Exam 2: STEP 2 CS - Practice Cases

Doorway information about patient The patient is a 30-year-old man who comes to the office to refill medications for HIV. Vital signs Temperature: 37.1 C (98.8 F) Blood pressure: 120/75 mm Hg Pulse: 78/min Respirations: 16/min Basic differential diagnosis HIV

Doorway information about patient The patient is a 70-year-old man who comes to the office due to frequent falls. Vital signs Temperature: 37.1 C (98.7 F) Blood pressure: 130/80 mm Hg Pulse: 78/min Respirations: 20/min Basic differential diagnosis Neurologic Cerebellar disease (alcohol, tumor, stroke) Parkinson disease Brain tumor Seizure Decreased vision Metabolic Diabetic neuropathy Hypoglycemia Thyroid disease Cardiovascular Valvular heart disease Miscellaneous Medication side effect Vitamin B₁₂ deficiency Vertigo

Doorway information about patient The patient is a 50-year-old man who comes to the office due to blurred vision. Vital signs Temperature: 36.7 C (98.1 F) Blood pressure: 160/90 mm Hg Pulse: 70/min Respirations: 22/min Basic differential diagnosis Diabetes mellitus Cataract Hypertensive retinopathy Glaucoma Macular degeneration Brain lesions Hyperviscosity syndrome (eg, polycythemia) Illicit drugs Temporal arteritis (usually starts unilaterally) Trauma to or infections of the eye (if unilateral)