Internal Medicine
Rare condition caused by mutation in HFE gene leading to iron overload. Can present with bronze skin, diabetes, or cardiomyopathy
Hereditary hemochromatosis
Name the landmark trial in cardiology which found that chlorthalidone, amlodipine, and lisinopril had similar outcomes for fatal CAD or nonfatal MI
ALLHAT -Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial
This bacteria is the primary organism responsible for "hot tub lung"
Myocobacterium avium
4 types of shock
cardiogenic, hypovolemic (including hemorrhagic), distributive, obstructive
Who wrote the American national anthem the "Star-Spangled Banner" right here in Baltimore?
Francis Scott Key
FPG ≥ 126 mg/dL
2-hour OGTT ≥ 200 mg/dL
a1c ≥ 6.5%
Where was the first ICD developed and implanted
Baltimore, Maryland (Sinai Hospital and Johns Hopkins)
What is the name of the physical examination finding of periorbital swelling seen with Chaga's disease?
Romaña sign
ARDS is characterized by bilateral infiltrates on chest imaging and what other key diagnostic criteria? BONUS: What is the ventilator management strategy?
a PaO2/FiO2 ratio less than 300 or SpO2/FiO2 < 315 (if SpO2 < 97%)
Bonus: Lung-protective ventilation with low tidal volumes (6 mL/kg) to minimize ventilator-induced lung injury
What is the state capital of Maryland
Annapolis
Scoring system using INR, bilirubin, and creatinine which predicts mortality in cirrhosis
MELD score
Name 3 lipid lowering therapies (or drug mechanisms)
Statin
Ezetimibe
PCSK9 inhibitors
Bempedoic acid
siRNA
Bile acid sequestrant
Niacin and fibrates accepted but not preffered answers
What is the mechanism of action for Oseltamivir?
neuraminidase inhibitor
In ACLS for ventricular fibrillation, what drug (excluding epinephrine) should be given and at what dose?
amiodarone 300 mg
Who was the first person to run 1 mile in under 4 minutes? He also happened to be a neurologist
Sir Roger Gilbert Bannister
Two most common causes of bacterial pneumonia in adults
Streptococcus pneumoniae
Haemophilus influenzae
What are the diagnostic criteria for hypertrophic cardiomyopathy?
LV wall thickness ≥ 15 mm (unexplained by abnormal loading or infiltrative disease) or ≥ 13 mm in patients with one relative with HCM
This gram-negative bacillus, increasingly reported in hospital-acquired infections, produces OXA-48-like carbapenemases, conferring resistance to most beta-lactams
Enterobacteriaceae
What is Cushing's Triad
Bradycardia
Irregular respirations
Widened pulse pressure
Name 3 current attendings who were prior chiefs
Jenny
Haider
Anees
Basem
Dr. Shieh
What should be the next test in a patient with unexplained hypophosphatemia?
Will accept either urine phosphorus or FGF-23
What is the name of the physical exam finding when a systolic murmur increases intensity during inspiration?
Carvallo Sign (tricuspid regurgitation)
This DNA virus, a member of the Polyomaviridae family, causes hemorrhagic cystitis or nephropathy in renal transplant recipients
BK virus
Noxious eyebrow pressure or a nail bed pinch elicits internal rotation and extension of the arms is known as what?
Decerebrate posturing
How many MedStar hospitals are there?
10
MedStar Franklin Square Medical Center
MedStar Georgetown University Hospital
MedStar Good Samaritan Hospital
MedStar Harbor Hospital
MedStar Montgomery Medical Center
MedStar National Rehabilitation Hospital
MedStar Southern Maryland Hospital Center
MedStar St. Mary's Hospital
MedStar Union Memorial Hospital
MedStar Washington Hospital Center