I can't Feel My Feet
Screening for diabetic nephropathy should occur at this stage in patients with T2DM.
What is at diagnosis.
This recent study showed the cardiovascular benefits of empagliflozin.
What is the EMPA-REG study.
Al Gore, Hillary Clinton, Samuel Tilden, and Grover Cleveland all share this distinction among US Presidential candidates.
What is winning the popular vote, but losing the Electoral vote.
This electrolyte abnormality can cause refractory hypokalemia.
What is Hypomagnesemia.
Which test best differentiates Restrictive vs Obstructive Lung disease?
Total Lung Capacity
This is an appropriate HgbA1c goal for older adults with significant comorbidities.
What is 7.5-8%.
This study evaluated the difference in mortality between rate and rhythm control in patients with atrial fibrillation.
What is the AFFIRM trial.
This artist painted, among many others, "Girl with a Pearl Earring" in 1665.
Who is Johannes Vermeer.
A pregnant woman >20 weeks gestation presents with hypertension and proteinuria.
What is preeclampsia.
A patient has 9 mm lung nodule. In what duration follow up CT has to be scheduled?
3 months
( 6-12 months in nodules of 6-8mm size )
This is an appropriate way to treat hypoglycemia unawareness.
What is decrease intensity of therapy. (New CGM do have hypoglycemic alarms, but therapy should still be decreased)
This Landmark study evaluated the effect of intensive versus conservative blood sugar control in patients with T2DM.
What is the ACCORD trial.
According to Greek Mythology, she was the first human woman to inhabit the Earth.
Who was Pandora.
Vomiting, Nasogastric suction, and diuretic use are all common causes of this.
What is hypovolemic, hypochloremic metabolic alkalosis.
A patient has a dog, a cat, 2 parakeets and pigeons. He presents with cough, progressive shortness of breath. CXR reveals interstitial/alveolar infiltrates ( ground glass ). No eosinophilia seen, PFTs show restrictive pattern. Dx ?
Hypersensitive Pneumonitis ( Bird Fancier's Lung )
Autoantibodies to GAD65 and tyrosine phosphatase IA-2 demonstrate strong association with Type 1A diabetes and are currently recommended to be obtained at this frequency.
What is at diagnosis only. (GAD65 may persist for many years after onset though)
This Landmark trial provided groundbreaking date on the safe delay of dialysis in patients with GFR<14 and no other classic indications for dialysis.
What is the IDEAL study.
This Shakespearean play is the longest of all.
What is Hamlet.
This is the pathological diagnosis of Obesity-related nephropathy.
What is secondary FSGS.
Pt with cryptogenic cirrhosis with ascites and shortness of breath and hypoxemia which are worse in upright position. DLCO is 70%. Best Diagnostic Test is ?
Trans Thoracic Echo with microbubble studies
This classification system has a 99% sensitivity and 96% specificity for predicting poor glycemic control and development of long-term insulin dependence in those with ketosis-prone T2DM.
What is the AlphaBeta system.
This landmark trial showed improved outcomes in patients with RA who were treated earlier and more aggressively.
What is the TICORA trial.
This author wrote Winnie-the-Pooh in 1926.
Who is A. A. Milne
This diagnosis should be considered as a cause of hematuria with coexistent URI.
What is IgA nephropathy.
A Pt with Sore Throat of a few days duration, now presents with severe pain if he moves neck and has pain on swallowing. Brawny edema of hypopharynx and tenderness of sternocleidomastoid is present. Most likely diagnosis?
Lemierre's disease ( Internal Jugular Vein Thrombosis )