Random Facts Flashcards
Adequate Iron Stores in CKD4
Ferritin > 500 Transferritin sat > 30%
Locally Advanced Head/Neck w/ Positive margins or nodal mets w/ extracapsular extension
Surgery Radiation + Chemo
Locally Advanced Head/Neck w/ Positive margins or nodal mets w/ extracapsular extension
Surgery Radiation + Chemo
Inflammation & damage of cartilaginous tissues
Relapsing Polychondritis (ear, nose, trachea, joints)
Cogan Syndrome
Interstitial keratitis w/ cochlear and vestibular dysfunction
Who gets 2nd doses of MMR vaccines (4)
Health care workers Post-grad students Household contacts of immunocompromised patients International Travelers
Screening test for Cushings in night shift worker
24 hour urine free cortisol
Follow up for AAA < 4 cm
Repeat US in 2-3 years
Follow up for AAA 4-5 cm
Repeat US in 6 months
Management of AAA > 5.5 cm
CTA and surgical/endovascular planning
Pulmonary infection with exposure to livestock
Mild: Coxiella burnetti (Q Fever) - Doxy Severe: Anthrax spores from cattle/goat hides
Most common cause of primary adrenal insufficiency in the US?
Autoimmune - 21 hydroxylase antibodies
Red pruritic papules on chest, flanks and back associated with dry skin, heat and sweating
Transient Acantholytic Dermatosis - steroid cream or moisturizers
Transverse Myelitis Treatment
High Dose Steroids PLEX
Transverse Myelitis diagnosis
Cord symptoms Inflammation w/ leukocytosis on CSF Inflammation on MRI
TM vs GBS
TM: paresis, corresponds to cord level, bowel/bladder dysfunction GBM: ascending weakness/sensory loss, autonomic dysfunciton, isolated inc CSF protein
Screening tests for Incidental Adrenal-oma
24 hr urine metanephrines Dexamethasone suppression test
Pancytopenia and bloody diarrhea in transplant patient
CMV
Management of well-differentiated, low-grade, metastatic GI NET
Repeat CT in 3 months
Anti-aminoacyl-tRNA i.e. Anti-Jo-1
Antisynthetase Syndrome
ILD Myositits Raynaud Inflammatory arthritis Mechanics hands Low grade Fever
Antisynthetase Syndrome
Mepolizumab / Resolizumab
MAb IL-5 Moderate/Severe Asthma w/ eosinophilic phenotype
Omalizumab
MAb IgE Allergies to perennial aeroallergens IgE 30-700
Assess adequate quantities of sleep using _________ or __________ in patient w/ excessive sleepiness
Actigraphy (wrist) Sleep diary
Tumor marker to check for GE Junction Cancer
HER2 - Trastuzumab
Tumor marker to check for melanoma
BRAF - Tyrosine kinase inhibitors
Tumor marker for colorectal cancer
RAS - EGFR antibodies
HypoMag can cause
Hypocalcemia
How to treat early stage laryngeal cancer
Radiation alone
Treatment of MSSA OM in patient with hardware
Cefazolin + Rifampin
Prevent recurrent pneumonia’s in a patient with CLL
Check immunoglobulin levels - may benefit from IVIG
Resistant HTN and hypokalemia
Check for primary hyperaldo
Degree of stenosis need to treat asymptomatic carotid stenosis
> 80%
Anticoagulation for a patient with a mechanical valve who desires pregnancy
1st Trimester: Warfarin if <5mg daily (LMWH) 2nd-3rd Trimester: Warfarin
Which antiepileptic doesn’t worsen bone density
Lamotrigine
Follow up of 6-8mm subsolid (GG) lung nodules
Repeat CT at 6-12 months, then every 2 years for 5 years - slow growers
Management of newly diagnosed autoimmune pernicious anemia
EGD to look for gastric cancer - inc. gastrin secretion can predispose to cancer Gastric AdenoCA or Gastric Carcinoid
Tumor marker to look for in metastatic, Non-small cell lung cancer
