Rheumatology
Endocrinology
Nephrology
Neurology
ID
100

A clinical condition associated with the frontoparietal 'en coup de sabre' lesion

Linear scleroderma (accept scleroderma)

100

Potential metabolic complication of insulin treatment during 'honeymoon phase' of type 1 diabetes mellitus management

Hypoglycemia

100

Site of action of the diuretic effect of acetazolamide

Proximal tubule

100

 Repetitive, stereotyped, suppressible movements

Tics

100

Laboratory test required to calculate the CURB-65 risk score for community acquired pneumonia

Blood urea nitrogen (accept BUN; urea)

 

200

Autoantibodies characteristic for drug-induced lupus

Anti-histone antibody

200

Type of bone most affected by imbalanced remodeling in osteoporosis

Cancellous (accept trabecular or spongy)

200

Indications for primary hyperaldosteronism screening

- Resistant Hypertension

- Unexplained hypokalemia

- Incidental adrenal mass

- Stroke at age <40 years

200

Preferred initial drug therapy for idiopathic intracranial hypertension

Acetazolamide (accept carbonic anhydrase inhibitor)

200

Malaria species most likely to cause severe disease or death

Plasmodium falciparum (accept Plasmodium falciparum or falciparum) 


300

Laboratory measurement included in the Simplified Disease Activity Index (SDAI) for rheumatoid arthritis

C-reactive protein (accept CRP)

300

Most common electrolyte abnormality following thyroid surgery

Hypocalcemia (from parathyroid injury)

300

Most common cause of primary nephrotic syndrome in adults

Membranous nephropathy

300

Diagnostic study for prolonged altered mental status following convulsive status epilepticus

 24-hour continuous EEG monitoring 

300

Clinical triad defining hemolytic-uremic syndrome

Acute renal failure (accept acute kidney injury), microangiopathic hemolytic anemia, and thrombocytopenia 

400

Crystal associated with the Milwaukee Shoulder Syndrome

Basic calcium phosphate (accept calcium hydroxyapatite disease or deposition disease)

400

Hypercalcemic disorder due to parathyroid hyperplasia following prolonged parathyroid stimulation

 Tertiary hyperparathyroidism

400

Circulating protease inhibitor biomarker for GFR less affected by age, gender, and muscle mass than creatinine

Cystatin C (accept gamma trace, post-gamma-globulin, or neuroendocrine basic polypeptide)

400

Diagnosis associated with anti–N-methyl-d-aspartate receptor antibodies

Autoimmune encephalitis (accept limbic encephalitis)

400

Main Manifestations of Lyme carditis

AV nodal block 

 

500

Virus associated with multicentric Castleman disease

Human herpesvirus 8 (must indicate number)

500

Diagnosis suggested by acne, gynecomastia, small testes, low gonadotropins, erythrocytosis

Anabolic steroid abuse

500

Treatment of IgA nephropathy

ACE inhibitor or ARB

500

Recurrent throbbing headache, that occurs ONLY during sleep, typically occurring after the age of 50  

Hypnic headache

500

Chronic skin infection after contact with fish tanks, fish, shellfish

Mycobacterium marinum

 To date, there is no clinical trial available which could suggest optimal management of M. marinum infections 

Non-complicated: doxycycline, cotrimoxazole-trimethoprim, clarithromycin have demonstrated positive outcomes 

Invasive forms: the combination use of 2 active agents including ethambutol, clarithromycin/ azithromycin or rifampicin for 3 to 4 months has been reported to be effective adjunct therapy together with surgical debridement

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