Cancer Screening
Severe neurologic complication of Campylobacter jejuni infection
Guillain-Barré syndrome (accept GBS)
Probability a positive screening test represents true disease
Positive predictive value
Valvular abnormality associated with systolic and diastolic 'pistol shot' sounds heard over the femoral artery
Aortic regurgitation
Liver condition most commonly associated with anti-smooth muscle antibody
Type 1 autoimmune hepatitis (accept autoimmune hepatitis)
Starting age for breast cancer screening receiving Grade B by USPSTF
40
Ocular finding of redness without exudate that can occur with leptospirosis
Conjunctival suffusion (accept subconjunctival hemorrhage, circumcorneal conjunctival congestion, and chemosis)
In a clinic trial, this type of error occurs when you incorrectly reject the null hypothesis
Type 1 error (a error, false positive)
Most common objective finding of Lyme carditis
Atrioventricular conduction block (accept AV nodal block or AV block)
Diabetes medication class shown to improve nonalcoholic steatohepatitis (NASH) irrespective of weight loss
Glucagon-like peptide-1 (GLP-1) agonists (Accept incretin mimetics. Do not accept GLP-1 without agonist.)
Starting age for lung cancer screening (adults who have 20 pack year smoking hx and currently smoke or have quit within the past 15 yrs) from USPSTF Grade B.
50
Acute, self-limited, febrile illness occurring in the first 24 hours of treatment of spirochetal infections
Jarisch-Herxheimer reaction (accept Herxheimer)
A new screening test for diabetes has a PPV of 80%, what does it mean
among those who test positive, 80% actually have diabetes
Eponym for syndrome of chest pain, diffuse ST-segment elevation, PR depression and pericardial friction rub 2 weeks after MI
Dressler syndrome
Name 2 screening strategies for colon cancer and frequency (except colonoscopy every 10 yrs)
1. High sensitivity guaiac fecal occult blood test (HSgFOBT) or fecal immunochemical test (FIT) every year
2. Stool DNA-FIT every 1-3 years
3. Computed tomography colonography every 5 years
4. Flexible sigmoidoscopy every 5 years
5. Flexible sigmoidoscopy every 10 yrs + annual FIT
Bacterial infection transmitted via fecal-oral route for which there is an oral and intramuscular vaccine available
Typhoid fever (accept Salmonella typhi infection)
You have a study comparing mean systolic blood pressures between two independent groups. What stats test would you use?
Heart failure therapy involving biventricular pacing to improve cardiac output
Cardiac resynchronization
What age group is recommended to have cervical cytology alone for cervical cancer screening from USPSTF Grade A
21-29 years - cervical cytology alone
Extra info
30-65 years
1. Cervical cytology alone every 3 years
2. High-risk Human Papillomavirus (hrHPV) alone every 5 years
3. hrHPV testing with cyotology (cotesting) every 5 years
Vaginal pH above which meets one of the Amsel criteria for bacterial vaginosis
4.5
Diagnostic test for Toxoplasmosis has a sensitivity of 90% and specificity of 90%. Prevalence of Toxoplasmosis in ICU population is 5%. What is the most likely interpretation of a positive test result?
Low PPV
PPV depends heavily on prevalence, if a disease is rare test loses accuracy.
Two cardiac valves in which regurgitation can cause a pulsatile liver
Tricuspid and aortic