"Heart" Valves
My Body Hates Me
I've Got The Runs
Infection Control
Anything Goes
100

This murmur gets louder with standing and softer with squatting

Hypertrophic obstructive cardiomyopathy or mitral valve prolapse

100

The condition associated with Anti-Ro/SSA antibody

Sjogren syndrome

100

This is the most common cause of osmotic diarrhea

Lactase deficiency

100

CD4 cell count at which you consider PJP prophylaxis treatment

< 200

100

When does colonoscopy screening begin in patients with ulcerative colitis or Crohn’s disease?

8 years after initial diagnosis

200

Two indications for surgery in infective endocarditis

heart failure, embolization, uncontrolled infection

200

Skin blisters are flaccid and easily ruptured in this autoimmune skin disease

pemphigus vulgaris

200

First line treatment for mild to moderate ulcerative colitis

5-ASA drugs (e.g. Mesalamine, Olsalazine, Sulfasalazine, etc)

200

Initial drug of choice for candida blood infection

Echinocandin (caspofungin, micafungin, etc).

200

Best treatment for thrombotic thrombocytopenic purpura

plasma exchange (other tx: plasma infusion)

300

The goal INR for prosthetic aortic valve

2.5

300

Asymptomatic microscopic hematuria following a URI is a classic presentation for what type of immune-complex mediated glomerulonephritis

IgA nephropathy

300

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)

300

Induction treatment for Cryptococcal meningitis involves these two drugs



amphotericin B and flucytosine

300

Hemorrhagic bullae after exposure to shellfish in a cirrhotic patient is likely a result of infection from what organism

Vibrio vulnificus

400

The treatment of choice for patients with mitral stenosis and concomitant atrial fibrillation

Warfarin (NOACs not studied)

400

Treatment for myasthenic crisis

Plasmapharesis or IVIG

400

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)

400

Chest CT or XR finding for inhalational anthrax

Widened mediastinum



400

Rocky Mountain Spotted Fever will likely produce what abnormality on CBC

Thrombocytopenia

500

Aortic valve size in severe aortic stenosis

< 1cm2

500

Increased levels of this immunoglobulin is associated with autoimmune pancreatitis

IgG4

500

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)

500

Drugs of choice for treatment for Toxoplasmosis encephalitis

pyrimethamine + sulfadiazine

500

Treatment for acute promyelocytic leukemia

All-trans retinoic acid