Clinical Questions and Answers(University of Chicago)
|
Question |
Av. Score |
Evidence-Based
Answer |
|
What are appropriate screening tests for
infants and children? |
5.3 |
|
|
What predicts a successful smoking
cessation attempt? |
5.2 |
|
|
Should patients receive
23-valent pneumococcal vaccination more than once? |
5.1 |
|
|
What are effective
treatments for oppositional defiant behaviors in adolescents? |
5.0 |
|
|
What common substances
can cause false positives on urine screens for drugs of abuse? |
5.0 |
|
|
When should we screen
children for hyperlipidemia? |
5.0 |
|
|
What is the prognostic
value of stress echocardiography for patients with atypical chest pain? |
5.0 |
|
|
Do allergy shots help seasonal allergies
more than antihistamines
and nasal steroids? |
5.0 |
|
|
What is the most beneficial
diet for patients with diverticulosis? |
4.9 |
|
|
Can patients with steatohepatitis take
statins? |
4.9 |
|
|
Which medications
can be split without compromising efficacy and safety? |
5.0 |
|
|
What is the best treatment
for infants with colic? |
4.9 |
|
|
What nonpharmacological
treatments are effective against common nongenital warts? |
4.8 |
|
|
Who should receive
vertebroplasty? |
4.6 |
|
|
What is appropriate
management of iron deficiency for young children? |
4.5 |
|
|
How should we manage a patient with a
positive PPD and prior
BCG vaccination? |
4.4 |
|
|
Which vaccinations
are indicated after splenectomy? |
4.3 |
|
|
What test is the best for diagnosing
infectious mononucleosis? |
4.3 |
|
|
What is the most effective
management of acute fractures of the base of the fifth metatarsal? |
4.3 |
|
|
What are contraindications
to IUDs? |
4.1 |
|
Question
|
Av. Score
|
Evidence-Based Answer
|
|
What is the best treatment for analgesic rebound headaches? |
5.4 |
|
|
What is the best way to manage GERD symptoms in the elderly? |
5.3 |
|
|
Does furosemide decrease morbidity or mortality for patients with diastolic or systolic dysfunction? |
5.2 |
|
|
How should patients with subclinical hypothyroidism be managed? |
5.2 |
|
|
What are the indications for evaluating a patient with cough for pertussis? |
5.1 |
|
|
What is the initial work-up in the diagnosis of hypertension? |
5.0 |
|
|
How should patients with Barrett's esophagus be monitored? |
5.0 |
|
|
What is appropriate fetal surveillance for women with diet-controlled gestational diabetes? |
4.9 |
|
|
What physical exam techniques are useful to detect malingering? |
4.9 |
|
|
Does treatment with donepezil improve memory for patients with mild cognitive impairment? |
4.9 |
|
|
What is the addiction risk associated with tramadol? |
4.8 |
|
|
What interventions can help patients stop chewing tobacco? |
4.8 |
|
|
How useful is high-sensitivity CRP as a risk factor for coronary artery disease? |
4.8 |
|
|
Is breastfeeding safe for infants if their mothers use combined oral contraceptives? |
4.7 |
|
|
How should we follow up a positive screen for anemia in a 1-year old? |
4.7 |
|
|
How can you prevent migraines during pregnancy? |
4.5 |
|
|
Is sputum evaluation useful for patients with community-acquired pneumonia? |
4.5 |
|
|
Does neonatal circumcision decrease morbidity? |
4.2 |
|
|
In children with acute vomiting and diarrhea (gastroenteritis), does treatment with intravenous fluids improve recovery compared with oral rehydration therapy (ORT)? |
4.2 |
|
|
What are the causes of hypomagnesemia? |
3.6 |
|
Question
|
Av. Score
|
Evidence-Based Answer
|
|
What are effective medication combinations for dyslipidemia? |
5.4 |
|
|
Should we identify and treat hyperlipidemia in the advanced elderly? |
5.3 |
|
|
How effective are lifestyle changes for controlling hypertension? |
5.2 |
|
|
Does stopping a statin increase the short-term risk of a cardiovascular event? |
5.1 |
|
|
Are major bleeding events from falls more likely in patients on warfarin? |
