Heart Aches
This murmur increases with Valsalva and decreases with squatting.
hypertrophic obstructive cardiomyopathy (HOCM)
Empiric treatment for neutropenic fever includes this class of antibiotics.
anti-pseudomonal beta-lactams (e.g., cefepime)
This serologic marker is most specific for SLE.
anti-dsDNA
First step in evaluating a patient with hypercalcemia.
check PTH level
A young adult presents with recurrent pancreatitis, a normal lipid profile, and no alcohol use. Genetic testing is positive for PRSS1 mutation.
hereditary pancreatitis
This EKG finding is classically seen in pericarditis.
diffuse ST elevation with PR depression
HIV patient with CD4 count <100 and ring-enhancing brain lesions on MRI.
Toxoplasmosis
Classic triad of reactive arthritis.
arthritis, urethritis, and conjunctivitis
Low sodium, high potassium, and hypotension point to this endocrine emergency.
adrenal crisis
An older man has hyperpigmented skin, diabetes, and arthralgia. Labs show elevated ferritin and transferrin saturation.
hereditary hemochromatosis
The CHA₂DS₂-VASc score of 2 in atrial fibrillation indicates this.
recommendation for anticoagulation
This type of fungal infection is associated with iron overload and DKA.
mucormycosis
Young woman with bilateral hilar adenopathy and erythema nodosum.
sarcoidosis
The most sensitive test to confirm acromegaly.
elevated IGF-1 level
A young woman presents with liver failure, psychiatric symptoms, and Kayser-Fleischer rings
Wilson’s disease
A young patient with sudden death, inverted T waves in V1-V3, and RV dilation likely has this inherited condition.
arrhythmogenic right ventricular cardiomyopathy
A patient on prolonged broad-spectrum antibiotics develops fever and diarrhea. Colonoscopy reveals pseudomembranes.
C. difficile colitis
The antibody associated with limited scleroderma and CREST syndrome.
anti-centromere antibody
Thyroid condition with painful, tender gland and elevated ESR.
subacute (de Quervain) thyroiditis
A middle-aged woman with dry eyes and dry mouth is found to have anti-Ro and anti-La antibodies.
Sjögren’s syndrome
Name the 4 features of cardiac tamponade on physical exam and imaging.
hypotension, muffled heart sounds, JVD, and electrical alternans/pulsus paradoxus
Treatment for latent TB in someone exposed to an active TB case but asymptomatic.
isoniazid and rifapentine for 3 months (or isoniazid monotherapy for 9 months)
A positive ANCA with c-ANCA pattern suggests this vasculitis.
granulomatosis with polyangiitis (Wegener’s)
Insulinoma diagnosis is supported by this triad.
Whipple's triad: hypoglycemia symptoms, low blood glucose, and symptom relief after glucose
A 30-year-old man has stroke-like symptoms, short stature, hearing loss, and elevated lactic acid. Muscle biopsy shows ragged red fibers.
MELAS (Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like episodes)