Treatment of choice for someone with a leonine facies, recent onset of HA and gradual hearing loss who is found to have an elevated Alkaline Phosphatase level on routine labwork.
What are bisphosphonates?
100
3 "CAD-equivalent" conditions
What are DM, PVD, aortic disease, CVA, symptomatic carotid artery disease?
100
Patient presents to Princeton-Plainsboro Teaching Hospital with:
A history of multiple myeloma- now found to have LE edema, 4+ protein on urine dipstick, and restrictive cardiomyopathy on echocardiogram...You suggest an abdominal fat pad biopsy for diagnosis
What is amyloidosis (AL)?
100
First-line test for suspected disease in a pt. with central obesity, abdominal striae, and thinning of the extremities
What is low-dose dexamethasone suppression?
100
This is the stain used to detect a pathogen known to cause profusely watery diarrhea in immunocompromised patients
What is modified acid fast stain?
200
The treatment for this fungal infection, associated with "black dot" hairs
What is griseofulvin (po)?
200
Patients with this post-MI complication associated with diffuse ST elevations and chest pain relieved by sitting forward can be treated with this pharmacotherapy
What is ASA (NSAIDS)?
200
Pt. presents to Princeton-Plainsboro Teaching Hospital with:
Fever, night sweats, cough, headache, and this rash... And now that you mention it he was recently in the Southwestern US for a business trip...
What is coccidioidomycosis?
200
Three agents that can be administered as part of the treatment regimen for suspected thyroid storm
What are supportive therapy (IV fluids, cooling blankets, glucose), Beta-blockers, iodine, antithyroid agents, dexamethasone
200
Hashimoto's thyroiditis and Sjogren's syndrome put you at risk for the development of this general category of malignancy
What is lymphoma?
300
Drug that may induce a "wolf"-ian syndrome variant when used as the treatment of choice for a "Wolff"-ian arrhythmia
What is procainamide?
300
3 indications for CABG
What are 3-vessel disease with > 70% stenosis in each vessel, 2-vessel disease in diabetic, left main coronary disease with > 50% stenosis, left ventricular dysfunction?
300
Patient presents to Princeton-Plainsboro Teaching Hospital with:
Hematuria, joint pain, and palpable purpura. Labwork reveals low levels of C3. On further questioning, this pt. reports a history of IVDA.
What is cryoglobulinemia?
300
Burton's line may be seen in addition to colicky abdominal pain, sideroblastic anemia, and wrist drop in pts as toxicity from excess exposure to this heavy metal
What is lead?
300
Hypertrophic obstructive cardiomyopathy is associated with this valvular abnormality
What is mitral regurgitation?
400
This nucleoside reverse transcriptase inhibitor has a black box warning for potential adverse effect of pancreatitis
What is didanosine?
400
This syndrome may be seen in patients s/p cardiac catheterization and manifests with eosinophilia, hypocomplementemia, and blue toes with intact pedal pulses
What is cholesterol embolization syndrome
400
Pt. presents to Princeton-Plainsboro Teaching Hospital with:
"Classic triad" of rheumatoid arthritis, neutropenia, and splenomegaly
What is Felty's syndrome?
400
This acid/base disorder can lead to perioral numbness, hyperreflexia, and tetany as a result of pseudohypocalcemia
What is respiratory alkalosis?
400
The pharmacologic treatment of von Willebrand's disease
What is desmopressin?
500
The treatment of choice for hairy cell leukemia
What is cladribine?
500
This test is the most accurate way to determine a patient's ejection fraction
What is MUGA scan (nuclear ventriculography)?
500
A patient presents to Princeton-Plainsboro Teaching Hospital with:
A recent metal-on-plastic hip prosthesis and gradual onset of blindness, deafness, and nonischemic cardiomyopathy
What is cobalt poisoning?
500
In this totally "tubular" condition associated with paradoxically alkaline urine and HYPOkalemia in the setting of metabolic acidosis, this common-sense agent is the treatment of choice
What is sodium bicarbonate? (Can also give phosphate salts to promote excretion of titratable acid)
500
This condition, which commonly occurs during and after pregnancy, can be tested for by passive stretching of the extensor pollicis brevis and abductor pollicis longus muscles in a maneuver named after a UMCPP nephrologist