Rhythms
The EKG findings in LBBB
wide QRS, Dominant S wave in V1 (W), and a broad, notched R wave in V6 (M)
This structure separates upper from lower GI bleeds
Ligament of Treitz
Rotterdam criteria for PCOS
Hyperandrogenism, ovulatory dysfunction, and polycystic ovaries (>2)
How to calculate the NNT?
NNT = 1/ARR
4 year old refuses to walk. Had a viral infection last week. Vitals normal and appears well. Most likely diagnosis?
Transient synovitis of the hip
EKG findings in Mobitz type I
Progressive prolongation of the PR interval culminating in a non-conducted P wave
Medical treatment for a variceal bleed
Octreotide, antibiotics, non-selective beta blocker after stabilization
Most likely diagnosis of 18 year old with primary amenorrhea, short stature, and Tanner stage 1
Turner Syndrome
Characterized by episodes of vertigo with tinnitus, nausea, vomiting, and reduced hearing
Meneires disease
Healthy 12 month old with episodes where he cries, then stops breathing, turns blue, and falls to the ground. Diagnosis?
Breath holding spells
3 medications recommended for a patient with stable CAD
Aspirin, statin, beta blocker, nitrate prn
2 medications that cause esophagitis
Tetracyclines, bisphosphonates, NSAIDs, potassium chloride
Treatment for PID
Ceftriaxone, doxycycline, metronidazole
70 year old present with MCP swelling and joint stiffness lasting an hour. This is the most specific test to confirm the diagnosis
Anti-CCP
Treatment for Food Protein–Induced Allergic Proctocolitis of Infancy
eliminate dairy in mom's diet or hydrolyzed formula
Thrombolytics should be given to a patient with STEMI if PCI will be delayed by this many hours
2
Diagnosis of Spontaneous bacterial peritonitis
PMNs >250 on paracentesis
Most likely diagnosis: Heavy, painful periods, dyspareunia, and a dense, enlarged uterus
Adenomyosis
Treatment for a distal phalanx fracture
Splint for 2-4 weeks (make sure there is no nail bed injury!)
Next steps for a child with a blood lead level of 10?
Try to remove source and repeat lead level in 1-3 months
Duration of DAPT after DES placement for STEMI
12 months
(6 months if it was placed for stable CAD)
The treatment for first recurrence of C.diff after being treated with vancomycin
Fidaxomicin or prolonged pulsed course of vancomycin
Test to confirm ovulation in infertility workup
Day 21 progesterone (>3 = ovulation)
Patients should increase this to prevent recurrence of calcium oxalate stones
Citrate (potassium citrate)
5 yo boy with several hyperpigmented macules on his trunk and freckling of his axilla. What tumor is he at risk for?
Neurofibroma (NF1)