EKG/Echo/Telemetry
Clinical Images
Visual Learning/Radiology
High Value Care
Miscellaneous
100
Diagnose
Atrial Fibrillation
100
diagnose?
Psoriasis: Thick silvery scale at elbow
100
Endoscopic view of the esophagus in a 36-year-old male with dysphagia. Dx?
Eosinophilic Esophagitis
(whitish papules are also visible representing eosinophilic abscesses)
100
Name the medication that Increases smoking cessation rates about 2 times more than control. Avoid with seizure disorder and eating disorder. May be associated with suicidal ideation. Safety in pregnancy is unclear.
Bupropion
100
Dx: 
Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) is a disorder of development of the vasculature characterized by telangiectases and arteriovenous malformations in specific locations. The most common features of the disorder—nosebleeds and telangiectases on the lips, hands, and oral mucosa—are often subtle.
200
Diagnose
This is a classic 12 lead EKG of a patient with Torsade de Pointes. It shows the polymorphic nature of the tachycardia, the long QT interval and the initiation of the tachycardia with a late coupled P.V.C.
Contributed by Michael Rosengarten BEng, MD.McGill (CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0/deed.en)
200
Diagnose?
Butterfly rash: SLE
200
Diagnose
butterfly rash: SLE
200
In patients with cystic fibrosis, what is the recommended age for routine colorectal cancer screening?
40 years (And then rescreening every 5 years)
200
What are the three FDA approved medications for the treatment of opioid use disorder.
300
Diagnose
Pericarditis
300
Diagnose? 
Mpox
Umbilicated vesicles at day 4 of infection.
300
atrial flutter
flutter waves unmasked by adenosine 
300
What is BMI cutoff for bariatric surgery?
Bariatric surgery should be reserved for patients with a BMI of 40 or greater or for those with a BMI of 35 or greater who have obesity-associated comorbid conditions.
300
Define PPV and NPV of a test.
The positive predictive value is the probability that a positive test is a true positive result, and the negative predictive value is the probability that a negative test is a true negative result.
400
Diagnose?
Mobitz I block (Wenckebach phenomenon)
- PR interval is longest immediately before dropped beat
- PR interval is shortest immediately after dropped beat
400
Diagnose conditions in the image and name treatment options 
Rhinophyma
popular Rosacea on the chin
Doxycycline, laser, topical metronidazole, isotretinoin etc
400
A 35-year-old man presented to the dermatology clinic for a troublesome eruption on both arms. It has been a recurring problem every 4 months, with each attack lasting 10 days. This bout has been the most severe. He explains to you that the lesions are slightly painful, and he is getting bothered by the recurrent itch.
He feels well in himself otherwise but did admit to having some coryzal symptoms last week which he put down to the weather.
This is erythema multiforme (EM). It is an immune-mediated reaction which can affect the skin and mucosae.
400
33 y/o M with PMH of HIV presents with one day of fever, productive cough, and a left-lower-lobe infiltrate on chest radiograph. His CD4 count is 440 cells/mm3. What is the most-likely cause of his pneumonia?
Streptococcus pneumoniae
(pneumocystis jiroveci isn't more common until CD4 is less than 200 cells/mm3)
400
What are BMI cutoffs for Pharmacologic therapy for obesity?
Pharmacologic therapy may be used as an adjunct to lifestyle modifications in patients with a BMI of 30 or greater or in patients with a BMI of 27 or greater who have overweight- or obesity-associated comorbid conditions.
500
- There is ST elevation and Q wave formation in V2-5
- ST elevation in I and aVL
- There is some reciprocal ST depression in lead III
500
Name ABCDEFG of melanoma?
- Asymmetry
- Border irregularity
- Color variability / Change
- Different
- Evolving
- Elevated
- Firm
- Growing
500
polymorphic VT, VF, STEMI, paced.
ST elevation suggests that this is an inferior STEMI in a paced patient (Sgarbossa’s criteria).
- Concordant ST elevation ≥ 1 mm in ≥ 1 lead
- Concordant ST depression ≥ 1 mm in ≥ 1 lead of V1-V3
- Proportionally excessive discordant STE in ≥ 1 lead anywhere with ≥ 1 mm STE, as defined by ≥ 25% of the depth of the preceding S-wave
500
Patients age 19-65 with all of the following underlying conditions should receive pneumococcal vaccine except?
A- Alcohol Use Disorder
B- Diabetes Mellitus
C- Essential Hypertension
D- Sickle Cell Disease
C- Essential Hypertension
(Patients age 19-65 with the following clinical conditions should receive pneumococcal vaccine
- Chronic heart disease
- Chronic lung disease
- Chronic liver disease
- Diabetes Mellitus
- Sickle cell disease or other hemoglobinopathies
- Current cigarette smoking
- Alcohol use disorder)
500
EKG findings
STEMI