Cardio
Ambulatory test after cryptogenic stroke
30-day noninvasive ECG monitoring
Pt with intermittent retrosternal burning, regurg of acidic material, repeated throat clearing
GERD
Treatment for inadequately controlled OA in one symptomatic joint
intra-articular glucocorticoids
The single most important change smokers can make to improve their quality and quantity of life
smoking cessation
Syndrome characterized by elevated eosinophil count without a secondary cause and evidence of organ involvement
Hypereosinophilic syndrome
Initial treatment indicated for uncomplicated type B acute aortic injury
medical therapy (B-blockade and arterial vasodilator)
White 50 yo M with long h/o retrosternal burning, chronic lump and repeated throat clearing. EGD done and bx shows intestinal metaplasia
Barretts esophagus
2 lab tests with greatest specificity for RA
anti-ccp and rf
maneuver to treat benign paroxysmal positional vertigo
epley manuever
two lab findings required to make dx of ttp
thrombocytopenia and microangiopathic hemolytic anemia (schistocytes on peripheral smear)
Vaccination that reduces risk of future cardiovascular events in pts with existing cv disease
Seasonal Flu shot
20 yo M with h/o dysphagia and food impaction. EGD shows multiple mucosal rings. What is diagnosis?
EoE
Most sensitive imaging test for diagnosing suspected spondyloarthritis
MRI spine and sacroiliac joints
initial nonhormonal treatment for primary dysmenorrhea
NSAIDs
Diagnostic test of choice for suspected chronic thromboembolic pulm htn
v-q scan
pulm contraindication to pharmacologic vasodilator stress testing
active bronchospasm
Pt with h/o ischemic cardiomyopathy presents with biventricular failure. He receives O2 and diuretics then develops confusion, rapidly progressing periumblical ab pain that is distended and vomiting. What is the diagnosis?
Acute mesenteric ischemia
Treatment of choice for hyperuricemia in a gout pt with an adverse reaction to allopurinol
febuxostat
Indication for osteoporosis screening in women based on FRAX calculation
10 yr risk for fracture > 8.4 %
Two diseases with a prolonged aPTT that corrects fully with a mixing study
Hemophilia A and B
Echocardiography follow-up interval after valve bioprosthesis
10 years
Pt with aortic graft surgery comes in with “herald bleed” of coffee ground emesis. What should you be concerned for?
Aortoenteric fistula
Nonerosive arthritis associated with SLE
jaccoud arthropathy
Condition characterized by unilateral eye pain, photophobia, and ciliary flush
uveitis
Most sensitive diagnostic test for suspected folate deficiency
homocysteine