Hospital Medicine
Iterative four-step approach to change that is often used in quality improvement initiatives
Plan-Do-Study-Act (PDSA) cycle
Threshold 2-hour plasma glucose level to diagnose diabetes during an oral glucose tolerance test
200 mg/dL (accept 200, 11.1 mmol/L)
Disease associated with parkinsonism, visual hallucinations, and REM sleep behavior disorder
Lewy body dementia
Leading cause of visual impairment that can be treated surgicall
Cataracts
Urine nicotine metabolite to evaluate tobacco use
Cotinine
Blood pressure above which thrombolytics are contraindicated in acute ischemic stroke
Show Answer
185/110
Radiologic description suggestive of a flattened or absent pituitary gland
Empty sella (accept empty sella syndrome)
A test done during Medicare annual visits to assess mobility
Timed Up and Go test
Systemic disease most commonly associated with arteriovenous nicking
Hypertension (accept high blood pressure)
Lung injury linked to inhalation of vitamin E acetate
E-cigarette- or vaping-associated lung injury (also accept EVALI)
Drug of choice for the first episode of nonfulminant Clostridioides difficile colitis based on 2021 IDSA guidelines
Fidaxomicin
Name 2 indications for surgery for primary hyperparathyroidism
Serum calcium>1 mg/dL (0.25 mmol/L) above the upper limit of normal
Skeletal
Kidney
Age<50 years
Chinese martial art associated with reduced risk of fall among community-dwelling older adults
Tai chi (accept tai chi chuan or tai ji quan)
Yellow protein and lipid deposits in macular degeneration
Drusen
Most sensitive test for detecting chronic thromboembolic pulmonary hypertension
Ventilation/perfusion (V/Q) scan
This hospital payment classification system groups inpatient stays based on diagnosis, procedures, comorbidities, and complications to determine a fixed reimbursement amount regardless of length of stay.
What is a Diagnosis-Related Group (DRG)
A 52-year-old patient is found to have a 2.5-cm adrenal incidentaloma on CT performed for kidney stones. They are normotensive, normokalemic, and asymptomatic. Which hormonal tests should be ordered to assess for functional adrenal disease
What are plasma free (or 24-hour urine fractionated) metanephrines and a 1-mg overnight dexamethasone suppression test?
Age increases these two blood pressure measurement parameters
Systolic blood pressure and pulse pressure
Eye drop that causes blood vessel blanching in episcleritis used to differentiate it from scleritis
Phenylephrine
One of the oral antifibrotic drugs approved for the treatment of idiopathic pulmonary fibrosis
Nintedanib or pirfenidone
This standardized patient experience survey affects Medicare reimbursement and includes questions about communication with doctors, communication with nurses, responsiveness of staff, and hospital cleanliness and quietness.
HCAHPS
(Hospital Consumer Assessment of Healthcare Providers and Systems)
A 68-year-old woman with severe osteoporosis has had multiple vertebral compression fractures despite prior bisphosphonate therapy. You decide to initiate an anabolic, bone-forming medication rather than an antiresorptive agent. Name a medicine that act primarily by stimulating new bone formationFor?
PTH analogs: teriparatide, abaloparatide
Sclerostin inhibitor: romosozumab (dual action but anabolic-dominant)
(Forteo, Tymlos, Evenity)
Term for gradual deterioration in immune function with advancing age
Immunosenescence
Ocular manifestation of inflammatory bowel disease most commonly associated with disease activity
Episcleritis
Interstitial lung disease associated with working in the yarn and fabric industries
Byssinosis