Derm
Premalignant, erythematous, scaly macules that occur on sun-exposed areas, primarily in older people
Actinic Keratoses
FEV1 in patient with Moderate Persistent Asthma
60-80%
Syndrome defined by Medullary Thyroid Ca, Pheochromocytoma and primary hyperPTH
MEN2A
Maneuver which will help distinguish HOCM vs. Aortic Stenosis on Ascultation
Valsalva
Murmur of AS will be intensified with Valsalva
When this nerve is affected, patients present with unilateral facial paralysis
facial nerve (CN VII)
Chronic inflammatory condition characterized by Central Facial erythema with transient papules/pustules
Rosacea
Asthma classifcation:
Sx: >2/week
<1/day and >2 nights/month
Mild persistent
Should be on controller medication, ICS
How often should visual field testing be performed in a pregnant patient diagnosed with a prolactinoma?
Each trimester
The 3 β-blockers shown to decrease mortality, reduce heart failure symptoms, and improve left ventricular ejection fraction in patients with HFrEF.
metoprolol succinate, carvedilol, and bisoprolol
Nerve affected by the common neuropathy that results in sensory loss, pain, or tingling over the anterolateral thigh
Lateral Femoral Cutaneous Nerve
Disease associated with nail pitting, onycholysis and "oil drop" sign
Psoriasis
Precipitated/Exacerbated by sun, anti-tnf therapy, steroids, infxn, Lithium
NOT exacerbated by Alcohol or Malignancy (common wrong answers)
Patient with Asthma on SABA/LABA/ICS and Montelukast. Still with Sx. Has a cat she refuses to get rid of. Serum IgE level is high. What medication to consider?
Omalizumab (Xolair)
Anti-IgE therapy
Your patient has experienced enlargement of the nose, frontal bones, and jaw in addition to the hands and feet. This is the best single test to aid in the diagnosis.
Serum IGF-1
Guideline-based medical therapy for heart failure with reduced ejection fraction of 40% and NYHA class III symptoms. Assuming the patient can tolerate the therapy, please state the pharmacologic class(es).
ACE-i/ARBs, ß-blockers, and aldosterone antagonists (diuretics also acceptable)
The most common acquired motor neuron disease resulting from degeneration of corticol motor neurons and anterior horn cells
Amyotrophic Lateral Sclerosis (ALS)
Type of Isolation required in patient with diagnosed Zoster in >/= 2 dermatomes
Contact and Airborne
- Also for patients with FMF
How to differentiate Obstructive disease process of Asthma vs. COPD based on PFTs
In COPD the DLCO will be on the lower end of Normal or decreased
In Asthma the DLCO will be on the upper limit of normal or Increased
Elevation in this hormone level may result in hypercalcemia, elevated alkaline phosphatase, and low total and HDL cholesterol levels.
T4
2 alternative medications which can be used in patients who are intolerant of ACE/ARBs
isosorbide dinitrate and hydralazine
Treatment of the patient presenting with acute inflammatory demyelinating polyneuropathy
IVIG/Plasmapharesis
Tense blisters, non-pruritic in sun-exposed areas. Hyperpigmentation
Stem may describe patient who has Hep C or is Alcoholic or has Hemachromatosis
Decreased Urophyrinogen decarboxylase leads to increased Uroporphyrinogen deposition in the skin
Screening: Urine will show increased uroporphyrinogens
Treatment: Phlebotomy or anti-malarial drugs
Name a possible cause of the following PFTs
Patient 1:
FEV1: Decreased
FEV1/FVC: Normal
TLC: Decreased
DLCO: Decreased
RV: Decreased
Patient 2:
FEV1: Decreased
FEV1/FVC: Normal
TLC: Decreased
DLCO: Normal
RV: Increased
Low TLC = Restrictive
Causes of Intrathoracic restrictive dz will have a decreased DLCO and low RV (Pulmonary Fibrosis, Sarcoidosis, Pneumoconiosis)
Causes of Extrathorasic restrictive dz will have a Normal DLCO with an increased RV (severe Kyphosis, Neuronmusclar disorders (MG, GBS)
Name 3 of the 4 most common ACTH-secreting tumors
bronchial carcinoid, pheochromocytoma, medullary thyroid carcinoma, and small cell lung cancer
All 4 of these indications must be met to qualify for placement of a biventricular pacemaker (cardiac resynchronization therapy).
1) guideline based medical therapy, 2) NYHA class II-IV symptoms, 3) LBBB with QRS duration ≥ 150 msec, 4) ejection fraction ≤ 35%
The preferred agent in the treatment of scleroderma renal crisis. Be specific
Captopril