Hocus Pocus
Spin it Down!
Mend my Broken Heart
We Love Acronyms
Endo Mendo
100
23 y F comes in with unilateral LLE swelling. Venous u/s is shown. Is DVT present?
Negative
100
Name two causes of this urine sediment finding.
ischemic ATN, nephrotoxic ATN, CIN
100
A 19-year-old basketball player collapses during practice. His systolic murmur gets louder with Valsalva and standing, and softer with squatting and handgrip. What future intervention should this patient have to reduce recurrence?
HOCM - ICD
100
A 70-year-old with pneumonia is confused, has a BUN of 25, a respiratory rate of 32, and a BP of 85/50. He scores 5 out of 5 on this severity score, which says he needs the ICU.
Answer: What is CURB-65?
100
A patient with lifelong mild hypercalcemia and a slightly elevated PTH has a calcium-to-creatinine clearance ratio <0.01. Dx?
FHH
200
These lines seen on lung pocus are usually indicative of what pathologies?
B-lines represent increased fluid, interstitial edema, or thickening in the lung tissue (interlobular septa), replacing the normal air-filled alveoli.
200
Patient with severe OA, taking NSAIDs now with pyruia and AKI. Dx?
Analgesic nephropathy
200
Years after mediastinal radiation for Hodgkin lymphoma, a woman has edema, ascites, and JVP that rises with inspiration (Kussmaul sign). Exam reveals an early diastolic “knock.” What is your diagnosis?
What is constrictive pericarditis?
200
This screening tool helps predict the clinical likelihood of OSA and includes snoring, BMI, and neck circumference.
Answer: What is STOP-BANG?
200
A melanoma patient on ipilimumab has headache, fatigue, and hyponatremia, with low ACTH and low TSH. Dx?
Answer: What is checkpoint inhibitor hypophysitis?
300
Dx?
Pleural Effusion
300
28y F with cytopenias, arthralgia, CKD, and these findings on UA. Name the procedure to make the most likely diagnosis.
Kidney Biopsy - lupus nephritis
300
An elderly man with bilateral carpal tunnel syndrome, low-voltage ECG, and thick LV walls on echo. Tafamidis treats this form of his disease.
Answer: What is transthyretin (ATTR) cardiac amyloidosis?
300
A respiratory rate ≥22, altered mentation, and systolic BP ≤100 make up this bedside sepsis screen.
Answer: What is qSOFA?
300
This is the dose of oral prednisone that causes adrenal suppression if given more than 3 weeks.
20 mg
400
Name three causes of this pathology
severe BPH, obstructing nephrolithiasis, bladder carcinoma causing obstruction, urothelial carcinoma, adverse effects of drugs causing urinary retention
400
This syndrome is an autoimmune-mediated glomerular disease characterized by the formation of subepithelial immune complexes along the glomerular basement membrane (GBM) associated with these casts. Name the antibody associated with this syndrome.
PLA2R
400
Per the A-HeFT trial, Black patients with HFrEF on optimal therapy benefit from adding this combination in terms of reducing heart failure related mortality.
Answer: What is hydralazine and isosorbide dinitrate?
400
Bilirubin, albumin, INR, ascites, and encephalopathy grade cirrhosis severity under this classification.
Answer: What is Child-Pugh?
400
Name three ultrasonographic characteristics of a thyroid nodule that increase the risk for malignancy.
- Solid
- Hypoechoic (especially markedly hypoechoic)
- Taller than wide
- Microcalcifications
- Irregular or infiltrative margins
- Extrathyroidal extension
500
Dx?
HOCM
severe interventricular septum thickening
500
Name the stone type, and three interventions to reduce recurrence.
CaOx Nephrolithiasis, low sodium diet, 2.5L fluid intake, increased Ca diet, thiazide, KCitrate if urine acidotic.
500
In Lyme carditis, what are two indications to treat with ceftriaxone over doxycycline?
- PR interval ≥300 ms
- 2nd- or 3rd-degree AV block (counts as one)
- Symptoms (syncope, dyspnea, chest pain)
Then switch to oral doxy to finish 14–21 days total.
Oral doxy (outpatient) is fine for Lyme carditis when all of these are true:
- First-degree AV block with a PR interval <300 ms
- No 2nd- or 3rd-degree AV block
- No symptoms (syncope, dyspnea, chest pain)
500
A postpartum woman on an SSRI has recurrent thunderclap headaches over 2 weeks, and her angiogram shows a "string of beads" that resolves in 3 months.
Answer: What is RCVS (reversible cerebral vasoconstriction syndrome)?
500
This president hid his Addison disease during the 1960 campaign, despite needing daily steroids.
Answer: Who is John F. Kennedy?