Which Stone is which?
calcium oxalate, calcium phosphate, uric acid, struvite, cystine
What 2 medications can be used to help treat gastroparesis?
Bonus: what other lifestyle modifications should be made for these patients?
metoclopramide (only FDA approved)>>> erythromycin (only to be used for short 2-3 week courses as there is a high rate of tachyphylaxis)
Bonus: dietary intervention should consist of small, frequent meals that are low in fat and soluble fiber.
What is the typical timeline associated with Heparin Induced Thrombocytopenia?
Bonus: What are the 2 confirmatory tests of choice?
5-10 days after administration on Heparin product
Bonus: ELISA for heparin/PF4 antibodies and serotonin release assay.
These blood pressures medications can precipitate gouty arthritis.
Thiazides
In which country did the Olympics originate?
Greece
Adult patients with this have an increased risk for ....
Patients with ADPKD should be offered screening for cerebral aneurysms by CT or MR angiography, particularly those with a family history of intracranial aneurysm or hemorrhage.
What is the characteristic imaging finding of autoimmune pancreatitis?
Bonus: tell me the antibody associated with autoimmune pancreatitis.
The presence of a narrowed main pancreatic duct and parenchymal swelling ("sausage-shaped" pancreas)
Bonus: IgG4
Which 2 pathogens are commonly associated with Hemolytic Uremia Syndrome?
Escherichia coli O157:H7 and Shigella
Dont drink alcohol while on these meds or you will surely feel worse.
sulfa, metro
Which athlete has the most number of gold medals?
Bonus: How many?
Michael phelps, 23
A 31-year-old woman is evaluated for lower extremity edema, a rash over both legs, and fatigue that have worsened during the past 3 months. The patient was born in Egypt and moved to the United States at 20 years of age. What infectious investigation would you do for this patient?
Albumin 3.9 g/dL (39 g/L)
C3 58 mg/dL (580 mg/L)
C4 5.0 mg/dL (50 mg/L)
Creatinine 2.6 mg/dL (229.8 µmol/L)
Cryoglobulins Positive
Rheumatoid factor Positive
Urinalysis: 3+ blood; 3+ protein; erythrocytes and rare erythrocyte casts
Urine protein-creatinine ratio: 2100 mg/g
Hep C Antibody testing
What are the classic clinical symptoms associated of acute obstructive cholangitis
Bonus: What is the eponymic name for the triad
Bonus 2: what are the 2 additional things that make up the 5 symptom eponymic pentad and what is the name
intermittent abdominal pain, fever, and jaundice
Bonus: Charcot's Triad
Bonus: Reynold pentad, shock, AMS
Patients with this condition are at increased risk for allergic reactions to blood transfusions.
IgA Deficiency, allergic transfusion reaction occurs when donor plasma constituents react with a recipient's IgE on mast cells, AKA they have anti-IgA antibodies
list as many medications that cause drug induced lupus as you can (points for each one)
hydralazine, procainamide, isoniazid, phenytoin, carbamazepine.
This Comedian played a crucial role in the 2012 London opening ceremony
Rowan Atkinson, Mr Bean.
Treat a patient with this renal biopsy
Glucocorticoids, RAS inhibition, low sodium diet, statin
Calcineurin inhibitors (tacrolimus, cyclosporine) are recommended for patients who are resistant to or intolerant of glucocorticoids. Other immunosuppressive agents, including mycophenolate mofetil, alkylating agents, and rituximab, have been used as second-line agents, but there are no high-quality data supporting their use.
55-year-old man is evaluated for follow-up of fundic gland polyps. Upper endoscopy was performed to screen for Barrett esophagus; it revealed a normal esophagus and approximately 10 to 15 polyps with a similar appearance in the gastric body (1-8 mm). Multiple biopsy specimens revealed fundic gland polyps without dysplasia. His only medication is omeprazole. Findings on colonoscopy are normal.
When should Follow up endoscopy be performed?
No follow up needed.
Fundic gland polyps are the most common benign epithelial gastric polyp and require no endoscopic follow-up.
In addition to induction chemotherapy, patients with ALL need what additional hem/onc related therapy?
CNS prophylaxis with intrathecal chemotherapy +/- radiation.
These headache medications can cause coronary vasospasm
Triptans
Who is the only person to win both an oscar and a gold medal
Kobe Bryant
This bone condition is caused by abnormally high bone turnover in the setting of CKD
Osteitis Fibrosa Cystica is due to abnormally high bone turnover that occurs after prolonged exposure of bone to sustained high levels of PTH in secondary hyperparathyroidism. It is associated with increased number and activity of osteoblasts and osteoclasts and expansion of osteoid surfaces.
Classic skeletal changes on radiograph include subperiosteal resorption of bone, most prominently at the phalanges of the hands, and radiolucent bone cysts of the long bones
What are the 3 cancer screening recommendations for someone with Primary Sclerosing Cholangitis?
GB, annual US. Colonoscopy, q1-2 yrs, Cholangiocarcinoma with MRCP and carbohydrate antigen 19-9 level q1-2 yrs.
What are the laboratory values associated with TTP (Hb, hapto, retic, T bili, indirect bili, ADAMTS13, PBS findings) and what is the treatment of choice?
Bonus: what scoring system on MDCALC can be used to help rule in/out this disease.
Hb low, hapto low, retic high, T bili high, indirect bili high, ADAMTS13 typically low and <10%, schistocytes
Plasma Exchange, prednisone, rituximab.
Bonus: PLASMIC Score
This antiplatelet agent causes idiopathic shortness of breath
Ticagrelor (Brilanta)
What is the only sport not being played in France this year?
Surfing, Tahiti