Cards
Hematology
Psych
Women's Health
Virtual Dx
100
Medication indicated in a patient with ischemic cardiomyopathy with an ejection fraction of 29% and mild heart failure symptoms, who is already receiving carvedilol, furosemide, and lisinopril?
What is a mineralocorticoid-receptor antagonist?
(accept spironolactone, also accept SGLT2 inhibitors)
100
Diagnosis of a 23-year-old man evaluated for anemia, abdominal pain, and arthralgia. He recently renovated an old house.
What is lead intoxication?
100
Most likely diagnosis in a patient who reports anxiety and declining work function because of concerns about HIV infection and who examines his skin every day for evidence of Kaposi sarcoma lesions, despite having received multiple negative HIV test results, normal lab results, and repeated reassurances
What is illness anxiety disorder?
100
Leading cause of death from gynecologic malignancy in the United States
What is ovarian cancer?
100
Diagnosis of a 74-year-old man undergoing colonoscopy for watery diarrhea.
What is pseudomembranous colitis?
(accept C. diff infection)
200
P2Y12 inhibitor with dyspnea as side effect
What is ticagrelor?
200
A thrombotic microangiopathy caused by severely reduced activity of ADAMTS13
What is thrombotic thrombocytopenic purpura? (accept TTP)
200
Most likely diagnosis in a patient who develops a depressed mood and headaches in response to an identifiable stressor (within 3 months) and experiences either functional impairment or distress beyond what would be expected, but does not meet criteria for MDD.
What is adjustment disorder?
200
Syndrome name for the most common form of gonadal dysgenesis
What is Turner syndrome?
200
55-year-old man is evaluated for the recent onset of muscle weakness and facial rash
What is dermatomyositis?
300
In addition to medical management, what is the timing for invasive therapy for an 84-year-old man presenting to the ER with an NSTEMI, elevated cardiac biomarkers, and at least 3 risk factors for atherosclerosis. He reports having had multiple episodes of chest pain at rest during the past 24hrs. GRACE 2.0 risk score is 151, TIMI risk score of 4
What is within the first 12-24 hours?
(accept within 24 hours)
300
Most likely cause of a reversible coagulopathy characterized by high international normalized ratio (INR), a normal factor VIII level, and deficiencies of factors II, VII, IX, and X that persists for several weeks despite the administration of vitamin K?
What is superwarfarin (rat poison) intoxication?
300
Most appropriate treatment for a 52-year-old woman whose recurrent depression is in remission with escitalopram and who discloses a 10-year history of hoarding behavior that has caused her to be evicted
What is CBT?
300
Bleeding disorder most commonly associated with menorrhagia
What is von Willebrand disease?
300
40-year-old woman with recently diagnosed advanced HIV infection is evaluated for altered mental status and hemianopia. Brain MRI is performed.
What is progressive multifocal leukoencephalopathy?
400
Therapy for this 70-year-old female patient with a 2-hour history of palpitations and mild SOB, but no chest pain. She has a history of prior MI treated with a DES 3 years ago. BP 110/65, RR 18, SpO2 98%. Last echo showed LVEF 40%. EKG showed:
What is IV amiodarone?
(accept amiodarone, procainamide, or lidocaine)
400
In addition to transfusion support, what is the most appropriate treatment for a 75-year-old female patient with a myelodysplastic disorder characterized by chronic transfusion-dependent anemia, in which cytogenetics of BM aspirate showed deletion of chromosome 5q.
What is lenalidomide?
400
Diagnosis of a young woman with a one-month history of recurrent, unexpected, acute episodes of fear that are associated with chest discomfort, nausea, palpitations, and lightheadedness, who has changed her behavior significantly as a result of these episodes.
What is panic disorder?
400
Vulvar lichen sclerosis predisposes to this condition
What is vulvar squamous cell carcinoma?
400
22-year-old woman is evaluated for fever, weight loss, and exertional dyspnea.
What is Hodgkin Lymphoma?
500
Diagnosis of a 78-year-old patient with chronic Afib, presenting to the ER with generalized fatigue and signs of mild heart failure. Currents meds are metoprolol, digoxin, lisinopril, spironolactone, and rivaroxaban. EKG shows:
(no discernible P waves, narrow QRS, regular rhythm)
What is digoxin toxicity?
500
Monoclonal antibody to treat Waldenström macroglobulinemia
What is rituximab?
500
Most likely diagnosis of a 65-year-old woman with cognitive impairment, delusions and visual hallucinations?
What is dementia with Lewey bodies?
(or Lewy bodies dementia)
500
Chronic vulvar discomfort occurring in the absence of visible findings or clinically identifiable disorder
What is vulvodynia?
500
68-year old woman with chronic plaque psoriasis was treated with systemic glucocorticoids for an exacerbation of COPD. She developed an extensive new rash, as shown.
What is erythroderma?