Endo
3 screening options for DM in asymptomatic pt
Fasting glucose
HbA1C
2 hr GTT
Acid base disorder associated with chronic opioid use
Primary respiratory acidosis
Best test to diagnose complication of diverticulitis
Abdominal CT with contrast
two studies for confirmation of borderline low Vit B12
MMA & Homocysteine
Most common cause of genital ulceration
HSV 2
Initial lab for evaluation of suspected primary hyperaldosteronism
Plasma aldosterone- plasma renin ration
Intervention that reduces the risk of contrast induced nephropathy
IV isotonic saline
Timing for H.pylori eradication testing following treatment
4 weeks post treatment( urea breath test or stool antigen testing )
Stem cell disorder resulting in pancytopenia with a hypocellular bone marrow examination
Aplastic anemia
management of asymptomatic candiduria in a pt with bladder catheter
Remove catheter
Recommended management of asymptomatic macroprolactinoma
Clinical surveillance
Evaluation for hematuria in patients > 50 yr with cancer risk factors ( smoking, analgesic abuse, benzene exposure ) , regardless of anticoagulation status
Cystoscopy
Most common cause of malabsorption , iron deficiency anemia with a vesicular rash
Celiac disease
Diagnosis for dysnea, hypoxia & B/L infiltrates on CXR occurring during or within 6 hours of transfusion in absence of volume overload
TRALI
Plasmodium species associated with highest level of parasitemia ( >2%)
P.falciparum
First line treatment for anovulatory infertility from PCOS
SERM ( clomiphene citrate )
Diagnosis of chronic HTn in a pregnant pt
HTN before 20th week of gestation
Diagnosis of young to middle age woman with elevated aminotransferase levels, autoimmune thyroid disease, and positive autoantibodies
Autoimmune hepatitis
Initial therapy for Immune thrombocytopenic purpura
Glucocorticoids
Likely cause of fever & pulmonary symptoms associated with travel to South western US
Coccidiomycosis
Most common genetic syndrome causing primary hypogonadism & azoospermia
Klinefelter syndrome ( 47, XXY)
Diagnosis with normal anion gap metabolic acidosis, hypokalemia, urine pH> 5.5, & associated with kidney stones
Type 1 ( distal RTA )
Most common benign pregnancy related liver disorder presenting in 2nd/ 3rd trimester with pruritus, mildly elevated bilirubin, & normal aminotransferase level
Intrahepatic cholestasis of pregnancy
Recommended management for an older man with limited life expectancy ( < 10 years ) with newly diagnosed low risk prostrate CA
Observation
Treatment - ( antibiotic & duration ) for latent Tb
Isoniazid for 9 months
plus pyridoxine ( Vitamin B6)