Reactive Arthropathies
Hypertension
Potpourri
Liver and onions
Final Jeopardy
100
Complement deficiency that predispose to recurrent Neisseria infections
What is C6-C8 deficiency?
100
Blood pressure goal for patient > 18 years old with CKD
What is < 140/90?
100
(3) most common causes of aminotransferase values >5000
What is 1) acetaminophen toxicity 2) hepatic ischemia ("shock liver") 3) hepatitis due to unusual viruses (i.e. HSV)
100
Most likely diagnosis in 62 yo patient with ↑ AST, ↑↑ALT, normal/ ↑ Alk Phos and normal bilirubin?
What is chronic viral hepatitis?
200
Triad of manifestations caused by bacteremic disseminated Neisseria gonorrhea
What is the triad of tenosynovitis, dermatitis and polyarthritis?
200
Definition of pre-eclampsia
What is new onset HTN and proteinuria > 20 weeks gestation?
200
Inhibition of this is effective in reducing proteinuria and preserving renal function in diabetics
What is the renin-angiotensin pathway/axis
200
Likely diagnosis in patient with ↑ AST, ↑ ALD, ↑↑↑Alk Phos, normal to ↑↑ bilirubin and positive antimitochondrial antibodies?
What is primary biliary cirrhosis?
300
Joint symptoms associated with hepatitis B virus are likely caused by:
What is immune complex deposition (or systemic necrotizing vasculitis – PAN)?
300
Buzz word ohrase for radiographic findings of renal arteries in patients with fibromuscular dysplasia
What is “Beads on a String”
300
This FEV1/FVC ratio is indiciative of obstructive lung disease
What is <70% predicted
300
Likely diagnosis in patient with lung disease and ↑ AST, ↑ ALT, normal/↑ Alk Phos and normal bilirubin
What is alpha1-antitrypsin deficiency?
400
Parvovirus infection is suggested by these two positive lab tests
What are Parvovirus IgM antibody and positive rheumatoid factor?
400
Name at least three scenarios when you should consider secondary hypertension
What are: - Severe or resistant HTN - An acute rise in BP over a previously stable value - Proven age of onset before puberty - Age <30 years with no family history of HTN and no obesity - Characteristic lab/exam findings
400
Standard of care mandates the placement of a pacemaker in these two types of heart block
Mobitz II and 3rd degree heart block
400
Name two primary extrahepatic manifestations of HBV?
What are polyarteritis nodosa and kidney disease (membranous glomerulonephritis)?
500
A rational approach to treating chronic lyme disease when arthritis persists after two months of antibiotics:
What is analyze the synovial fluid by PCR – positive, treat with third month of IV antibiotics; negative, treat with NSAIDS
500
Name (5) OTC, illicit or prescription medications that can increase blood pressure
What are: black licorice, ethanol, NSAIDS, caffeine, cocaine, OCP, oral contraceptives, calcineurin inhibitors, SSRI/SNRI, ESA, ART, sympathomimetics/decongestants, VEGF antagonists
500
In most circumstances in an acute stroke, thrombolytics are to be administered within what time period of onset of symptoms
What is 3 hours
500
CDC recommendation for Hepatitis C screening in asymptomatic, low risk patients
Who are adults born from 1945-1965 (“baby boomers” without HCV risk factors)?
500
Deepak Chopra, a world-renowned pioneer in integrative medicine and personal transformation, and is Board Certified in this medical specialty
What is Endocrinology (Internal Medicine)?
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