Rhuem
GIM
Matters of Heart
DERM
ID
100
Adult scoliosis is a radiologic diagnosis and refers to a three-dimensional abnormal curvature of the spine with a coronal deviation of greater than this degrees
10
Cobb angle
100
Name the finding
Dupuytren contracture is a fibrosing disorder of the palmar fascia resulting in finger flexion contracture that typically spares the thumb and index finger.
Bilateral hand involvement is more common in patients with diabetes mellitus and poor glycemic control.
100
Syndrome of angina and normal coronary arteries
Cardiac syndrome X (microvascular angina)- is a poorly defined condition characterized by anginal chest pain in the presence of angiographically normal coronary arteries or insignificant CAD (<50% stenosis).
Patients may be treated with β-blockers, calcium channel blockers, nitrates, and ranolazine.
100
Primary prognostic feature for melanoma
Depth of invasion (Breslow depth)
100
Recommended CD4 count to initiate ART for HIV infection
any
200
Gastrointestinal pathogens associated with reactive arthritis, name 2
Salmonella, Shigella, Campylobacter, Yersinia
200
Physical exam assessment to perform on patients with suspected central vertigo and early stroke
HINTS assessment- (Head Impulse, Nystagmus, and Test of Skew )
The HINTS examination has higher sensitivity than advanced imaging, such as MRI and CT, in early stroke and should be performed on patients with central vertigo in the differential diagnosis.
200
CI to IABP
AI or AR
200
Herald Patch is seen with this disorder
Pityriasis rosea is a common viral exanthem that may be related to reactivation of human herpesvirus 6 or 7. The rash begins as a single annular patch or plaque with fine scaling (the herald patch), typically on the trunk, followed by numerous smaller, skin-colored to pink papules and plaques erupting along skin cleavage lines.
Treatment is generally not necessary because the rash self-resolves over 4 to 8 weeks. Topical glucocorticoids can be used for temporary relief of pruritus.
200
This drug can be used alone for PrEP for HIV
Cabotegravir or Lenacapavir
300
One of earliest manifestations of systemic sclerosis
Raynaud phenomenon
300
First line therapy for BPPV
First-line therapy for BPPV is canalith repositioning with the Epley maneuver, which is 80% to 90% effective and may be repeated if the initial attempt is unsuccessful.
Dix-Hallpike Maneuver Used to Induce Nystagmus in BPPV
300
This is the mainstay of therapy for shock secondary to RV infarction
Volume resuscitation
300
Pruritic skin-colored papules appearing within hours of sun exposure
Polymorphous light eruption is characterized by a rash (most commonly pruritic erythematous papules) after sun exposure that persists for weeks and resolves without scarring.
most common idiopathic photosensitivity disorder
300
What is the administration regimen for Cabotegravir
Cabotegravir, an integrase strand transfer inhibitor, is a long-acting intramuscular injection that is administered every 2 months after the initial dosing for PrEP
400
Imaging test to identify muscle biopsy location in idiopathic inflammatory myopathies
MRI
400
Medial-inferior heel pain after prolonged rest (e.g., first morning steps), improved with walking
Plantar fasciitis
400
CABG shows improved survival over PCI with intervention in these clinical scenarios. Name atleast 3.
3 vessel disease
Severe Two-Vessel Disease with Proximal LAD Involvement
Multivessel coronary disease and diabetes(especially insulin-dependent diabetes)
Coronary disease accompanied by reduced ejection fraction (LVEF ≤ 35% to 40%).
High Anatomical Complexity-characterized by heavily calcified blockages, chronic total occlusions, or bifurcation lesions
Significant left main coronary artery disease (LMCAD)
400
Presence of this sign suggests subungual melanoma.
Longitudinal melanonychia showing the hyperpigmentation at the proximal nail fold (Hutchinson sign)
400
What is the administration regimen for Lenacapavir
dosed by subcutaneous injection every 6 months
500
Bilateral hilar adenopathy, arthritis, erythema nodosum
Löfgren syndrome is a form of systemic sarcoidosis characterized by bilateral hilar lymphadenopathy, erythema nodosum, and migratory polyarthralgia, usually accompanied by fever.
Presence of all three parts of the triad is 95% specific for sarcoidosis, obviating the need for biopsy.
500
This test is used to assess for Achilles tendon rupture
Thompson Test- With patient in the prone position, the examiner squeezes mid-calf and observes for plantar flexion of the foot. When the patient has an intact Achilles tendon, plantar flexion will occur. When there is a complete Achilles tendon rupture, no plantar flexion is observed. The test may also be performed with the knee flexed 90 degrees.
500
This score is an angiographic tool used to quantify the anatomical complexity of coronary artery disease (CAD)
SYNTAX Score- Named after the landmark SYNTAX trial (Synergy between PCI with TAXUS and Cardiac Surgery), it serves as a standardized guide for a hospital's Heart Team (cardiologists and cardiac surgeons) to decide whether a patient will survive longer with stenting (PCI) or bypass surgery.
500
Identify the organism
Sarcoptes scabiei mite seen on mineral oil preparation of skin scrapings.
500
Treatment of progressive multifocal leukoencephalopathy
Management of the underlying immunocompromised state