Stomach this
Before initiating treatment for Hepatitis C you should also test for this disease?
Reactivation of Hepatitis B can occur during antiviral therapy for Hepatitis C
What is the definition of infertility?
Inability to conceive after 1 year of intercourse without contraception in women <35 years or after 6 months in women >35 years
At what systolic and diastolic BP is it considered stage I HTN?
SBP 130-139
DBP 80-89
What are the lung cancer screening guideline recommendations?
Screen patients aged 50-80 who have a 20 pack yr history or have quit within the last 15 years. Test annually until appropriate.
The most common congenital heart abnormality?
Bicuspid aortic valve
Solid food dysphagia that occurs episodically for years suggests?
Esophageal web or a distal esophageal ring (Schatzki ring)
What are the 3 first line diagnostic studies to assess hypercortisolism (Cushing Syndrome)?
-1 mg overnight dexamethasone suppression test
-24 hr urine cortisol level
-Late night salivary cortisol level
This disease can present as symptomatic microscopic hematuria with or without proteinuria following an upper respiratory infection.
IgA nephropathy
Follow up for a low risk patient with a solid pulmonary nodule 8 mm?
CT at 6-12 months, then consider CT at 18-24 months
<6 mm - No follow up
6-8 mm - As above
>8 mm - Consider CT at 3 months, PET/CT or tissue sampling
In a young person with unexplained hypertension what other physical exam finding/vital should be checked?
BP in the legs to assess for aortic coarctation
How many years after diagnosis of IBD should surveillance colonoscopy be performed?
Beginning 8 years after diagnosis
Performed every 1-2 years for patients with ulcerative pancolitis or Crohn disease involving most of the colon
What common medication can result in male hypogonadism and reduced testosterone production? In addition to anabolic steroids.
Use of opioids
Mycobacterium tuberculosis, interstitial cystitis or interstitial nephritis can result in what finding on urine studies?
Sterile pyuria (pyuria and a negative urine culture)
What are the two most common tumors of the anterior mediastinum?
Thymoma and Lymphoma
>2 in men or >3 in women
Women aged 45-60 are most likely to suffer from this illness characterized by chronic diarrhea, sometimes mild abdominal pain and weight loss. Colonoscopy is required for diagnosis. What medications can potentially cause this disease? (There are 3 main ones)
Microscopic colitis.
Can be caused by NSAIDs, SSRIs and PPIs. Discontinuation is indicated.
The most common cause of hypercalcemia in hospitalized patients?
Malignancy
Positive phospholipase A2 receptor antibody can be seen in what disease?
Primary membranous nephropathy
Preferable test to diagnose CTEPH?
V/Q scan is superior to CTA
When can peripartum cardiomyopathy be diagnosed?
1 month before and 5 months after delivery
A young adult presenting with severe dysphagia and food impaction is concerning for what disease?
Eosinophilic esophagitis
In the treatment of type 2 DM if weight loss is a desired effect what two medication classes are the best choices?
GLP-1 agonists and SGLT2 inhibitors
What diagnosis is suspected in a man who experiences flaccid generalized weakness precipitated by strenuous exercise or a high carbohydrate diet?
Hypokalemic periodic paralysis
Name at least 2 causes for glucose <60 mg/dL on plerual efluid chemistry?
-Complicated parapneumonic effusion or empyema
-TB
-Rheumatoid pleuritis
-Esophageal rupture
Name 3 other causes for ST-segment elevation apart from STEMI.
-Acute pericarditis
-LV aneurysm
-Stress (Takotsubo) cardiomyopathy
-Coronary vasospasm
-Acute stroke
-Normal variant