Endocrine
Misc
Valves
GI
Halloween
100
The thyroid scan in a patient with confirmed hyperthyroidism is most consistent with what diagnosis?
Toxic multinodular goiter
100
These are the 4 components of the Centor criteria.
Fever
Tonsillar exudates
Tender anterior cervical lymphadenopathy
Absence of cough
100
Name 3 symptoms typically associated with severe aortic stenosis?
*Bonus for naming the associated mortality*
Syncope -- 2 years
Angina -- 3 years
Dyspnea -- 5 years
100
This is the #1 cause of indirect hyperbilirubinemia in USA and may double after fasting.
Gilbert's
100
This 1973 film about a possessed young girl is often called the scariest movie of all time.
The Exorcist
200
Diagnosis consistent in a patient presenting with weight loss, nausea, weakness, and the skin changes noted below?
Primary adrenal insufficiency
200
What testing should be done next in a patient w/ hx HLD and HTN presenting after an unwitnessed LOC episode while on the treadmill w/o prodromal symptoms?
Vitals (including orthostatics), EKG and TTE wnl
Exercise stress test
200
Corrigan's pulse, or water hammer pulse, is most commonly associated with which murmur?
Aortic regurgitation
200
Beta blockers indicated for esophageal varix prophylaxis?
*Must name all 3*
Propranolol
Carvedilol
Nadolol
200
This witchy 1993 Disney film starring Bette Midler, Sarah Jessica Parker, and Kathy Najimy has become a cult Halloween classic.
Hocus Pocus
300
What is the preferred osteoporosis medication in a patient with the following medical conditions:
stage G4 chronic kidney disease, secondary hyperparathyroidism, and hypertension.
Denosumab
300
The Berlin criteria are used for the diagnosis and severity classification of this life-threatening pulmonary condition.
ARDS
300
Indications for valve replacement in patients with infective endocarditis?
*Name only 3
Signs/symptoms of HF
extent of infection (abscess, penetrating lesions, heart block)
resistant pathogen
persistent bacteremia
vegetations >10 mm (on the left) or >20 mm (on the right)
recurrent septic emboli
300
Excluding liver enzymes, what is usually the earliest detectable lab abnormality in patients with cirrhosis?
Thrombocytopenia
300
This famous paranormal investigator couple is featured in a number of recent horror movies including The Conjuring, Anabelle, Insidious, etc...
*last name only counts*
Ed and Lorraine Warren
400
Fournier's gangrene is a rare, but severe infection linked to which diabetes medication class?
SGLT-2 inhibitors
400
This supplement increases the risk of lung cancer in cigarette smokers.
Beta carotene
400
This condition is characterized by a patient with anemia requiring transfusions, angiodysplasia on EGD, and a systolic ejection murmur best heard at the right upper sternal border.
Heyde syndrome or acquired vonWillibrand syndrome
400
Individuals with hemochromatosis create a favorable environment in which this organism thrives, thereby increasing the risk of infection with this in patients?
Vibrio vulnificus
400
This Japanese horror film, later remade in the U.S., centers on a cursed videotape that kills anyone who watches it.
Ringu (or The Ring)
500
Sarcoidosis or lymphoma causes ectopic production of what leading to hypercalcemia?
**Bonus: This med is added on top of hypercalcemia treatments**
Ectopic Vitamin D production
*Steroids
500
Most appropriate diagnostic study in a patient with a 4 month hx of chronic sinusitis presenting with acute worsening of symptoms despite saline irrigation, antihistamines, and decongestants?
Noncontrast sinus CT or nasal endoscopy
500
Criteria for classification of severe aortic stenosis?
Gradient > 40
Velocity > 4
valve area < 1
500
Condition characterized by murmur over umbilicus in the presence of caput medusa from portal HTN usually with hepatic cirrhosis?
Cruveilhier-Baumagarten Syndrome
500
Originating from the Celtic festival of Samhain, Halloween was believed to be the night when this boundary became blurred.
Boundary between the living and dead