Ahhhchoose You Pikachu Pikachu
When I limp, you limp, we limp
Shrug, Shrug, Shrug it off off
Give Me a HINTS
Why So Yellow?
100

Allergic rhinitis is mediated by this immunoglobulin.

What is IgE?

100

This age group has a wide-based walk with short steps and uncoordinated arm motion.

What is toddlers (1-3)?

100

This shoulder articulation is not a true synovial joint, and does not articulate directly with the axial skeleton.

What is scapulothoracic?

100

This evaluation is helpful in those with hearing loss and peripheral dizziness.

What is MRI brain and IAC?

100

In 2022, the AAP guideline on neonatal hyperbilirubinemia removed these two races as risk factors for hyperbillrubinemia.


What are East Asian and Black?

200

This class of medication is the first line treatment for allergic rhinitis.


What are intranasal steroids?

200

COVID increased this cause of limping in children.

What is NAT (Non-Accidental Trauma)?

200

This Rockwood grade of AC joint separation results in a complete tear of both acromioclavicular and coracoclavicular ligaments, and is the first grade where we consider ortho consult.

What is III?

200

The following pharmacologic treatments are not recommended for those with BPPV.

What are vestibular suppressant medications (antihistamines/ benzos)?

200

The AAP recommends universal screening of newborns greater than or equal to THIS gestational age (in weeks) with WHAT TWO tests at 24 to 48 HOL or before discharge?


What is 35 weeks AND serum bilirubin OR transcutaneous bilirubin?

300

This type of diagnostic testing has the highest sensitivity (80-90%).

What is Skin Testing?

300

Pain with compression of the posterior calcaneus may indicate this disease.

What is Sever’s disease aka calcaneal apophysitits?

300

Up to 76% of rotator cuff tears are associated with an injury to this other structure. 

What is Biceps tendon?

300

This should be ordered in the assessment of Meniere disease.

What is an audiogram?

300

These are the known neurotoxicity risk factors. (Name at least 4)


What are: 

Gestational age <38wks

Hemolytic disease of newborn

G6PD deficiency

Other hemolytic conditions

Albumin <3 g per dL

Sepsis

Asphyxia

Clinical instability in the past 24 hours

Acidosis?

400

Approximately 10% of those with allergic rhinitis will go on to develop this disease.

What is asthma?

400

These are ways you can differentiate septic arthritis from transient synovitis. (Name 5)


What are:

pain along full ROM

+joint aspiration (gram stain, + culture, cell count)

fever

non-weight bearing

ESR >40

CRP > 2

elevated Pro-calcitonin

WBC >12

400

Backpacker’s palsy is a compressive neuropathy of this structure.

What is brachial plexus?

400

These are the components that help make a diagnosis of vestibular migraine.

What is at least 5 episodes of vestibular symptoms and a history of migraine.

400

Name at least 2 of the early signs of acute bilirubin encephalopathy.

What are:

Sleepiness or decreased alertness

Poor sucking and feeding

Hyperreflexia

Hypotonia?

500

Taking these medications can blunt an allergic response, negatively impacting the reliability of skin testing. 


What are beta blockers and antihistamines?

500

In children <5 without signs of infection and difficult to localize pain, recommend ordering this imaging.


What is tib/fib plain films?  (most common etiology is minor trauma to lower leg and only do further imaging if the initial ones are negative)

500

Pain against resistance with the shoulder forward flexed 90 degrees, arm adducted 15 degrees, and internally rotated with the forearm pronated with thumb down suggests this injury.

What is SLAP lesion?

500

This represents the sensitivity and specificity of the HINTS exam to identify central causes of vertigo.


What is 96% sensitivity and 97% specificity?

500

Though universal screening for neonatal hyperbilirubinemia has not been shown to reliably identify all newborns who develop kernicterus, it HAS been shown to help with what patient-oriented outcomes.

What is Emergency department visits for jaundice?

M
e
n
u