AM Curriculum Review- 2019-2020

EBM
1. Three major study design issues to consider when assessing risk of bias in a diagnostic accuracy
article
-Is the patient population/severity of the condition representative and taken into consideration of
the test (test may be more positive in those cases)
-Is the study double blinded?
-Reference standard

2. Explanation in plain language the following data regarding the impact of a new cholesterol
medication compared to placebo on major adverse cardiovascular event (MACE) rates.
a. RR 0.65, 95% CI 0.48-0.76
-There is a 35% risk reduction when using new cholesterol medication compared to placebo and if
this test is reproduced 100 times, 95% of the time there is an average risk reduction of 24- 52%.

3. The ultimate way, according to our classroom discussions, to determine if a diagnostic test was
actually useful?
-If the diagnostic test is applicable to the patient population and if the test would allow you to
make a better informed decision based on the new posttest probability

4. Plain language explanation for the following:

a. sensitivity of a stress test is 70%.
-The test will test positive in 70% of patients with the disease

5. C statistic for TIMI, HEART, and GRACE for predicting MACE in chest pain.
- TIMI-0.78, HEART-0.87, GRACE 0.74

6. How to explain LR of 100 in a sentence that starts with “This test will be …” AND includes the
word “likely” and the number “100.”
-The test will be 100 times more positive in patients with the disease than those without

7. Plain language explanation (or a diagram) AND the rationale for the following statement:
a. Permuted block randomization using block size of 4.
-Patients are randomized within blocks such that an equal number are assigned to each treatment

Yale curriculum
8. RRR, ARR, NNT and NNH for aspirin use in primary prevention for CVD
-RRR 11%, ARR 0.41%, NNT 241, NNH 210

9. Name all the vaccines that would be indicated for a 55 yr old man with CKD and no other medical
problems. List them in order of priority, assuming you can only give 1 shot during each outpatient
visit.
-Flu -> PCV13 -> PPS23

10. Initial management of a 28yo woman presenting with enlarging breast nodule for 1 year who has
a firm 3cm mass on exam.
 -Bilateral US and bilateral mammogram

11. Initial management of a 28yo woman presenting with a 2 week history of a tender breast mass.
-Continue to monitor as it is likely related to her cycles

12. Name and define 3 different types of psoriasis we discussed in class.

-Plaque:symmetric rash that involves extensor surfaces
-Pustular: scaling, pustules bilateral that is widespread
-guttate psoriasis: Multiple, small psoriaform plaques

Fun Facts (extra credit)

13. Name of the intern who documented in a note that a patient was obese because he was lazy.
a. Marykate
b. Andrew
c. Roohi
d. Cherie

14. The real reason why Danish accuses me of discriminating against middle aged white men.
a. His own insecurity
b. My sister plays a role in a movie where she attacks a middle-aged white man
c. His strange way of demonstrating respect for a fellow middle-aged person
d. All of the above

15. Name of the resident whose special skill includes being a “fast clapper.”
a. Puja
b. Jacob
c. Scott
d. Gopi

16. Name of the resident whose secret hobby is pressure washing.

a. Aakash
b. Tim
c. Ilja
d. Sam

17. Name of the resident who has done competitive ballroom dance.
a. Amy
b. Augustine
c. Xin
d. Priya
e. Tae

18. Name of the resident whose name was most mentioned by applicants during recruitment.
a. Kuldip
b. Krithika
c. Kun
 d. Kush

19. The pair of residents people cannot tell apart.

a. Jay and Stephen
b. Matt and Matt
c. Dan and Xin
d. Geena and Jeena

20. The name of resident who drank >3 glasses of scotch during AM curriculum.
a. Sandy
b. Mohammod
c. Mishal
d. Dean
e. Carol