Gen IM
Neuro
Nephro
ID
Pulm/CC
100

Recommended management of insomnia

CBT

100

progressive neurodegenerative disorder triggered by repetitive mild head injury

CTE- chronic traumatic encephalopathy

100
Recommended kidney imaging modality in pts with chronic kidney disease

US

100

Diagnostic test for a pt with syphilis of unknown duration with abnormal neurologic exam

CSF analysis

100

first step in evaluation of a subcentimeter pulm nodule

obtain previous imaging

200

syndrome characterized by acute low back pain, saddle anesthesia, and urinary retention

cauda equina syndrome

200

most appropriate initial imaging test in a pt with suspected acute stroke

CT of head without contrast

200

Diagnosis associated with hyperkalemia, a normal anion gap metabolic acidosis, and a urine pH <5.5

RTA type 4

200

Paradoxical worsening of symptoms in pts who recently began appropriate antiretroviral therapy

IRIS (immune reconstitution inflammatory syndrome)

200

Management of significant smoke inhalation with stridor

intubation

300

Two criteria for pts 55-80 who are most likely to benefit from low dose CT

1. greater than 30 pack years

2. quit in the last 15 years or currently smoke

300

type of epilepsy associated with an aura of rising epigastric sensation with unremarkable EEG and MRI findings

temporal lobe epilepsy

300

urinalysis finding that distinguishes hemoglobinuria from hematuria

absence of erythrocytes

300

Cause of focal neurologic signs, HA, fever, and seizure in a pt with AIDs

CNS toxoplasmosis

300

typical radiographic findings of small cell lung cancer

large hilar mass and bulky mediastinal lymphadenopathy

400

sensory screening indicated for older patient with cognitive dysfunction

screening for hearing loss

400

Necessary test to exclude suspected subarachnoid hemorrhage in a pt with normal head CT without contrast

lumbar puncture

400

Characteristic UA finding in renal amyloidosis

proteinuria, often in nephrotic range

400

Abx therapy for suspected RMSF

doxycycline

400

preferred therapy for moderate persistent asthma

low dose inhaled glucorticoid and LABA

500

Condition associated with hip pain that is reproduced by FABER test but no pain with passive range of motion

sacroilitis

500

Condition causing progressive loss of language function with relative sparing of other cognitive domains

primary progressive aphasia

500

Cancer risk associated with Balkan endemic nephropathy

transitional cell carcinoma of renal pelvis, ureters, and bladder

500

Clinical manifestation of late complement component deficiency

Invasive meningococcal or gonococcal infections

500

common presentation of bronchial carcinoid tumor

postobstructive pneumonia