NephMadness™
Make Some Rheum
Magician's Favorite Physician
Viruses, Bacteria, and Fungi, oh my!
Don't Do Drugs (except these)
I See You (ICU)
100
In the diagnosis of SIADH, these two conditions must be excluded first
Hypothyroidism and Adrenal Insufficiency
100
Most specific antibody for Rheumatoid Arthritis
Anti-CCP (cyclic citrullinated peptide)
* Citrulline is a non-essential amino acid and the word dervies from "citrillus" for watermelon
100
What is the answer to the category's title?
"Card"iologist because magicians like using card tricks
100
Two types of meningitis that corticosteroids are indicated for continued management once pathogen has been identified with mortality benefit
Streptococcus Pneumoniae and Tuberculosis Meningitis
* Listeria in particular in observational studies had increase mortality when treated with steroids
*Haemophilus Influenza has hearing loss-benefits in pediatric populations, benefit not preserved in adults and no mortality benefit
100
Loading and maintenance doses for Apixaban when treating VTE
10 mg BID x7 days --> 5 mg BID
100
Method of cardiac-resuscitation involving the use of VA-ECMO
ECPR (Extracorporeal cardiopulmonary resuscitation)
200
Acute hypertensive condition in which ACEi are strongly preferred over ARBs
Sclerodermic Renal Crisis
200
Most common cause of death in patients with Rheumatoid Arthritis
Cardiovascular Disease
200
Minimum duration of anticoagulation after cardioversion for AF (even with CHA₂DS₂-VASc score of 0)
4 weeks
* Primarily due to increased risk of recurrence of AF and atrial-stunning in the first 30 days post cardioversion, Class I recommendation
200
Enterobacter cloacae, Klebsiella aerogenes and Citrobacter freundii all have this inducible gene that can lead to production of enzymes that cause resistance to beta-lactam antibiotics (even when in vitro susceptibilities are present)
AmpC
200
Vitamin deficiency associated with chronic furosemide use
Vitamin B1
200
2009 Landmark trial that found a 2.6% absolute risk reduction in 90-day mortality with tight glucose control of 140 - 180 mg/dL
NICE-SUGAR
(Normoglycemia in Intensive Care Evaluation-Survival Using Glucose Algorithm Regulation)
300
Only medication FDA approved to slow progression of ADPKD
Tolvaptan
300
Malignancy associated with Sjögren's Syndrome
Non-Hodgkin's Lymphoma
*15-20x times risk compared to general population
300
Criteria for Class I indication for CRT-D in patients with HFrEF?
LBBB with QRS > 150 ms
LVEF < 35% with NYHA II-IV symptomatology
Sinus rhythm
*Class IIa recommendation made for non-LBBB between > 150 ms and LBBB between 120-150 ms
300
Management of asymptomatic candiduria in neutropenic patient?
Treat as disseminated candidemia (caspofungin, micafungin, ampho B, etc.)
300
Class Ib anti-arrhythmic that is also an anti-epileptic agent
Phenytoin
300
Preferred route of administration for pulmonary vasodilators (e.g., epoprostenol) in acute pulmonary hypertension NOT due to PAH
Inhaled
* IV is preferred to inhaled in WHO group 1 pHTN since there's no issue with poorly ventilated areas and concern for shunting
400
Expected decrease in pH for every 10 mmHg rise in pCO2 for both acute and chronic hypercapnea
Acute: 0.08 decrease in pH for every 10 increase
Chronic: 0.03 decrease in pH for every 10 increase
*Look at your hypercapnic patient's ABGs closely, a pH of 7.24 with a pCO2 of 60 should concern you more than a pH of 7.25 with a pCO2 of 90
400
Auto-immune condition associated with these nail findings
Psoriatic Arthritis (PsA)
400
Diffuse T wave inversion throughout the precordial lead in an unconscious patient raises concern for what?
Increased ICP or massive ischemic CVA
*Cerebral T Waves
400
Virus associated with multicentric Castleman's Disease
HHV-6
400
Name 3 medications that induce Cytochrome P450
Accept 3 of:
Phenytoin, Phenobarbital, Rifampin, Modafinil, Carbamazepine, Griseofulvin St. John's Wart
400
Goal plateau and driving pressures in ARDS
Pplat < 30 cm H2O
Pdriv < 15 cm H2O
* Pdriv = Pplat - PEEP
500
A patient on peritoneal dialysis presents with recurrent small-bowel obstructions and this is found on CT, what is the diagnosis?
Encapsulating Peritoneal Sclerosis (EPS)
*1 year mortality of ~50% from time of diagnosis
500
Antibody associated with Inclusion Body Myositis
Anti-NT5C1A (anti-cytosolic 5'-nucleotidase 1A)
500
Which types of Myocardial Infarctions are caused by procedures?
Types 4 and 5 (PCI and CABG, respectively)
500
Candidal species with intrinsic activity against fluconazole
Candida Krusei
(do NOT accept Candida Glabrata or Candida Auris)
500
Cephalosporin that has true cross-reactivity with amoxicillin
Accept any of:
Cephalexin, Cefaclor, Cefadroxil
*Shares an identical R1 side-chain
500
Preferred vasopressor in patients with HOCM
Phenylephrine