Bugs and Drugs
Urine Luck
Trust Your Gut
It's Not Pneumonia
Guess Who?
Potpourri
200
For an active tuberculosis infection, the CDC recommends this four-drug therapy for 8 weeks.
What are isoniazid, rifampin, pyrazinamide, and ethambutol?
200
These are the type of stone formations seen in this urinalysis.
What are calcium oxalate stones?
200
This is the MELD score identifying patient who will benefit from liver transplantation.
What is a MELD score of 15 or greater?
200
This diagnosis is high on your differential in a cirrhotic patient with dyspnea, nonproductive cough, hypoxemia, and a right-sided pleural effusion.
What is hepatic hydrothorax?
200
"He looks great today."
(The patient is clearly a female)
Dr. Ausef
200
This diagnosis was made in a 39-year-old female who was found unconscious and rescued from her home after her vinyl sofa caught fire based on the following labs:
What is cyanide poisoning?
400
These are two ocular infectious complications of acute bacterial rhinosinusitis.
What are preseptal cellulitis, orbital cellulitis, and subperiosteal abscess?
400
This diagnosis is most compatible with the urinalysis seen below:
What is cystitis? [pyuria]
400
This is the etiology of gastroparesis accounting for approximately half of all case.
What is idiopathic?
400
This diagnosis was made when a patient with progressive dyspnea and cough for 2 months developed hemoptysis, CXR with infiltrates/cavitations, and labs results were c-ANCA positive.
What is Granulomatosis with polyangitis (Wegener's)
400
"Thoughts?"
Dr. Vinci
400
This is the most likely diagnosis in a 22-year-old male with acute onset fever, chills, dyspnea and nonproductive cough. He spends summers using a combine to harvest wheat. Exam reveals diffuse crackles.
What is hypersensitivity pneumonitis? [CT image shows diffuse upper-lobe micronodular opacities]
600
This organism is most commonly responsible for septic thrombophlebitis.
What is Fusobacterium necrophorum?
600
This diagnoses is most compatible with the urinalysis finding shown on this phase-contrast microscopic image:
What is glomerulonephritis? [dysmorphic erythrocytes]
600
Receipt of a blood transfusion or organ donation prior to this date is a risk factor for hepatitis C infection.
What is 1992?
600
This diagnosis was incidentally found on CXR on a young, black women with pleuritic chest pain. Of course, a biopsy with noncaseating granulomas would support this.
What is pulmonary sarcoidosis?
600
"This patient is an anaerobe."
Dr. Dewitt
600
This is the most likely diagnosis in a 49 y/o male with 4 month history of cough, chest pressure, double vision. Physical exam reveals clear lung sounds and bilateral ptosis.
What is thymoma?
800
This virus can cause acute aseptic meningitis year round and is the most common cause of recurrent viral meningitis.
What is herpes simplex virus type 2?
800
This diagnosis is associated with acute kidney injury and the urinalysis seen below:
What is acute tubular necrosis?
800
This is the frequency of colonoscopy in patients with primary sclerosis cholangitis and inflammatory bowel disease.
What is annually?
800
This diagnosis occurred in a patient with bullous emphysema who developed right-sided chest pain 90 mins into a flight from MSY to MIA.
What is pneumothorax?
800
"Who ordered colace?"
[Rubs bridge of nose]
Dr. Tati
800
This is a bronchodilator administered intravenously that inhibits calcium influx into smooth muscle cells used in acute asthma exacerbation.
What is magnesium?
1000
This oral macrolide antibiotic is indicated for the treatment of moderately severe to severe C. difficile toxin-mediated diarrhea. Hint: It has a lower rate of relapse than its alternative.
What is Fidaxomicin?
1000
This is the most appropriate management for recurrent UTI in females (defined as three episodes of UTI in the preceding 12 months or two episodes in the preceding 6 months).
What is urine culture plus ciprofloxacin or levofloxacin?
1000
This is a commonly prescribed drug class for portal hypertension that is associated with worse prognosis in patients who develop spontaneous bacterial peritonitis.
What are beta blockers?
1000
This diagnosis typical presents as cough, fever, and malaise for 6 to 8 weeks that does not respond to antibiotics. Patchy opacities on chest radiograph and ground-glass opacities on CT scan that are peripherally distributed.
What is cryptogenic organizing pneumonia?
1000
"You get my point?"
Dr. Samuel
1000
This is the most likely diagnosis in a 55 y/o male who was recently vacationing at beach in Fiji. He developed an urticarial rash on legs, cough, dyspnea, wheezing, and watery diarrhea. CXR: infiltrates; Labs: eosinophilia.
Antibiotics do not improve his symptoms
Corticosteroids worsen his symptoms
Stool studies pending
What is Strongyloides (Helminthic infection)?