Dr. Russo
Dr. Deans
Dr. Pollock
Dr. Juakiem
Medical History
100
Describe the murmur of severe AS
Crescendo decrescendo, late peaking, soft S2
100
Diagnosis and Treatment:
23 yo man with asthma has food bolus impaction
Eosinophilic Esophagitis
PPI, topical steroids, dupilumab
100
Name 2 of the 3 signs/symptoms most suggestive of volume overload per Pollock
Weight Gain, JVD, orthopnea/PND
100
Pharmacologic treatment for Upper GI bleed in patient with cirrhosis
Octreotide, Rocephin, +/- PPI
100
Nursing namesake for the palpable umbilical nodule indicative of metastatic cancer
Sister Mary Joseph nodule
200
Area, Velocity, and Gradient for Severe AS. Numbers and units
Area- 1 cm2
Velocity- 4 m/s
Gradient- 40 mmHg
200
Diagnosis and Treatment:
Diffuse Esophageal Spasm OR
Hypercontractile Esophagus
PDE Inhibitors, Nitrates, CCB
200
Which trial suggested 2.5 x their home dose for diuretics in the acute exacerbation treatment?
DOSE
200
This is a linear erosion or ulceration of the mucosal folds lining the stomach where it is constricted by the thoracic diaphragm in persons with large hiatal hernias
Cameron Lesion
200
Developer of the polio vaccine
Dr. Jonas Salk
300
Name 3 holosystolic murmurs and which has variation with respiration
VSD, Mitral Regurg, and Tricuspid Regurg.
Right sided murmurs have respiratory variation
300
Diagnosis and Treatment: This + odynophagia
Candida Esophagitits
Fluconazole 400 mg to start
300
Mechanism of Action for milrinone and dobutamine
Milrinone- PDE-3 inhibitor
Dobutamine- beta 1 agonist
300
This lesion consists of a large-caliber submucosal artery (1-3mm diameter) that erodes through the mucosa over time, creating a small mucosal defect through which the vessel protrudes and becomes exposed to luminal stress and rupture
Dieulafoy's lesion
300
Class of oncologic medication whose discovery earned Professor James Allison the Nobel Prize in Physiology or Medicine in 2018
Immune checkpoint inhibitors
400
3 criteria for when to intervene on Aortic Regurgitation
LVESD more than 50 mm
EF less than 55%
Symptomatic and severe AR
400
Name 4 treatment options for Achalasia
Botox injections
Pneumatic Dilation
Per-oral endoscopic myotomy
Heller myotomy
400
What valve pathology is a contraindication to VA ECMO or Impella?
Aortic Regurgitation (moderate or worse)
400
Diagnosis and Treatment:
GAVE
Endoscopic Band Ligation (EBL) and Argon Plasma Coagulation (APC)
400
Strain responsible for the Great Influenza pandemic of 1918
H1N1
500
Prominant bounding carotid pulsations seen in severe Aortic Regurgitation
Corrigan's Sign
500
Treatment including duration for CMV esophagitits
Gancyclovir 21-42 days
500
Name and target dose for 3 BB approved for HF
Bisoprolol 10 mg daily
Carvedilol 25-50 mg BID
Metoprolol Succinate 200 mg daily
500
Explain the pathophysiology of Heyde's Syndrome
Bleeding from AVMs due to acquired vWF deficiency due to shearing with AS
500
Substance widely accepted to have been first synthesized in 1897 by chemist Felix Hoffmann
Aspirin