Imaging Insights
Bowel Breakdown
Dizzy Dilemma
Cardiac Chronicles
Nifty Pneumonia
100
The administration of gadolinium contrast has been controversial due to this reported risk.
What is nephrogenic systemic fibrosis?
100
Type of intestinal involvement seen in ulcerative colitis.
What is continuous mucosal inflammation of the colon?
100
Medications are often the common culprit of a chief complaint of dizziness. Name 3 medications associated with dizziness.
100
HFrEF is the diagnosis given when the EF is less than this percent.
What is 40%?
100
The recommended treatment for PJP pneumonia AND duration of treatment
What is DS TMP-SMX for 21 days?
200
The signal view for this abdominal MRI (Left image only)
What is T1 (with fat suppression)?
Water is dark on T1
200
Type of intestinal involvement in Crohns disease.
What is segmental transmural inflammation anywhere in GI tract?
200
The diagnosis in a man with left sided hearing loss, tinnitus, and episodes of room spinning lasting about 1 hour.
What is Meniere's disease?
200
Name the diagnostic criteria for heart failure.
What are clinical findings only with some evidence of cardiac dysfunction?
200
This test is for when someone needs PJP pneumonia treatment but has an allergy to TMP-SMX.
What is G6PD deficiency?
300
The signal view for this brain MRI:
What is T2?
Water and fat are bright
300
The most common extraintestinal manifestation of inflammatory bowel disease.
What is joint involvement?
10-20% of cases
300
Diagnostic criteria for vestibular migraine.
Diagnostic criteria includes:
5+ episodes of moderate/severe vestibular symptoms intensity lasting five minutes to 72h
current or previous history of migraine
one or more migraine features, and at least 50% with vestibular symptoms
and no other cause of vestibular symptoms
300
Name 2 mechanisms by which methamphetamine causes cardiomyopathy.
What are sympathetic activation and direct cellular injury?
300
Prophylaxis for this is needed with a CD4 count <100.
What are toxoplasma and PJP pneumonia?
400
This sequence is most useful for identifying embolic infarcts or MS within the brain.
What is FLAIR?
Fluid attenuated inversion recovery (removes signal from CSF)
400
Stool studies that should be completed for a patient being admitted with bloody diarrhea (5).
E. Coli O157:H7
Shigella
Salmonella
Ova and parasite
C. difficile toxin
400
Your patient comes in with epsiodic vertigo, triggered by change in position. Demonstrate with a partner on your team, how you would treat this patient.
Epley maneuver
400
Name the 4 GDMT medications recommended for decreasing mortality in HFrEF.
What are ARNI/ACEi/ARB, BB, MRA, and SGLT2 inhibitors?
400
2 indications from an ABG reading for which steroids should be initiated in PJP pneumonia.
What is pO2 <70 mmHg and A-a gradient >35?
500
Please explain the physics of the MRI machine (does not have to be in question form).
Hydrogen protons within the body align in a plane with the MRI magnetic field, and change planes when radiofrequency pulses are applied.
500
The first-line treatment for induction of remission in ulcerative colitis.
What are aminosalicylates (mesalamine, sulfasalazine)?
Rectal for proctitis
Oral and rectal for left-sided involvement
500
Please name demonstrate with a partner in your team this 3 part critical bedside exam for someone presenting with acute vertigo.
500
The EMPEROR trial in 2021 demonstrated benefit from adding this medication to patients with HF and EF >40%.
What is empagliflozin?
Reduction in hospitalizations and CV mortality
500
Name 5 diagnoses in your differential for a positive fungitell assay.
What are PJP, cocci, blasto, histo, aspergillosis, candida, cryptococcus (may be false positive)?