Endocrine
Heme/Onc
Gastroenterology
General IM
Final Jeopardy-Nephrology
100

What is the most likely diagnosis suggested by this physical finding in an asymptomatic patient? 

What is a goiter

100

What diagnosis is most compatible with this bone marrow biopsy specimen?

What is Aplastic Anemia

100

What is the most likely diagnosis in this patient with fulminant hepatic failure? 

What is Wilson Disease.

100

Which abnormality is seen on the ECG?

What is third degree heart block 

200

A patient has the following laboratory findings:

24-Hour radioactive iodine (131I) uptake: 38%

Thyroid-stimulating hormone (TSH): 0.02 µU/mL (0.02 mU/L)

Thyroxine (T4): 

Total16 µg/dL (206 nmol/L)

Free 2.9 ng/dl (37 pmol/L)

A thyroid scan shows diffusely increased activity.


What is the most likely diagnosis


What is Graves disease.

200

What is the most likely diagnosis? 

What is sickle cell disease

200

What is the most likely diagnosis (liver) based on this contrast-enhanced abdominal CT scan? 

What is heaptic abscess

200

What is the most likely diagnosis for the findings in this image, which are limited to the lower leg?

What is venous stasis ulcer.

300

What disease/diagnosis accounts for the skin findings shown? 

What is diabetes mellitus

300

What is the most likely diagnosis and why?

What is Acute myeloid leukemia and Auer rods

300

A 48-year-old man presents with abdominal pain, diarrhea, and fever.

What underlying condition is most commonly associated with this radiographic finding? 

What is inflammatory bowel disease.

300

A patient with ankylosing spondylitis developed the painful red eye condition shown. 

What is the most likely diagnosis?

What is iritis. 

300

A 76-year-old man is evaluated in the emergency department for confusion, an unsteady gait, tinnitus, nausea, and vomiting. His family has noticed progressive functional decline over the past 2 weeks. History is significant for osteoarthritis. His only medication is aspirin.

On physical examination, the patient is tachypneic and obtunded. Temperature is normal, blood pressure is 140/68 mm Hg, pulse rate is 96/min, respiration rate is 24/min, and oxygen saturation  is 99% breathing ambient air. The neurologic examination is nonfocal.

Laboratory studies:

Electrolytes :

Sodium 142 mEq/L (142 mmol/L)

Potassium 3.2 mEq/L (3.2 mmol/L)

Chloride 100 mEq/L (100 mmol/L)

Bicarbonate 20 mEq/L (20 mmol/L)

Arterial blood gases :

pH 7.56

PCO2 22 mm Hg (2.9 kPa)

What is the acid base diagnosis? Explain your reasoning

What is a respiratory alkalosis, increased anion gap metabolic acidosis, and metabolic alkalosis

400

A 72-year-old woman is evaluated for chronic right pelvic pain that is most notable with walking.

A plain radiograph is obtained.

What is the most likely cause of this patient's symptoms? 

What is Paget's disease

400

In a patient taking sulfa antibiotics, what is the most likely diagnosis?  

What is glucose-6-phosphate dehydrogenase deficiency 

400

A 58-year-old man is evaluated for lower abdominal and pelvic discomfort.

What is the most likely diagnosis based on this patient's CT findings? 

What is diverticulitis.

400

What is the most likely diagnosis for this optic nerve finding in a patient with significantly decreased visual acuity in this eye? 

What is optic disc atropy

500

What is the most likely diagnosis for these radiographic findings in a patient with CKD? 

What is osteitis fibrosa cystica

500

What is the most likely diagnosis

What is immune thrombocytopenic purpura.

500

A 32-year-old woman undergoes colonoscopy for evaluation of chronic diarrhea.

What is the most likely diagnosis? 

What is ulcerative colitits. 

500

A patient is admitted to the ICU with profound azotemia.

What is the diagnosis of this clinical finding?

What is uremic frost

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