What exam?
I am the most common skin manifestation of RA
Rheumatoid nodules
First-line therapy for urge urinary incontinence
Bladder training
How will this murmur (best heard at base of the heart) change with squatting?
Increases (louder)
In a recent trial, which medication showed slower rate of progression of CKD in diabetics?
Liraglutide
According to the ACC/AHA guidelines, I am the minimal Metabolic Equivalent (MET) value that requires no testing for preoperative cardiac evaluation regardless of the risk of the planned procedure.
4 METS
Name any two outcomes “In the Initiation strategies for renal replacement therapy in the ICU” study published in NEJM 2016 ?
All-cause mortality
Receipt of RRT
RRT-free days between day 0-28 post-randomization
Dependence on RRT at day 28 and day 60
Mechanical ventilation-free days between day 0-28 post-randomization
Vasopressor-free days between day 0-28 post-randomization
SOFA score
Duration of stay in ICU
Duration of hospital stay
Complications related to AKI or RRT
Transfusion
Catheter-related bloodstream infection
I am a brief standardized questionnaire that can be used to distinguish urge from stress incontinence
3IQ
3 indications for IE antibiotics prophylaxis prior to a dental procedure
(1) a prosthetic cardiac valve;
(2) prosthetic material used for cardiac valve repair, including annuloplasty rings and chords;
(3) a previous episode of infective endocarditis;
(4) congenital heart disease, including unrepaired cyanotic congenital heart disease, a completely repaired congenital heart defect with prosthetic material or device during the first 6 months after the procedure, and repaired congenital heart disease with residual defects;
(5) valvulopathy following cardiac transplantation.
In “Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism” what was the control group?
Subcutaneous dalteparin
I am the time interval -in days- between the last dose of a Novel Oral Anticoagulant (NOAC) and the day of a high-bleeding risk procedure (in a patient with normal kidney function).
3 days
My patient is persistently hypokalemic with urine K 30, metabolic alkalosis, UCl 8
What is your diagnosis ?
Vomiting
NGT drainage
Villous adenoma
Give 4 functional activities of Katz Index of Independence in Activities of Daily Living
Bathing, Dressing, Toileting, Transferring, Continence, Feeding
Name 3 vascular and 3 immunologic phenomena of IE
-Vascular: arterial emboli, pulmonary infarcts, conjunctival or intracranial hemorrhage, mycotic aneurysm, Janeway’s lesions
-Immunologic: GN, Osler’s nodes, Roth’s spots, positive RF
What was the follow-up period in a recent study on weight loss and metabolic outcomes after gastric bypass?
12 years
I am the single most important procedure-related factor in predicting the overall risk of postoperative pulmonary complications.
Surgical site
List 4 causes of resistance to diuretic medications
Poor intestinal absorption
Non-adherence
Decreased Kidney blood flow
Nephron adaptation
Use of NSAIDs
Low GFR
4 screening tests for hearing loss in the elderly
Whispered voice test, finger rub test, hearing loss questionnaire, and hand-held audiometry are all reasonable screening tests for hearing loss
Patient presents 5 days after developing chest pain. Physical exam reveals this murmur best heard at the LSB. Etiology?
VSD
Which medication resulted in higher rate of complete biochemical response in patients with PBC?
Bezafibrate
I am a universal surgical risk calculator model consisting of 20 patient factors plus the surgical procedure, I have excellent performance for mortality and morbidity.
NSQIP (ACS)
My patient presented ER with weakness
BP 140/80, HR 70
No meds , no OTC
No other complaints
Na 127, K 5, Cl 108 , HCO3 18, Creatinine 4, BUN 50, Calcium 9.8, Phos. 6, albumin 2.5, Plasma Osm. 280, Total protein 9
UA negative for blood and protein
Sono: No obstruction, normal size kidney
What is the most likely cause of AKI ?
Multiple Myeloma
List 4 interventions that can limit falls in the elderly
Exercise programs (physical therapy, tai chi), limiting polypharmacy, addressing orthostasis, assessing footwear, and adding vitamin D supplements
Name all the murmurs in the following patient:
67 M presenting for dyspnea. Auscultation reveals a 2/6 crescendo-decrescendo systolic murmur at the RUSB followed by a high-pitched diastolic decrescendo murmur at the LSB and a mid-diastolic low-pitched murmur at a apex.
Aortic stenosis, aortic regurgitation, Austin-Flint murmur
What was the primary outcome of the EOLIA trial (ECMO)?
60-day mortality
I am a relatively rare but loathed intra-operative complication unique to cataract surgery.
Intra-Operative Floppy Iris Syndrome (IFIS)