I Lung You
You are called to an RRT to assess new-onset tachypnea to the 30s-name 3 diagnostics to order immediately
CXR, ABG, EKG (bonus +50: POCUS)
Name 4 physical exam findings of cirrhosis
this parasite and disease causes mega-colon and dilated cardiomyopathy
trypanasoma cruzi/Chagas Disease
Patient presents with the following honey-crusted lesions. Name the diagnosis.
https://clinicalgate.com/wp-content/uploads/2015/03/B9780723435655000145_f014-009-9780723435655.jpg
Impetigo
Name 3 abnormal lab values in hemolytic anemia
elevated indirect bilirubin and LDH, low haptoglobin, schistocytes on peripheral smear, increased retic count
Name the P/F ratio cut-offs that determine mild, moderate, and severe ARDS
mild: 200- 300
moderate: 100-200
severe: <100
Name 3 physical exam maneuvers to assess cerebellar function
after coming back from Maine, you develop fevers, arthralgias, and cytopenias on CBC. A blood smear demonstrates the following. Name the diagnosis-
Babesiosis
Hepatitis C is associated with this skin finding.
Name the diagnosis associated with the following peripheral smear:
Multiple Myeloma
35 yo African American F presents with worsening dyspnea with the following imaging findings. Name the diagnosis and 3 other complications from the disease.
http://learningradiology.com/images/chestimages1/sarcoidarr.jpg
This maneuver can be used to diagnose BPPV
Dix-Hallpike
(+50 if maneuver can be described)
After scuba diving in Phi Phi, you develop sudden onset shortness of breath and diffuse joint pain. Name the diagnosis
Patient presents with the following skin finding and anti-centromere positivity. Name the diagnosis.
CREST syndrome (+50 if all other components can be named)
What was the main conclusion from the RACE II Trial (cardiology)
In patients with permanent atrial fibrillation, lenient rate control (<110) is as effective as strict rate control (<80) and is easier to achieve
*primary outcome was a composite of death from cardiovascular causes, hospitalization for heart failure, and stroke, systemic embolism, bleeding, and life-threatening arrhythmic events
Patient presents to the ED with dyspnea and is found to have a PE on CTPE. Name the scoring system that helps determine 30 day mortality from PE
Name the appropriate diagnostic test and diagnosis associated with the following exam finding:
24-hour urine copper, serum ceruloplasmin/Wilson's Disease
After returning from Guatemala, you develop fevers, abdominal pain, and diarrhea. You are admitted to the ICU for septic shock. The following is seen on CT abdomen. Name the diagnosis and pathogen:
amoebic liver abscesses due to Entamoeba histolytica
Patient presents with GI bleed and the following skin findings. Name the diagnosis-
https://standardofcare.com/wp-content/uploads/artimgs/1802.jpg
Osler-Weber-Rendu Syndrome (Hereditary Hemorrhagic Telangiectasia)
According to ACP guidelines, name 2 instances in which anticoagulation for below-the-knee DVT is suggested
positive D-dimer, extensive thrombosis or proximity to proximal veins, no reversible provoking factor for DVT, active cancer, history of VTE, and inpatient status.
*otherwise, can serially monitor with DVT u/s and determine AC on case-by-case basis (e.g-if symptomatic, anticoagulate)
Pneumonitis secondary to Barium aspiration during swallow study
This syndrome is characterized by worsening dyspnea when sitting up/standing and improvement while laying down
Platypnea-Orthodeoxia Syndrome (caused by intracardiac/intrapulmonary shunting, hepatopulmonary syndrome)
After an amazing instagrammable vacation on the sandy beaches of Cabo, you develop a strongyloides infection. Name the first-line treatment
Ivermectin
Name 3 differences between Bullous Pemphigoid and Pemphigus Vulgaris
This EKG finding is SPECIFIC for patients with profound hypothermia.
J wave/Osborn wave (positive deflections occurring at the junction between the QRS complex and the ST segment)
https://upload.wikimedia.org/wikipedia/commons/0/0e/Osborn_wave.gif