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EndoCRINGEology

100

This popular brand of insoles is named after a Chicago Medical School alumnus.

Dr. Scholl’s

100

These two clinical tests can be used to identify meningitis.

Kernig sign and Brudzinski sign


100

What medication should you start in patient with intermittent claudication who has been on a statin, antiplatelet monotherapy with continued symptoms? 

Double points for mechanism of action ;)

Cilostazol 

(a phosphodiesterase inhibitor with antiplatelet and vasodilator activity)

100

This rare disorder of metabolism can present with neurological changes, psychiatric changes, and elevated ALT/AST.

Wilson's disease

100

This autoimmune condition is characterized by hyperthyroidism, exophthalmos, and pretibial myxedema.


Graves Disease

200

This soft drink was created in the nineteenth century by pharmacist Charles Alderton.

Dr Pepper

200

This test is positive when a patient standing with their eyes open starts to sway upon closing their eyes.

Romberg test

200

Name the following rhythm and the most common underlying condition it’s associated with.


200

This disease is described by a classic triad of dysphagia, iron-deficiency anemia, and esophageal webs

Plummer Vinson Syndrome


200

These antihyperglycemics have the most proven cardiovascular benefit in patients with known ASCVD risks.

GLP-1 agonists and SGLT2 inhibitors

300

This brand of footwear is often associated with punk subculture.

Doc Martens

300

To perform this test, the physician scrapes the lateral aspect of the sole from heel to toe, then observes how the toes respond. 

Babinski sign

300

Correctly name 4 of the 5 different types of NSTEMI and how they’re defined.

  1. Type 1: a primary CAD event (plaque rupture or erosion -> thrombus) 

  2. Type 2: caused by imbalanced oxygen supply and demand

  3. Type 3: sudden cardiac death w/ presumed new EKG changes or v-fib; no biomarkers obtained before death 

  4. Type 4: procedure-associated MI (</=48 hours after PCU, stent thrombosis) 

  5. Type 5: procedure-associated MI during or </=48 hours after a CABG 

300

This type of tumor can lead to diarrhea, episodic flushing, wheezing, and right-sided valvular heart disease if the hormone/molecule secreted by the tumor reaches systemic circulation via liver metastasis. 

Carcinoid tumor

300

Name at least 2 first-line tests that must be abnormal to confirm the diagnois of Cushing syndrome

Overnight low-dose dexamethasone suppression test
24 hour urine free cortisol measurement
Late-night salivary cortisol measurement

400

This brand of headphones boasts many celebrity endorsements.

Beats by Dr. Dre

400

Which nerve is being assessed?

Patient is asked to shrug as the physician applies inferior resistance.

CN XI, Accessory Nerve

400

What are the aortic valvular area sizes that categorize mild, moderate, and severe aortic stenosis? 

Mild: >1.5 cm2 

Moderate: 1.0-1.5 cm2 

Severe: <1.0 cm2


400

This test will help to determine the cause of recurrent ulcers in the duodenum and jejunum, abdominal pain, and diarrhea.

Secretin stimulation test 

Secretin stimulation test is used for evaluation of gastrinoma. Increased gastrin levels after administration of secretin is indicative of a gastrinoma. Secretin normally inhibits gastrin release. May be associated with MEN1.

400

Name all of the hormones secreted by the anterior pituitary gland.

FSH, LH, ACTH, TSH, Prolactin, GH

500

This soda brand is often found at Jewish delicatessens and Passover seders.

Dr. Brown’s

500

Name the disorder:

When the patient looks left, both eyes gaze left.
When the patient looks right, the left eye cannot adduct past midline.

Intranuclear Ophthalmoplegia

500

Name the device and its specific function.  

Watchman Device 

Filter implant inserted into the left atrial appendage for patients with non-valvular atrial fibrillation.

It prevents the formation of LAA clots, preventing the risk of thromboembolism, and is an alternative to blood thinners

500

There are 3 drug classes that must be avoided in “Acute severe” presentation of this condition. Symptoms include bloody diarrhea, tenesmus, and abdominal pain. Inflammation is limited to the mucosa and submucosa. (bonus points if you can name associated complications with each drug class)

NSAIDs, Opioids, Anticholinergics 

  • NSAIDs can inhibit prostaglandin synthesis and worsen mucosal inflammation. This will increase the risk of relapse, bleeding, and ulcer formation

  • Opioids will slow down GI motility by increasing smooth muscle tone. This can increase risk of toxic megacolon and perforation

  • Anticholinergics inhibit ACh-mediated parasympathetic activity, leading to reduced bowel motility. The risk of toxic megacolon and perforation

500

List the 4 symptoms associated with primary hyperparathryoidism.

Renal stones (Stones)

Polyuria (Thrones) 

Bone pain (Groans)

Neuropsychiatric disturbance/Altered mental status (Psychiatric overtones)


"Stones, thrones, groans, and psychiatric overtones"

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