Endocrine
Why is it that use of Calcitonin is not effective after 2-3 Days?
Tachyphylaxis
What is the first line treatment for Acute Multiple Sclerosis Flare?
Steroids
TRUE or FALSE
Prophylactic Lovenox needs to be held 12 hours prior to undergoing Paracentesis
FALSE
Which infection is the most common cause of Type 2 Cryoglobulinemic Vasculitis?
HCV
Leukocyte Esterase on a UA indicates the presence of this!
Leukocytes/WBCs
Which of these has the most Glucocorticoid activity?
A) Hydrocortisone
B) Prednisone
C) Dexamethasone
D) Methylprednisolone
E) Fludrocortisone
C) Dexamethasone
What are the 3 tests that are a part of the HINTS exam?
Head Impulse Test
Nystagmus
Test of Skew
To prevent Postparacentesis Circulatory Dysfunction after a Large Volume Paracentesis, ___ to ___ g of albumin per liter should be administered
6-8 g/L removed
What class of medication is the first line pharmacologic treatment for symptomatic Raynaud's Phenomenon?
Dihydropyridine Calcium Channel Blockers
What is the only FDA Approved ORAL Inotrope?
Digoxin
What are the 3 main ways that Cancer can cause Hypercalcemia?
- Humoral (usually PTH-rp Mediated)
- Granuloma Mediated (Lymphoma)
- Mets/MM causing Lytic Bone Disease
What clinical feature is REQUIRED for a diagnosis of Parkinsons Disease:
A) Resting Tremor
B) Cogwheel Rigidity
C) Bradykinesia
D) Postural Instability
C) Bradykinesia
An opening pressure of GREATER THAN ____ cm H2O is considered an elevated pressure
25
What is the target Serum Uric Acid Level in all patients taking Urate Lowering Therapy for Gout?
<6 mg/dL
In order to diagnose Hypoventilation, what value MUST be elevated?
- PaCO2
Name 3 out of the 4 Initial Pharmacotherapies for the Management of Thyroid Storm.
- Beta Blocker (control adrenergic tone)
- Thionamides to block new hormone synthesis
- Iodine Solution to block the release of thyroid hormone
- Glucocorticoids
What does a "Positive Rinne Test" mean?
Air conduction is better than bone conduction
What are the 5 Conventional Views for a Focused Cardiac POCUS Exam?
Need all 5
- Parasternal Long Axis
- Parasternal Short Axis
- Apical 4 Chamber
- Subcostal
- IVC
This Vasculitis is found to have a positive Rheumatoid Factor in nearly 100% of cases!
Cryoglobulinemic Vasculitis
What are the 2 most common "Stimulant" Laxatives that we use in the inpatient setting?
- Bisacodyl
- Senna
In an individual with Primary Hyperparathyroidism, but otherwise healthy, what would you expect of the following labs ?? (Higher or Lower)
- Calcidiol
- Calcitriol
- Phosphate
- Calcidiol -> LOWER
- Calcitriol -> HIGHER
- Phosphate -> LOWER
What clinical presentation feature differentiates Vestibular neuritis from Labrynthitis?
Labrynthitis has loss of hearing!
Which of the following would cause a POSITIVE Spine Sign on POCUS?
A) Thickened Ligamentum Flavum
B) Pleural Effusion
C) Pericardial Effusion
D) Fibrotic Liver
B) Pleural Effusion
At the time of diagnosis with Giant Cell Arteritis, ~42% of patients also have this Inflammatory Disorder.
Polymyalgia Rheumatica
How does Topiramate cause a NAGMA?
It acts as a Carbonic Anhydrase Inhibitor!