It's Bugging Me
A Rash Decision
EEEEK(G)
It's Mab-ness
Capital Offense
100
This bug may transmit a spirochete that can cause a targetoid rash.
What is an Ixodes scapularis tick?
100
What insect is the most likely perpetrator of these bites?
Bedbugs
100
What medication would you avoid in treating this patient's chest pain?
Nitroglycerin
100
This anti-CD20 monoclonal antibody is first-line therapy for moderate-to-severe ANCA-associated vasculitis and is an alternative to cyclophosphamide for induction.
Rituximab
100
This sweet, tangy, and savory red-orange condiment, popular in Washington, D.C., is often served with chicken wings and other takeout food.
What is mambo sauce?
200
This fella lives east of the Rockies and can spread ehrlichiosis, tularemia, and Southern-tick associated rash illness (STARI).
What is the Lone Star tick (Amblyomma americanum)?
200
This patient presents with a painful rash covering over half his body and oral lesions, five days after starting lamotrigine.
Toxic epidermal necrolysis
200
Pt presents after a hiking trip with a targetoid rash and fatigue. An ECG strip is shown below. What is the rhythm and how would you treat?
3rd degree AV block, doxycycline
200
This anti–TNF-α monoclonal antibody is a first-line biologic for moderate-to-severe Crohn disease and ulcerative colitis.
Infliximab (or adalimumab)
200
This medical school, established in 1824, is the 11th oldest in the country and the first medical school established in the nation’s capital.
What is the George Washington University School of Medicine?
300
This bug can transmit Trypanosoma brucei, which can lead to behavioral changes and a reversal of the sleep-wake cycle.
What is the tsetse fly (Glossina morsitans)?
FYI: painful bite, often remembered by the patient
300
A 30 yo man presents with this itchy rash. What is this common condition?
Atopic dermatitis
300
Pt presents with chest pain relieved when leaning forward. What two medications are first-line therapy?
NSAIDs and colchicine
300
This anti–TNF-α monoclonal antibody is a first-line biologic for moderate-to-severe Crohn disease and ulcerative colitis.
Evolocumab
300
This movie, featuring Tom Cruise arresting people for ‘pre-crimes’, is set in the streets of Washington, D.C.
What is Minority Report?
400
This spider has a painless bite that progresses to a painful ulcer (in hours), then skin discoloration, then eschar and necrosis.
What is a brown recluse spider?
400
This patient developed a rash after sun exposure, and does not have any pain or pruritis. What is the most likely diagnosis?
Discoid lupus
400
What condition is indicated in this EKG from a patient with shortness of breath?
Pulmonary embolism (S1Q3T3)
400
This anti-IgE monoclonal antibody is added as first-line biologic therapy for moderate-to-severe allergic asthma uncontrolled on high-dose inhaled corticosteroids.
Omalizumab
400
This person’s estate was dedicated as a burial ground for Union soldiers during the Civil War, and would eventually become Arlington National Cemetery.
Who is Robert E. Lee?
500
This scary guy lives in the Southwestern US, and its sting can cause autonomic dysfunction (diaphoresis, salivation), cranial nerve dysfunction (dysphagia, abnormal eye movements), or neuromuscular dysfunction (fasciculations, jerking).
Arizona bark spider
500
This patient develops a rash after starting hormone replacement therapy (HRT). What is the most likely diagnosis?
Porphyria cutanea tarda
500
What tool is used to evaluate for an MI in someone with a left bundle branch block at baseline?
Sgarbosa Criteria (Concordant ST elevation > 1mm in leads with a positive QRS complex (score 5), Concordant ST depression > 1 mm in V1-V3 (score 3), Excessively discordant ST elevation > 5 mm in leads with a -ve QRS complex (score 2) or modified Concordant ST elevation >1 mm in >1 lead, Concordant ST depression> 1 mm in >1 lead of V1-V3, Proportionally excessive discordant STE in >1 lead anywhere with >1 mm STE, as defined by >25% of the depth of the preceding S-wave)
500
This monoclonal antibody is used as first-line high-efficacy therapy for relapsing-remitting multiple sclerosis, but carries a risk of progressive multifocal leukoencephalopathy due to JC virus reactivation.
Natalizumab
500
This Washington pro sports team, one of at least seven clubs local to the area, was the last to win a national championship in 2019.
Who are the Washington Nationals?