We Get It, You Vape
This is the intervention most likely to prolong life in a patient with COPD.
Smoking Cessation
On PPD, this is the induration that constitutes a positive result in a patient with no risk factors for TB
15mm
This medication will likely slow the progression of CKD to ESRD in patients with a serum bicarbonate less than 22
Sodium bicarbonate
This is the most common thyroid cancer associated with neck radiation.
Papillary Thyroid Cancer
This is the most appropriate treatment for a patient with stress urinary incontinence
Pelvic floor muscle training
This class of medications should be used to treat acute exacerbation of bronchiectasis.
Fluoroquinolones
This is the most likely bacteria associated with CAP in the general population.
Streptococcus pneumoniae
This is the first line therapy for minimal change disease
High dose oral prednisone
This is the most appropriate therapy for a patient with Diabetes Mellitus and a BMI of 37.
Referral for Bariatric Surgery
This is the treatment of choice for diarrhea-predominant irritable bowel syndrome.
Low FODMAP diet
This is the treatment of asymptomatic stage I pulmonary sarcoidosis.
Observation
This is the most appropriate medication to treat Cyclospora infection
Trimethoprim-Sulfamethoxazole
This is the most appropriate therapy for a patient with a struvite kidney stone.
Stone Removal
In a patient with DM and cardiovascular disease on Metformin, this is the next medication to be added if glycemic control goal has not been met.
Empagliflozin
This is the most appropriate first line therapy for a patient with Tourette's syndrome
These medications are used in patients with Group 1 PAH and a positive vasoreactivity test
Calcium channel blockers
A 26 year-old M with history of renal transplant presents with 3 months of fever, night sweats, and weakness. He has pancytopenia and hepatosplenomegaly. This is the most likely infectious cause.
Epstein-Barr Virus
An 82 year-old F with PMH CAD s/p CABG, DM2, CKD5, vascular dementia, and TIA presents with worsening creatinine. This is the most appropriate care strategy for this patient.
Discussion of non-dialytic options.
This is the medication to start prior to surgery in a patient with Pheochromocytomy.
Phenoxybenzamine
This is the most appropriate treatment for an epidermal inclusion cyst.
Excision
A 56 year-old F with a 35 pack-year smoking history presents for screening CT Chest. It shows diffuse centrilobular micronodules that are midlung and upper lung predominant. This is the most likely diagnosis.
Respiratory bronchiolitis-associated interstitial lung disease
In a patient with osteomyelitis associated with orthopedic hardware, this is the medication that should be added to the standard regimen if the hardware cannot be removed.
Rifampin
A 52 year-old M with PMH of gout and HTN presents with 3 days of toe pain. He has consumed moonshine (illegally), smoked, worked as a tractor mechanic, postal worker, and farmer. His Cr is 2 (above baseline) and urate 9. His UA has 2+ protein and fine, granular casts. This is the most likely diagnosis.
Lead nephropathy
In a 24 year-old F with 6 months of amenorrhea, previous regular menses, and normal B-HCH, prolactin, and THS, this is the next laboratory test to order.
FSH
This diagnosis is associated with painless loss of monocular vision, an afferent pupillary defect, and a cherry red fovea.
Central retinal artery occlusion