Two Holes
45 yo M with EtOH cirrhosis p/w lethargy and asterixis. List THREE common causes of acute hepatic encephalopathy?
Infections, GI Bleed, Dehydration, Constipation, Electrolyte abnormalities
A patient presents with pneumonia and has a history of COPD. What bug are you covering for, and what antibiotics cover that bug?
COPD – Pseudomonas (Zosyn, Cefepime, Carbapenem, Cipro, Aztreonam, Amikacin)
Drug of choice for diabetes in pregnancy.
Insulin
62 yo presents with sinus tachycardia. History of insomnia and weight loss. What is the diagnosis/what test to order next?
Order TSH
What is the address to the White House?
1600 Pennsylvania Ave
1. Clinical
2. Labs
3. Imaging
How to define pulmonary hypertension?
Pulm arterial pressure > 25
75 yo sepsis requiring ventilatory support. Low TSH/T4. What is the diagnosis?
Euthyroid sick syndrome
Low TSH, Low T4, high rT3
Repeat TFTs in 6 weeks
Diagnosis of and treatment for 1st degree AV block?
PR > 200 ms
Nothing
What does Hoya Saxa mean?
What rocks
A patient presents with dyspepsia without GERD or NSAID use. When to do an EGD?
Alarm Features warrant EGD? Weight loss, anemia, dysphagia, jaundice, age > 55.
54 yo with 1 hr pleuritic chest pain + dyspnea. 1 week ago admitted for a colectomy. Cr is 2.1 (baseline is 1.0). What test to order?
V/Q scan
Alternative marker for glycemic control that measures glycosylated protein.
Fructosamine
The antiarrhythmic that commonly causes lupus-like syndrome.
Procainamide
How many islands in the phillipines?
~7000
What markers are positive in patients with autoimmune hepatitis? (List at least TWO).
Increased total IgG or gamma-globulinlevels, and/or serologic markers (antinuclear antibodies, antismooth muscle antibodies, anti-liver/kidney microsomal-1 antibodies).
What is the paraneoplastic syndrome associated with Small Cell lung Cancer?
Lambert-Eaton Syndrome
USPSTF recommends performing DEXA scan in women over the age of?
65
Treatment of pericarditis post-MI?
ASA+Colchicine (3 months)
Alex Trebek was recently diagnosed with this disease?
Pancreatic cancer
42 yo F with hx of UC presents with 1 mo of progressive jaundice, pruritus, dark urine. Elevated AST/ALT, High TBili, High Alk Phos. How to diagnose this disease?
ERCP for PSC
Which arrhythmia originates from the pulmonary veins?
A Fib
low cortisol, high ACTH
high cortisol, low ACTH
high ACTH, high cortisol
Primary AI: low cortisol, high ACTH
Adrenal adenoma: High cortisol, Low ACTH
Pit adenoma: High ACTH, High cortisol
Mechanism of action of Entresto?
Valsartan-Sacubitril (ARB/Neprilysin inhibitor)
Ruth Bader Ginsburg is how old
85 years