BIM Study guides, Class notes & Summaries

What vitamin deficiency can occur with use of Isoniazid (INH)? Correct Answer Vitamin B6 (Pyridoxine) What is the fundoscopic exam finding often seen with idiopathic intracranial hypertension (Pseudotumor cerebri)? Correct Answer-Papilledema What is the ideal LDL goal in CAD patients or CAD equvialent patients? Correct Answer-Less than 70 mg/dl What is the inheritance pattern for Hereditary Hemorrhagic Telangiectasia (HHT)? Correct Answer-Autosomal dominant. HHT is also known as Osl...

ovulatory dysfunction positive anti-TPO goiters pregnancy over sx CV risks Correct Answer- steroids >7.5 mg >3 months, increased risk of steroid induced OP Correct Answer-Tx: postmenopausal woman all men age >70 10 yr FRAX >20% 1st risedronate Alendronate opportunistic infection that can happen after transplant? Correct Answer-BK virus ( happens when the patient is TOO immunosupressed), its a increase in creatinine PCP - patient should be on prophylaxis i...

ABIM Core Scripts Questions And Answers Latest Solution 2022...

Diagnosing Mixed Connective Tissue Disease Correct Answer-Anti-U1-RNP + at least 3 of the following: - Swollen hands or fingers - Myositis or myalgia - Synovitis - Raynaud's phenomenon Drug-induced lupus antibody Correct Answer-DNA-histone complex (95%) SLE antibody Correct Answer-ds DNA(97%), Smith Systemic sclerosis antibody Correct Answer-RNA polymerase II and II Scl-70/anti-topoisomerase I Sjogren's syndrome Correct Answer-anti-SS-Ro/SS-La (SSa and SSb) Limited sclerod...

What is a positive stress test Correct Answer-Flat or Down sloping St-segment depression >1 mm occurring 80 msec after j point When to stop a stress test Correct Answer-St segment depression > 2 mm, ventricular tachycardia, drop in SBP > 15, chest pain, dyspnea, lightheadedness Stress test of choice with a LBBB or ventricular pacing? Correct Answer-Myocardial perfusion imaging with adenosine,NOT exercising! Know the algorithm for stress testing Correct Answer-See page 5-3,figur...

Overview of anemia Correct Answer-Big pictures: hypoproliferative vs. hemolytic vs. blood loss vs. sequestration Hypoproliferative: 1. Production defects (ACD, acute inflammation, impaired renal fxn, hypometabolism-Thyroid, hypogonadism, adrenal insuff; BM damage; all with little polychromasia, few retics; 2. Maturation defects: a. Cytoplasmic- Hgb synthesis-Fe def, sideroblastic, globin synthesis (thallasemia); b. Nuclear- DNA synthesis defect (B12, folate) Hemolytic: 1. Intrinsic (inherited)...

What is Asthma? Correct Answer-wheeze, airway hyperresponsive, aspirin; dx-FEV1/FVC <0. 70,↑FEV₁ by 12%; (tx: β₂-agonist → low dose ICS → low dose ICS + LABA or medium dose ICS→medium dose ICS + LABA) What is Asthma Acute Exacerbation? Correct Answer-O₂, SABA/SAMA, IV glucorticoids, IV Mg What is Aspirin-exacerbated respiratory disease? Correct Answer-worsened asthma, nasal polyps, ↑eosinophils;(tx- glucocorticoids, removal of NSAID/aspirin + leukotriene receptor antago...

Medications that improve survival in CHF Correct Answer-- ACEI/ARB - Carvedilol - Metoprolol Succinate - Hydralazine + Nitrates - Spironolactone - Neprilysin inhibitors When to add beta blocker in CHF patients Correct Answer-When they are euvolemic Indications for AICD Correct Answer-- EF less than or equal to 35% + NYHA Class 2 or 3 - EF less than or equal to 30% + NYHA Class 1 Indication for adding CRT (cardiac resynchronization therapy) to AICD Correct Answer-QRS > 150 m...

Creatinine limitations include? Correct Answer-- age, gender, race, diet, and metabolism - Low muscle mass → disproportionately low serum creatinine and overestimation of GFR −GFR may be <50% normal before serum creatinine ↑ Newer marker of GFR Correct Answer-Cystatin C CKD-EPI equation→ most accurate when Correct Answer-GFR is normal/mildly reduced * performs better at higher (normal) values of glomerular filtration rate. Cockroft-Gault and MDRD equations → most accur...