Initial diagnostic test in patients who have an intermediate pretest probability of PE as recommended by ACP
What is sensitive D-dimer (accept D-dimer)?
Most common primary cardiac neoplasm
What is myxoma?
Most common metal causing type IV hypersensitivity reaction.
What is nickel?
Specific disease entity reflecting a deficiency of hematopoietic stem cells resulting in peripheral pancytopenia and bone marrow aplasia.
What is aplastic anemia?
Painful skin lesions 2 days after initiation of warfarin for atrial fibrillation. Diagnosis:

What is protein C deficiency or resistance?
This country is the largest coffee producer in the world.
What is Brazil?
The best confirmatory test for hypertension as recommended by USPSTF
What is ambulatory blood pressure monitoring? (accept ABPM)
Minimum number of METs indicating good functional capacity and no need for preoperative testing
What is four (4)?
Recommended treatment for nonallergic (vasomotor) rhinitis.
What are intranasal corticosteroids or intranasal antihistamines? (accept either)
What is IgG?
42-year old HIV patient evaluated for fever, confusion, and headache.

What is toxoplasmosis?
Age below in which HPV testing for cervical cancer screening in average-risk women is not recommended by ACP
What is 30 years old?
Patient being evaluated for "irregular heart rhythm", otherwise asymptomatic. Diagnosis.

What is Mobitz type 1 second-degree atrioventricular block?
Characteristic endoscopic appearance of eosinophilic esophagitis.
What are stacked circular rings? (accept linear furrows, or attenuation of normal vascular pattern)
Diagnosis associated with absence of the GPI anchor on two hematopoietic cell lines
What is paroxysmal nocturnal hemoglobinuria? (accept PNH)
Most common type of renal calculi in a patient evaluated for recurrent UTIs and nephrolithiasis. Urinalysis:

What is struvite (magnesium ammonium phosphate)?
Two equivalent treatment modalities for major depressive disorder recommended by ACP
What are CBT and second-generation antidepressants? (accept antidepressants)
Diagnosis associated with equalization of diastolic pressures in RA, RV, PCWP, and LV.
What are cardiac tamponade or constrictive pericarditis?
Intravenous epinephrine concentration used for anaphylactic shock.
What is 1:10,000?
Peripheral smear of an asymptomatic patient who was found to have an "abnormality" on his CBC.

What is essential thrombocythemia?
30-year-old professional landscaper is evaluated for these skin lesions

What is sporotrichosis? (accept Sporothrix schenckii)
Three treatment options for acute gout recommended by ACP (name all of them).
What are corticosteroids, NSAIDs, and colchicine?
Primary cardiac tumor that most often involves the aortic valve
What is papillary fibroelastoma? (accept fibroelastoma)
Drug combination for initial treatment of Kawasaki disease
What is aspirin and gamma globulin (accept IVIG)?
Therapy that decreases recurrent stroke in sickle cell disease
What is transfusion? (acccept exchange transfusion or hypertransfusion)
81-year-old man is evaluated in the emergency department for chest pain; he becomes unresponsive. Diagnosis on EKG:

What is ventricular fibrillation?