Endo
Rheum
DisOrientation
Infection
100
Which type of thyroid cancer produces calcitonin?
Medullary thyroid ca
100
What medication should be continued indefinitely in the majority of patients with SLE to reduce flares
Hydroxychloroquine
100
When can you go over cap at princeton?
Bouncebacks
100
According to the IDSA, when is it appropriate to cover for anaerobes in pneumonia?
Abscess/empyema.
Newer data shows low prevalence of anaerobic infections, possibly due to demographic shifts/better dentition.
200
In what two situations do you treat a prolactinoma?
Cabergoline
If > 1.0 cm or symptomatic
200
Which antibody is most specific for mixed connective tissue disease?
Anti-U1 RNP
200
Where do you find the most up to date version of the attending call schedule?
Qgenda!
200
What are the three most common sites for nocardia infection?
Lung, brain, skin (in that order)
300
What should patients with primary adrenal insufficiency be advised to do peri-operatively for minor surgeries?
Double their prednisone dose for the day of and 1-2 afterward.
300
Which autoantibodies correlate with disease activity in patients with SLE
Anti-DS-DNA 95% spec, 50-60% sensitive
NOT anti-smith 99% spec, low sensitivityvity
300
Who does a bounce-back admission, and at what time does it change?
Floor team that was caring for pt before 1 PM
PRAT after 1 PM
300
What is the new IDSA guideline definition of complicated UTI? How does it differ from the old?
UTI w/ any c/f ascending infection (ureters or kidney) as evidenced by systemic toxicity - EOD, sepsis etc.
No longer specific groups (men, pregnant)
400
What is the preferred test for diagnosing adrenal insuficiency? How is it performed?
Cosyntropin stim test
Can be performed any time of day o Check serum cortisol and ACTH -> give cosyntropin (ACTH) high-dose 250 μg IV -> repeat serum cortisol 30 and 60min later. Need BOTH timepoints
Normal serum cortisol >15µg/dL, AI if below
400
Which autoantibody for systemic sclerosis carries the highest risk for scleroderma renal crisis
anti-RNA Polymerase III
400
What is the process for punting admissions to ADS?
Epic chat admitting attending with the patient history and short explanation of presentation/why low teaching value
Have your attending talk to ADS attending
If they dont reply within 30 minutes, you should probs call your attending
400
You have 30 seconds to pull up the beta lactam cross reactivity chart on your phone
Residency Files -> Helpful Links -> ID Resources
500
What adult populations does the Endocrine Society recommend empiric vit d supplementation
Pregnant women
Everyone > 75 years old
Prediabetes (reduced risk of progression to TIIDM)
They do not recommend testing vitamin D levels in these patients
500
What is the most common cause of death amongst older (>50) patients with SLE
CAD
2-10 fold increase in CAD risk
High SLE disease activity + prednisone independent risk factors for CAD
500
What are the time frames that dictate who you staff new admissions with on PRAT.
Before 3pm: Present to attending for the team patient is going to
3-6pm: Attending on Call (expected to see patient that day)
After 6pm: Attending on Call (see schedule. Different on Thurs/Fri)
500
What are the 3 lab cutoffs used to define empyema?
pH <7.2, Gluc < 60 or positive gram stain/culture
Any of three makes an empyema