5.0 |
|
|
What is the best way to diagnose a suspected rotator cuff tear? |
4.9 |
|
|
When are empiric antibiotics appropriate for urinary tract infection symptoms? |
4.9 |
|
|
What is the recommended approach to asymptomatic patients who develop a reactive PPD? |
4.8 |
|
|
What is the best way to diagnose polycystic ovarian syndrome? |
4.8 |
|
|
How do we decide when a patient with nonmalignant disease is eligible for hospice care? |
4.7 |
|
|
What is the best surveillance for hepatocellular carcinoma in chronic carriers of hepatitis B? |
4.7 |
|
|
What is the best duration of steroid therapy for contact dermatitis (rhus)? |
4.7 |
|
|
How safe is vaginal birth after cesarean section for the mother and fetus? |
4.7 |
|
|
What are hospital admission criteria for infants with bronchiolitis? |
4.6 |
|
|
Should people with a first-degree relative who died from subarachnoid hemorrhage be screened for aneurysms? |
4.5 |
|
|
What precautions should we use with statins for women of childbearing age? |
4.5 |
|
|
What causes a low TSH level with a normal free T4 level? |
4.4 |
|
|
What is the best test to detect herpes in skin lesions? |
4.3 |
|
|
What dietary modifications are indicated for migraines? |
4.3 |
|
|
Are oral agents effective for the treatment of verruca vulgaris? |
4.0 |
|
Question
|
Av. Score
|
Evidence-Based Answer
|
|
What is the best strategy for impaired glucose intolerance in non-pregnant adults? |
5.5 |
|
|
What is the best way to identify patients with white-coat hypertension? |
5.4 |
|
|
When is neuroimaging warranted for headache? |
5.3 |
|
|
Do TZDs increase the risk of heart failure for patients with diabetes? |
5.2 |
|
|
What is the diagnostic approach to a patient with leg cramps? |
5.1 |
|
|
Do preparticipation clinical exams reduce morbidity and mortality in athletes? |
4.9 |
|
|
How should we follow athletes after a concussion? |
4.9 |
|
|
What illnesses contraindicate immunization? |
4.9 |
|
|
What are the best therapies for acute migraine in pregnancy? |
4.7 |
|
|
Do antibiotics interfere with the efficacy of oral contraceptives? |
4.6 |
|
|
In menopausal women, does fatigue indicate disease? |
4.4 |
|
|
What are the indications for bariatric surgery? |
4.3 |
|
|
What is the best treatment for gastroesophageal reflux and vomiting in infants? |
4.3 |
|
|
Who should get Hepatitis A vaccination? |
4.3 |
|
|
What is the best way to diagnose menopause? |
4.2 |
|
|
What is the recommended evaluation and treatment for elevated serum prolactin? |
4.1 |
|
|
What is the best way to distinguish Type 1 and Type 2 diabetes? |
4.0 |
|
|
What is the best approach to the evaluation of hirsutism? |
3.7 |
|
|
When should you order a Lyme titer? |
3.7 |
|
|
Can we prevent splenic rupture for patients with infectious mononucleosis? |
3.1 |
|
Question
|
Av. Score
|
Evidence-Based Answer
|
|
How should you manage a depressed patient unresponsive to an SSRI? |
5.6 |
|
|
How effective are dietary interventions in lowering lipids in adults with dyslipidemia? |
5.2 |
|
|
What is the best management for patients with evidence of asymptomatic ischemia on exercise stress testing? |
5.2 |
|
|
What is the dietary treatment for low HDL cholesterol? |
5.1 |
|
|
What evaluation is best for an isolated, enlarged cervical lymph node? |
5.1 |
|
|
How effective are hypertension self-care interventions? |
5.1 |
|
|
What are appropriate screening tests for adolescents? |
5.0 |
|
|
What are the risks and benefits of elective induction for uncomplicated term pregnancies? |
4.8 |
|
|
Which tests are the most useful for diagnosing PID? |
4.8 |
|
|
What is the best approach to the evaluation of resting tachycardia for an adult? |
4.7 |
|
|
What other STI testing should we do for a patient with chlamydia? |
4.6 |
|
|
Should you treat a symptomatic patient by phone when his child has confirmed strep throat? |
4.5 |
|