Cardiology
Recommended thromboembolism prevention strategy for a 48yo M with non-valvular afib, with no history of DM, HTN, HLD, tobacco, CHF, or clinically evident vascular disease.
No additional medication (CHA2DS2VASc = 0)
Which med would you add for an 85yoM with COPD who is on salmeterol daily, albuterol 2-3x/day, and hospitalized twice in 6 mo for COPD exacerbations?
Tiotropium (or any other LAMA)
Of albuterol, doxy, tamiflu, azithro, or levaquin, which is the best treatment for an afebrile 30yoM, presenting with 1 week of productive cough and wheezing? Normal CXR and negative rapid flu test.
Albuterol
This vitamin regulates Calcium uptake from the GI tract.
What is Vitamin D
This is the average depth of the Great Salt Lake (+/-20%)
13 feet
What is the best recommendation for a patient who received drug eluting stent (electively for stable angina) 3 months ago, on plavix and ASA, prior to elective non-cardiac surgery?
Delay surgery until 6 months after PCI.
In a patient with severe COPD and chronic hypoxemia, what therapy will have survival benefit?
Supplemental O2
Antiretroviral therapy should be initiated at what CD4 count?
Any!
This T-Score on a DEXA scan defines osteoporosis.
What is -2.5.
This artificial organ, implanted in 1982 at the U, was the first of its kind implanted in the US.
<3
(a heart)
Most likely diagnosis in a patient with syncope and SOB, with systolic crescendo-decrescendo murmur that gets louder with valsalva.
HOCM
What medication would you add to the regimen for 47yoM with asthma, using albuterol during the day 3-4x/week and at night 1x/week?
Inhaled steroid
(LABA without steroid increases mortality)
Which antibiotic is the appropriate agent for a woman admitted to the ICU with a cat bite?
Ampicillin-Sulbactam (Unasyn)
Although there is a risk of agranulocytosis, this medication is generally first line for hyperthyroidism due to Graves.
What is Methimazole
Although its name contains another state, this restaurant was actually founded in Utah.
KFC
Next best step for a patient 48 hours after MI, and now has wide-complex tachycardia, chest pain, evidence of pulmonary edema, and hypotension.
Synchronized cardioversion
What is the next best step in a hospitalized patient with Cr 2.2, who develops acute pleuritic CP, dyspnea, hypoxemia, and tachycardia. No fever, BP 110/74, and normal CXR.
Heparin drip.
Symptomatic patient with high pretest probability -> empirically start treatment for PE.
In immunocompromised patients with fever, sinus pain, and sinus biopsy showing irregularly branched and broad based hyphae, what initial anti-fungal should be started?
What is Amphotericin B
Tumors of the parathyroid gland, anterior pituitary and enteropancreatic cells define this classical endocrine syndrome.
What is MEN1.
Salt Lake City has the highest consumption per capita of this food.
Jell-O
Immediate therapeutic step in a patient who is hypotensive 2/2 presumed tamponade.
IVF bolus
In addition to IVF and oxygen, what is the next best step in treatment of acute chest syndrome in sickle cell? Patient's hemoglobin is 10.3.
Antibiotics
This antibiotic should be prescribed for patients who return with Diarrhea after traveling to Southeast Asia.
What is Azithromycin (1000 mg once)
Along with a combined estrogen-progesterone oral contraceptive, this medication can be used for its anti-androgen properties in patients with hirsutism.
What is Spironolactone.
This famous actor established the Sundance Institute, which supports new and emerging directors.
Who is Robert Redford