Sunny Side
I Think It's Broken
Heating Up
Bugs and Bites
Summer Fun
Final Jeopardy
100
Basal Cell
100
A 19-year-old female presents following a knee injury sustained during a soccer game. Examination of the injured knee reveals increased mobility with a valgus stress test compared to the uninjured knee. An MRI is performed and will likely show damage to what structure?
Medial collateral ligament
100
A 7-year-old male presents with fever, a fine maculopapular rash, and small white spots on the buccal mucosa. The most likely diagnosis is
Rubeola (measles)
100
A 71-year-old man is brought to the clinic from his nursing home. He has been scratching his arms and trunk daily for the last week, which is causing bleeding. There has been no recent change to cleansing habits, bedsheets, or medications. On physical examination, you note an erythematous rash with small burrows along the forearms as well as an erythematous, papular rash along the abdomen. What is most likely diagnosis?
Scabies
100
This scale is used to describe the "feels like" temperature by factoring in humidity
Heat Index
200
A 64-year-old man presents to the clinic for a bleeding spot on his forearm. It has been going on for many years, but lately it has grown in size and is bleeding more often. He does not report any recent bug bite, trauma, discharge, or infection. He grew up in Hawaii and spent a lot of time outdoors, and he currently spends his summers in Florida for the warmer weather. Exam shows a 3 cm raised, erythematous hyperkeratotic papule with central ulceration and poorly defined borders. What is the most likely diagnosis and preferred treatment?
Squamous Cell Carcinoma, surgical excision
200
A 15-year-old boy injures his finger while trying to catch a ball during a high school baseball game. He presents to urgent care with pain and swelling over the dorsum of the distal interphalangeal joint of his right third finger. On examination, he is unable to actively extend the injured distal interphalangeal joint. What is the diagnosis?
Mallet Finger (Flexor digitorum profundus tendon rupture)
200
A 32-year-old woman is brought to the ED by her spouse because she “has been acting strangely.” She has a medical history of depression that is well controlled with fluoxetine. Her spouse says the patient has had a cold and took over-the-counter cough medication a few hours prior to the onset of symptoms. The patient is agitated and confused. Her blood pressure is 160/80 mm Hg, heart rate is 140 bpm, and temperature is 39.0°C (102.2°F). She is flushed and her pupils are dilated. There is clonus and hyperreflexia in her lower extremities and a tremor in her hands. What is the most likely diagnosis?
Serotonin Syndrome
200
A 5-year-old girl presents to your office with her mother with a chief complaint of scalp pruritus. Her mother reports that there was a recent lice outbreak at her daughter’s school. Examination of the scalp reveals several live lice behind the patient’s ears. What is the first-line recommended treatment for this patient?
Permethrin 1% shampoo
200
During the Summer of 1988, the first-ever _____ Week debuted with the show Caged in Fear focused on correcting misunderstandings and conservation efforts. It is now the longest running TV event in history and watched in 72 countries.
Shark Week
300
UV damage to the eyes increases the risk of this classically wedge-shaped corneal growth
Pterygium
300
A 16-year-old boy presents to the ED with left wrist pain after a fall while skateboarding in which he landed on his outstretched hand. He has tenderness and swelling over the dorsum of the wrist on the radial side in between the abductor pollicis longus and extensor pollicis longus tendons. Wrist radiographs are negative for a fracture. What is the next best step for this patient?
Immobilization in a thumb spica splint (followed by repeat radiographs in 7-10 days)
300
A 12-month-old male is brought to the office with a nine-day history of fever associated with a diffuse, blotchy erythematous rash. Physical examination reveals pronounced cervical lymphadenopathy, bilateral conjunctivitis, dry erythematous lips that are cracked, and swollen hands with peeling skin. The most likely diagnosis is
Kawasaki disease
300
9-year-old boy presents to the emergency department after sustaining a dog bite injury. The dog had not been ill before the interaction and is vaccinated. The boy has two scratches on the right side of his nose and two puncture wounds on the right hand. After cleansing the wound and updating tetanus prophylaxis, what is the first-line antibiotic you will prescribe?
Augmentin (amoxicillin-clavulanate)
300
In 2024, the average US citizen consumed 20.8 L/Yr of ice cream, but the country only ranked second in most ice cream consumed. Who ranked first?
A. Australia
B. Japan
C. New Zealand
D. Denmark
New Zealand at 28.4 L/Yr
400
This lesion classically presents as rapid growth of a dome-shaped nodule with a central keratin-filled crater. The lesion typically appears on sun exposed areas and persists for four to six weeks, then resolves spontaneously.
Keratoacanthoma
400
A 30-year-old woman presents to the clinic for right shoulder pain. She reports she was training for an obstacle course when she fell while swinging from one bar to the next. She is holding her right arm with her left arm, and on physical exam, you palpate the humeral head in the axilla. Xray shows no fracture. What is the most likely diagnosis and what nerve is most commonly affected with this injury?
Glenohumeral dislocation and Axillary nerve
400
A 28-year-old woman develops dizziness, nausea, and extreme fatigue after running a half-marathon. Diaphoresis is noted in the ED, and the patient is awake and oriented. Vital signs are a T of 102°F, HR 110, BP of 110/70, RR 20, and SpO2 98% on room air. Laboratory results are normal except for minimally elevated liver transaminases. What is the most likely diagnosis?
Heat Exhaustion
400
What 4 animals are the major reservoirs for rabies in the US and require immediate postexposure prophylaxis?
Bat, raccoon, skunk, and fox
400
Released June 12, 2015, this summer blockbuster holds the title for the highest-grossing summer movie of all time with 1.5 billion dollars and is set in the Isle of Nublar.
Jurassic World
500
A 17-year-old girl presents to the clinic with a three-week history of a nonpruritic rash over her upper extremities and upper trunk which appeared after she went vacationing to the beach. Physical examination reveals hypopigmented macules with a fine scale, coalescing into patches on the upper trunk and proximal upper extremities. What is the diagnosis and preferred treatment?
Tinea Versicolor
Treatment with topical antifungals (Azoles, terbinafine cream, selenium sulfide shampoo, Zinc pyrithione shampoo )
500
A 3-year-old girl refuses to use her left arm after her parent tugged on her arm to help her cross a street. She does not appear distressed but is holding her arm in pronation with the elbow slightly flexed. In what position will you place this patient's arm to treat her condition?
Hyperpronate the forearm while applying pressure to the radial head
OR
Supination with Flexion
500
A 28-year-old man with no significant medical history undergoes elective hernia repair under general anesthesia with sevoflurane and succinylcholine. Thirty minutes into the procedure, he develops tachycardia, a rapid rise in CO₂, generalized muscle rigidity, and a core temperature of 39.5°C (103°F). What is the most appropriate next step in management?
Administer dantrolene
500
Bites from this critter can present as a single painful papule or plaque with a pale center which can progress to a necrotic ulcer. Victims can rarely develop systemic symptoms of fever, nausea and vomiting, rhabdomyolysis, and acute hemolytic anemia
Brown Recluse
500
This 2001 cult teen comedy set in the 80s follows Camp Firewood counselors and stars Paul Rudd and Amy Poehler
Wet Hot American Summer
500
According to the Ottawa ankle rules, tenderness at which 4 sites indicates need for Xray imaging
1. Posterior edge or tip of medial malleolus
2. Posterior edge or tip of lateral malleolus
3. Base of the 5th metatarsal
4. Navicular