Endocrinology
Rheumatology
Fever and Rash
Heme/Onc
Happy Birthday!
100
Test to distinguish exogenous from endogenous production of insulin
C-peptide
100
The HLA type associated with a finding of "bamboo spine" on imaging.
HLA-B27
100
70 YOM presents with several weeks of worsening fever, sore throat, swollen lymph nodes, and fatigue. Only travel is to Las Vegas 1 month prior for a business trip. On exam, the following rash is found:
Secondary Syphilis
100
Hematological diagnosis classically associated with pica and pallor
Iron deficiency anemia
100
When you turn the same age as the date of your birthday.
Golden Birthday
200
Most common cause of hypoparathyroidism
Surgical Removal
200
Name this condition.
Raynaud's phenomenon
200
A 64 YOM who returned from a hunting trip 2 days prior presents to the ER with fever, painful "armpit lumps" and the following skin lesion.
Tularemia or glandular fever or Francisella Tularensis
200
Diagnosis
Hairy Cell Leukemia
200
The age when a Bah Mitzvah is traditionally celebrated
13
300
The follow up test for a 47 YOM with fatigue and decreased libido whose labs drawn at 3pm show a total testosterone of 275 ng/dL (300-1200 ng/dL) and a luteinizing hormone level of 5mU/mL (3-15mU/mL).
8 am total testosterone
300
Term describing erythematous papular or pustular response to local skin injury in patient with Behçet syndrome
Pathergy
300
A 54 YOM presents with fever, fatigue, myalgias, and rash 1 weeks after returning from camping in Missouri.
Rocky Mountain Spotted Fever
300
The familial syndrome consisting of hemangioblastoma of the retina, renal cell carcinoma, and pheochromocytoma.
Von Hippel-Lindau Disease
300
A Mexican tradition celebrating the passage from girlhood to womanhood on her 15th birthday.
Quinceanera
400
The class of diabetes drugs associated with euglycemic or only mildly hyperglycemic DKA
SGLT-2 inhibitors (-flozins)
400
The Diagnosis for a 56-YOM with recently diagnosed hypertension presents for 1-month of malaise, myalgia, weight loss, numbness & weakness of R foot, testicular pain, and small necrotic ulcers on his legs. He is hypertensive 170/90, Temp 99.0. Labs show mild anemia, acute renal failure. ANCA is negative and urinalysis is normal. Renal angiogram shows micro-aneurysms of the renal arteries.
Polyarteritis Nodosa
(Teaching point: Non-glomerular kidney disease. Negative ANCA. New Hypertension)
400
A 21 year old female who presents to the ER after 5 days of severe diarrhea and abdominal pain with new fever, skin yellowing, and rash. Symptoms started shortly after eating hamburgers at a cookout where 2 others ha Labs show thrombocytopenia, anemia, indirect hyperbilirubinemia, and renal failure. Exam demonstrates the rash pictured below, splenomegaly, and confusion.
Thrombotic Thrombocytopenic Purpura (will accept hemolytic uremic syndrome)
400
Mutation of this gene is responsible for familial adenomatous polyposis syndrome
APC gene
400
The Germans introduced this popular feature of birthday celebrations.
Birthday Cake
500
A cause of hypocalcemia in a 79 YOF patient who presents to the ER with weakness and fatigue 2 days after receiving IV zoledronic acid.
Hypovitaminosis D (Vitamin D Deficiency)
(Teaching point: Antiresorptive drugs can cause severe hypocalcemia by repairing efflux of calcium from the skeleton in vitamin D deficiency--this is why we correct first!)
500
The antibody associated with the condition causing calcinosis cutis, Raynauds, esophageal dysmotility, sclerodactyly and telangiectasias.
Anti-Centromere Abs
500
A 55 year old patient with HIV and medication noncompliance presents to the hospital for pneumonia and is treated. Shortly after discharge, he returns to the hospital with this progressively worsening rash, fevers, tachycardia, and hypotension. Diagnosis?
Stevens-Johnson Syndrome
500
Class of immunotherapy drugs that disrupt signaling by malignant cells exposing them to attack by the immune system
Checkpoint inhibitors (accept immune checkpoint inhibitors or checkpoint inhibition)
500
The society credited with the founding of the 12 zodiac symbols
The Babylonians