Pass the aspirin
What did I eat?
It's tough being a jock
Call 911!
100
Young man with recent viral illness has chest pain. EKG shows diffuse ST segment elevations. Give the diagnosis.
What is pericarditis?
100
Fever, jaundice, and abdominal pain
What is acute cholangitis
100
Technical terms for Tennis Elbow/Golfer's Elbow
What is lateral epicondylitis and medial epicondylitis
100
Your patient is having chest pain and you diagnose an ST elevation MI in clinic. 911 has been called. What else should be part of your initial management (remember you're in a clinic).
What is oxygen, nitrates if available, aspirin (325mg) if available
200
Hospitalized patient gets sudden onset chest pain and shortness of breath after a thoracentesis
What is pneumothorax
200
Pt reports eating undercooked ground beef and now had bloody diarrhea. The pathogen causing this acute diarrhea illness has been linked with hemolytic uremic syndrome.
What is EHEC - Enterohemorrhagic E. Coli (O157:H7)
200
Lateral hip pain that is aggravated by direct pressure
What is trochanteric bursitis
200
Your patient with a bad bad malignancy is coming with shortness of breath, tachycardia, hypoxia, and a swollen left leg. What diagnostic study would you perform next?
What is CT pulmonary angiogram?
300
Disorder of typical cardiac chest pain with transient ST elevations. Triggers include change in automatic activity (exercise for example), cocaine/amphetamine use, etc.
What is Vasospastic angina/Prinzmetal Angina. Diagnostic criteria - nitrate responsive angina, transient ECG abnormalities suggestive of ischemia, and angiographic evidence of coronary artery vasospasm
300
Pt has an acute diarrheal illness and abdominal pain. As he improves and is finally feeling like himself, he suddenly starts noticing his legs are getting weaker...what pathogen was responsible for the illness?
What is Campylobacter jejuni?
300
What are the Ottowa ankle rules used for?
What is determining if a patient with an ankle injury needs ankle films to detect a fracture. patients who have pain in the malleolar zone AND ●Have bone tenderness at the posterior edge or tip of the lateral or medial malleolus OR ●Are unable to bear weight both immediately after the injury and for four steps in the emergency department or doctor's office.
300
Your chief resident is eating a piece of steak and states it got "stuck." He is having chest pain. He has a history of asthma, allergic rhinitis, and atopic dermatitis. He cannot swallow his secretions. What is the next best step and what underlying condition is likely causing this food impaction.
What is an emergent endoscopy and Eosinophilic esophagitis
400
(At least) Four of seven criteria evaluated in TIMI risk score for early risk stratification in NSTEMI/unstable angina patients
What is Age > 65; at least three risk factors (HTN, DM, hyperlipidemia, smoking or positive family history of early MI); known CAD with > 50% stenosis; presence of ST segment deviation (>0.5 mm) on admission EKG; 2 episodes of severe angina in last 24 hours; elevated troponin levels; use of ASA in last 7 days Low risk - 0 to 2. Intermediate risk 3 to 4. High risk 5 to 7.
400
Pt presents with acute abdominal pain out of proportion to the physical exam. Hemodynamics are stable. What is the next best diagnostic test?
What is Gold standard is classic angiography. UpToDate recommends CT angiography with IV contrast. No oral contrast. CT can demonstrate findings consistent with acute ischemia, such as focal or segmental bowel wall thickening, intestinal pneumatosis with portal vein gas (image 2), bowel dilation, mesenteric stranding, portomesenteric thrombosis, or solid organ infarction, in addition to ruling out other causes of acute abdominal pain
400
Weaver's bottom or Tailor's bottom
What is ischial bursitis pain in the bursa that lies between the ischial prominence and the gluteus maximus. When the patient with this condition stands erect, the muscle covers the bursa and the patient is generally asymptomatic. When seated, the muscle slides away and the bursa is in direct contact with the subcutaneous tissue. Hence, the pain is significantly accentuated when seated.
400
A patient with metastatic lung cancer presents to the ER with low back pain, lower extremity weakness/inability to move it, bowel/bladder incontinence. MRI shows spinal cord compression from metastatic disease. What intervention should be taken next as we wait for neurosurgery's evaluation?
What is high dose steroids - dexamethasone typically. Not much data to support the use of high vs. low dose steroids.
500
(At least) Four of the seven criteria used to evaluate for a PE with the Wells Criteria
What are clinical symptoms of a DVT (3 points), other diagnoses less likely than a PE (3 points), HR > 100 (1.5 points), Immobilization > 3 days or surgery in past four weeks (1.5 points), previous DVT/PE (1.5 points), Hemoptysis (1 point), Malignancy (1 point) High - > 6. Moderate 2-6. Low < 2 PE Likely > 4. PE unlikely </= 4.
500
Most common parasitic cause of acute diarrheal foodborne illness in the USA?
What is Crytptosporidium? Transmission of cryptosporidiosis occurs via spread from an infected person or animal, or from a fecally contaminated environment such as a food or water source. Numerous waterborne community outbreaks have occurred in the United States from contaminated drinking or swimming water. Person-to-person transmission is also common, particularly among household members, sexual partners, children in daycare centers and their caretakers, and healthcare workers.
500
Bone that Yaya fractured playing soccer. Yaya can't answer this question.
What is the tibial plateau?
500
Lady with polymyalgia rheumatica presents with sudden mononuclear vision loss that is painless. What is the next best test and what intervention should be taken?
What is a temporal artery biopsy and high dose methylprednisolone.
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