TAKE A DEEP BREATH
This therapy reduces mortality in patients with COPD who have chronic hypercapnic respiratory failure.
Nocturnal NIV/BiPAP
This echo finding differentiates hypertrophic cardiomyopathy from athlete’s heart.
systolic anterior motion (SAM) of the mitral valve
Which heart failure medication improves mortality in African-American patients with HFrEF
Hydralazine + nitrates.
A 64-year-old man with no risk factors has never been screened for HIV.
Recommended?
Yes — one-time screening for all adults 15–65
In this 2001 movie, a boy befriends an alien stranded on Earth.
E.T
This PE treatment is recommended for submassive PE with RV strain and elevated troponin/BMP
catheter-directed thrombolysis
A mechanically ventilated patient with abrupt hypotension + high peak pressures + plateau pressures unchanged most likely has this problem.
endotracheal tube obstruction (e.g., mucus plug)
Most sensitive imaging test for chronic thromboembolic pulmonary hypertension?
V/Q scan.
A 33-year-old woman had a Pap smear 3 years ago; result was normal.
Current screening recommendation?
Pap alone every 3 years, or
HPV testing every 5 years, or
Co-testing every 5 years
Actor who won an Oscar for playing Joker in 2019.
Joaquin Phoenix
This ECG pattern—S₁Q₃T₃—indicates acute right heart strain but is seen in less than 10% of patients with PE.
McGinn–White pattern
This imaging test is preferred for detecting insulinomas.
endoscopic ultrasound (EUS)
How do you differentiate SIADH vs hypovolemic hyponatremia?
SIADH: >30
Hypovolemic: <20
USPSTF mammography schedule for average-risk women?
Biennial (every 2 yrs) from 40–74.
This 1990s sci-fi show follows Fox Mulder and Dana Scully investigating paranormal cases.
X Files
This lung disease in smokers presents with upper-lobe cysts and nodules and can cause spontaneous pneumothorax.
Langerhans cell histiocytosis
This condition presents with post-prandial abdominal pain, weight loss, and a gastric “bruit,” relieved after angioplasty.
chronic mesenteric ischemia
Hypercalcemia + low PTH + high 1,25-OH vitamin D → diagnosis?
Sarcoidosis / granulomatous disease.
When to start lipid screening for primary prevention?
Men ≥35, women ≥45, younger if high risk.
QUOTE
May the Force be with you.”
Star Wars
This PAH therapy is preferred for patients with WHO class IV symptoms and improves survival.
IV epoprostenol
This hemodynamic pattern on right heart cath—equalization of diastolic pressures, prominent y-descent, and square-root sign—indicates this diagnosis.
constrictive pericarditis
A 62-year-old man presents with anemia, thrombocytopenia, and elevated LDH. Peripheral smear shows schistocytes. ADAMTS13 activity returns at 45% (normal >67%). Coombs test is negative. Creatinine is normal.
Diagnosis? What is the next best step in management?
Diagnosis: TTP cannot be excluded. ADAMTS13 >10% does not rule it out in early or partial TTP.
Next step: Immediate plasma exchange + high-dose steroids — treat clinically and do not wait for severe ADAMTS13 deficiency.
PSA screening recommendation (USPSTF)?
Shared decision-making age 55–69; stop at ≥70.
This 1994 film featured a box of chocolates and the phrase, “Life is like…”.
Forrest Gump