In The News
The Humors
Obstruction Junction
Doc, It Hurts When I Pee
There's a Fungus Among Us
Bagels and Smears
100
The Pentagon and White House were recently attacked by envelopes containing this bioterror agent produced from castor beans
What is Ricin?
100
Heparin acts by potentiating the action of this protein involved with blood clotting
What is antithrombin III?
100
This is the FEV1/FVC ratio that is defines obstruction
What is < 0.70?
100
This is the eponymous pupilary findings in patients with neurosyphilis
What is Argyll-Robertson pupil?
100
This fundoscopic finding was seen in a patient with a bloodstream infection of this organism
What is Candida?
100
Hematologic diagnosis in a patient with WBC count of 100K and the peripheral smear seen here
What is CLL?
200
Senator John McCain recently lost his battle with this malignancy
What is glioblastoma multiforme (GBM)?
200
This medication, found naturally in bear bile, is approved for the treatment of primary biliary cholangitis
What is ursodeoxycholic acid?
200
Patients with GOLD4 severity COPD have a FEV1 less than this
What is <30% predicted?
200
This febrile reaction that occurs within 24 hours of syphilis treatment is a systemic response to dying spirochetes
What is the Jarisch-Herxheimer reaction?
200
Colonization and allergic reaction to this organism can often imitate asthma
What is Aspergillus?
200
Seen here, this cell is pathognomonic for Hodgkin's lymphoma
What is a Reed-Sternberg cell?
300
In June of 2018, the Kellogg Company was forced to recall all of its Honey Smacks cereal due to an outbreak of this organism
What is Salmonella?
300
Isolated direct hyperbilirubinemia in the absence of other LFT abnormalities can be associated with this inherited condition (as can a black liver)
What is Dubin Johnson Syndrome?
300
Supplemental oxygen should be considered in patient COPD patients with SpO2 89-90% and these comorbities (please give 2 out of 3)
What are Pulmonary HTN, right heart failure, and polycythemia?
300
All sexually active women under this age should be screened for Chlamydia
What is ≤ 25 years?
300
Infection with this organsim requires immediate surgical management
What is Mucor (also accept Rhizopus)?
300
Treatment for patients with AKI, thrombocytopenia and peripheral smear seen here
What is plasma exchange?
400
The ASPREE trial found higher all-cause mortality among apparently healthy older adults who received a daily dose of this medication, compared to those who received placebo
What is aspirin?
400
Mutations in the gene for the protein Ankyrin can cause this condition
What is Hereditary Spherocytosis?
400
Test that should be considered in younger patients with COPD and bullous changes that are more prominent at the lung bases
What is alpha-1 antitrypsin level?
400
This treatment for genital warts is a powerful cytokine inducer that stimulates production of interferon-alpha, tumor necrosis factor, and interleukin (IL)-1, IL-6, and IL-8
What is imiquimod (Aldara)?
400
Meningitis caused by this organism usually requires daily LP to reduce CSF pressure
What is Cryptococcus?
400
Diagnosis in a patient with mild anemia, renal insufficiency, a high calcium level, and the peripheral blood smear seen here
What is multiple myeloma?
500
An October 2018 study published in the Lancet found that this treatment does not prevent fractures or falls, or have clinically meaningful effects on bone mineral density
What is Vitamin D?
500
The pictured finding can be found in the phlegm of patients suffering from this disease
What is asthma?
500
This oral PDE-4 inhibitor is approved to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of frequent COPD exacerbations
What is roflumilast?
500
This is an accepted treatment regimen in patients with uncomplicated Gonorrhea infections and cephalosporin allergy
What is gemifloxacin 320mg PO x1 + azitrhomycin 2g PO x1, OR gentamicin 240mg IM x1 + azitrhomycin 2g PO x1?
500
Identify this dimorphic fungus
What is Blastomyces?
500
Identify this cell
What is a megakaryocyte