CARDIOLOGY
Findings on ventriculogram for Takotsubo/stress induced cardiomyopathy
Apical ballooning
Who gets screened for AAA? (gender, age, circumstance)
Men 65-75 who has ever smoked and selected men with fam Hx etc
DO NOT SCREEN WOMEN
How to work up testicular cancer?
FNA/excisional biopsy/orchidectomy w histopath?
Orchidectomy, never biopsy!
What has a birds beak appearance on esophagogram?
Achalasia
Is Earth flat?
No
What is the long term preferred/most efficacious treatment for atrial flutter?
Catheter ablation
What do you need to rule out in your patients with restless legs syndrome?
Iron deficiency
What is the steroid stress dose for adrenal crisis?
Hydrocortisone 50 mg q 6 hrs (200 mg daily)
It has mineralocorticoid activity unlike prednisone
Name two most common causes of acute pancreatitis
Gallstone (must have cholecystectomy during that hospital stay if uncomplicated pancreatitis)
Alcohol
who sings "Hit me baby one more time"?
Britney Spears
Name 2 reasons for ST elevations other than actual STEMI
Pericarditis (widespread)
LV aneurysm
Takotsubo (also widespread, not only over one artery territory)
Coronary vasospasm
Acute stroke
Normal variant
Treatment for falls in elderly?
PT
Home safety
Reduce polypharmacy
Treat orthostasis and visual impairment
NOT VIT D
What is a pathognomonic finding for AML on peripheral smear?
Auer rods
What is the first line treatment for left sided uncomplicated diverticulitis in stable patients without comorbidities?
CTM
Treatment for asymptomatic pulmonary sarcoidosis
CTM
When do we need to order a toe-brachial index to PAD work up (on top of ABI)?
When ABI is >1.40
Which SSRI is FDA approved for Tx of hot flashes in menopause
Paroxetine
Name 3 cancer emergencies
Hypercalcemia – NaCl, loop diuretics, calcitonin, bisphosphonates
Hyponatremia (SIADH)
DVT
Brain mets
Spinal cord compression
SVC syndrome (but not really, they do not need emergency intervention)
Cardiac tamponade
Pleural effusions
Tumor Lysis syndrome (allopurinol/rasburicase-> lowers levels more rapidly)
What is the prophylaxis for SBP in cirrhotic patients without active GI bleed?
Fluoroquinolones
Which group of medication is contraindicated for hypertensive emergencies with pulmonary edema
B blockers
What is the most common cause of acute coronary syndrome/MI in peripartum period?
Coronary artery dissection
Name elements of HINTS exam
Head Impulse
Nystagmus
Test of skew
What is confirmatory testing for nonclassical congenital adrenal hyperplasia?
Significant increase of 17-hydroxyprogresterone (>1,000 ng/dL) after high-dose ACTH (250uq) administration
What is the next step in work up of GERD non responsive to BID PPI with EGD WNL
24 hr esophageal pH monitoring WHILE THE PATIENT IS TAKING PPI
Toxic shock syndrome: name antibiotic decreasing toxin production
Clindamycin