PD-L1 - treat with pembrolizumab instead of Cisplatin
Who gets ASA for primary prevention (CAD and colon cancer)
Age 50-59 ASCVD risk ≥10% **no increased bleeding risk
Purpose and timing of colonoscopy after diverticulitis
Look for colon cancer 1-2 months after diagnosis
Manage a patient with fever & sore throat taking Methimazole
Check CBC for agranulocytosis and stop methimazole - usually occurs in the first few months after starting
When to repair asymptomatic biscuspid valve and aortic root dilation
>5.5 cm (5 cm if family hx of dissection or risk factors) **Otherwise TTE q6 months
Greater Trochanteric Pain Syndrome (Trochanteric Bursitis)
Pain over lateral hip radiating down leg NSAIDs/Tylenol PT
Surgical Mitral valve repair vs replacement - primary chronic severe MR
Repair is preferred
Treat Lynch Syndrome (mismatch repair) CRC with
Checkpoint inhibitor - Pembrolizumab
Meds to stop in a cirrhotic with ascites
Meds that decrease kidney perfusion ACE/ARB, NSAIDs
Survivors of ALL are at increased risk for ________.
Metabolic Syndrome
In patients with myxedema coma treat with _________.
IV Hydrocortisone prior to thyroid hormone
Management of asymptomatic hepatic adenoma < 5cm in size in women
Stop OCP Liver imaging q6 months for 2 years
Who gets hepatic adenonas surgically removed (3)
Men Symptomatic - bleeding Women > 5cm
Hypomag can cause __________.
Hypokalemia by exacerbating renal losses
Chronic silicosis patient with constitutional symptoms and hemoptysis
TB
What provides the best protection against hospital developed pressure ulcers
Advanced static mattress
Treat hypermag using ____________.
NS, Lasix IV Calcium (severe symptoms)
Cross-sectional studies are suscpetible to _________ (2)
Recall bias Confounding
How does Tylenol cause a gap acidosis
Pyroglutamic acidosis
F/u after treatment of ovarian cancer
None unless symptoms BRCA testing for all women
Treat Cyclospora with ________.
Bactrim
Drug induced pruritis w/o skin findings
NSAID HCTZ CCB Opiates **Stop drug**
Aseptic meningitis (Viral) between May-Nov
Enterovirus
Aseptic meningitis “year round” aka not May-Nov
HSV-2
Who gets G-CSF
PPX and Seoncdary PPX of neutropenia in patients undergoing chemo **give with day 2 of cycles of therapy**
Androgen Excess diagnostic study - High DHEAS
Adrenal tumor - Abdominal CT
Androgen Excess diagnostic study - High Testosterone (>150)
Pelvic Ultrasound
How to treat GBS
Plex vs IVIG
Treat low back pain with
ibuprofen - tylenol doesn’t help
Evaluate for suspected central vertigo with ____
MRI
Fingolimod monitoring (MS)
Eye exams - macular edema
Labs to check before starting Natalizumab (MS)
JC Virus antibodies high titers = high risk for PML
Who gets referred to a transplant center?
Decompensated Cirrhosis MELD > 15
Evaluate a young patient with shingles for _____.
HIV
Treat end of life depression with __________. (weeks)
Methylphenidate
Treat comedomal Acne with
- Topical Retinoids
Treat inflammatory acne with
Topical antibiotics
Treat chronic HBV with (2)
Tenofovir or Entecavir
Who gets ppx cipro for travelers diarrhea
IBD Immune Compromised
Drugs that cause drug induced swelling
CCB, Pregabalin Minoxidil Alpha blockers
Who gets a kidney biopsy?
Glomerular hematuria Inc. Albuminuria Unknown AKI/CKD Transplant monitoring
1st line for EtOH use disorder
- Naltrexone - safe if CKD, watch for hepatotoxicity 2. Acamprosate - need to dose reduce