AIR BUD
CONTAGION
ATTACK OF THE KILLER TOMATOES
THERE WILL BE BLOOD
A BEAUTIFUL MIND
100
These 4 preventative measures can be made to prevent sudden infant death syndrome.
Supine sleeping position, using a crib that meets federal safety standards, using a firm mattress, no soft materials inside the crib, avoiding overheating/over bundling, have your baby sleep in the same room, do not share the same bed/sleeping surface, using a pacifier, breast feed for at least 6 months, staying up to date on vaccinations, avoid relying on baby monitors and other commercial devices instead of safe sleep practices.
100
This organism is the most common cause of recurrent pulmonary infections in cystic fibrosis patients throughout infancy and childhood.
Staph Aureus
100
A 15 month old boy with constipation and a positive squirt sign on physical exam is diagnosed with this.
Hirschprung disease
100
Diagnosis after seeing this on lymph node biopsy.
Hodgkin Lymphoma
100
A 15 year old girl presents with chronic dull left-sided throbbing headaches that usually last for hours at a time associated with photophobia. Physical exam is completely benign. These refractory headaches should be treated with this medication.
Triptans (Sumatriptan)
200
This diagnosis is caused by barotrauma to the lungs and oxygen toxicity due to prolonged mechanical ventilation in premature infants. Diffuse granular densities with basal atelectasis and hyperinflation can be seen on x-ray.
Bronchopulmonary Dysplasia
200
This is the treatment for nocturnal perianal pruritus.
Pyrantel Pamoate or Albendazole
200
This is the treatment of choice for an 11 month old girl who presents with altered mental status, lethargy, abdominal pain and bloody stool.
Air enema
200
A 6 day old child with hemolytic anemia, jaundice, splenomegaly, and increased MCHC is diagnosed with this disorder.
Hereditary Spherocytosis
200
A 16 year old with acne who is being treated with isotretinoin has been having throbbing pain, blurry vision. This is seen on fundoscopic exam. She is diagnosed with this disease.
Pseudotumor Cerebri/Idiopathic Intracranial HTN
300
An infant is admitted to the hospital for iron deficiency anemia. She is given an infusion of packed red blood cells and hours later develops respiratory distress. The patient is tachycardic with an elevated blood pressure. Lung examination demonstrates diffuse crackles. In addition to respiratory support, this medication is also administered.
Furosemide
300
These 3 vaccinations are recommended for ages 11-12.
HPV, Tdap, and meningococcal
300
A 9 year old girl is brought in for recurrent NBNB vomiting over the last few months since starting school. Patient has nausea, vomiting, and diffuse abdominal pain. Vomiting usually occurs in the morning and recurs about 5 times each time. This diagnosis is made.
Cycling Vomiting Syndrome
300
This is the definitive treatment for a child who presents with chronic fatigue, short stature, hypoplastic thumbs, hypopigmentation on the trunk and CBC showing pancytopenia and elevated MVC.
Hematopoietic stem cell transplant
300
A 6 month old is brought in for a normal wellness exam. She has been fussier than usual over the last few weeks and less interested in feeding. On exam, anterior fontanelle is full, sutures are widely spaced, and head circumference has increased from the 40th percentile to 90th percentile since her 4 month visit. This is the next best step in management.
Cranial US or Brain MRI
400
A 7 year old boy presents to the ED for a severe asthma exacerbation as calculated by his HASS score. These 3 therapies should be administered immediately. For an additional 100, this solution should be administered intravenously if no improvement is seen after 1 hour.
Supplemental O2, SABA/SAMA, and corticosteroids such as Dexamethasone. Additional 100: IV magnesium sulfate
400
A 3 year old boy is evaluated for a rash. The rash started on his face yesterday and has spread to his trunk, back, and arms. He has also had a runny nose, dry cough, and fever for the past week. He has tiny white round lesions that are present on the buccal mucosa. Small soft, mobile lymph nodes are palpated along the anterior and posterior cervical chains. THIS type of isolated contact precaution should be placed on this child in the hospital for THIS infection.
Airborne isolation for measles (rubeola)
400
A 16 year old boy with Crohns is brought in due to diarrhea and a dry erythematous hyperpigmented rash with sharp well-demarcated thickened skin. He has had 3 months of watery diarrhea and difficulty concentrating in school. He has this nutritional deficiency.
Niacin (B3) Deficiency)
400
A child is diagnosed with G6PD deficiency. This medication should be absolutely avoided in order to prevent hemolytic anemia. Name 2 of the 5.
Diaminodiphenyl Sulfone (Dapsone), Isobutyl Nitrite, Nitrofurantoin (Macrobid), Rasburicase, Primaquine
400
This patient is at the greatest risk of THIS sequelae associated with THIS diagnosis.
Syringomyelia, Chiari I Malformation
500
This rare, benign, but locally aggressive tumor occurring almost exclusively in adolescent males originates from the posterior choanal tissues and rapidly extends into the surrounding regions. As the tumor is largely space-occupying and highly vascular, patients typically present with a progressive, unilateral nasal obstruction, and recurrent, severe epistaxis.
Juvenile Nasopharyngeal Angiofibroma (JNA)
500
This type of meningitis will show a CSF fluid analysis of 320 mm3 WBC, 40 mg/dL glucose and 150 mg/dL of protein.
Tuberculous Meningitis
500
A well-appearing 1 month old with a history of eczema is brought in with painless blood-streaked stool. He has been breast-fed exclusively. Pathophysiology involves eosinophilic inflammation of the rectosigmoid colon. Symptoms will resolve after this treatment.
Restricting dairy and soy from maternal diet
500
An infant presents with lethargy, poor feeding, fatigue, and increasing pallor. Exam shows webbed neck, cleft palate, hypertelorism, and triphalangeal thumbs. CBC shows macrocytic anemia, reticulocytopenia, but normal platelet and WBC count. This diagnosis is made.
Diamond-Blackfan Anemia
500
A 15 month old girl is presenting to the clinic because she has yet to start walking and has gross motor delay. She has moderate hypertonia and hyperreflexia of the lower extremities with significant resistance to passive extension. Talipes equinovarus is present on the left lower extremity. Management includes one of these things.
PT, OT, speech therapy, and antispasmodics: Baclofen