Have A Heart
What is the typical EKG paper speed?
25 mm/sec
Paranoid, schizoid, and schizotypal personality disorders fall under what cluster of personality disorders?
Cluster A
A 13-year-old boy suddenly develops jaundice, pallor, and dark urine shortly after eating at a Greek restaurant. He also has a headache, nausea, fever, and chills. A peripheral blood smear shows bite cells. What is the most likely diagnosis?
Glucose-6-phosphate dehydrogenase deficiency
What is the most common etiologic agent of bronchiolitis?
Respiratory Syncytial Virus
Apples
What condition is defined by an increase in heart rate by more than 30 bpm with standing?
Postural orthostatic tachycardia (POTS)
A 34-year-old woman is transferring care to you after seeing three other family physicians in the last two years. She reports that her previous physicians would not listen to her and did not care about her. She has been married and divorced twice and has difficulty maintaining long-term friendships. She reports recently being fired from her job because she would frequently become upset and yell at other employees. She reports feeling abandoned and lonely. Her past medical history is significant for depression and anxiety. Current medications include fluoxetine. She has had three suicide attempts in the past and reports that she has participated in self-injury (e.g., cutting). What is the most likely diagnosis?
Borderline personality disorder
Long-term use of which of the following medications can cause macrocytic anemia?
A: Aspirin
B: Olanzapine
C: Methotrexate
D: Naproxen
C: Methotrexate
An 18-month-old boy presents to the clinic with a 2-week history of a cough and a 4-week history of sneezing and a stuffy nose. His mother is concerned because his fits of cough end in a high-pitched inspiratory sound. When asked about the child’s immunization history, the mother reports that she did not immunize him. Vital signs include BP 95/65 mm Hg, HR 120 bpm, RR 28/min, and T 99.1°F (37.3°C). The patient’s lungs are clear to auscultation. What is the most likely diagnosis?
Pertussis
This is a combination of cinnamon, nutmeg, ginger, cloves, and (sometimes) allspice
Pumpkin spice
What vessel is most often involved in an inferior wall myocardial infarction?
Right coronary artery
What does the American Academy of Pediatrics recommend as the youngest age a patient should be to be diagnosed with attention-deficit/hyperactivity disorder?
4 years old
A peripheral blood smear showing Auer rods is pathognomonic for what condition?
Acute myelogenous leukemia
What major complication is prevented with the use of antibiotics in the treatment of streptococcal pharyngitis?
Acute rheumatic fever
As the chlorophyll in leaves breaks down, it produces pigments responsible for the changing leaf color. Anthocyanin is one of these pigments and is responsible for what color?
Red
A 63-year-old previously healthy woman presents with the development of dyspnea on exertion and fatigue for the past several weeks. She reports no chest pain, shortness of breath, cough, or recent illness. Physical exam reveals a new low pitched diastolic murmur with an opening snap, heard best at the apex. What is the most likely diagnosis?
Mitral stenosis
A 32-year-old man presents with depressed mood pervading his life over the past two years. He also has decreased energy, low self-esteem, and difficulty committing to decisions. During his two years of symptoms, he has not been without symptoms for more than eight consecutive weeks. He notes that this has significantly impaired his social interactions with friends and his success at work, as he becomes anxious. A recent medical workup returned negative, he takes no medications, and he does not use illicit drugs. What is the most likely diagnosis?
Persistent Depressive Disorder AKA Dysthymia
A 65-year-old woman presents to the clinic with bone pain in the legs, weakness, and fatigue. Physical examination reveals pallor and severe tenderness and pain on palpation of both upper legs. Laboratory studies show a normocytic, normochromic anemia, an elevated erythrocyte sedimentation rate, elevated creatinine, and hypercalcemia. Peripheral blood smear shows red cells that appear to be stacked like coins. Bilateral lytic lesions are seen on imaging of the femurs. What is the most likely diagnosis?
Multiple Myeloma
A 46-year-old woman presents to the clinic with fever, sore throat, and malaise for 1 week. She refuses to swallow solids due to the pain and has been subsisting on a liquid diet. Exam reveals a solid grayish-white film covering the pharynx that bleeds with scraping. What is the most likely diagnosis?
Diphtheria
In Greek mythology, what action does the goddess Persephone take to signal the beginning of Autumn?
She descends to the Underworld with Hades
Ventricular septal defect (VSD), right ventricular hypertrophy, right outflow tract obstruction, and an overriding aorta describes which cyanotic congenital heart defect?
Tetralogy of Fallot
A 35-year-old woman with a prior history of suicidal ideations is brought to the ED approximately 10 hours after ingesting an unknown quantity of acetaminophen and ibuprofen. She is reporting nausea and abdominal pain. Her blood pressure is 150/80 mm Hg, heart rate is 90 bpm, respiratory rate is 18/min, and temperature is 98.2°F (36.8°C). Physical examination reveals diffuse abdominal pain. What is the most appropriate next step in management?
A: Obtain liver function studies
B: Administer N-acetylcysteine
C: Arrange for hemodialysis
D: Determine acetaminophen level
B: Administer N-acetylcysteine
A 42-year-old woman presents to the clinic with a six-month history of increased menstrual bleeding, recurrent upper respiratory infections, and fatigue. Physical examination is normal. CBC reveals pancytopenia and the following bone marrow biopsy shows a marrow space comprised mostly of adipose cells and marrow stroma with severe hypocellularity. What is the most likely diagnosis?
Aplastic Anemia
A 25-year-old woman who recently emigrated to the USA from Mexico presents to the emergency department with cough, night sweats, and mild hemoptysis. Chest Xray confirms active tuberculosis. The patient is 18 weeks pregnant by ultrasound dating. What medications should this patient receive?
Ethambutol, isoniazid, and rifampin
(teratogenicity of pyrazinamide is unknown and so this is not included)
This famous poem by John Keats begins with the line "Season of mists and mellow fruitfulness"
Ode to Autumn
What are the 5 criteria used in the CURB-65 pneumonia severity score?
Confusion (based upon a specific mental test or new disorientation to person, place, or time)
Urea (blood urea nitrogen in the United States) >7 mmol/L (20 mg/dL)
Respiratory rate ≥30 breaths/minute
Blood pressure (systolic <90 mmHg or diastolic <60 mmHg)
Age ≥65 years