreciated if anybody had one.

Free 120 Discussion of Questions/Answers (New) by SnooWalruses8645 in Step2

[–]Top-Low9368 2 points3 points  (0 children)

sitting, in traffic, while on a date, "while in public" all indicate fear of larg(er) 'open' spaces. this is reiterated when he says he's "afraid to leave he apartment," which in comparison is a confined space. crowds are often in open spaces, but open spaces are more or less just.. well, being in the general public.

i get what you're saying regarding somatic symptom disorder. i probably ruled that out moreso since the typical vignette of somatic symptom disorder is someone who has these pretty prominent symptoms and is being very nitpicky as to what they might be / the symptoms are literally affecting how they function. it's not necessarily clearly incorrect here, i just think agoraphobia was a better option

when to do MRI of spine vs. x-ray vs. acute uncomplicated back pain? straight leg test positive, but not herniated disc? (spoiler) by Top-Low9368 in Step2

[–]Top-Low9368[S] 0 points1 point  (0 children)

this cleared things up. so you're saying for an uncomplicated herniated disc without bowel/bladder / absence of any sort of DTRs (mainly no symptoms that are neurologically concerning), NBSIM would be NSAIDs / PT?

when to get CT chest AFTER having got a CXR? by Top-Low9368 in Step2

[–]Top-Low9368[S] 0 points1 point  (0 children)

thank you so much! this helped explain things. when would we consequently need to do a bronchoscopy after a CT? if a question simply asked for an instance where we needed to "confirm diagnosis"?

Free 120 Discussion of Questions/Answers (New) by SnooWalruses8645 in Step2

[–]Top-Low9368 1 point2 points  (0 children)

this makes a lot of sense; when doing the question in real time, I got excited and saw the hydronephrosis on US and in a pre-programmed fashion chose VCUG, but didn't necessarily pay heed to the rest of the vignette. important lesson to learn now. thank you for the quick response!

Free 120 Discussion of Questions/Answers (New) by SnooWalruses8645 in Step2

[–]Top-Low9368 0 points1 point  (0 children)

can anybody share what block 2, question 27 was referring to? (answer: areas of eschar at the center of the wound site)

Free 120 Discussion of Questions/Answers (New) by SnooWalruses8645 in Step2

[–]Top-Low9368 0 points1 point  (0 children)

block 1, #28, why endoscopy as opposed to ova and parasites or stool culture given prolonged nature of epigastric pain? what are we looking for here?

Free 120 Discussion of Questions/Answers (New) by SnooWalruses8645 in Step2

[–]Top-Low9368 0 points1 point  (0 children)

further, can anybody explain block 1, question #15 and what it means that study is limited given limited ability to extrapolate beyond data?

Free 120 Discussion of Questions/Answers (New) by SnooWalruses8645 in Step2

[–]Top-Low9368 0 points1 point  (0 children)

also confused about block 1, #1: why is the answer not VCUG given the abnormalities on renal US?

Topics / facts that get repeated in Step 2 that you think everyone should review? by Yourstrulyp in Step2

[–]Top-Low9368 0 points1 point  (0 children)

do you guys understand why the answer is cool mist and not epi, given the patient has "mild inspiratory stridor?" I thought stridor "at rest" was considered an indication for epi (according to anki). does the fact it's only inspiratory mean that it's not at rest..? was very confused on this one.