All About Nodules
Skin Stuff
Eye Heart Kidneys
Spreading Rheum-ers
The Theme is Heme
100
Initial tests in the workup of a newly detected thyroid nodule
Thyroid Ultrasound and TSH
100
Name for this skin condition, often seen on a patient in the supine position for several days whilst on a lovely plastic lined hospital mattress:
Miliaria (accept heat rash)
100
A pulmonary renal syndrome characterized by pulmonary hemorrhage and glomerulonephritis with positive anti-basement membrane antibodies
Goodpasture Syndrome
100
Condition that causes urogenital lesions, uveitis, recurrent oral ulcers and pathergy (cutanous lesion resulting from minimal skin trauma)
Behcet's Syndrome
100
Treatment for essential thrombocytosis in patients at high risk of thrombosis
Hydroxyurea
**20% of ET patients develop acquired von willebrand disease which limits the usefulness of aspirin in high risk patients
200
Follow up test on a thyroid nodule without suspicious US findings but a low TSH
Iodine 123 scintigraphy (accept radioactive uptake scan or thyroid uptake scan)
200
Suspect this viral illness in a patient with an acute, first time onset of the rash seen here: 
HIV
200
Autosomal dominant disorder due to a sodium channel gene mutation that causes syncope and sudden cardiac death without structural heart disease. EKG typically shows a coved ST elevation in precordial leads with associated T wave inversion and right bundle branch block appearance
Brugada Syndrome
200
A cause of secondary osteoarthritis in a middle-aged male with diabetes and liver disease
Hemochromatosis
200
Treatment for acute ischemic stroke secondary to sickle cell crisis
Exchange Transfusion
300
Initial follow up tests after discovery of an adrenal nodule >1 cm (need 2/3)
Overnight dexamethasone suppression test
Urine and plasma metanephrines
Aldosterone and renin ratio (if hypertensive)
**Need 2/3
300
A patient with profound neutrophilia and the following skin lesions most likely has this syndrome: 
Sweet Syndrome (accept Acute febrile neutrophilic dermatoses)
300
Additional therapy for a patient with poorly controlled symptomatic heart failure despite optimal medical therapy, a prolonged QRS >150 ms and a left bundle branch block
Cardiac Resynchronization Therapy
300
Oronasal inflammation, urinary abnormalities, abnormal chest radiograph with + C-ANCA antibodies
Granulomatosis with polyangiits (Accept Wegeners)
300
Name one diagnosis with the following peripheral blood smear:
Accept G6PD deficiency, alpha thalassemia, NADPH deficiency, glutathione synthase deficiency. These are bite cells (degmacytes) caused by phagocyte extraction of denatured hemoglobin (heinz bodies)
400
If patient is over the age of 35, perform _____ to assess laterality and determine indication for surgery in patients with primary hyperaldosteronism
Adrenal Vein Sampling
400
Oral lesion commonly seen in alcoholics and tobacco users which carries an increased risk of malignant transformation:
Leukoplakia
400
Edema, nephrotic range proteinuria, hypoalbuminemia and significantly elevated cholesterol seen in a 50 year old after an upper respiratory tract infection
Adult minimal change disease
400
Suspect this diagnosis in a patient with swollen hands, myositis, raynauds and +AntiURNP antibodies
Mixed Connective Tissue Disease
400
Prevention of Tumor Lysis Syndrome in high risk patients (>5%) with ALL/AML or high grade lymphomas
IV Fluids and Rasburicase
500
Maximum size cutoff to be considered a pulmonary nodule (not yet considered a mass)
3 cm
500
Primary cutanous T cell lymphoma seen here:
Mycoses Fungoides (accept Sezary Syndrome)
500
Ocular finding seen here, caused by blood accumulation in the anterior chamber of the eye
Hyphema
500
Long term complication seen in a patient with dry eyes and mouth and positive Anti-Ro/SSA and Anti-La/SSB antibodies, which is due to malignant transformation of glandular tissue
Non-Hodgkin Lymphoma
500
First line treatment of bleeding associated with uremia in advanced chronic kidney disease
Desmopressin (accept DDAVP)