Plz help answer q's to Best initial test/most accurate...?

Discussion in 'Step II' started by NoWayOut, Aug 20, 2011.

  1. NoWayOut

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    So I made a list of what I could not find, or had some doubt in..for the following..
    please help in answering whatever you can. Thx

    Best Initial Test (BIT) for:
    Aplastic Anemia?
    Essential Thrombocytosis?
    Paroxysmal Noctunal Hburia?
    Herediatrary Spherocytosis?
    Gout ?
    Pseudogout?
    psoriatic arthritis?
    Gonoccocal arthritis?
    hairy cell lekemia?
    MGUS ?


    Best Confirmatory/ Most Accurate Test (MAT) for:
    Essential Thrombocytosis?
    Cryoglobinemia ?
    Rheumatoid arthritis ?
    Myelodysplastic syndrome ?
    Myelodysplastic syndrome?
    CLL?
    Waldenstrom Macroglobinemia?
     
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  3. PokerDoc

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    giving it a shot for my own amusement
     
  4. OveractiveBrain

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    You aren't even trying to study... i like questions like this, and have worked on a resource just like this. But seriously dude, buy a book. FA and SU2Step have all these in them...
     
  5. NoWayOut

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    Thank you for your input.
     
  6. NoWayOut

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    As for your comments..."You aren't even trying to study"....just plain stupid ....and "buy a book"... well..DUDE..I have SUTS2 and although it does mention several tests, it doesn't emphasize on which is the "best" or "most appropriate" in many of the diseases I listed. I am following MTB 2 + 3 and I didn't find my answers there, so decided to confirm with others and see what they think.
     
  7. PokerDoc

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    Does your school offer you mobile epocrates for free? if not you can get on epocrates.com and make a free account and use it on the computer. It is really quite solid for these kinds of questions (i.e. what tests to order and first line treatments for everything).

    However, for almost ALL the disorders you listed, there is no gold standard, hence why the book probably doesn't mention a single best test. It's one of those things where you have options depending on how you trained and what your hospital has available.
     
  8. NoWayOut

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    Actually, that's what I was thinking...that it's most likely a combination of Physical findings and symptoms or not just one simple thing. But since this test is all about "what's the best/most appropriate.." I wanted to double check that I'm not missing something.
    I'm gonna check out the website you mentioned. Thanks. As always..you've been really helpful, since step 1..thanks again.
     
  9. PokerDoc

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    np, I doubt youd get a best test question on those. they'd more likely give you one of the findings and ask you for the diagnosis.
     
  10. 1nycdoc8

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    Just to add to MGUS.

    To differentiate between MM and MGUS you have to see the following:
    - MGUS has <10% plasma's in bone marrow (MM has >10% plasma)
    - and NO SYMPTOMS of MM ie. hypercalcemia, bone lesions, anemia etc.

    Waldenstrom's: IgM spike not IgG as seen in MM, MGUS. Here there are NO lytic lesions.
     
  11. NoWayOut

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    Thanks. Those are all good points to keep in mind.
     
  12. match2011

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    Both MGUS and Waldenstrom do not have lytic lesions.
     
  13. 1nycdoc8

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    Just to add to MGUS.

    To differentiate between MM and MGUS you have to see the following:
    - MGUS has <10% plasma's in bone marrow (MM has >10% plasma)
    - and NO SYMPTOMS of MM ie. hypercalcemia, bone lesions, anemia etc.

    Waldenstrom's: IgM spike not IgG as seen in MM, MGUS. Here there are NO lytic lesions.
     

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