Neurology
Dix-hallpike is the maneuver to diagnose BPPV. What does BPPV stand for and what is the maneuver used for treatment?
Benign positional paroxysmal vertigo and Epley’s maneuver
What is most common cause of Right Heart Failure
What is
Left Heart Failure
Score used to determine AC need in hospitalized patients by risk of VTE
What is
Padua Prediction Score
What is the best test to determine ACL injury?
Lachman, knee flexed to 20 to 30 degrees, anterior force is applied to the proximal tibia.
Which antibiotic was first called “mold juice?”
Penicillin?
Lhermitte’s sign, an electrical shock radiating down the spine resulting when neck is flexed, can be seen in this autoimmune demyelinating disorder
Multiple sclerosis
Which BB are FDA approved to treat systolic congestive heart failure?
What are
Carvedilol (Coreg)
Bisoprolol
Metoprolol succinate (Toprol) NOT tartrate (Lopressor)
2 scores for Atrial Fibrillation. Then briefly explain purpose/scoring.
CHA2DS2-VASc: Calculates stroke risk for patients with Afib
HAS-BLED: Estimates risk of major bleeding for patients on AC to assess risk-benefit in Afib care.
What is the most common bacteria seen in osteomyelitis? Most common bone it is spread to?
Staph aureus, vertebrae
“Barber's Chair Phenomenon” describes the phenomenon of an electric shock along the spine when the neck is flexed
Lhermitte's Sign
For patients with sensory deficits, a B12 and B9 level can be obtained. What lab test can help differentiate between a B12 and B9 deficiency?
MMA (methylmalonic acid)
List the Triad, EKG, and CXR findings of Cardiac tamponade
What are
Beck’s triad: Hypotension, muffled heart sounds, elevated neck veins
Pulsus paradoxus
Water Bottle Heart: CXR finding
Pre-op scoring (List 2)
What are
RCRI: Estimates risk of cardiac complications after noncardiac surgery
Gupta: Predicts risk of MI or cardiac arrest after surgery
This bone disorder results in abnormal bone architecture from an increase in osteoblastic and osteoclastic activity causing a mosaic bone pattern and "chalk-stick" fractures.
Paget disease
What does PNES stand for?
Psychogenic Non Epileptic Seizure
True or False: The following are clinical features that may indicate a true seizure? Pelvic thrusting, length of seizure activity >10min, crying/distractible during seizure activity
False
List the Triad of symptoms of Aortic Stenosis
What are
1.Angina
2. Syncope
3. Dyspnea (from HF)
Liver cirrhosis: List 2 Scores and Purpose
What are
Child-Pugh: Estimates cirrhosis severity
MELD-Na: Quantifies end-stage liver disease for transplant planning with Sodium
Shoulder dislocation followed by weak abduction and numbness over the lateral shoulder is likely due to this nerve palsy.?
Axillary nerve injury
Heartbeat auscultated on the R side of the chest??
What condition?
Situs Inversus??
MoCA and MMSE are both tools to assess cognition. Which test can help detect Alzheimer’s Disease?
MoCA
What are common causes of Endocarditis (microorganisms)?
What are
Streptococcal viridins
Staph aureus
Enterococcus
BONUS: Strep bovis associated with colon cancer
BONUS: Culture negative causes of Endocarditis (Vegetation on valve but no organism in BC)
H aemophilus aphrophilus
A actinobacillus actinomycetemcomitans
C ardiobacterium hominis
E ikenella corrodens
K ingella kingae
List 1 or 2 Scores used for Alcoholic Hepatitis
What is/are
Maddrey’s: Suggests which pts with alc hepatitis may have poor prognosis and benefit from steroid admin
Lille Model: Predicts mortality in pts with Alcoholic Hepatitis not responding to steroid therapy
What is the most accurate anatomic insertion location for anatomy guided knee injection?
Supralateral approach (91%) with isometric quadricep flexion. Vs 67% anteromedial.
“When a doctor does go wrong he is the first of criminals. He has nerve and he has knowledge.”
Who said this?
Sir Arthur Conan Doyle