Doki doki
4 classes of medication used to treat heart failure.
What are:
-Beta-blockers
-ACE/ARB/ARNI
-SGLT-2
-MRA
Amount of time and 2 conditions required for returning to work or school after diagnosis of impetigo.
What is 12 to 24 hours with clinical improvement and covering active lesions?
Definite IE versus possible IE versus rejected IE are classifications used in this calculator.
What is the 2023 Duke Criteria?
First-line imaging modalities best suited for non-pulsatile + non-thyroid mass, thyroid mass, mass involving cranial nerve, pulsatile mass, and potential metastases in neck after unrevealing history and physical exam.
What is:
-CT w/ contrast for non-pulsatile and non-thyroid mass
-US for thyroid mass
-MRI w/ contrast for mass involving cranial nerve
-CTA for pulsatile mass
-PET for potential metastases
Retired stone-cutter diagnosed with this condition after experiencing dry cough and progressive shortness of breath with exertion for several months. Physical exam reveals tachypnea and bibasilar end-inspiratory dry crackles. Chest x-ray reveals interstitial opacities.
What is silicosis?
Findings of left ventricular hypertrophy, septal thickening, a systolic murmur that increases with Valsalva maneuver, and Q-waves on EKG.
What is HCM?
Recommended treatment frequency and duration of mupirocin 2% ointment for pruritic, painful lesions with honey-colored crusts that started as erythematous papules and progressed into vesicles, pustules, or bullae .
What is twice daily application to affected areas for 5 days?
5 physical exam findings seen in 5%-10% of patients with IE.
What are:
-Splinter hemorrhages
-Conjunctival hemorrhages
-Osler nodes
-Janeway lesions
-Roth spots
Mobile lymphadenopathy that is diffuse in cervical region or generalized to whole body can be associated with these 5 infections.
What is:
-CMV
-EBC
-HIV
-Toxoplasmosis
-Viral URI
Management of healthy 3 y/o child with otitis media and effusion of right ear.
What is no treatment and follow-up in 3 months?
What classes of medication should be avoided in pregnant patients with peripartum cardiomyopathy?
What are:
-ACEs
-ARBs
-Careful consideration of diuretics
Recommendation by Infectious Diseases Society of America (IDSA) in 2014 regarding culturing skin swabs in typical presentations of impetigo.
What is initiating treatment without first swabbing and culturing skin/fluid in patients with typical presentations?
4 procedures that the American College of Cardiology/American Heart Association no longer recommend giving pre-procedural antibiotic prophylaxis for, even if high-risk.
What are:
-TEE
-EGD
-Colonoscopy
-Cystoscopy
Fast growing, painful lump beneath right ear present for several months associated with impaired pharyngeal phase of swallowing, impaired frowning, inability to move right eyebrow.
What is a malignant parotid gland tumor involving CN VII?
55 y/o male, healthy, non-smoker, no substance use. BMI and VS normal. FmHx significant for CAD. ASCVD 5.4%.
Fasting glucose 92 mg/dL
Total cholesterol 190 mg/dL
LDL-cholesterol 98 mg/dL
HDL-cholesterol 50 mg/dL
Triglycerides 145 mg/dL
PCP recommended this evidence-based management strategy to prevent CVD in this patient.
What is moderate-intensity exercise (150 minutes weekly)?
At least 4 medical conditions comprising non-ischemic cardiomyopathy
What is:
1. HCM
2. Arrhythmogenic Cardiomyopathy
3. Left Ventricular Noncompaction (Hypertrabeculation)
4. Dilated Cardiomyopathy
5. Restrictive Cardiomyopathy
6. Peripartum Cardiomyopathy
7. Takotsubo Cardiomyopathy
Definition of fomite and associated bacterium in impetigo.
What is an inanimate object that carries infectious agents and passively transmits infections between hosts and is associated with staph aureus bacteria?
IV pharmacological agents used in empiric therapy for 80% of IE diagnoses.
What is:
-Vancomycin + Ceftriaxone for native valves
-Vancomycin + Cefepime or Zosyn for prosthetic valves
Two specific occupations that can lead to globus sensation and transient mass in anterior neck secondary to herniation of laryngeal diverticulum through thyrohyoid membrane.
What are glass blowers and wind/brass musicians?
Male baby at one day of life. Uncomplicated vaginal delivery at 37w and 6d. Thin upper lip and flat philtrum. Fetal alcohol syndrome suspected with 4 additional physical exam findings.
What are:
-Flexion contractures/deformities
-Radioulnar synostosis
-Scoliosis
-Spinal malformations?
6 criteria used to assist in determination of ICD placement in patients >/= 16 years of age diagnosed with HCM.
What is:
1. Age at time of evaluation
2. Max wall thickness in mm
3. Left atrial diameter in mm
4. Maximal LVOF tract gradients in mmHg
5. Non-sustained ventricular tachycardia
6. Unexplained syncope
Specific stages of untreated or inadequately treated impetigo.
What is:
Ecthyma -> Erysipelas -> Cellulitis -> Abscess -> Necrotizing soft tissue infection
IV pharmacological agents used in definitive therapy for 80% of IE diagnoses.
What is:
-Penicillin G or Ceftriaxone or Ampicillin or Amoxicillin or Vancomycin or Linezolid for penicillin-susceptible streptococci
-Gentamicin + Penicillin G or Ceftriaxone or Ampicillin or Amoxicillin or Vancomycin or Linezolid for penicillin-resistant streptococci
-Nafcillin or Flucloxacillin or Oxacillin or Cefazolin or Vancomycin or Linezolid or Daptomycin for MSSA
-Vancomycin or Daptomycin or Linezolid for MRSA
-Ampicillin or Amoxicillin + Ceftriaxone or Gentamicin for enterococcus susceptible to beta-lactam and gentamicin
3 criteria qualifying a mass as being located in the neck.
What is:
-Below the mandible
-Above the clavicle
-Deep to the skin
45 y/o female diagnosed with Scleroderma (systemic sclerosis) presents with 2 elevated inflammatory markers in addition to these 3 positive and 6 negative rheumatological labs.
What are:
-Elevated ESR and CRP
-Positive:
-ANA with nucleolar pattern
-Anticentromere Ab
-Anti-Scl-70 Ab
-Negative:
-Anti-dsDNA Ab
-Anti-Smith Ab
-Antiribonucleoprotein Ab
-Anti-Sjogren-syndrome-related Ag A and B
-Anticardiolipin
-Lupus anticoagulant