Go with the Flow
Live(R) Laugh Love
Better BILIve It
Wild, Wild West
VT by the Numbers
100
Dermatologic condition associated with celiac disease
What is dermatitis herpetiformis?
100
(3) medications you would want to start in a patient with cirrhosis presenting with a suspected upper GI bleed
What are...
1. Pantoprazole
2. Octreotide
3. Ceftriaxone
100
Empiric antibiotics for acute cholangitis
What are ceftriaxone + metronidazole (pip-tazo if in ICU)?
100
Treatment of HSV or VZV meningitis
Bonus 100 points for duration
What is IV acyclovir for 14-21 days?
100
Name (1) famous person from Vermont
Who are...
Bernie Sanders, Grace Potter, John Deere, Calvin Coolidge
200
(2) criteria for diagnosing chronic diarrhea
Hint: one is timeline
What are...
1. Change in stool consistency + frequency
2. >4 weeks duration
200
(3) beta-blockers that can be used to prevent variceal bleed
What are...
1. Carvedilol
2. Propranolol
3. Nadolol
200
Timing of ERCP for treatment of acute cholangitis
What is <= 48-72 hours from presentation?
200
85 yo F with HTN, RA presenting to ED with pneumonia.
VS: T 39.1, BP 95/50, HR 110, SpO2 85% on RA
Lactate 2.8
ED requesting hospitalization. Based on Steve Grant's lecture, her admission order should be...
What is inpatient?
200
Name (2) breweries in Burlington
What are...
1. Zero Gravity
2. Burlington Beer Co.
3. Switchback
4. Foam
5. Queen City
300
IBS-D is defined as recurrent abdominal pain at least __ days per month in the last __ months, associated with change in stool frequency or form
Based on Rome IV criteria
What are 3 days and 3 months?
300
Patients with MELD 3.0 score above ___ can confer survival benefit with liver transplant
What is 15?
300
Treatment of asymptomatic gallstones
What is clinical observation?
300
(2) tests to order before starting someone on anti-TNF therapy for IBD
What are...
1. TB
2. HBV serology
Should also probably screen for HCV and HIV as well
300
Name the (3) tallest peaks in Vermont
What are...
1. Mansfield
2. Killington
3. Camel's Hump or Mt. Ellen
400
Patient taking a bunch of NSAIDs develops profuse watery diarrhea
What is microscopic colitis?
400
Test(s) and frequency of screening for HCC in cirrhosis
What are RUQUS + AFP every 6 months?
400
(2) causes of gallbladder motility dysfunction
What are...
1. Pregnancy
2. TPN/IV nutrition
3. Octreotide
4. Obesity
5. Rapid weight loss
6. Diabetes
400
Cause of "duck itch," per Andy Hale's NR
What is avian schistosomiasis?
400
Name (4) ski resorts in Vermont
What are...
1. Jay Peak
2. Stowe
3. Bolton Valley
4. Killington
5. Sugarbush
6. Smuggler's Notch
7. Okemo
8. Mad River Glen
500
(2) stool tests that should be considered in someone with chronic diarrhea
Hint: one is infectious
What are...
1. Fecal calprotectin
2. Giardia
Can also consider C diff, stool electrolytes, elastase
500
IV albumin dosing for SBP
1.5 g/kg on day 1, 1.0 g/kg on day 3
500
Treatment of patient with episodic abdominal pain and 1.5 cm gallbladder polyp on imaging
What is cholecystectomy?
500
(2) criteria for diagnosing hypogonadism in men, per Maisha Savani's NR
What are...
1. Signs and symptoms of hypogonadism
2. Total serum testosterone is low on two occasions - early AM or within 2 hours of wakening (normal 250-350 ng/dL)
500
Name (5) places you can get creemees
1. Cookie Love
2. Palmer Lane
3. Burlington Bay
4. Little Gordo
5. Al's
6. Canteen Creemee
7. Red Hen Bakery
8. Village Scoop