GI Bleeding
Coke
Sugar Sugar,
Honey Honey
I Like to Score
Potpourri
100
The sensitivity of FOBT with 1 sample and 3 samples.
What is 30% and 92%
100
The cost and weight of a "dime bag"
What is $10 dollars and 1/8 of a gram (0.1 to 0.15 grams).
100
Your response to your patient, a 57 year old woman with a new dx of DM2 with no other cardiovascular risk factors who asks you "Should I be taking aspirin like my friends are doing?"
What is No, new ADA standards suggest only for men >50 and women >60 who have risk factors amounting to a 10 yr. risk >10%
100
The meaning of each letter in TIMI
What is Thrombolysis in Myocardial Infarction
100
A reason why the JUPITER trial has come under recent criticism.
What is: 1. early termination of study exagerrates the benefits 2. Conflict of Interests
200
The top 3 causes of Upper GI bleeds in order of most to least common
What is 1. Peptic ulcer disease 2. Esophagogastric varices 3. Gastritis 4. Angiodysplasia and Mallory Weiss Tears 5. Neoplasm
200
The major cause at the synaptic level of the cardiovascular effects of cocaine
What is norepinephrine reuptake inhibition
200
A 2009 Expert Committee recommended this number as a Hemoglobin A1C cutoff score for diagnosing diabetes in the general population
What is 6.5
200
The variable in the MELD Score that when given a higher weighted score, better predicts mortality before transplantation
What is Bilirubin
200
The risk of getting a UTI for Mr. TF who had a foley in for a week.
What is 35%. (estimated 5% risk per day)
300
The name for the bleed of a patient with +FOBT and/or iron deficiency anemia with a normal endoscopy, colonoscopy, and capsule study.
What is obscure bleeding. It is recurrent, persistent, with no source. It is further subdivided into obscure overt or obscure occult.
300
The method how crack users can get pneumothorax, pneumomediastinum, or pneumopericardium
What is deep inhalation to maximize absorption followed by rapid exhalation into a friend's mouth to recycle the crack smoke.
300
Two contraindications to starting Metformin in a patient with DM2.
What are: 1. Cr>1.4 2. LFT's > 3x upper limit of normal 3. CHF that is unstable or acute
300
The 4th variable of the most recent MELD Score shown to better predict mortality before transplantation
What is Serum Sodium
300
The medication the US military is considering giving to soldiers immediately after traumatic events to try and prevent PTSD.
What is morphine
400
The amount of blood (in cc's) needed to get a: +FOBT for a UGI Bleed +FOBT for a LGI Bleed Show of Melena Show of Hematochezia from UGI Bleed
What is 1. FOBT+ from UGI Bleed 10-20cc 2. FOBT+ from LGI Bleed 0.5cc 3. Melena 50-100cc 4. Hematochezia from UGI Bleed 500-1000cc
400
The reason it's called crack
What is the sound that the rock of free-base cocaine makes when being heated in a pipe
400
Bowel inflammation from pressure against the luminal wall (one of many examples is diabetic gastroparesis leading to constipation and hard dry stool known as a fecaloma which can get stuck and push against the bowel wall risking ischemia and perforation)
What is stercoral colitis
400
The breakdown of CURB-65 and what scores guide your admission decisions.
What is: Confusion Uremia (BUN>20) Respiratory Rate >30 Blood pressure <90 systolic or <50 diastolic 65 years or older
400
In a person with ascites and no history of SBP, the 4 indications for beginning empiric treatment of suspected SBP before culture results return according to 2009 guidelines by the American Association for the Study of Liver Diseases
What are: 1. Temperature > 37.8ºC (100ºF) 2. Abdominal pain and/or tenderness 3. Unexplained change in mental status 4. Ascitic fluid PMN count ≥250 cells/mm3
500
A phenolic compound derived from the wood resin of a certain tree that allows us to see blood on a strip.
What is guaiac
500
The adulterant in cocaine that causes severe vasculitis.
What is Levamisole
500
The 3 types of pathological findings that may show up on the renal biopsy of Mrs. NC if she had diabetic nephropathy.
What are: Class I: GBM thickening Class II: Mesangial Expansion Class III: Glomerulosclerosis (1 Kimmelstein Wilson lesion) Class IV: >50% Glomerulosclerosis
500
3 of the 5 variables in a new Clinical Prediction Score Model developed in China for Chronic Hepatitis B Carriers to develop Hepatocellular Carcinoma
What are: 1. Age 2. Albumin 3. Bilirubin 4. Cirrhosis Stage 5. HBV DNA
500
A toxic additive in intravenous Diazepam (Valium) making it concerning to give to patients in alcohol withdrawal.
What is propylene glycol
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