Kidneygarten
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Are you not Endotained?
The Lungus Amongus (also critical care)
200

The drug of choice when treating scleroderma renal crisis.

What are ACE-inhibitors (usually captopril)?

200

The primary treatment for post-myocardial infarction pericarditis.

What is aspirin?

200

The initial treatment recommended by ACP for chronic insomnia.

What is Cognitive Behavioral Therapy for Insomnia (CBT-I)?

200

The best choice of levothyroxine dose in a patient with a newly elevated TSH of 8.3 without any symptoms consistent with hypothyroidism.

What is 0 mg (do not start therapy)?

200

This is the gold standard diagnostic test for pulmonary hypertension.

What is right heart catheterization?

400

This alternative to creatinine as a marker of renal function is a protease inhibitor.

What is Cystatin C?

400

As recommended by ACP, the best confirmatory test for hypertension.

What is ambulatory blood pressure monitoring?

400

The two medication classes (or two medications within different classes) recommended for reducing risk of hip and vertebral fractures in women with osteoporosis, according to ACP.

What are bisphosphonates and RANKL inhibitors? Or, what are alendronate/risedronate/zoledronic acid and denosumab?

400

The pre-meal blood glucose target for non-critically ill hospitalized patients, according to the Endocrine Society practice guidelines.

What is < 140 mg/dl?

400

This oral rinse is associated with a reduction in ventilator-associated pneumonia in cardiothoracic ICU patients, but not in other ICU patients, and in fact may increase mortality among non-cardiothoracic ICU patients.

What is chlorhexidine?

600

In a patient 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

The recommended reversal agent for dabigatran in the setting of life-threatening bleeding or urgent need for a procedure.

What is Idarucizumab (aka Praxbind)?

600

The non-pharmacologic treatment with the highest level of evidence supporting it for treating acute or subacute low back pain, according to ACP.

What is superficial heat?

600

The test of choice to rule out acromegaly in a patient with a pituitary mass.

What is IGF-1?

600

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

What is never (only as clinically indicated)?

800

The renal complication associated with long term mesalazine use.

What is interstitial nephritis?

800

This is the first-line therapy for a truck driver with a history of symptomatic atrioventricular reciprocating tachycardia (AVRT) to prevent recurrent arrhythmias.

What is catheter ablation therapy?

800

The ACP-recommended topical treatment for acute pain due to non-low back MSK injuries.

What is menthol gel?

800

A monoclonal antibody therapy for osteoporosis, this medication specifically lowers risk of vertebral fractures and targets sclerostin as its mechanism of action.

What is romosozumab, aka Evenity?

800

In patients using inhaled corticosteroids, this intervention, separate from counseling patients to rinse their mouths after inhalation, can reduce the risk of developing oral thrush.

What is using a spacer or valved holding chamber?

1000

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

What is Lead?

1000

This is the shortest duration of intraventricular conduction delay required for a congestive heart failure patient to qualify for cardiac resynchronization therapy.

What is 120 milliseconds? 

1000

The three types of medications recommended by ACP to treat acute gout.

What are NSAIDs, Corticosteroids, and Colchicine?

1000

In diagnosing autonomous cortisol excretion in the setting of adrenal incidentaloma, the Endocrine Society recommends using these three tests.

What are 24h urine free cortisol excretion, overnight dexamethasone suppression test, and late-night salivary cortisol?

1000

This is the most common tyrosine kinase mutation seen in NSCLC, permitting the use of medications like osimertinib?

What is EGFR mutation?
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