So you have a God complex, huh?
t/f: PCI improves morbidity and mortality in patients with stable CAD.
False
Formula to calculate corrected Ca for albumin.
Measured Ca + (0.8 x [4-Alb])
5 indications for emergent HD.
1. Acidosis
2. Refractory hyperkalemia >6.5
3. Toxin ingestion
4. Volume overload
5. Uremic pericarditis or encephalopathy
t/f: All patients with PUD should be tested for H. pylori infection regardless of NSAID use.
True
t/f: ESR is useful in treating RA.
True
This is the indication for ICD placement in heart failure.
LVEF <35% and NYHA 2 or 3 symptoms, after 3 months on GDMT (or 40 days after MI)
Size definition of pituitary macroadenoma.
>1 cm
Creatinine is dependent on muscle mass, but ____ is not.
Cystatin C
52 YO F with diarrhea unrelated to food intake. Worse at night. Colonoscopy is normal. Most likely dx?
Microscopic colitis
-Treat by avoiding NSAID/PPI
-Can give anti-diarrheals +/- budesonide
False positive lab seen in chronic hepatitis.
RF
Minimum lengths of time to keep on DAPT after PCI.
ASA indefinitely
BMS- 1 month
DES- 6 months
CABG- 12 months
This screening lab result indicates possible primary hyperaldosteronism.
ARR >20-30
Poison that gives you calcium oxalate stones?
Poison that causes high Osm gap without HAGMA?
1. Ethylene glycol
2. Isopropyl alcohol (hand sanitizer)
How do you induce remission for moderate-dz UC?
Prednisone or budesonide
(Maintenance therapy would be 5-ASA agent, 6-MP, or azathioprine)
2 medications contraindicated in tx of gout flare in CKD patients.
NSAIDS + colchicine
Surgery to repair aortic root is indicated when root diameter is...
>5 cm + risk factors OR
>5.5 cm without risk factors
These 2 bone conditions are caused by primary hyperparathyroidism.
Osteoporosis
Osteitis fibrosa cystica
RTA 4
Elevated lab in patient with painless obstructive jaundice + "sausage-shaped" pancreatic enlargement. Excluded cancer.
Serum IgG4
(Autoimmune pancreatitis)
Flowing "candlewax" calcifications on the R of the thoracic vertebrae.
DISH (Diffuse idiopathic skeletal hyperostosis)
22 YO M establishing care has a systolic ejection click at LLSB + continuous diastolic murmur heard at scapula. EKG: LVH. TTE: Pending. Most likely dx?
Bicuspid aortic valve
Name the 5 indications for surgery in hyperparathyroidism.
1. Ca 1 above ULN
2. T-score <2.5
3. CKD3
4. Ur Ca >400 in 24h
5. Age <50 YO
Heparin can cause this electrolyte abnormality, and the mechanism is...
Hyperkalemia
Mechanism: Block aldosterone production
45 YO IVDU with rash. Skin Bx shows leukocytoclastic vasculitis. HBsAg is NEG. Likely dx?
HCV
3 conditions in which anti-SSA (Ro) may be +
Sjogren
Subacute cutaneous lupus
Maternally transmitted fetal heart block