Chief Complaint
Fast & Fibrillated
Localization Station
Duct, Duct, Goose
Pressors of the Caribbean
100
This chief was a collegiate soccer player

Who is Russ Ellyson?

100

The two main treatment strategies to atrial fibrillation

What is rate versus rhythm control?

100

Spasticity, hyperreflexia, and positive babinski are exam findings indicative of this type of neurologic lesion

What is an upper motor neuro lesion?
100

The most common cause of acute pancreatitis

What is gallstone pancreatitis?

100

Components of SIRS criteria

What is?

HR >90

RR > 20

T > 38C or < 36C

WBC >12 or <4, or bandemia >10%

200
Three of the four chiefs are alumni of this medical school

What is Touro University California? (GO BULLS!)

200

This medication acts as a rate control agent in atrial fibrillation by increasing vagal tone.

What is digoxin?

200

The phrenic nerve arises from the nerve roots at these levels and serves to innervate the diaphragm

What is C3 C4 C5?
200
The two most sensitive imaging modalities for diagnosing biliary tract stones. 

What is Endoscopic Ultrasound (EUS) and Magnetic Resonance Cholangiopancreatography (MRCP)?

200

This mnemonic, used at Highland, guides sepsis management (the mnemonic and what each letter stands for)

What is VAPES?

V-volume

A-antibiotics

P-pressors

E-end organ damage

S-source

300

These two chiefs were awarded the "cutest BFFs" title at the 2025 residency retreat. 

Who are Shima & Perneet?

300

This class of rate control medications is contraindicated in patients with EF < 40%

What are calcium channel blockers?

300

These bedside exam maneuvers can be used as surrogates for checking diaphragm strength (name 2 min)

What is single breath count, cervical flexion test, or NIF?

300

This clinical diagnosis is made by a famous triad and is an indication for urgent ERCP. Name the diagnosis AND the components of the diagnostic triad. 

What is acute cholangitis? What is charcot's triad: fever, jaundice, RUQ pain?

300

Clinical benefit of adding fludrocortisone to hydrocortisone compared to placebo that was found in the APROCCHSS trial.

What is 90-day mortality benefit with hydrocortisone plus fludrocortisone versus placebo?


400

This chief has a pet bird named Maui.

Who is Samaneh Bolourchi?

400

Length of uninterrupted anticoagulation use required prior to and after electrical cardioversion (if no TEE being done)

What is 3 weeks of AC prior and 4 weeks of AC after?

400

Pain is generally not a symptom of this type of nervous system disorders. 

What is a central nervous system disorder?

400

This liver function test is the first to downtrend after passing of a biliary stone to indicate resolving gallstone pancreatitis. 

What is aspartate aminotransferase (AST)?
400

This parasitic infestation is a contraindication to steroid administration in septic shock due to risk of hyperinfection syndrome.

What is strongyloides?

500

These two chiefs recently performed a stunning rendition of Country Roads during an impromptu karaoke night.

Who are Russ & Shima?

500

Warfarin is indicated for anticoagulation in patients with atrial fibrillation with the following

What is moderate to severe rheumatic mitral stenosis and mechanical heart valve?

500

Imaging of this spinal segment is often inappropriately prioritized in work up for CNS causes of lower extremity weakness.

What is lumbar spine MRI?

500

These 5 clinical findings make up the components of a commonly used scoring system to predict likelihood of severe pancreatitis

What is: 

- BUN > 25

- Impaired Mental Status

- SIRS criteria

- Age > 60

- Pleural Effusion

500

This master transcription factor is inhibited by corticosteroids, reducing pro-inflammatory cytokine production of TNF-alpha, IL-1, IL-6, and IL-8.

What is NF-κB?

M
e
n
u