Addiction Medicine
USPSTF Recommendations
Incidental Nodules and Lesions
Unintended Consequences
Medication Puns from the Mind of Mason
100

This medication directly binds to nicotinic receptors to compete against nicotine in tobacco cessation pharmacotherapy; it also is associated with vivid dreams. 

What is varenicline?

100

This is the age range where men who have ever smoked should be considered for abdominal ultrasonography for abdominal aortic aneurysm screening.

What is ages 65-75?

100
Greater than this size would be an indication to remove an adrenal nodule regardless of additional information.

What is 4 cm?

100

Midodrine and calcitonin are examples of medications that experiences this type of phenomenon, in which the body appears to have decreased responsiveness to a medication over time. 

What is tachyphylaxis?

100

Atorvastatin and Pravastatin would most likely be found to live in this New York City Borough.

What is Staten Island?

200

This medication is FDA-approved for alcohol use disorder and would be first-line for a patient who has cirrhosis and opioid-use disorder.

What is acamprosate?

200

One-time hepatitis C screening is indicated for this adult population aged 18-79.

Who is "all adults"?

200

A solid lung nodule with intermediate risk of cancer would need FDG/PET and/or biopsy if it is greater than this size. 

What is 8mm?

200

Pyoderma Gangrenosum and Behcet's Disease are examples of this phenomenon, in which minor trauma or skin injury leads to development of skin lesions/ulcers resistant to healing.

What is pathergy?

200

Lisinopril and Captopril most likely shop at this local hardware store when they need to get tools. 

What is ACE Hardware?

300

You might get a false positive on a urine drug screen for this substance if your patient is taking bupropion, or most OTC cold/flu medications. 

What is methamphetamine/amphetamine?

300

For adults 40-75 with one cardiovascular risk factor, an ASCVD risk score greater than this percentage would mean that a statin is recommended.

What is 10%?

300

If thyroid nodules are found on ultrasound, and the TSH is low, this would be the next study to perform.

What is thyroid scintigraphy?

300

Often mistaken with a hypertrophic scar, this skin condition after trauma is widely agreed to be due to overactive fibroblasts and growth factors. 

What is a keloid?

300

This beta-lactam antibiotic could also be a way that a seal would RSVP to a party.

What is "pen-a-seal-in?"

400

Buprenorphine for treatment of opioid use disorder should be initiated, for those who predominantly use fentanyl, at least this many hours after use AND with at least this many number of withdrawal symptoms. 

What is >24 hours after fentanyl use AND 3 withdrawal symptoms?

400

For patient's 50-80 years of age, this is the minimum pack-year history AND, if they have quit smoking, the number of years from their quit date that it's still recommended for low-dose CT scan for annual lung cancer screening.

What is 20 pack-years and <15 years from quit date?

400

This is the most common incidental lesion found on liver imaging in healthy, non-cirrhotic patients. Please don't biopsy this lesion. 

What is hepatic hemangioma?

400

Often seen with disseminated cryptococcal and secondary syphilis, this phenomenon describes how a false negative can occur when testing for these conditions, in which high concentrations of antibodies or antigens make it difficult to form immune complexes

What is the prozone effect?

400

When a family with a compact car has triplets, they may decide to do this for more space, which also is the trade name for a benzodiazepine.

What is "add a van?"

500

This therapy strategy is first-line for patient's with stimulant use disorder, with a number needed to treat of 3-5 patients based on RCTs.

What is contingency management?

500

A 60 year-old female with no PMH presents to your clinic to establish care; she has never seen a physician. She has a current smoker and has a 30 pack-year history with no family history of cancer. 


This is the order, had she presented in her 20s and had consistent follow-up, that she would have received age appropriate cancer screening (Please list 4 cancer screenings)

What is cervical>breast>colon>lung?

500

Main-duct intraductal papillary mucinous neoplasms and mucinous cystic neoplasms are two examples of lesions in this organ that require resection due to their malignant potential. 

What is the pancreas/pancreatic lesions?

500

This falsely elevated electrolyte on renal chemistry is more likely to be present with patients with CLL who have WBC counts >120,000; it would require an arterial blood gas to accurately measure the value. 

What is hyperkalemia?

500

You could see someone use this medication to drop someone's blood pressure, or someone could be trying to make a duplicate of a Med-Peds PGY1 named Joey

What is "Clone-a-Dean?"

M
e
n
u