From the Heart
Hypotension, pulsus paradoxus, electrical alternans
Cardiac tamponade
Tests for pituitary hypersecretion in all pituitary incidentalomas (2)
Prolactin and IGF-1 levels
Infectious cause of aplastic anemia
Parvovirus B19
Imaging for all new diabetic foot infections
Plain radiography
Diagnostic test of choice for SLE and kidney disease
Kidney biopsy
Atrial fibrillation indication for pacemaker implantation
Permanent atrial fibrillation with symptomatic bradycardia
Morning cortisol level strongly suggestive of deficiency
<3 µg/dL
Hemoglobin >16.5 g/dL, hypercellular bone marrow, positive JAK2
PV
Pneumococcal vaccination in HIV
20-valent PCV alone or
15-valent PCV followed by 23-valent PPSV
Treatment of hypercalciuria and nephrolithiasis (Medication)
Thiazide diuretic
Bridging therapy for hemodynamic instability in cardiac tamponade
Fluids/Volume expansion
Timing of infertility evaluation in women younger than 35 years
≥1 year of regular unprotected intercourse
Treatment of SCD with frequent pain events, severe symptomatic anemia, previous ACS, or stroke
Hydroxyurea
Cause of CAP with livestock exposure
Coxiella burnetii infection (Q fever), Francisella tularensis (pneumonic tularemia)
Screening test for patients diagnosed with ADPKD
Cerebral MR angiography
Underlying risk factor predisposing to multifocal atrial tachycardia
Severe pulmonary disease
Prolactin level suggestive of macroprolactinoma
>200 ng/mL
Initial treatment of chronic-phase CML
Tyrosine kinase inhibitor
Ground-glass attenuation or "Halo sign" surrounding nodule on lung CT cause?
Invasive aspergillosis
Decreased kidney function and diuretic-resistant HF
Cardiorenal syndrome
ST-segment coving in leads V1-V3, VF, cardiac arrest
Brugada syndrome
Risks of testosterone therapy in the absence of deficiency (4, at least 2 for credit)
CVD, prostate cancer, VTE, mortality
Cold agglutinin hemolytic anemia treatment
Rituximab
Postexposure treatment for bioterrorism-related anthrax
Ciprofloxacin, levofloxacin, or doxycycline
Infection in kidney transplant patient mimicking acute rejection with interstitial nephritis
BK polyoma virus