continuous, blowing, "machine-like" murmur?
ASD
precocious puberty ages for boys & girls?
boy <9 and girls <8
____% of CXR miss a consolidation (need answer within 5%)
33%
The probability that a patient with the disease tests positive
sensitivity
____ U/kg/day is used to calculate the recommended initial insulin dose
0.1-0.2 U/kg/day
Mid-systolic click that worsens with valsalva?
MVP
children with precocious puberty have ______ bone age?
advanced / older than expected
______ is an US finding associated with intraarticular gout
double contour sign
The probability that a patient without the disease tests negative
specificity
Anion gap
(Na + K) - (Cl - HCO3)
crescendo-decrescendo systolic ejection murmur best appreciated at the 2nd intercostal space, right sternal border with radiation to the carotids?
aortic stenosis
measuring urine _____ and _____ is helpful in a patient complaining of headaches, labile hypertension, flushing-- which would help confirm a diagnosis of ______.
metanephrines, catecholamines, pheochromocytoma
If there's a concern for epidural abscess, ____ is the best study?
MRI
The _____ of a screening test is the probability that a patient with a positive test result, actually has the disease. Whereas the ___ is the probability that a patient without the disease will test negative.
PPV and NPV
Corrected Na for hyperglycemia
Corrected sodium = Na(s) + 1.6(G-100/100)
Mid-systolic crescendo-decrescendo murmur at the left sternal border, that increases intensity with valsavla?
HCM
____ should be suspected if pt is hypertensive, has hypernatremia, and hypokalemia
primary hyperaldosteronism
____ view in a knee XR helps assess the trochlea for potential patella subluxation risk
Sunrise
___ compares the chance of a patient with the disease that tests positive to the chance of a patient without the disease who tests positive.
positive likelihood ratio
Winters Formula?

Name 3 diastolic murmurs
Aortic regurgitation, pulmonic regurgitation, tricuspid stenosis, mitral stenosis, Austin-flint murmur
measuring ______ hormone is helpful in the workup of ___________ which manifests as oligomenorrhea, hirsutism, infertility and premature pubarche. Overall this condition is rare, but should be considered in the ddx for PCOS.
17-hydroxyprogesterone, (late onset) congenital adrenal hyperplasia
Patchy sclerosing areas in the femoral head in a patient on chronic prednisone should be investigated with ____ study?
MRI (assessing for AVN secondary to exogenous, long term steroid)
___ studies compare rare outcomes usually from past exposures during a long period of time
Case-Control study
Lights Criteria states that an effusion will be exudative if the serum protein to pleural protein ratio is greater than ____, the serum LDH to pleural LDH ratio is greater than _____.
