Nurse calls. Asymptomatic patient. Candida albicans cultured from routine urine RM and culture. What is the best treatment?
What is reassurance?
100
COURAGE
What is no difference in outcome (death and MI) for patients with stable CAD treated with medical therapy vs. medical therapy plus PCI?
100
Biomarker associated with GPA
What is c-anca?
100
What is the route of transmission of Hepatitis A?
What is fecal-oral transmission?
200
60 yo patient with pallor, fatigue, confusion, abdo pain, back pain and pruritus. Peripheral smear shows rouleaux formation.
What is multiple myeloma?
200
The most common bacterial organisms for meningitis for those aged 18-50.
What is S. Pneumonia and N. Meningitidis?
200
RALES
What is reduction in mortality among patients with reduced EF HF and NYHA 3-4 symptoms?
200
Name 4 ways to treat hypercalcemia
What is IV fluids, pamidronate,Calcitonin, Prednisone, Hemodialysis?
200
Bio-markers for auto-immune hepatitis
What is ANA, Anti-smooth muscle antibody, anti-LKM antibody?
300
54 year old patient. Pruritus after a warm bath, otherwise well. Hb 190. What is the next diagnostic test and diagnosis?
What is JAK2 mutation and polycytemia vera?
300
What are 3 common organisms that cause health-care associated pneumonia?
What are gram-negative bacteria, pseudomonas aeruginosa, staph. aureus, legionella pneumophila and anaerobes?
300
SPARCL
What is reduction in recurrent ischemic stroke in patients with prior stroke and TIA with high dose atorvastatin?
300
What is the electrolyte distrubance associated with nausea, muscle cramps, seizures, hyper-reflexia and tordsades de pointes?
What is hypomagnesemia?
300
60 year old alcoholic with fever, abdominal pain, jaundice, ascities and elevated AST/ALT, INR, billirubin. Ascitic tap and septic workup negative. What is the condition and treatment
What is Alcoholic Hepatitis and what is stop alcohol, prednisone if Maddey Discriminant function >32 or Pentoxyfylline.
400
Microangiopathic hemolytic anemia, thrombocytopenia, confusion. What is the enzymatic deficiency and diagnosis?
What is ADAMTS 13 deficiency and TTP?
400
This organism is typically found in soil contaminated by bird and bat excreta.
What is Histoplasma capsulatum?
400
TORCH
What is salmeterol and fluticasone may decrease mortality and reduce exacerbations among patients with COPD?
400
What disease is associated with urine eosinophils?
What is Acute Interstial Nephritis?
400
What are 4 causes of acute liver failure?
What is viral (HAV, HBV), Medications (acetaminophen), auto-immune hepatitis, Budd-Chiari, Shock, Wilson's disease, Acute fatty liver of pregnancy, some fungi?
500
INR = 1.0
APTT= 70 seconds
APTT with pro-thrombin= 70 seconds
APTT with 1:1 mix = 70 seconds
What is the underlying abnormality and diagnosis?
What is factor inhibitor (most common lupus anticoagulant)?
500
23 year old with HIV, CD4 count 100 and respiratory failure. CXR shows bilateral interstial pneumonia. Bronchoscopy reveals PJP. What is the treatment.
What is septra IV and steroids?
500
ICAP
What is reduction in rate of incessant or recurent pericarditis in patients experiencing first episode of acute pericarditis with the addition of colchcine to NSAID or steroids?
500
Name 3 causes of hyperosmotic hyponatremia
What is hypergylcemia, mannitol use, triglyceridemia or paraproteinemia?
500
What is the inheritance pattern of hemochromatosis?