Which of the following is the most common cause of end stage renal disease in infants? 

A crescendo-decrescendo, grade I/VI, early systolic murmur is found in an asymptomatic patient. It is best heard in the left 2nd ICS and along the left sternal border when supine. It does not radiate and disappears with sitting. Which of the following is the most likely diagnosis?

Which of the following diagnoses is associated with dirty, brown granular casts on urine microscopy?

GL is a 48 year-old Hispanic female with a PMH of CAD- s/p stent placement 6 months ago, Hypertension and Hyperlipidemia. She has been compliant with Rosuvastatin (Crestor) 40mg 1 tab daily and lifestyle modifications for the past 6 months. Today her fasting lipid panel shows Total cholesterol= 230mg/dl, LDL level=100mg/dL, HDL=40mg/dL and TG=120mg/dL. Based on the ACC/AHA 2018 lipid guidelines, what is the BEST treatment recommendation for this patient?

A 60-year-old woman is found to have an elevated serum calcium level on routine lab work. LMNP 10 years ago. CBC, CMP, TSH, and urinalysis are within normal limits. She has no other active medical problems. Follow up labs reveal a low parathyroid hormone level. What is the next best step in evaluating this patient’s hypercalcemia?

Which of the following EKG changes is associated with the diagnosis of bundle branch block?

Which of the following medications is an osmotic agent?

In a patient with heart failure, which of the following comorbidities has the worst prognosis?

A 60 year-old woman presents to the office complaining of leaking urine when she laughs. This scenario describes which of the following types of incontinence?

Which of the following statements explains the hypothesized interaction between proton pump inhibitors and clopidogrel (Plavix)?