Heart to Heart
Rheumatology
GI
It's All In Your Head
Just Breathe
100
Management of type B aortic dissection.
IV B-blocker
100
Inflammatory marker that may be normal in active SLE
C-reactive protein
Positive - ANA, anti-dsDNA, anti-smith, antiphospholipid antibodies
100
Preferred celiac disease screening test
Anti–tissue transglutaminase IgA antibody
100
Most appropriate initial imaging test in a patient with a suspected acute stroke
CT of the head without contrast
100
FEV1/FVC ratio consistent with airflow obstruction
< 70 %
200
Oral factor Xa inhibitors
Apixaban, rivaroxaban, edoxaban
200
RA, neutropenia, splenomegaly
Felty syndrome
200
Dysentery or bloody diarrhea infectious agents
(3 out of 5)
Campylobacter
Hemorrhagic E. coli
E. histolytica
Shigella
Salmonella
200
Clinical diagnostic criteria for Parkinson disease
Bradykinesia & at least one additional cardinal feature (resting tremor, rigidity, postural instability)
200
Preferred therapy for moderate persistent asthma
Combined low-dose inhaled glucocorticoid and long-acting beta2-agonist therapy
300
Indication for ACEi in stable angina
(3 of 4 needed)
CKD, diabetes, previous MI, or LVEF ≤40%
300
RA drug that can cause severe but reversible peripheral neuropathy
Leflunomide
300
Supporting test for GERD extraesophageal manifestations in absence of heartburn/reflux
Ambulatory esophageal pH monitoring
300
Two emergent treatments for myasthenic crisis
1. Phasmapheresis
2. Intravenous immune globin
300
Two arterial PaO2 indications for long term oxygen therapy in a patient with COPD
1. Arterial PO2 <= 55 mmHg
2. Arterial PO2 <= 59 mmHg and right-sided heart failure or polycythemia
400
Treatment of end-stage HF in nontransplant candidates
LV assist device
400
Diseases characterized by inflammation of the axial skeleton, enthesitis, positive HLA-B27
(3 out of 5)
Spondyloarthritis-
Psoriatic arthritis
Ankylosing spondylitis
IBD-associated arthritis
Reactive arthritis
400
Gastric cancer screening indications (1/2)
Familial adenomatous polyposis
Lynch syndrome
400
Three diagnostic criteria for multiple system atrophy
1. Parkinsonism
2. Cerebellar ataxia
3. Early postural instability and falls
400
Preferred diagnostic test for chronic thromboembolic pulmonary hypertension
Ventilation-perfusion lung scan
500
Upper extremity hypertension, radial-femoral pulse delay, infraclavicular systolic murmur
Aortic coarctation
500
Systemic sclerosis subtype associated with CREST syndrome
Limited cutaneous systemic sclerosis
500
Hepatitis B–associated vasculitides
Polyarteritis nodosa
Cryoglobulinemia
500
Potential cerebrovascular complication most often occurring 5-10 days after subarachnoid hemorrhage
Cerebral vasospasm
500
Uncommon cystic lung disease occurring sporadically in women of childbearing age characterized by diffuse, thin-walled, small cysts on CT
Lymphangioleiomyomatosis