Musculoskeletal
A noninflammatory effusion associated with the leukocyte count the range of 200-2000 mm3 is most consistent with a diagnosis of what?
Osteoarthritis
INR target for patient with a mechanical aortic valve and atrial fibrillation who is treated with Warfarin
2.5 to 3.5
Most appropriate medication for preventing thromboembolism in apatient with nonvalvular atrial fibrillatio, other stroke risk factors, and CKD is.
Warfarin
In a patient with acute scrotal pain, the most appropriate imaging study to aid in the diagnosis of testicular torsion is.......
Doppler Ultrasonography
Most appropriate next step in the evaluation for a child with tonsillar hypertrophy and suspected sleep disordered breathing is ........
Overnight Polysomnography
A common complication of an intraarticular glucocorticoid injection is what?
Postinjection flare
EF in patient with asymptomatic mitral valve regurgitation that is an indication for repair.
EF below 60%
Correct diagnosis for a patient who develops acute respiratory distress and evidence of heart failure after receiving a red cell transfusion is what?
Transfusion associated circulatory overload
Maximum replacement for severe hypokalemia is
40mEq/hour
The most appropriate intial step in the management of a full-term neonate presenting with bilious emesis is to obtain this........
Abdominal radiograph --> looking for intestinal obstruction.
A regional pain disorder frequently preceded by a noxious event and characterized by neuropathic features and signs of local autonomic dysfunction is what?
Complex Regional Pain Syndrome
Low- pitched diastolic rumble at the apex in a patient with a decrescendo diastolic murmur at the left sternal border is consistent with what diagnosis?
Aortic Regurgitation
Timing of the onset of drug induced immune mediated thrombocytopenia is..........
21 days
Drug intoxication most likely to cause a mixed acid-base disturbance of respiratory alkalosis and anion-gap metabolic acidosis
Salicylate (Aspirin)
First line imaging modality for an 2 month old girl with prenatal diagnosis of an ovarian cyst who presents with acute onset of fever, vomiting, anorexia, and palpable mass in the LLQ.......
Abdominal ultrasound with Doppler.
Most sensitive diagnostic test for early inflammatory sacroillitis in a patient with Crohn disease.
MRI of the SI joints.
Elective, non-urgent surgery should be delayed for how many months in a patient who had a drug eluting coronary stent placed electively for stable angina and is currently on dual antiplatelet therapy
6 months
Therapeutic phlebotomy for a patient with hereditary hemochromatosis should continue until.......
Normalization of the level of ferritin
The most likely cause of hyponatremia in a euvolemic, hypo-osmolar hyponatremic patient with a low urine sodium level and low urine osmolality is......
A low sodium diet.
Children who are being discharged after a hospitalization for Meningococcal Meningitis should be screened for............
Hearing loss
High energy trauma to the knee resulting in effusion, inability to bear weight, and radiographic evidence of hemarthrosis is most consistent with what?
Tibial Plateau Fracture
Most appropriate medication for a patient with hypertensive emergency and features of acute congestive heart failure.
IV Nitroglycerin
Most likely cause of a new-onset bleeding disorder in a previously healthy postpartum woman with a normal prothrombin time but a prolonged activated partial-thromboplastin time is........
Acquired Factor VIII Inhibitor
The most appropriate medical therapy of a patient with recurrent renal stones, a urine pH of 7.1, hypercalciuria, and hypocitraturia is........
Thiazide Diuretic
The most common long term complication of vesicoureteral reflux with hydronephrosis is ......
Renal scarring