No Guts, No Glory
No Pulse, No Problem
No Risk, No Reward
No Flow, No Go
No Pain, No Gain
100
This is the recommended screening strategy for a patient with a first-degree relative diagnosed with colorectal cancer.
What is start at age 40 or 10 years prior to the FDR's diagnosis, follow up every 5 years?
100
When giving IV push metoprolol for stable irregular tachycardia, this hemodynamic side effect should be considered prior to administration.
What is hypotension?
IV push beta blockade is more likely to cause hypotension than PO beta blockade. Make sure the patient has blood pressure room before administration.
100
Below this CrCl threshold, LMWH is contraindicated.
What is 30? Must consider heparin or direct thrombin inhibitor (if heparin is also contraindicated).
100
This serologic marker is helpful in differentiating renal infarction from obstructive uropathy.
What is LDH?
100
Before his diagnosis became public, this New York Yankees legend continued playing despite the early effects of ALS, a disease that now bears his name.
Who is Lou Gehrig?
200
This is when a colonoscopy should be performed after an episode of complicated diverticulitis or uncomplicated diverticulitis with atypical imaging/clinical course.
What is 6-8 weeks?
The purpose is to exclude colon cancer that may appear similar on CT.
200
Name the two ACLS interventions that have the biggest effect on survival outcome.
What are high quality CPR and defibrillation?
200
In a low to minimal risk bleeding risk procedure, this is the recommended management of a DOAC perioperatively.
What is continue or hold day of?
200
Name 3 options for diagnosing renal artery stenosis.
What are
Doppler ultrasound
CT angiography
MR angiography
Severe stenosis generally considered >70% (same as CAD cutoff) because this is the point that reduced renal perfusion causes renal injury.
200
This basketball legend battled through the flu infection to scored 38 points in game 5 of the 1997 NBA finals, which is now famously known as the "flu game".
Who is Michael Jordan?
300
This is the recommended surveillance interval for nondysplastic Barrett's esophagus.
DOUBLE JEOPARDY
What is 3-5 years?
Low grade dysplasia -> endoscopic treatment or surveillance every 6-12 months
High grade dysplasia -> endoscopic treatment
300
These are the doses for adenosine (up to 3 doses - need to give dosages for each administration).
What is 6-12-12 mg?
300
When bridging warfarin, this is when the alternative anticoagulant is started after stopping warfarin.
What is when the INR is subtherapeutic (usually INR < 2)?
However, for mechanical valves, INR goal is usually higher at 2.5-3.5.
300
Name 1 type of kidney stone that is radiolucent on CT.
DAILY DOUBLE
What are
Indinavir (HIV protease inhibitor)
Pure Uric Acid (esp if small in size)
Pure Matrix stones (made of protein not mineral crystals)
CT is 97% sensitive for urolithiasis.
300
Despite playing with a torn hamstring, this Serbian tennis star went on to win the 2023 Australian Open.
Who is Novak Djokovic?
400
This phase of hepatitis B is characterized by the following serologies: HBsAg+, HBeAg+, total anti-HBc+, anti-HBs−, anti-HBe−, very high HBV DNA (>10 million IU/mL), and a normal ALT.
What is Immune tolerant Chronic Hepatitis B?
Contrasts to immune active phases which have elevated HBV DNA, HBeAg (+ or -) and ALT > 2x ULN.
400
This ETCO2 range suggests adequate compressions and this ETCO2 range suggests ROSC.
What are > 10 and 35-45?
400
This is the name of landmark trial that showed no bridging was non-inferior to bridging in regards to preventing thromboembolism and that bleeding risk was higher in the bridging group.
What is the BRIDGE trial?
2015 study in AF patients. Major criticism was very small percentage of patients were considered high thrombotic risk.
400
This should be considered when a > 30% Cr rise occurs after ACEi/ARB initiation.
What is bilateral renal artery stenosis?
These medications dilate the efferent arteriole more than the afferent arteriole, causing a reduction in glomerular pressure. In renal artery stenosis, constriction of the efferent arteriole is required to maintain appropriate glomerular filtration pressure. In unilateral renal artery stenosis the contralateral kidney can compensate for the reduction in clearance on the affected side which prevents a > 30% Cr rise.
400
This well known golfer won the 2008 US open while playing through a torn ACL and a double stress fracture in his left tibia.
Who is Tiger Woods?
500
Name 5 colorectal screening modalities and their recommended screening interval for average risk patients.
What are
Colonoscopy every 10 years
FOBT or FIT every year (detects hemoglobin)
FIT DNA every 1-3 years (detects hemoglobin and DNA mutations/molecular markers)
CT colonography every 5 years
Flexible sigmoidoscopy every 5 years-10 years with annual FIT?
500
Name this rhythm and the classic cause.
What is Accelerated Idioventricular Rhythm (AIVR)?
Classically due to re-perfusion (post ROSC).
500
This is the half life of DOACs.
What is ~12 hours?
This is why the periprocedural hold durations are shorter than warfarin (half life ~40 hours but ranges from 20-60 hours), which is why DOACs do not require bridging (they become subtherapeutic roughly 2-3 half lives after holding 24-48 hours which is much shorter than warfarin).
500
This is the name of the syndrome that describes recurrent flash pulmonary edema in a patient with severe bilateral renal artery stenosis or severe unilateral renal artery stenosis in a functional solitary kidney.
What is Pickering Syndrome?
Caused by acute hypoperfusion state leading to RAAS activation without compensatory ability to excrete Na in opposite kidney.
500
This Boston Red Sox pitcher suffered a torn ankle tendon during the 2004 MLB playoffs. Faulty sutures caused heavy bleeding, resulting in his iconic blood-soaked sock during an ALCS game.
Who is Curt Schilling?