Rheumor has it
The combination of which antibodies give the greatest specificity for the diagnosis of rheumatoid arthritis.
What is anti-cyclic citrullinated peptide antibodies and rheumatoid factor
This disorder can be treated by repositioning otoliths from the semicircular canal into the vestibule of the ear. What is the name of the treatment?
What is the epley maneuver?
demonstrate.
This disorder is the most common found following tetralogy of Fallot repair.
What is the pulmonary regurgitation?
Three disorders associated with patients with multiple endocrine neoplasia type 2A.
What are medullary thyroid cancer, pheochromocytoma, and primary hyperparathyroidism
This diagnostic study is recommended for the exclusion of upper gastrointestinal structural causes of dyspepsia in patients who have alarm features.
What is an upper endoscopy?
In patients with gout who require urate-lowering therapy, which is a viable alternative for those who have an adverse reaction to allopurinol.
What is febuxostat?
This disorder is characterized by frequent episodes of binge eating followed by inappropriate compensatory behaviors (self-induced vomiting or misuse of laxatives, diuretics, and enemas) due to fear of weight gain.
What is Bulimia Nervosa?
In patients with an intermediate risk of cardiovascular disease, the measurement of what has been proven to be useful for guiding primary prevention strategies?
What is high-sensitivity C-reactive protein, CAC, Lp(a)?
The most appropriate next step in the management of a patient with a solid thyroid nodule measuring greater than 1 cm on ultrasonography.
What is Fine-needle aspiration?
Serologic testing for this antibody should be performed in patients who present with weight loss, steatorrhea, and nutritional deficiencies.
What is IgA Anti-Tissue Transglutaminase?
In this rheumatological disorder this imaging modality is used determine aortic root and ascending aortic diameter.
daily double- list the rheum disorders
What is echocardiolography?
Marfan syndrome, Loeys-Dietz syndrome, Takayasu arteritis, or giant cell arteritis
Cohort studies investigate the outcomes of similar patients with different exposures. What is the standard outcome measure for a cohort study?
What is relative risk?
This disorder is characterized by differential cyanosis and clubbing affecting the lower body in patients with a patent ductus arteriosus.
What is Eisenmenger syndrome?
First line therapy in the treatment of subacute granulomatous (de Quervain) thyroiditis typically is what?
What is supportive, with NSAIDs and occasionally glucocorticoids for severe pain.
This presentation of acute liver failure occurs in 1 in 30,000 live births resulting in hemolytic anemia, increased deposition of mineral found in the descement membrane of the iris & eventually liver transplantation.
What is Wilson's disease?
This rhuematological disorder is an overlap syndrome that includes features of systemic lupus erythematosus, systemic sclerosis, and/or polymyositis. What antibodies are commonly found positive in these patients?
What is anti-Ul-ribonucleoprotein antibodies.
An insulin dependent diabetic patient is scheduled for surgery and is inquiring about what they should do regarding their insulin regimen(which is the long & short acting regimen) the day before.
What is the best approach to glycemic control in the perioperative period.
What is Continuation of long-acting insulin while withholding scheduled short-acting insulin during fasting ?
Term used to describe ST-segment elevations, elevated cardiac biomarkers & coronary angiography which demonstrates an absence of significant obstructive coronary artery disease indicate what disorder?
This combination of ST-segment elevation, elevated cardiac biomarkers (like troponin), but no significant blockage on angiography points to Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA), a form of heart attack often caused by plaque rupture, vasospasm, spontaneous coronary artery dissection (SCAD), or myocarditis, requiring further investigation for its diverse underlying causes.
This diabetic med may lead to acute kidney injury and hypoglycemia & altered mental status in older persons with diabetes mellitus.
What are sulfonyureas?
The absorption of what vitamins are severely impaired following malabsorptive bariatric surgery, including Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch.
What are vitamins A,D,E & K?
In patients with systemic sclerosis, malabsorption due to bacterial overgrowth can be evaluated by what diagnostic study?
daily double and how.
What is a hydrogen breath test?
To evaluate malabsorption from bacterial overgrowth (SIBO) in systemic sclerosis (SSc) patients, the primary diagnostic study is a Hydrogen Breath Test (HBT), typically using glucose or lactulose, which measures exhaled hydrogen/methane after consuming a sugar substrate to detect early bacterial fermentation. While HBT is standard, SSc patients face challenges with mouthpieces, so newer markers like fecal calprotectin are being explored, but the HBT remains a key tool, sometimes complemented by assessing motility issues with scintigraphy.
A male patient presents to your office with low-normal testosterone levels and wants to begin treatment. What is the next course of action?
What is repeat/confirm morning serum total and free testosterone levels?
In patients with heart failure with reduced ejection fraction these medications in the class of Beta Blockers have been shown to provide benefit in patients.
daily double:study? which is superior
What are metoprolol succinate, carvedilol, and bisoprolol.
COMET - Corvedilol
The presence of 2-mm or more coved precordial ST-segment elevation on electrocardiogram (diagnosed by characteristic ECG patterns (ST-elevation in V1-V3) and symptoms (cardiac syncope) or ventricular arrhythmia indicates the presence of what disorder?
What is Brugada syndrome.
This is the only drug approved by the FDA for the treatment of gastroparesis with side effects such as hyperprolactinemia, galactonhea, and tardive dyskinesia .
What is Metoclopramide?
List 4 causes of low serum complement glomerular diseases with nephritic syndrome.
post streptococcal infection
SLE
cryoglobulinemia
idiopathic membranoproliferative