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?
For Barrett’s esophagus with high grade dysplasia, this treatment is preferred to reduce risk of progression to adenocarcinoma
What is endoscopic eradication therapy? Like endoscopic mucosal resection
This test is useful in patients whose PFTs are normal yet symptoms suggest asthma
What is methacholine challenge testing?
It is the treatment of fulminant c diff infection
What is a vancomycin enema?
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
Treatment of ascending aortic dissection
What is open aortic repair?
Complication in a patient with pancreatitis that has developed increased pain, fever and leukocytosis
What is pancreatic necrosis?
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?
Duration of therapy for non-staph aureus CLABSI
7-14 days (at least 4 weeks in staph aureus)
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 in severe mitral regurgitation for mitral valve repair
symptomatic patients, EF<60
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, a form of post MI pericarditis is treated with NSAIDs and colchicine
What is Dressler syndrome?
The treatment for the disease which hallmarks Charcot triad
What is ERCP and antibiotics?
This is the initial testing for this autosomal recessive genetic disorder causing thick secretions, recurrent pneumonia and sinusitis
What is sweat chloride testing?
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?