Table Of ContentNiket Sonpal, MD
Assistant Clinical Professor of Medicine
Touro College of Medicine
Assistant Clinical Professor of Medicine
St. Georges University
Department of Gastroenterology
Lenox Hill Hospital-NSLIJ Health System
New York, New York
Conrad Fischer, MD
Residency Program Director
Brookdale University Medical Center
New York, New York
New York Chicago San Francisco Athens London Madrid Mexico City Milan
New Delhi Singapore Sydney Toronto
Notice
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the information contained in this work is accurate and that changes have not been made in the recommended
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Master the Wards: Internal Medicine Flashcards
Copyright © 2016 by McGraw-Hill Education. All rights reserved. Printed in China. Except as permitted under the
United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or
by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.
1 2 3 4 5 6 7 8 9 0 DSSIDSS 20 19 18 17 16 15
ISBN: 978-0-07-183466-7
MHID: 0-07-183466-4
This book was set in Chaparral Pro by Cenveo® Publisher Services.
The editors were Catherine A. Johnson and Christina M. Thomas.
The production supervisor was Rick Ruzycka.
Project management was provided by Namita Gahtori, Cenveo Publisher Services.
RR Donnelley/Shenzhen was printer and binder.
C 0 N J:-E-IY J: S -- --- · ---------- -..
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1 Cardiology
2 Infectious Disease
3 Gastroenterology
4 Rheumatology
5 Pulmonary
6 Endocrinology
7 Nephrology
8 Hematology
9 Oncology
10 Hepatology
11 Preventative Medicine
12 Emergency Medicine
13 Neurology
14 Radiology
The author would like to dedicate this publication to Conrad Fischer, MD - a scholar, educator, friend, and mentor.
Your teachings both in life and medicine have made me the physician I am today. For that, I am forever thankful.
-Niket Sonpal, MD
HOW TO GET THE MOST OUT OF
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Master the Wards: Internal Medicine Flashcards have been designed to serve as a "one-stop" review of the 201 cases
you are most likely to see during your medicine clerkship, and be tested on during your shelf exam. Each flashcard
provides a common presenting case history (vignette) and clinical-pathologic features, combined with questions
commonly asked by your senior physicians, and on board exams. On the back of each card, you'll find the most up
to date diagnostic pearls, tests, and therapeutic algorithms for each disease. The deck is color-coded by system, so
you can carry just what you need and organize your study for maximum results-take them on rounds, take them
on the subway, or use them at home. They will fit in your lab coat, and you can become the all-star you are meant to
be on rounds.
Niket Sonpal, MD
- _. _______ ___________ .---- -- ----- --
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These are the abbreviations used commonly through these flash cards:
ABPA Allergic bronchopulmonary aspergillosis COPD Chronic obstructive pulmonary disease
ACTH Adrenocorticotropic hormone CTS Carpal tunnel syndrome
ADEK A, D, E, and K (vitamins) CSF Cerebrospinal fluid
ADH Antidiuretic hormone CT Computed tomography
AHase Antihyaluronidase 01 Diabetes insipidus
ANA Antinuclear antibodies DIP Distal interphalangeal
anti-CCP Anti-cyclic citrullinated peptide DMARD Disease-modifying anti-rheumatic drug
anti-NAD Antinicotinamide adenine dinucleotidase EF Ejection fraction
AS Ankylosing spondylitis EHEC Enterohemorrhagic E. coli
ASO Antistreptolysin EGO Esophagogastroduodenoscopy
ATN Acute tubular necrosis EMG Electromyography
ATRA All trans-retinoic acid ERCP Endoscopic retrograde cholangiopancreatography
CAG Cytosine-adenine-guanine EUS-FNA Endoscopic ultrasound with fine-needle aspiration
cAMP Cyclic adenosine monophosphate GERD Gastroesophageal reflux disease
CAP Community-acquired pneumonia HAART Highly active antiretroviral therapy
CAUTI Catheter-associated UTI HE Hepatic encephalopathy
CD! Central diabetes insipidus HIT Heparin-induced thrombocytopenia
CFTR Cystic fibrosis transmembrane conductance HOCM Hypertrophic obstructive cardiomyopathy
regulator HUS Hemolytic uremic syndrome
CHF Congestive heart failure INH Isoniazid
CKD Chronic kidney disease INR International normalized ratio
CNS Central nervous system IVIG Intravenous immunoglobulin
CPAP Continuous positive airway pressure LABA Long-acting beta-agonist
CPK Creatine phosphokinase LDCT Low-dose computed tomography
CMT Cervical motion tenderness LES Lower esophageal sphincter
LGV Lymphogranuloma venereum PTT Partial thromboplastin time
LP Lumbar puncture PUD Peptic ulcer disease
MCP Metacarpophalangeal RA Rheumatoid arthritis
MCV Mean corpuscular volume RPR Rapid plasma reagin
MCHC Mean corpuscular hemoglobin concentration SABA Short-acting beta-agonist
MENl Multiple endocrine neoplasia type 1 SPEP Serum protein electrophoresis
MI Myocardial infarction STEM! ST segment elevation myocardial infarction
MR Mitral regurgitation STis Sexually transmitted infections
MRI Magnetic resonance imaging SI Sacroiliac
MRSA Methicillin-resistant Staphylococcus aureus SVT Supraventricular tachycardia
MS Mitral stenosis TA Temporal arteritis
MUGA Multigated acquisition TB Tuberculosis
NAAT Nucleic acid amplification test TIA Transient ischemic attack
NDI Nephrogenic diabetes insipidus TIBC Total iron binding capacity
NSAIDs Nonsteroidal antiinflammatory drugs TIPS Transjugular intrahepatic portosystemic shunt
OCP Oral contraceptive pill TMP-SMX Trimethoprim-sulfamethoxazole
PAN Polyarteritis nodosa TNF Tumor necrosis factor
P-ANCA Perinuclear anti-neutrophil cytoplasmic antibodies TRAP Tartrate resistant acid phosphatase
PAS Periodic acid-Schiff TRH Thyroid releasing hormone
PBC Primary biliary cirrhosis TSH Thyroid stimulating hormone
PEA Pulseless electrical activity TTE Transthoracic echocardiogram
PF4 Platelet factor 4 TTP Thrombotic thrombocytopenic purpura
PFT Pulmonary function test USPSTF U.S. Preventive Services Task Force
PIP Proximal interphalangeal UTI Urinary tract infection
PMH Past medical history VDRL Venereal disease research laboratory
PMR Polyrnyalgia rheumatic VMA Vanillylmandelic acid
PPD Purified protein derivative VWD Von Willebrand disease
PPI Proton pump inhibitor VWF Von Willebrand factor
PSA Prostate-specific antigen WPW Wolff-Parkinson-White
PSGN Post streptococcal glomerulonephritis ZES Zollinger-Ellison syndrome
PT Prothrombin time ZK Zenker diverticulum
A 4 7 -year-old man presents to the office with intermittent • What is the most common
substernal chest pain for the last several weeks, sometimes risk factor for coronary artery
disease?
with exertion and sometimes at rest, with no fixed
pattern. He also complains of nausea.
• What is the worst risk factor for
coronary disease?
• What is the most easily modified
risk factor for coronary disease?
• What 3 features of chest pain
on history or physical on the
Boards tell you for sure that the
pain is not ischemic in nature?
