Cardiology
GI
Neurology
Images
ID
100
Heart failure with reduced ejection fraction is diagnosed based on NYHA class II symptoms or more AND a left ventricular ejection fraction less than or equal to this:
</=40%
100
Borborygmi are typically present in this disorder
GASTROENTERITIS
100
First line oral drug for symptomatic treatment of myasthenia gravis
oral acetylcholinesterase inhibitor (pyridostigmine more common than neostigmine)
100
35 yo male brought to ED with lethargy, abd pain and brown discoloration of urine. Hgb 8.6, Plt 6k, creatinine 1.4, LDH and Ibili elevated but normal haptoglobin. Peripheral smear shownWhat is the treatment ?
Plasma exchange for suspected thrombotic thrombocytopenic purpura was started immediately. Without the prompt initiation of treatment, mortality from thrombotic thrombocytopenic purpura is high.
100
First line treatment of MSSA bacteremia
beta-lactam or first gen cephalosporin
200
The following 3 physical exam/auscultation findings are used to assess the severity of aortic stenosis
•Pulsus parvus et tardus
•Late peaking murmur
•Soft/absent S2
200
Partially digested food that leaves the stomach is called
CHYME
200
Best diagnostic study for evaluation of suspected nonepileptic seizures
Video EEG (or epilepsy monitoring unit)
200
81 yo man with a history of atrial fibrillation and hypertension presented to the emergency department after a fall. Physical examination showed discoloration of his nose, cheeks, and forehead. What is the most likely diagnosis
Amiodarone induced skin discoloration
200
Animal Reservoir of EEE
Birds
300
This class of drugs is the first line treatment for patients with Hypertrophic cardiomyopathy experiencing symptoms (angina/dyspnea)
BETA BLOCKERS
300
Ulcerative colitis patient who has a new rise in LFT (cholestatic pattern) would be classified as this disorder
Primary sclerosing cholangitis
300
Two most common neuropsychiatric complications of multiple sclerosis
Depression and memory loss (cognitive dysfunction)
300
A 32-year-old man presented to the emergency department with difficulty swallowing oral secretions and the feeling that food was stuck in his throat after he ate a pizza roll. Upper endoscopy revealed the following image after food impaction was removed. This finding is associated with what underlying diagnosis?
EOSINOPHILIC ESOPHAGITIS Upper endoscopy revealed prominent mucosal rings extending 20 cm from the incisors to the level of the gastroesophageal junction, with two discrete areas of narrowing and associated linear furrows. Biopsy specimens were obtained, and esophagitis was observed, with more than 40 eosinophils per high-power field. An endoscopic finding of fixed esophageal rings, or "trachealization," is suggestive of eosinophilic esophagitis, although a definitive diagnosis is made on the basis of clinical presentation, histologic findings, and the exclusion of other causes of esophageal eosinophilia, such as proton-pump inhibitor-responsive esophageal eosinophilia. The patient was treated with an 8-week course of omeprazole, but there was no symptom resolution or histologic improvement on repeat endoscopic biopsies, which confirmed the diagnosis of eosinophilic esophagitis.
300
Breakbone fever has been used to describe a symptom of this disease
Dengue virus/fever
400
BRUGADA SYNDROME
400
Next test to order in patient with gastrin level of 500 who presents with recurrent PUD
Secretin stimulation test
400
Autoimmune encephalitis is associated with this antibody
anti-N-methyl-d-aspartate receptor antibodies
400
66 yo man presented to ED with 4 day hx of SOB and peripheral edema w 15kg weight loss. developed shock and died in ICU. Gross pathological exam of the heart is shown. What is the most likely diagnosis?
Angiosarcoma (mass in right atrium with extensive infiltration of the tumor into the epicardium)
400
Infection associated with properdin deficiency
Neisseria infection (gonorrhea or meninigitis)
500
In asymptomatic severe primary mitral regurgitation, one indication for surgical mitral valve repair is a LVEF less than or equal to this?
</=60%
500
Thickened folds in stomach with resultant protein losing enteropathy and associated edema
Menetrier disease
500
Antiepileptic drug for women on hormonal contraceptives
Levetiracetam
500
A 73-year-old woman presented to the dermatology clinic with a 9-month history of pruritic and painful lesions on the palms of her hands. Physical examination showed sharp demarcation of the folds in the lines of her hands, a velvety appearance of palmar surfaces, and ridging of the skin. What is the most likely diagnosis?
Tripe palms, the descriptive term for a condition closely associated with malignancy, particularly lung and gastric cancer. This patient was screened for malignancy and was found to have a metastatic adenocarcinoma of the lung.
500
Malarial agent causing an 8% RBC parasitemia rate
P. falciparum
P. falciparum is the most severe strain of the malaria species correlated with almost every malarial death. The other 3 species that cause malaria include: P. vivax, P. ovale, and P. malariae.