Take a Breather
The Substance
RCH Trivia
Holy Triads
Show me your ID
100

What is the most common primary lung cancer in non-smokers?

Adenocarcinoma

100

Pinpoint pupils
Hypotension, Bradycardia
Respiratory depression
Absent gag reflex
Euphoria

Opioids

100

How many residency/fellowship programs are there at RCH?

12
100

Hypoxemia, hypotension, and DIC in a woman during labor or immediately postpartum 

Amniotic fluid embolism 

100

Primary syphilis in HIV-infected individuals is more likely to have this distinguishing clinical feature.

Multiple chancres

200

Light’s criteria

At least 1 of the following for Exudative pleural effusion
(1) pleural : serum Protein > 0.5
(2) pleural : serum LDH > 0.6
(3) pleural LDH > ⅔ the upper normal limit of serum LDH

200

Dilated pupils
Tachycardia, Arrhythmia
Psychomotor agitation
Insomnia
Flushed face
Incoherence speech

Caffeine

200

When did the RCH internal medicine residency open?

2016

200

Name the three components of the Virchow triad (3 main factors that contribute to thrombus formation)

Hypercoagulability, endothelial damage, venous stasis 

200

Virus responsible for most cases of PML

JC virus (also John Cunningham virus; human polyomavirus 2)

300

What abnormal lung sound would you hear in a patient with pulmonary fibrosis?  

Crackles 

300

Dilated pupils
Tachycardia
Euphoria, joviality
Paranoia
Conjunctival injection
Dry mouth, hunger

Cannabinoids

300

Which country is Dr. Popa from and how many kids does she have?

Romania, 2

300

Classic triad of ______:
(1) chorioretinitis
(2) diffuse intracranial calcifications
(3) hydrocephalus

Congenital toxoplasmosis 

300

Most common cause of recurrent benign lymphocytic meningitis

HSV-2

400

Patient w/ 40-pack-year smoking history has a single 7mm lung nodule. What is the follow-up imaging schedule per Fleischner’s criteria?

CT @ 6-12 mo
follow-up CT @ 18-24 mo

400

Dilated pupils
Tachycardia, Arrhythmias, Angina
Bruxism
Delusional parasitosis
Nasal septal perforation

Cocaine

400

Who was the original program director of RCH?

Dr. Rajesh “Robby” Gulati

400

Classic triad of _____:
(1) necrotizing vasculitis
(2) necrotizing granulomas in the upper/lower airway
(3) necrotizing glomerulonephritis

Granulomatosis with Polyangiitis (Wegener’s disease) 

400

Infectious agent most commonly associated with Guillain-Barre syndrome

Campylobacter jejuni

500

Name 1 of 2 anti-fibrotic drugs for idiopathic pulmonary fibrosis

Nintedanib or Pirfenidone

500

Miosis
Hypertension, Tachycardia
Belligerence, violence psychomotor agitation
Horizontal or vertical nystagmus
Hyperthermia 

Phencyclidine (PCP)

500

What is Huy’s favorite thing to eat for breakfast?

Snickers bars 

500

Name the triad + condition:
(1) scanning speech
(2) nystagmus
(3) intention tremor

Charcot's neurological triad / Multiple sclerosis

500

Bacterial genus associated with cellulitis in patients treated with leeches.

Aeromonas

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