cardio
degree of mortality benefit in CAD screening in asymptomatic diabetic patients
none
this sulfonylurea is contraindicated in elderly patients with diabetes
glyburide
long acting risk for hypoglycemia
pulmonary vein complication with ablation
stenosis
most common cause of hypercortisolism
exogenous glucocorticoids
focal neurological signs, headache, fever, and seizure in an AIDS patient
CNS toxoplasmosis
initial 3 antithrombotics for NSTEMI
aspirin
p2y12i (plavix)
lmwh
mechanism of hypercalcemia in sarcoidosis
increased hydroxylation of vit d and increased calcium absorption
most common cardiac abnormality associated with aortic coarctation
aortic stenosis
this electrolyte abormality requires correction before insulin therapy in DKA
hypokalemia
antibiotic mgmt of staph with vancomycin MIC >2microgram/ml
daptomycin
therapy for patients with end stage heart failure who are not transplant candidates
LVAD
three treatment indications for subclinical hypothyroidism
symptoms
goiter
high thyroperoxidase antibodies titers
percent cutoff ASCVD score for 10 year risk classified as "low risk"
<5%
this electrolye abnormality can impair PTH secretion
hypomagnesemia
paradoxical worsening of symptoms in patients started on HAART
immune reconstitution inflammatory syndrome
this trial recently (2018) resulted in 2019 AHA/ACA guidelines reversing the recommendation on use of aspirin for primary prevention of cardiovascular events in diabetes
ASCEND trial
A Study of Cardiovascular Events in Diabetes
NNT 91 1.1% reduction in cardiovascular events
NNH 112 0.9% increase in major bleeding events
Name 5 indications to liberalize glycemic control
Decreased life expectancy
severe hypoglycemia
multiple comorbidities
advanced microvascular disease
advanced macrovascular disease
name 4 ekg findings that preclude exercise ekg stress testing
LBBB
preexcitation
paced rhythm
ST depressions at baseline
two conditions that can result in an artifically elevated calcium level
hyperalbuminemia
paraproteinemia
three studies for standard evaluation of encephalitis
LP
MRI
EEG
symptoms (syncope/arrhythmia)
>2mm coved STE in precordial leads
these three lab findings are found with bilateral adrenal hemorrhage
hyperkalemia
hyponatremia
hypoglycemia
mechanism of pharmacological treatment for low output heart failure after treatment of volume overload
afterload reduction
this diagnostic study can precipitate thyroid storm in graves disease
use of iodinated contrast with CT imaging
two drug empiric therapy for brain abscess from dental source
IV Penicillin and Metronidazole