This murmur gets louder with standing and softer with squatting
Hypertrophic obstructive cardiomyopathy or mitral valve prolapse
The condition associated with Anti-Ro/SSA antibody
Sjogren syndrome
This is the most common cause of osmotic diarrhea
Lactase deficiency
CD4 cell count at which you consider PJP prophylaxis treatment
< 200
When does colonoscopy screening begin in patients with ulcerative colitis or Crohn’s disease?
8 years after initial diagnosis
Two indications for surgery in infective endocarditis
heart failure, embolization, uncontrolled infection
Skin blisters are flaccid and easily ruptured in this autoimmune skin disease
pemphigus vulgaris
First line treatment for mild to moderate ulcerative colitis
5-ASA drugs (e.g. Mesalamine, Olsalazine, Sulfasalazine, etc)
Initial drug of choice for candida blood infection
Echinocandin (caspofungin, micafungin, etc).
Best treatment for thrombotic thrombocytopenic purpura
plasma exchange (other tx: plasma infusion)
The goal INR for prosthetic aortic valve
2.5
Asymptomatic microscopic hematuria following a URI is a classic presentation for what type of immune-complex mediated glomerulonephritis
IgA nephropathy
This is the recommended treatment for first recurrence of C. diff diarrhea
prolonged taper and pulsed Vancomycin OR Fidaxomicin (if Vanc was used for initial episode)
Induction treatment for Cryptococcal meningitis involves these two drugs
amphotericin B and flucytosine
Hemorrhagic bullae after exposure to shellfish in a cirrhotic patient is likely a result of infection from what organism
Vibrio vulnificus
The treatment of choice for patients with mitral stenosis and concomitant atrial fibrillation
Warfarin (NOACs not studied)
Treatment for myasthenic crisis
Plasmapharesis or IVIG
A 45 year-old female on chronic PPIs and SSRIs with chronic diarrhea and normal-appearing colonoscopy will likely have this finding on colonic biopsy
Intraepithelial lymphocytosis (microscopic colitis)
Chest CT or XR finding for inhalational anthrax
Widened mediastinum
Rocky Mountain Spotted Fever will likely produce what abnormality on CBC
Thrombocytopenia
Aortic valve size in severe aortic stenosis
< 1cm2
Increased levels of this immunoglobulin is associated with autoimmune pancreatitis
IgG4
Small intestinal bacterial overgrowth can be diagnosed by what simplest modality
hydrogen breath test or response to trial of antimicrobial therapy (bacterial count from proximal jejunum is difficult)
Drugs of choice for treatment for Toxoplasmosis encephalitis
pyrimethamine + sulfadiazine
Treatment for acute promyelocytic leukemia
All-trans retinoic acid