Gobble, Gobble, Globulins
This is the reversal agent for unfractionated heparin for patients with life-threatening bleeding.
protamine sulfate
(administration at a dose of 1 mg per 100 units of heparin administered in the previous 2 hours)
These are the classes of pharmacologic therapy that make up guideline-directed medical therapy.
β-blocker, an ARNI (or ACE inhibitor/angiotensin receptor blocker), SGLT2 inhibitor, and an aldosterone antagonist
These are the 3 first-line diagnostic tests for Cushing syndrome. 2/3 tests must be abnormal to make the diagnosis.
overnight low-dose dexamethasone suppression test, 24-hour urine free cortisol measurement, and late-night salivary cortisol measurement
Once the diagnosis is made, the most appropriate next step is what?
What is the term for a causal Thanksgiving celebration with friends, a tradition that became popular around 2007?
Friendsgiving
Positive predictive value _____ as disease prevalence increases, and negative predictive value _____ as disease prevalence increases
Positive predictive value increases as disease prevalence increases, and negative predictive value decreases as disease prevalence increases
screening for dyslipidemia, diabetes mellitus, and hypertension is recommended due to the increased risk of developing metabolic syndrome.
This is the aortic diameter cutoff for which surgical repair of the ascending aorta is advised.
>5.5 cm
(or >5.0 in a patient with additional risk factors for dissection - i.e. family hx, rate of prgression >0.5 cm/year)
mental status changes and hypothermia with temperature less than 34.4 °C (94.0 °F)
intravenous levothyroxine
(Bradycardia, hypotension, or decreased respiration rate with resultant hypoxia and hypercapnia are also frequently present)
This ship took the Pilgrams from England to America
The Mayflower
This is the recommended duration of continued therapy after resolution of a major depressive episode in patients who responded to acute therapy.
4-9 months
This is the most likely diagnosis in a patient with a chronic microcytic anemia, target cells on the peripheral blood smear, a low RDW, and a normal hemoglobin electrophoresis
a-thalassemia
This cardiac murmur is typically a rapidly peaking crescendo-decresendo murmur heard best along the left lower sternal border, and decreases significantly in intensity with the patient squatting
Hypertrophic Cardiomyopathy
This is the indication for screening for pheochromocytoma in a patient with an incidental adrenal mass.
Adrenal mass density >10 HU on unenhanced CT
This is the name of the televised parade that has taken place on Thanksgiving Day since 1924. `
The Macy's Thanksgiving Day Parade.
Name the four components to assessing a patient's medical decision-making capacity.
Decision-making capacity includes the patient's ability to understand relevant information, consider treatment options, appreciate the potential medical consequences of their decision, and communicate a choice.
When is treatment indicated for superficial vein thrombosis indicated and how long do you treat? Must answer both correctly
when the thrombus is 5 cm or greater in length or is close to the deep venous system or when other thrombophilic risk factors present
6 weeks of AC
For patients with low-risk superficial vein thrombosis, observation with follow-up in 1 week to ensure symptom resolution is reasonable; if symptoms persist or worsen, repeat duplex ultrasonography should be performed.
This is the next best step in management in patients with mitral stenosis who have a discrepancy between between resting echocardiogram findings and clinical symptoms.
exercise echocardiography
This should be pursued to assess the response of the mitral gradient and pulmonary pressures to an increased heart rate. Exercise testing is important because percutaneous balloon mitral commissurotomy is indicated for patients with severe mitral stenosis and favorable valve morphology.
Size thresholds for FNAB are based on US appearance.
A less suspicious lesion may not need FNAB until it is larger than _____. A more suspicious nodule might be evaluated if it is larger than _____.
2 cm
1 cm
This NFL team has played the most Thanksgiving Day games.
Detroit Lions
What is the component in turkey that makes you sleepy?
tryptophan
famous for its role in producing serotonin, a neurotransmitter that helps regulate mood and sleep.
This diagnosis is characterized by a prolonged activated partial thromboplastin time that fails to correct during a mixing study and by a low factor VIII activity.
The most appropriate treatment is ____.
Must answer both
Acquired hemophilia A
activated factor VII (also would accept activated prothrombin complex concentrate, or porcine-derived factor VIII concentrate)
These are the indications for consideration of septal reduction therapy in patients with hypertrophic cardiomyopathy.
Receiving GDMT
NYHA functional class II-IV
and an LVOT gradient of 50 mm Hg or greater (resting or provoked)
These medications are know to cause increased thyroxine-binding globulin causing false elevation of total T3 and T4. (name at least 2)
Estrogen, Tamoxifen, Methadone, Mitotane, Fluorouracil
Free T3 and T4 are more accurate reflection of hormone levels
This founding father called the turkey a "bird of courage" in a letter criticizing the bald eagle as the national bird.
Benjamin Franklin
______ reduces the frequency of binge eating days and can be added as an adjunctive treatment for patients with persistent symptoms of binge eating disorder.
Lisdexamfetamine