Endocrinology
Why is it that use of Calcitonin is not effective after 2-3 Days?
Tachyphylaxis
What is the first line agent for Beta Blocker Toxicity?
Glucagon
True or False:
ALS clinically presents with both motor and sensory issues
False
What are the 2 main Large Vessel Vasculitides?
Giant Cell Arteritis
Takayasu Arteritis
True or False
You admit a patient for Community Acquired Aspiration Pneumonia. Anaerobic coverage is indicated! (clindamycin, B lactam/B Lactamase inhibitor, etc.)
False
6-8 weeks
In a HF patient on Entresto where you are trying to determine if they are having a HF decompensation, BNP may be falsely elevated. What lab marker can be used as a surrogate for BNP in this scenario?
NT-proBNP
How do you diagnose and treat straightforward BPPV?
(Need Diagnostic Test AND Treatment)
Dx: Dix-Hallpike
Treatment: Epley Maneuver
What class of medication is the first line pharmacologic treatment for symptomatic Raynaud's Phenomenon?
Dihydropyridine Calcium Channel Blockers
Every CD4% of 7 is equal to a CD4 count of approximately _____.
100
Name 3 out of the 5 Initial Pharmacotherapies for the Management of Thyroid Storm.
- Beta Blocker (control adrenergic tone)
- Thionamide to block new hormone synthesis
- Iodine Solution to block the release of thyroid hormone
- Glucocorticoids
- Bile Acid Sequestrants to decrease enterohepatic recycling of thyroid hormones
You are seeing a new patient:
75F with CAD, Atrial Fibrillation, Mechanical Mitral Valve, CKD, HTN, and DM2
Additionally, a stable Cr of 1.7 and weight of 59kg.
Does she qualify for reduced dose apixaban for stroke prophylaxis?
No!
Mechanical Valve
What is the first line treatment for Acute Multiple Sclerosis Flare?
Steroids
What is the target Serum Uric Acid Level in all patients taking Urate Lowering Therapy for Gout?
<6 mg/dL
A prior _____ is a contraindication to the use of Prasugrel
Stroke
What are the 3 main ways that Cancer can cause Hypercalcemia?
- PTH-rp Mediated
- Granuloma Mediated (Lymphoma)
- Lytic Bone Disease
At what level of Iron is Intravenous Iron Therapy recommended for Heart Failure Patients
< 100
What clinical feature is REQUIRED for a diagnosis of Parkinsons Disease:
A) Resting Tremor
B) Cogwheel Rigidity
C) Bradykinesia
D) Postural Instability
C) Bradykinesia
At the time of diagnosis with Giant Cell Arteritis, ~42% of patients also have this Inflammatory Disorder.
Polymyalgia Rheumatica
Which specific fluid is recommended by the AGA for administration in Acute Pancreatitis?
LR
What is the starting dose of Levothyroxine to treat hypothyroidism for a patient under 65 without cardiovascular disease?
1.6 micrograms per kg per day
Following Drug Eluting Stent placement for ACS, DAPT should be continued for a MINIMUM of how long?
1 year
What are the results on each of the portions of a HINTS exam that suggest a central lesion?
Head Impulse Test:Absence of a Corrective Saccade
Nystagmus: Often Vertical, Multidirectional (changing), or does not suppress with visual fixation
Test of Skew: Presence of Vertical Misalignment
For induction therapy in Class 3 and 4 Lupus Nephritis, you start glucocorticoids, and either of these 2 agents!
(Need both)
Mycophenolate Mofetil
OR
Cyclophosphamide
Which recreational drug is known to cause a functional deficiency in Vitamin B12?
Nitrous Oxide, Laughing Gas, Whip-Its, Whippets