Pharmacology
Cardiology
Endocrine
Hematology
Reproductive
100
For an IV dose of a medication F = 100%
What is 100 % bioavailability?
100
Normal range of the PR interval
What is 0.12 - 0.20 seconds or 3-5 small boxes?
100
This is the most common cause of thyroid disorders in iodine- sufficient regions: an autoimmune disorder
What is Hashimotos Thyroiditis ?
100
This type of cancer is endemic in Africa and associated with EBV.
What is Burkitt lymphoma?
100
Venous drainage of the gonads differs between the right and left sides. The right gonadal vein drains into the IVC whereas the left gonadal vein drains into the ____________.
What is the left renal vein?
200
Commonly used anti-inflammatory medication that is known to cause osteoporosis when used for long periods of time
What is corticosteroids ?
200
Earliest ECG change in ACS
What is ST segment changes?
200
This tumor is located in the pancreas or duodenum and causes stomach acid hypersecretion with recurrent ulcers in the duodenum and jejunum.
What is a Gastrinoma? Otherwise known as Zollinger-Ellison syndrome
200
This medication is used as an immediate anticoagulant in patients with PE, ACS, MI and DVT.
What is heparin?
200
This enzyme in adipose tissue is responsible for converting testosterone and androstenedione to estradiol and estrone.
What is aromatase?
300
This medication class is commonly used in T2DM due to availability and low expense but has a high risk of hypoglycemia
What is sulfonylureas ?
300
The most common cause of right sided heart failure
What is left sided heart failure?
300
In children the effect of this hormone in excess causes gigantism while in adults it causes acromegaly.
What is growth hormone?
300
This medication works by inhibiting dihydrofolate reductase > which impairs DNA and protein synthesis. Is is used to tx leukemias/lymphomas and used for abortion/ectopic pregnancy.
What is methotrexate?
300
A female of reproductive age presents to the ER with severe RLQ pain. You suspect appendicitis but there is a diagnosis you must not miss.
What is ectopic pregnancy? (for both RLQ and LLQ pain)
400
This commonly used antiemetic can cause QT prolongation
What is Ondansetron ?
400
The most likely diagnosis is
What is pericardial effusion? This is an example of electrical alternans
400
Ectopic thyroid tissue is most commonly found here.
What is the base of the tongue?
400
This medication has a 3 hour window for administration in patients with suspected ischemic stroke.
What is tPA?
400
A 16 year old female pt presents to the clinic with her mother. Her mother is concerned that she has not had her period yet. On PE you note the pt has has a webbed neck and widely spaced nipples. She has a systolic ejection murmur heard at the right second intercostal space. Her amenorrhea is most likely caused by _______________.
What is turner syndrome?
500
First line therapy option for asthmatic patients that works by inhibiting nF-kB (transcription factor that induces production of TNFalpha and other inflammatory agents).
What are inhaled corticosteroids? [ fluticasone or budesonide]
500
Pt with endocarditis most likely caused by this organism, ___________ ,in a pt that is on TPN regimen.
What is fungal infection?
500
A 37 year old G2P1 presents to the wards for delivery. She has a history of gestational diabetes, a BMI of 35 and is not very compliant with diet and medical management. She delivers a 9 ib baby boy with no complications at delivery, this baby is most at risk for _______________ ________________.
What is neonatal hypoglycemia ? Due to persistent hyperinsulinemia in the neonate in pregnancy. Upon delivery rapid withdrawal of high glucose levels can cause severe hypoglycemia.
500
This X-linked recessive disease is common in black and middle eastern/mediterranean populations. It is also associated with resistance to malarial infxn. Exposures to oxidative stress can precipitate intravascular or extravascular hemolysis.
What is G6PD ?
500
A 22 yo female presents to your clinic for urinary frequency and pain with micturition. She has no other PMH other than a history of heavy periods with abdominal pain. She is currently on day 3 of her menses and stated the frequency and pain started on day 1 of her cycle in addition to her menstrual cramps. She is concerned for UTI as she has had one in the past. She also notes some pain with intercourse and occasionally with bowel movements. She is currently using condoms for birth control. She has never been pregnant.
PE: WNWD, CTA B/L, RRR
ABD: soft non-distended, NBSx4, TTP in the LLQ and RLQ, TTP of the urinary bladder.
Pelvic Exam: Bleeding from external OS. TTP of the adnexa. Otherwise WNL.
Labs: CBC, CMP WNL, B-HcG negative
UA: WNL
Most likely diagnosis is ____________.
Treatment recommendation ________________.
What is endometriosis ?
WHat is Combined Oral Contraceptives?
Estrogen-progestin contraceptives are thought to suppress ovarian function and thereby reduce endometriosis disease activity and pain