Heart of the Matter
The paradoxical increase in the JVP that occurs during inspiration is called
Kussumaul's sign
Warfarin disrupts the liver's production of these clotting factors.
II, VII, IX and X
Adjustment to basal insulin if patient is NPO
Decrease by half
Obtain EKG to monitor what possible side effect of macrolide
QTC prolongation
Albumin replacement is recommended when more than this volume of ascitic fluid is removed during a paracentesis
5 litters
Reversible apical hypokinesis secondary to stressful event
Takatsubo Cardiomyopathy
Desired INR range for patient with mechanical heart valve
2.5-3.5
An ACTH (Cosyntropin) stimulation test is commonly used to diagnose this condition
Adrenal Insufficiency (AI)
Pneumocystis prophylaxis is recommended below this CD4 count
Below 200
This score is calculated to help determine whether a liver injury pattern is hepatocellular, cholestatic, or mixed.
R factor (R score)
What are the parameters to diagnose hypertensive emergency?
SBP >180 and/or DBP >120 WITH evidence of end organ damage
This is the minimum platelet count recommended before a patient undergoes a neurosurgical procedure
100,000/microL
At what level of eGFR is initiating metformin contraindicated?
<30
Name two scoring systems commonly used to assess severity and guide triage decisions in patients with suspected pneumonia
Pneumonia severity index (PSI) and CURB-65
Severe gallstone pancreatitis with CBD obstruction or cholangitis requires this intervention within 24 hours of admission.
ERCP
CHA2DS2-VASc risk stratification score for a 78-year-old female with diabetes, heart failure, and hypertension
6
What are the three most common antiphospholipid antibodies?
Name two initial tests used to evaluate for Cushing's syndrome
Low-dose dexamethasone suppression test, late-night salivary cortisol, and 24-hour urine free cortisol
Procedure often required for definitive diagnosis of vertebral osteomyelitis when blood cultures are negative
Image-guided bone biopsy
Three methods to confirm eradication of H. pylori infection after treatment
Urea breath test, stool antigen test, and upper endoscopy with biopsy
Vasopressor with only alpha 1 adrenergic action.
Phenylephrine (Neosynephrine)
Normal dose for enoxaparin (lovenox) for treatment of DVT/PE.
1mg/kg SQ Q12H
In patients with DKA, this is the minimum serum potassium that must be achieved prior to starting insulin therapy
>3.3
Test that must be order prior to starting Abacavir
HLA-B*5701
The two most frequent skin lesions associated with IBD include
1. Erythema nodosum
2. Pyoderma gangrenosum