Too Basic for Me
Bring Out the Big Guns
Skinny & Tachy
My Liver is Cooked
Jersey Legends 3.0
100
This ECG finding is classically associated with hypocalcemia.
What is a prolonged QT interval?
100
This carbapenem lacks activity against Pseudomonas, unlike the other agents in its class.
What is ertapenem?
100
This first-line intervention increases vagal tone and may terminate AVNRT or AVRT.
What are vagal maneuvers?
The modified Valsalva maneuver (strain followed by supine repositioning with passive leg raise) is more effective than the standard Valsalva for terminating stable, regular SVT.
100
These are the first-line diuretics for cirrhotic ascites and the ratio in which they are typically dosed.
What are spironolactone and furosemide in a 100 mg : 40 mg (2.5:1) ratio?
100
This New Jersey businessman and philanthropist helped establish the company that became Johnson & Johnson?
Who is Robert Wood Johnson I? Not II or III.
200
This enzyme is inhibited by acetazolamide.
What is carbonic anhydrase?
Inhibiting carbonic anhydrase impairs the conversion of HCO₃⁻ + H⁺ ↔ CO₂ + H₂O, reducing proximal bicarbonate reabsorption.
200
This first-generation cephalosporin can be dosed twice daily for SSTIs and has significant cross-reactivity with aminopenicillin allergies.
What is cefadroxil?
Cefadroxil shares a similar R1 side chain with amoxicillin. Cephalexin, cefaclor, and cefprozil also have R1 side-chain similarities to amoxicillin/ampicillin, increasing the risk of cross-reactivity.
200
Adenosine serves this secondary purpose if it does not terminate the rhythm but transiently slows the rate.
What is diagnosis?
Transient AV nodal blockade can unmask atrial flutter or atrial tachycardia, helping identify the underlying rhythm.
200
This is the recommended surveillance strategy and screening interval for hepatocellular carcinoma (HCC) in patients with cirrhosis.
What is liver ultrasound with or without AFP every 6 months?
200
This New Jersey soccer star won two FIFA Women’s World Cups with the U.S. national team?
Who is Carli Lloyd?
300
This syndrome is caused by a gain-of-function mutation in the ENaC channel.
What is Liddle syndrome?
Liddle syndrome mimics hyperaldosteronism, causing hypertension, hypokalemia, and metabolic alkalosis, but with low renin and low aldosterone levels.
300
These four oral antibiotics provide coverage against MRSA.
What are TMP-SMX (Bactrim), doxycycline, clindamycin, and linezolid?
300
The 2025 AHA guidelines recommend this fixed initial cardioversion energy for atrial fibrillation.
What is 200 J?
The guidelines moved away from the traditional “start low and escalate” approach, recommending an initial 200-J biphasic shock to improve first-shock success.
300
***DAILY DOUBLE***
These are the two major indications for TIPS in patients with cirrhosis and complications of portal hypertension.
What are refractory/recurrent variceal bleeding and refractory ascites?
Beyond these “big two,” selected indications include refractory hepatic hydrothorax, Budd-Chiari syndrome, portal vein thrombosis requiring portal vein recanalization, and selected cases of HRS-AKI.
300
This actor from Passaic, New Jersey played Scott Lang, aka Ant-Man, in the Marvel movies?
Who is Paul Rudd?
400
Convert this VBG to an approximate ABG: pH 7.30, pCO₂ 28 mmHg.
What is pH ~7.35 and pCO₂ ~23 mmHg?
Arterial pH is typically ~0.03–0.05 higher than venous pH, while arterial pCO₂ is typically ~3–6 mmHg lower than venous pCO₂.
400
***DAILY DOUBLE***
This antipseudomonal antibiotic exhibits concentration-dependent rather than time-dependent killing, making it useful for rapidly broadening coverage in septic shock.
What is tobramycin?
400
Avoid AV nodal blockade in pre-excited atrial fibrillation, as it can potentially result in this rhythm.
What is ventricular fibrillation (VF)?
AV nodal blockade can accelerate conduction through the accessory pathway, producing extreme ventricular rates that may degenerate into VF.
400
These two agents, used together, are considered first-line therapy for hepatorenal syndrome–AKI.
What are terlipressin and albumin?
Norepinephrine and albumin: similar efficacy, but requires ICU admission and a central line
Midodrine/octreotide + albumin: inferior, only weak vasoconstrictor activity
400
This legendary actor from Mendham Township has starred in The Game of Thrones and Elf.
Who is Peter Dinklage?
500
This is the mechanism by which alkalosis affects ionized calcium.
What is increased albumin binding of calcium due to less H⁺ bound to albumin?
500
This beta-lactam/beta-lactamase inhibitor combination extends ceftazidime’s activity against AmpC, ESBLs, and some carbapenemases, including KPC.
What is ceftazidime-avibactam (Avycaz)?
Do not confuse it with ceftolozane-tazobactam (Zerbaxa).
500
This irregular narrow complex tachyarrhythmia should prompt you to treat the patient’s underlying pulmonary disease rather than reach for an AV nodal blocker.
What is multifocal atrial tachycardia (MAT)?
MAT is strongly associated with acute pulmonary disease, particularly COPD exacerbations. Management primarily targets the underlying illness and electrolyte abnormalities rather than the rhythm itself.
500
Current guidelines recommend against routinely transfusing these two blood products to correct abnormal hematologic tests in acute variceal bleeding.
What are fresh frozen plasma (FFP) and platelets?
Primarily driven by portal hypertension rather than failure of hemostasis. INR and platelet count also poorly reflect bleeding risk in cirrhosis. Routine transfusion may be ineffective and can cause volume expansion that increases portal pressure, potentially worsening bleeding.
500
This Glen Ridge native, pictured below, was the second person to walk on the moon.
Who is Buzz Aldrin?