PEARLS

Question 1

Propanolol dose needed to control hyperthyroidism

Answer 1

20-40 mg/tab q6

Question 2

Disease where stem cell can be used

Answer 2

Aplastic anemia

Question 3

Tension pneumothorax manifests with symptoms due to obstruction of

Answer 3

Vena cava

Question 4

ECG, ventricular repolarization

Answer 4

T wave

Question 5

DOC for uncomplicated pneumonia with no comorbids and no previous antibiotic use

Answer 5

Amoxicillin

Question 6

Use beta blocker with caution in

Answer 6

Asthma

Question 7

Used for rate control of Afib

Answer 7

Metoprolol

Question 8

Best chance for H.pylori eradication

Answer 8

Compliance and sensitive drugs

Question 9

ESRD is almost always associated with

Answer 9

Htn

Question 10

Uricosuric agent

Answer 10

High dose aspirin

Question 11

Next best intervention for pulseless vtach

Answer 11

Defibrillation

Question 12

Machinery-like murmur

Answer 12

PDA

Question 13

Harsh holosystolic murmur loudest over the left parasternal area

Answer 13

VSD

Question 14

Treatment of choice for Graves disease in pregnant patient

Answer 14

PTU

Question 15

Most specific lab test for RA

Answer 15

Anti-CCP (anti-citrullinated protein antibody)

Question 16

Long-standing hen, maintained on amlodipine, systolic murmur grade 3-4 loudest at right 2nd ICS

Answer 16

Aortic stenosis

Question 17

MC congenital defect that predisposes to aortic stenosis

Answer 17

Bicuspid aortic valve

Question 18

Chest pain cxd as substernal heaviness, aggravated by exertion, relieved by rest and nitroglycerin

Answer 18

Stable angina

Question 19

DOC for acute rheumatic fever

Answer 19

Pen G 1.2M units single dose

Question 20

Desired duration of prophylaxis of RF with mild carditis

Answer 20

18-21 y/o

Question 21

Sustained vtach is defined as

Answer 21

Lasting > 30 seconds

Question 22

Paradoxical splitting except

Answer 22

ASD

Question 23

Cardiac marker for chest heaviness noted 3 hours PTC

Answer 23

CKMB

Question 24

Absolute CI to thrombolysis in AMI

Answer 24

1) Subarachnoid hemorrhage 2) Unctonrolled BP >180/110 3) Aortic dissection

Question 25

T/F Prior allergic reaction to Streptokinase is an absolute CI to thrombolysis in MI

Answer 25

F

Question 26

Findings in carditis which are immunologic in origin

Answer 26

1) Roth spots 2) Osler nodes 3) GN

Question 27

Caused by septic emboli which deposit bacteria, forming microabscesses, seen in bacterial endocarditis

Answer 27

Janeway lesion

Question 28

Immune complex mediated vasculitis often resulting from bacterial endocarditis, appearing as a white spot surrounded by hemorrhage

Answer 28

Roth spot

Question 29

T/F Roth spots are specific for bacterial endocarditis

Answer 29

F

Question 30

Painful, red, raised lesions found on the hands and feet of patients with endocarditis, resulting from immune complex deposition

Answer 30

Osler node

Question 31

Type of cardiomyopathy, EF depressed, LV dimension increased, LV wall thickness decreased, resulting in systolic dysfunction

Answer 31

Dilated cardiomyopathy

Question 32

Soft, low-pitched, mid- to late diastolic murmur found in aortic regurgitation

Answer 32

Austin Flint murmur

Question 33

MC ECG finding in pulmonary embolism

Answer 33

Sinus tachycardia

Question 34

23 y/o asymptomatic, (+) PPD, normal CXR, negative AFB, next best step?

Answer 34

INH for 9 months

Question 35

Reversible nature of airflow obstruction in asthma is seen as

Answer 35

Increase of FEV1 by > 12% AND 200 mL