Karate Kid-ney
How Sweet It Is
Shiver Me Timbers
Shot to the Heart
100
Calculate serum osmolality
[ 2 x serum Na in mEq/L + ( plasma glucose in mg/dL / 18 ) + ( BUN in mg/dL / 2.8 ) ]
100
Mechanism of action of sulfonylureas.
Bind and close ATP-sensitive potassium channels
100
Test of choice to detect latent TB in patients who have received BCG vaccine
Interferon Gamma Release Assay (IGRA) / Quantiferon GOLD / T spot
100
Premature CAD in males is when CAD develops less than this age
<55 yo in M; <65 in F
200
Thiazide diuretics may not be effective if eGFR is less than this
eGRF <30 mL/min/1.73 m2
200
MEN (Multiple Endocrine Neoplasia) 2A comprises of this.
Thyroid medullary carcinoma, pheochromocytoma, parathyroid tumors
200
Name 2 scenarios where we treat asymptomatic bacteriuria
Pregnancy, renal transplant recipients within the 1st month, patients undergoing invasive renal/bladder procedure
200
Name 2 physiologic maneuvers that can increase murmurs from hypertrophic obstructive cardiomyopathy
Handgrip, standing, Valsalva
300
First line antihypertensive agent/s in adults s/p kidney transplants
Dihydropyridine CCBs / ARBs
300
eGFR range where Metformin is absolutely contraindicated for treatment of T2DM
eGRF <30 mL/min/1.73 m2
300
Name atleast 2 findings in an exudative pleural fluid that would make a parapneumonic effusion complicated
Positive gram stain/culture, pH<7.2, glucose <40 mg/dL, LDH >1000 IU/L
300
Mechanism of action of PCSK9 inhibitors (Alirocumab and Evolocumab) in lowering LDL
Monoclonal antibodies that bind to PCSK9, inhibiting degradation of LDL-R, leading to higher hepatic LDL-R expression and uptake of LDL
400
Metabolic alkalosis, hypercalcemia and acute kidney injury after ingestion of calcium carbonate is termed this
Milk-Alkali Syndrome
400
Adrenal insufficiency is diagnosed when serum cortisol is below this level after 30 to 60 minutes of high-dose (250 mcg IV) ACTH stimulation
<18 mcg/dL
400
Antiobiotic regimen in a patient with fulminant clostridium difficile colitis WITHOUT ileus
Vancomycin 500mg orally/NGT every 6 hours AND Metronidazole 500mg IV every 8 hours for 10-14 days
400
Target heart rate and SBP for acute management of this condition
HR <60bpm and SBP within 100-120 mmHg
500
Balkan endemic nephropathy is associated with this malignancy
Transitional (urothelial) cell cancer
500
Severe and prolonged hypocalcemia that occurs after parathyroidectomy is termed this
Hungry Bone Syndrome
500
COV-BARRIER study in COVID-19 was done using this investigational agent/drug
Baricitinib (JAK1/2 Inhibitor)
500
Criteria for cardiac resynchronization therapy
Symptomatic heart failure (NYHA II-IV) with EF </= 35% despite optimal medical therapy for 3 months, in sinus rhythm with LBBB & QRS>150msec