Next test for high probability subarachnoid hemorrhage but normal CT
What is lumbar puncture
100
Pulmonary syndrome in your women with recurrent pneumothorax and airflow obstruction
What is pulmonary lymphangioleiomyomatosis
100
Intervention that decreases recurrent stroke in sickle cell disease
What is exchange transfusion
100
All of the following right heart sounds become louder on inspitation except for:
- pulmonic regurgitation murmur
- tricuspid regurgitation murmur
- right-sided third heart sound
- tricuspid stenosis murmur
- pulmonic ejection sound
What is pulmonic ejection sound
100
Diagnosis associated with AGMA, osmolar gap and urinary calcium oxylate crystals
What is ethylene glycol poisoning
200
Cause of painless weakness, muscle atrophy, and upper and lower motor neuron signs
What is amyotrophic lateral sclerosis
200
A light metal exposure that produces restrictive lung disease and also has lung biopsy showing interstitial cell infirtrates (with mononuclear cells) and non-caseating granulomas
What is beryllium
200
A metalloproteinase that is deficient in TTP
What is ADAMTS 13
200
25 y/o pregnant woman at 25 weeks gestation presents for evaluation. She reports possible hx of rheumatic fever. She presents today with a fib and pulmonary edema, both new. You order an echocardiogram. What is the most likely etiology?
What is mitral stenosis
200
Acute metal exposure associated with abdominal colic, headache, and fatigue
What is lead
300
Pain in the indicated area is compatible with this diagnosis
What is meralgia paresthesia (lateral femoral cutaneous nerve syndrome)
300
A previously healthy patient with a hx of troubled past and/or substance abuse presents with: acute coma with stable BP, decreased RR, decreased pO2 and increased pCO2, miosis, A-a gradient is normal
What is hypoventilation; opiates
300
Name of inclusion bodies seen in patients with G6PD deficiency
What is Heinz body
300
Echocardiographic mitral valve finding associated with acute aortic regurgitation
Part 2:
This echocardiographic mitral valve finding is associated with which murmur
What is early closure of the mitral valve
Part 2:
Austin flint murmur
300
Alcohol poisoning associated with increased osmolar gap but a normal anion gap
What is isopropyl alcohol
400
Type of weight loss diet that can worsen sxs of patient's treated for Parkinson's disease
What is high protein
400
A middle-aged asthmatic female presents with: intermittent cough and dyspnea, CXR: diffuse alveolar infiltrates, bronchoalveolar lavage: + eosinophils
What is chronic eosinophilic pneumonia
400
In what setting do you see schistocytes on a peripheral blood smear
What is microangiopathic hemolytic anemia
400
CHADS2 pneomonic?
What is CHF, HTN, age >75, DM, stroke or TIA
400
Complication associated with bisphosphonate infusion
What is osteonecrosis of the jaw
500
Neurologic term that describes inability to correctly draw a a clock face
What is constructional apraxia
500
A young smoker with exertional dyspnea and productive cough has the following: FEV1/FVC: < 0.70, CXR: bullous emphysema at the lung bases
What is alpha1-antitrypsin deficiency
500
Initial regimen of choice in high risk pts with ET
What is hydroxyurea + low dose ASA
500
What are the ACCP guidelines regarding anticoagulation for a fib based on CHADS2 score?
What is CHADS2 0 - no AC or ASA, CHADS2 1 - OAC preferred, CHADS2 2 or greater - OAC preferred