Endo
For primary prevention of ASCVD, above this LDL we give high intensity statins regardless of age
190
Classic X-ray finding of the lumbar spine for young adult male with ankylosing spondylitis
Bamboo spine
USPSTF recommendation for breast cancer screening (age & frequency)
age 40-74, biennial
Which medication class for HFrEF increases risk of euglycemic DKA?
SGLT2i
1st line treatment of prolactinoma (name & mech of action)
cabergoline (or bromocriptine) = dopamine agonist
Treatment of Kawasaki disease (2/2)
IVIG & high dose aspirin
Hepatitis C screening age
adults age 18-79
Antipsychotic medication that can cause hypothyroidism
Lithium
Screening test for primary hyperaldosteronism
Aldosterone : renin ratio (ARR)
Classic triad of Reiter's Syndrome (reactive arthritis)
1. Can't see (conjunctivitis / uveitis)
2. Can't pee (urethritis)
3. Can't climb a tree (arthralgia / arthritis, enthesitis, dactylitis, sacroiliitis)
Related infections: chlamydia or GI (salmonella, shigella, yersinia, campylobacter)
Lung cancer screening (age & pack years & within how many years of quitting)
50-80 year olds, 20+ pack year hx, smoke currently or within the past 15 years
GFR at which Metformin is contraindicated
below 30 ml/min/1.72m^2
(generally not started below 45)
Initial treatment options for diabetic neuropathy (need 3 of 4) (classes of medications or examples from each class)
1. Gabapentinoids
2. serotonin-norepinephrine reuptake inhibitors
3. tricyclic antidepressants
4. sodium channel blockers (e.g. lidocaine)
abdominal pain, mononeuritis multiplex
ANCA negative, ANA negative
associated with hep B and hep C
arteriography can help suggest diagnosis
Polyarteritis nodosa (PAN)
bonus points: what is the specific serological test for PAN?
medical treatments of severe hypercalcemia of malignancy (need 4/5)
2. loop diuretics if kidney or heart failure
3. IV bisphosphonate
4. denosumab
5. calcitonin
pulmonary drug for pulmonary arterial hypertension that causes elevated liver enzymes and requires monitoring of LFTs
bosentan - endothelin receptor antagonist
Indications for parathyroidectomy in primary hyperparathyroidism (need 5/7)
1. Age < 50
2. Hypercalcemia > 1 mg/dl above ULN
3. BMD by DEXA < t 2.5 at any site
4. vertebral fracture
5. GFR < 60
6. hypercalciuria
7. nephrolithiasis / nephrocalcinosis
name DMARDs, their MOA, and adverse effect (need at least 3)
1. methotrexate (folate antimetabolite) hepatotoxicity, cytopenias, stomatitis
2. leflunomide (pyrimidine synthesis inhibitor) hepatotoxicity, cytopenias
3. hydroxychloroquine (TNF & IL-1 suppressor) retinopathy
4. sulfasalazine (TNF & IL-1 suppressor) hepatotoxicity, hemolytic anemia, stomatitis
5. TNF inhibitors (adalimumab, certolizumab, etanercept, golimumab, infliximab) infection, demyelination, CHF, malignancy
Indications for adrenalectomy (need 3/3)
1. Size > 4cm or suspicious abnormality of imaging
2. Growth on serial imaging
3. Hormone-producing tumors (except mild hypercortisolism)
Conditions/medications that can reduce PO levothyroxine levels (need at least 4)
1. underlying malabsorption d/o (e.g. celiac)
2. binders (iron, calcium, cholestyramine)
3. increase metabolism (phenytoin, carbamazepine, rifampin)
4. obese
5. pregnant
6. proteinuria