System
Where's the Evidence?
End of Life
It Hurts When I Pee
Skip to the Beat
100

Helps fight disease and infection

What is the Lymphatic system?

100

This recent study showed the cardiovascular benefits of empagliflozin.

What is the EMPA-REG study.

100

This electrolyte abnormality can cause refractory hypokalemia.

What is Hypomagnesemia.

100

Which test best differentiates Restrictive vs Obstructive Lung disease?

Total Lung Capacity 

200

This system includes the brain

What is the nervous system

200

This study evaluated the difference in mortality between rate and rhythm control in patients with atrial fibrillation. 

What is the AFFIRM trial. 

200

Which stage of grieving & loss is shown when the patient finds a sense of peace & accepts death?

What is acceptance?

200

A pregnant woman >20 weeks gestation presents with hypertension and proteinuria.

What is preeclampsia.

200

A patient has 9 mm lung nodule. In what duration follow up CT has to be scheduled?

3 months

( 6-12 months in nodules of 6-8mm size )

300

This is an appropriate way to treat hypoglycemia unawareness. 

What is decrease intensity of therapy. (New CGM do have hypoglycemic alarms, but therapy should still be decreased)

300

This Landmark study evaluated the effect of intensive versus conservative blood sugar control in patients with T2DM.

What is the ACCORD trial.

300

Vomiting, Nasogastric suction, and diuretic use are all common causes of this. 

What is hypovolemic, hypochloremic metabolic alkalosis. 

300

A patient has a dog, a cat, 2 parakeets and pigeons. He presents with cough, progressive shortness of breath. CXR reveals interstitial/alveolar infiltrates ( ground glass ). No eosinophilia seen, PFTs show restrictive pattern. Dx ?

Hypersensitive Pneumonitis ( Bird Fancier's Lung )

400

Autoantibodies to GAD65 and tyrosine phosphatase IA-2 demonstrate strong association with Type 1A diabetes and are currently recommended to be obtained at this frequency.

What is at diagnosis only. (GAD65 may persist for many years after onset though)

400

This Landmark trial provided groundbreaking date on the safe delay of dialysis in patients with GFR<14 and no other classic indications for dialysis.

What is the IDEAL study.

400

This is the pathological diagnosis of Obesity-related nephropathy.

What is secondary FSGS.

400

Pt with cryptogenic cirrhosis with ascites and shortness of breath and hypoxemia which are worse in upright position. DLCO is 70%. Best Diagnostic Test is ?

Trans Thoracic Echo with microbubble studies

500

This classification system has a 99% sensitivity and 96% specificity for predicting poor glycemic control and development of long-term insulin dependence in those with ketosis-prone T2DM. 

What is the AlphaBeta system.

500

This landmark trial showed improved outcomes in patients with RA who were treated earlier and more aggressively.

What is the TICORA trial.

500

What are the 5 stages of grief?

What is denial, anger, bargaining, grieve, acceptance

500

This diagnosis should be considered as a cause of hematuria with coexistent URI.

What is IgA nephropathy.

500

A Pt with Sore Throat of a few days duration, now presents with severe pain if he moves neck and has pain on swallowing. Brawny edema of hypopharynx and tenderness of sternocleidomastoid is present. Most likely diagnosis?

Lemierre's disease ( Internal Jugular Vein Thrombosis )