Mammo Mia!
What is the current screening recommendation for breast cancer in women?
ALL women at age 40 to start breast cancer screening with mammograms every other year
In patients with intermittent claudication/PAD, it is the medication added for treatment in addition to smoking cessation, aspirin, statin and exercise therapy.
What is cilostazol?
For patients with Barrett’s esophagus without dysplasia, this is the recommended first line treatment to reduce risk of progression to adenocarcinoma
What is PPI therapy
Per Lights criteria, this ratio of pleural:serum LDH indicates exudative effusions
Pleural fluid LDH to serum LDH ratio >0.6
Patient with new diabetic foot infection, foul smelling drainage and X-ray was negative, if concern for osteomyelitis then this test should be ordered
MRI
Adults aged 45-75; individual decisions between 76-85
Diagnostic testing for peripheral artery disease
What is ankle brachial index?
Female patient with treatment resistant iron deficiency, vitamin D deficiency and hypothyroidism has a diagnosis of
What is celiac disease (gluten sensitive enteropathy)
This test is useful in patients whose PFTs are normal yet symptoms suggest asthma
What is methacholine challenge testing?
It is the treatment of first recurrence of c diff infection
What is fidaxomicin
What is the guideline recommendations for cervical cancer screenings?
Age 21-29, testing every 3 years with cervical cytology through pap smear alone.
Age 30-65, testing either: A) every 3 years with cervical cytology alone, B) HPV testing every five years, or C) cotesting every five years with both
This every 6 monthly shot is a simRNA used to treat hyperlipiemia
What is incliseran
This scoring system is used in alcoholic hepatitis patients to assess if they will respond to steroids
What is Discriminant Function
(Maddrey’s DF >32 - can start steroids or pentoxifylline)
Right heart catheterization is the diagnostic gold standard for this disease that presents with fixed split of s2, progressive dyspnea and a prominent venous a wave
What is pulmonary hypertension?
Your intern presents this patient to you : 80 year old female with dementia and chronic foley (recently changed) for ALS complains of some dysuria and spasmodic pain. Urine microscopy shows some yeast, LE+, WBC+, and culture shows candida albicans. Dx?
Dont treat candida
Treat spasm with mirabegron
Adults aged 19-64 years old with chronic conditions receive either PCV___ vaccination or PCV__ > PCV ___ in one year.
What is PCV20 alone OR PCV 15 followed by PPSV23
Criteria for repair in AS patients
symptomatic patients, aortic valve <1, gradient 40mm Hg, EF 50%, velocity <4
SAVR is always preferred
Elevated serum ferritin level and transferrin saturation is seen in the liver disease that is caused by this mutation
What is HFE gene mutation?
Follow up of pulmonary nodules of this size with CT chest in 3 months
Pulmonary nodule >8mm
Disseminated herpes zoster infection in immunocompromised patients should be treated with what agent?
IV acyclovir
Patient population recommended to receive high dose inactivated influenza vaccine, NOT live attenuated influenza vaccine
Immunocompromised patients OR those with chronic medical conditions
This condition happens 5 years after cardiac transplant. Patient presents with shortness of breath, and sees cardiology. A biopsy shows no signs of rejection.
What is cardiac allograft vasculopathy
The treatment for the disease which hallmarks Charcot triad
What is ERCP and antibiotics?
50 year old male with large pleural effusion from congestive heart failure, post 3.8L thoracentesis over 30 minutes develops rapid onset shortness of breath and is put on 4L oxygen. Breath sounds are diminished over the right lung
What is pneumothorax ex vacuo (negative pressure will diffuse the air from the alveoli to the vaccum)
Patients with erythema migrans at tick attachment site and flu like symptoms should be started on this medication and avoid further testing
What is doxycycline?