Common Symptoms
Rheumatology
Gastroenterology
Neurology
Infectious diseases
100

Best initial test in a patient with low pretest probability for PE

D-dimer

100

Major benefit of NSAIDs in RA

Symptom control

100

IBD diagnostic test

Ileocolonoscopy with biopsy

100

Mnemonic for migraine characteristics

POUND (Pulsatile quality, One-day duration, Unilateral location, Nausea/vomiting, Disabling intensity)

100

Treatment duration for uncomplicated CAP with rapid clinical improvement

5 days

200

Initial drug therapy for acute low back pain

NSAIDs

200

Most specific serologic test for RA

Anti–cyclic citrullinated peptide antibody

200

Diagnosis suggested by fistula, perianal disease, strictures, abscess

Crohn disease

200

Most common cause of thunderclap headache

Subarachnoid hemorrhage

200

Rapid sensitive and specific test for C. difficile colitis

NAAT for C. difficile toxin genes

300

Most important components in the diagnostic evaluation of dyspnea

Detailed history and physical exam

300

Treatment of suspected giant cell arteritis

Immediate high-dose glucocorticoids

300

Treatment for all patients with Barrett esophagus

PPI and lifestyle changes (smoking cessation, weight loss)

300

Evaluation of first unprovoked seizure

MRI and EEG

300

Vaccination assessment following animal bite

Rabies and tetanus

400

Features that favor seizure in patient with syncope

Abnormal posturing, involuntary head turning, tongue laceration, auras, incontinence, prolonged post-episode confusion

400

Major cause of excess death in patients with RA

Coronary artery disease

400

Acute pancreatitis lab tests predicting poor outcome

Elevated hematocrit and BUN

400

Treatment of ischemic stroke–related symptomatic cerebral edema

Decompressive hemicraniectomy

400

First-line treatment for invasive aspergillosis

Mold-active triazole (voriconazole) or combination of mold-active triazole and echinocandin

500

Concomitant neurologic findings in patients with central vertigo secondary to vertebrobasilar stroke

Nystagmus, dysphagia, dysarthria, diplopia, ataxia, postural instability, hemiparesis, mental status changes

500

Inflammatory marker that may be normal in active SLE

C-reactive protein

500

Preferred diagnostic test for acute mesenteric ischemia

CTA

500

Management of unceasing convulsive status epilepticus after IV benzodiazepine and ASM

Intubation; anesthetically induced coma for 24-48 h (propofol, midazolam, or pentobarbital)

500

Induction therapy for cryptococcal meningitis

Lipid formulation of amphotericin B plus flucytosine