Bean Friends
Scope of Practice
A League of Our Bone
Critical Thinking
Potpourri
200

The most likely cause of an acute rise in creatinine in a patient 36 hours post-coronary catheterization who has remained hemodynamically stable.

What is contrast-induced nephropathy?

200

These are the two liver lesions associated with oral contraceptive use.

What are focal nodular hyperplasia and hepatic adenoma?

200

This condition might be suspected in a 68 year old woman taking alendronate who began experiencing pain and intraoral purulent discharge form her left mandibular angle.

What is osteonecrosis of the jaw?

200

This is the initial mean arterial pressure target in patients treated for septic shock with vasopressors, according to the 4th edition of the "Surviving Sepsis" guidelines.

What is a MAP of 65 mmHg?

200

The most common inherited bleeding disorder.

What is Von Willebrand Disease?

400

This treatment may normalize blood pressure in a patient with unilateral renal artery stenosis and uncontrolled hypertension who is already taking amlodipine 10 mg, valsartan 320 mg, and HCTZ 25 mg.

What is renal artery stenting?

400

When treating acute esophageal variceal bleeding in a patient with advanced cirrhosis, aside from intravenous vasoconstrictors and fluids, this intravenous medication is also recommended.

What is ceftriaxone? (would accept antibiotics with similar coverage)

400

When using the FRAX tool, treatment for osteoporosis is recommended when a ten year risk of hip fracture or major osteoporotic fracture are greater than or equal to these, respectively? 

What are 3% (hip) and 20% (major osteoporotic fracture)?

400

This is the vasopressor of choice for use in patients with fluid-refractory hypotension secondary to acute liver failure or acute on chronic liver failure, according to the Society of Critical Care Medicine guidelines.

What is norepinephrine?

400

When treating carbon monoxide poisoning, these are the first two steps to take quickly.

What are removing the patient from the source of poisoning and administering supplemental oxygen?

600

In patients with autosomal dominant polycystic kidney disease, this extra-renal manifestation can be screened for using a diagnostic imaging test.

What is an intracranial aneurysm?

600

This results from the congenital failure of fusion of the dorsal and ventral endodermal pancreatic buds.

What is pancreatic divisum?

600

The unproven, theoretical cancer risk of teriparatide therapy.

What is osteosarcoma?

600

According to the CDC, to prevent CAUTI, one should replace an indwelling urinary catheter after this many days of use.

What is never (only change as indicated clinically)?

600

Per the American College of Rheumatology, don't order tests like DS-DNA, SSA, SSB, and centromere antibodies without first having this test result.

What is a positive ANA? (and a clinical suspicion of immune-mediated disease)

800

Saturnine gout, which describes a syndrome of hyperuricemia, gout, renal failure, and anemia, is a result of exposure to this element.

What is lead?

800

The most common cause of colonic bleeding.

What is diverticulosis?

800

This therapy is recommended for osteoporosis treatment in a postmenopausal woman with a low thrombotic risk and a strong family history of breast cancer.

What is SERM therapy (raloxifene or bazedoxifene)?

800

The complication associated with post-cardiac arrest therapeutic hypothermia in patients who received a coronary catheterization or thrombolytic therapy. 

What is bleeding?

800

Guidelines released in 2020 suggest annual screenings of patients with this condition for Alzheimer-type dementia starting at age 40.

What is Down Syndrome?

1000

Hyaline casts are composed of Tam Horsfall proteins, which are also known by this chemical name.

What is uromodulin?

1000
Use of this PPI is most associated with developing lymphocytic and collagenous colitis.

What is lansoprazole?

1000

These two bisphosphonates are acceptable to use in a patient with Barrett's esophagus.

What are zoledronic acid and ibandronate?

1000

The Society of Critical Care Medicine recommendations for treating patients with COVID-19 and mild ARDS include these tidal volume (in ml/kg) and plateau pressure (in cm H2O) goals.

What are a tidal volume of 4-8 ml/kg, and a plateau pressure < 30 cm H2O?

1000

The syndrome of visual hallucinations in the visually impaired, particularly from acquired conditions like age-related macular degeneration and diabetic retinopathy.

What is Charles Bonnet Syndrome?

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