Cardiology
A 58-year-old man with hypertension develops substernal chest pressure while shoveling snow. It resolves after five minutes of rest and has occurred three times this month. His ECG is normal in clinic.
What is the diagnosis?
stable angina
The most common cause of community-acquired pneumonia in adults.
Streptococcus pneumoniae
The preferred initial medication for type 2 diabetes without contraindications.
metformin
The most common cause of chronic kidney disease in the United States.
diabetes mellitus
what 4 teams made the semi finals of this years world cup?
England, Argentina, Spain, France
A patient with crushing chest pain has ST elevations in II, III, and aVF. This coronary artery is most likely occluded.
What is the right coronary artery (RCA)?
Name a first line medication for uncomplicated cystitis
nitrofurantoin (macrobid)
fosfomycin
bactrim
The electrolyte abnormality that often worsens after insulin treatment of DKA.
hypokalemia
Hyperkalemia with peaked T waves should first be treated with:
calcium gluconate
What two teams played in the famous "hand of god" game?
England and Argentina
4 pillars of GDMT?
ace/arb or arni
Beta blocker
SGLT inhibitor
aldosterone inhibitor
A patient with MSSA bacteremia remains culture-positive after 96 hours of appropriate antibiotics.
The diagnosis that should now be assumed until proven otherwise?
Infective Endocarditis
A patient with severe hypercalcemia, kidney stones, and elevated PTH most likely has:
primary hyperparathyroidism
The classic triad of hemolytic uremic syndrome consists of:
hemolytic anemia, thrombocytopenia, and acute kidney injury
What two Argentinian players have been referred to as the greatest player of all time? (one current, one former)
Lionel Messi
Diego Maradona
A 70-year-old develops dyspnea, hypotension, elevated JVP, and muffled heart sounds two days after pacemaker placement. What is the diagnosis?
cardiac tamponade
A neutropenic patient with persistent fever despite broad-spectrum antibiotics develops multiple pulmonary nodules with a halo sign on CT.
Invasive Aspergillus
A patient with severe hypothyroidism, hypothermia, bradycardia, and altered mental status requires this immediate treatment.
IV levothyroxine plus stress-dose hydrocortisone for myxedema coma
A woman reports tremor, weight loss, palpitations, and heat intolerance. TSH is undetectable.
The next diagnostic test to distinguish Graves disease from thyroiditis?
radioactive iodine uptake scanning
What decade did England win the world cup?
1960's
What are the criteria for biventricular pacermaker aka cardiac resynchronization therapy in heart failure?
EF < 35
NYHA class II to IV symptoms despite optimal medical therapy
QRS > 150 ms
LBB
A man with HIV has a CD4 count of 42 and headache. Lumbar puncture reveals elevated opening pressure and yeast. What is the diagnosis?
cryptococcal meningitis
A patient with thyroid cancer suddenly develops tingling around the mouth after thyroidectomy. Why?
hypocalcemia due to hypoparathyroidism
Antibiotic prophylaxis before dental procedures is indicated primarily for patients with:
High-risk cardiac conditions (e.g., prosthetic heart valves, prior infective endocarditis, certain congenital heart diseases
Argentina 3
France 2
Spain 1
England 1