I screen You screen We all screen
Ouchyy
Watch out for the ops
Pics or it didn't happen
Itching for a solution
100
USPTF recommendation for screening for abdominal aortic aneurysm
One-time abdominal ultrasonography in all men aged 65-75 y who have ever smoked (>100 cigarettes in lifetime)
100
First line treatment for shoulder pain worse with overhead movement
Physical therapy with exercise is the first-line treatment for rotator cuff tendinopathy
Initial care also includes relative rest, NSAIDs, and maintaining range of motion
100
A healthy 52-year-old with no cardiopulmonary symptoms is scheduled for cataract surgery. These routine preoperative studies are indicated.
None :)
100
A patient with diminished breath sounds in on right lung base has this chest xray finding
Right pleural effusion
100
These transient, intensely pruritic, raised wheals typically disappear from an individual location within 24 hours
Urticaria
200
Lung cancer screening via low-dose CT is recommended for adults this age with this smoking history
Adults aged 50 to 80 years who have a ≥20 pack-year smoking history and currently smoke or have quit within the past 15 years
200
The most common cause of knee pain in patients aged <45 years, especially women, is _______
patellofemoral pain syndrome
200
A 67-year-old with well-controlled hypertension is scheduled for inguinal hernia repair. He has no cough, dyspnea, hypoxemia, or abnormal lung findings. This commonly ordered imaging study should be OMITTED
Chest X Ray
200
A patient with abdominal pain, nausea, constipation, and the following axial CT image has this diagnosis 
Small bowel obstruction
200
Valacyclovir 1 g PO TID × 7 days, or famciclovir 500 mg PO TID × 7 days
Or alternatively: Acyclovir 800 mg PO 5 times daily × 7–10 days
300
COVID19 vaccination is recommended for these adults and with this vaccination schedule
Adults aged 65 y or older; adults aged 18-64 y at increased risk; immunocompromised; pregnant and lactating individuals
2 doses of 2025–2026 vaccine, 6 months apart (minimum interval 2 months)
300
A palpable mass in the medial popliteal fossa with occasional posterior knee pain is suggestive of this diagnosis which is most often managed with this treatment
Baker's Cyst
Treated conservatively
300
For a high-bleeding risk surgery, DOACs should be stopped ____ (time period) and warfarin should be stopped ____ (time period) before the procedure
DOACs stopped 48hrs before
Warfarin stopped 5 days before (but bridged with heparin)
300
An 85 year old male who fell presents to the ED with the following CT finding
Subdural hematoma
300
Diagnosis consistent with this skin finding
Plaque psoriasis
400
The USPSTF recommends that aspirin for primary prevention of ASCVD may be considered in the context of shared decision making if all 3 of these apply
Age 40-59 years
10 year ASCVD risk ≥10%
No increased bleeding risk
400
A wide-based gait and/or abnormal Romberg test is >90% specific for this back pain pathology
Spinal stenosis
400
In patients with known CAD, elective surgery should be delayed ______ (time period) after ACS or _____ (time period) after DES placement for stable CAD
1 year after ACS
6mo after DES for stable CAD
400
Diagnosis and key management for a patient with these vitals and this CT scan:
BP: 90/55, HR: 125, RR: 20, SpO2 89% RA
Saddle PE
Systemic thrombolysis or surgical embolectomy or CDT
400
Skin finding of warm, painful bumps on lower extremities in a patient recently diagnosed with coccidiomycosis
Erythema nodosum
500
Pneumococcal vaccination should be given to adults this age with these options of vaccines
All adults aged ≥50 y: PCV20 alone, PCV21 alone, or PCV15 followed by PPSV23 ≥1 year later; consider shorter interval if immunocompromised
Adults aged 19-49 y at high risk
500
Neck pain, upper extremity weakness, spastic/stiff gait, and bladder incontinence is suggestive of this diagnosis and is managed with this
Cervical spondylotic myelopathy
Surgical decompression with ACDF for severe stenosis with myelopathy
500
A 76-year-old with diabetes, chronic kidney disease, and a calculated perioperative cardiac risk above 1% is scheduled for carpal tunnel release. He has no active cardiac symptoms. This preoperative cardiac testing is required.
No preoperative cardiac testing is required :)
500
BP and HR goal for a patient presenting with this key CT finding
HR <60 bpm and SBP 100–120 mmHg
500
Treatment for this rash that developed a few days after starting allopurinol
Discontinuing medication and supportive care