Anatomy
Cards
Ambulatory
GI
Potpourri
100
Nerve innervating the diaphragm and spinal levels that feed the nerve
Phrenic Nerve; C3, C4, C5
100
Murmurs that increase in intensity with Valsalva
HOCM, MVP
100
USPSTF screening guideline for AAA?
Men between 65-75 who have ever smoked
* "Ever smoked" defined arbitrarily as smoking >100 cigarettes in lifetime; one-time check
100
Timing of EGD in variceal GI bleeding
Within 12 hours of presentation
* As opposed to 24 hours for non-variceal GI bleeds
100
Class of antibiotic that Fidaxomicin belongs to
Macrolides
*Does NOT carry QTc prolongation risk associated with traditional macrolides
200
3 arteries coming off the ascending/arch of aorta?
Brachiocephalic artery
Left common carotid artery
Left subclavian
200
Monitoring required for patients on long-term Amiodarone
LFTs, PFTs, TFTs, Ocular testing
200
Pap smear reveals ASCUS with + high-risk HPV, next best step?
Colposcopy
200
In high SAAG ascites, how can you differentiate between cardiac and hepatic cause?
Ascitic protein > 2.5 indicates cardiac etiology
200
Alpha-2 agonist that is typically mixed with fentanyl, colloquially known as "tranq" as it is used in veterinary medicine as horse tranquilizer
Xylazine
300
Test used to diagnose De Quervain's tenosynovitis
Finkelstein's Test
300
Imaging study used in the diagnosis of ATTR cardiac amyloidosis
Technetium-99m pyrophosphate (99mTc-PYP) Cardiac Scintigraphy
300
Give 3 indications for treatment of subclinical hypothyroidism
1.) TSH > 10
2.) + TPO antibodies and TSH between 4.5 - 10
3.) Pregnancy
300
Best way to reduce post-ERCP pancreatitis?
Indomethacin PR
* RRR decrease of 46% and ARR of 7.7%
300
Triglyceride cutoff for the diagnosis of chlyothorax
TG > 110
* Due to thoracic outlet obstruction, lymphoma being the most common cause
400
Which rotator cuff muscle is being assessed here?
Supraspinatus
* Empty Can (Jobe) Test
400
Two reasons why a suction-alarm would go off for an Impella
1.) Hypovolemia
2.) Device Malpositioning
* RV failure is another cause, same mechanism as hypovolemia. Ventricular arrhythmia is another
400
Most common cause of secondary hypertension
Primary Hyperaldosteronism
400
For an elevated Alkaline Phosphatase with elevated GGT, what other test should be ordered alongside RUQ US?
AMA
*To assess for PBC
400
Patient presents with intermittent burning sensation in hands and feet, worse in the summer time and is intermittent. Skin exam reveals the following. CBC reveals PLT 760,000. Diagnosis?
Bonus for 200: What is the treatment of choice?
Secondary Erythromelalgia 2/2 Essential Thrombocytosis
* Aspirin; cornerstone of treatment in secondary, usually not effective in primary
500
Transplant indicated in Nutcracker Syndrome
Renal Autotransplantation
500
Why do bioprosthetic mitral valves degrade faster than bioprosthetic aortic valves?
MV faces higher pressure at the start of LV systole (~120 mmHg) as compared to AV that faces a lower pressure at the start of aortic diastole (~60 mmHg)
500
Per 2026 ACC/AHA lipid guidelines, this is the goal LDL-C for patients at very high risk of ASCVD (Class I recommendation)
LDL-C < 55
500
Elderly patient with history of aortic stenosis presents with LGIB, undergoes EGD/colonoscopy that is unremarkable, most likely diagnosis?
Heyde Syndrome
* Causes small-bowel AVMs 2/2 acquired vWF deficiency from sheared vWF multimers at aortic valve
500
A patient with suspected PAH is started on epoprostenol and subsequently develops fulminant pulmonary edema and develops hypoxic respiratory failure leading to a cardiac arrest, what is the diagnosis?
Pulmonary Veno-Occlusive Disease (PVOD) or Pulmonary Capillary Hemangiomatosis (PCH)
* Due to dilatation of pulmonary arterioles increasing blood flow to stiff, fibrotic pulmonary venules --> leads to back up and flash pulmonary edema
* WHO group 1.5 pHTN; classic triad of centrilobular GGOs, interlobular septal thickening, mediastinal LAD