Thank you for the pleasure of this consult
The Gift that Keeps on Giving
Too Much Pie
Pilgrim's Progress
Tried to Deep Fry a Turkey
Friendsgiving
100
For the following medications, delineate whether you would recommend withholding or continuing perioperatively: SSRI's, benzodiazepines, antipsychotics
SSRI: continue (usually - but may increase risk of bleeding, but risk withdrawal with abrupt discontinuation)
Benzos: continue (risk of withdrawal)
Antipsychotics: continue (risk of QT prolongation)
100
Antiviral therapy for VZV infections decreases severity and duration of neuropathic pain if begun within this many hours of rash onset
72 hours
100
This phenomenon that describes the early morning rise in glucose level caused by hepatic gluconeogenesis.
dawn phenomenon
100
The syndrome characterized by at least a 50% decline in glomerular filtration rate over a short period with histologic findings of extensive glomerular crescents.
Rapidly progressive glomerulonephritis
100
This type of burn damages the epidermis, dermis, and fat, but does not involve muscle and/or bone.
Full thickness aka third degree burn
100
The person who called Monica "fat" in a Thanksgiving flashback episode
Chandler (RIP)
200
Spirometry should not be routinely performed preoperatively except in patients undergoing this procedure.
Lung resection
200
The treatment for suspected HSV encephalitis.
IV acyclovir
200
These two categories of diabetes medications are recommended to be started in patients at risk for or with established ASCVD.
SGLT2 inhibitor and GLP1 receptor agonist (-glutides)
200
The disease characterized by dementia, nonenhancing, hypodense white matter lesions without mass effect, CD4 cell counts <50/μL, and PCR of CSF may show JC virus
Progressive multifocal leukoencephalopathy
200
The classification of this patient's burn - the affected area blanches with pressure and pain is present without application of pressure (be specific about degree and superficial vs deep) 
Second degree superficial partial thickness
200
The punishment Chandler gives Joey for kissing Chandler's girlfriend.
Joey spends Thanksgiving inside a box
300
A patient is seen before R knee arthroplasty, she has a history of RA and is taking methotrexate and adalimumab. Joint exam is normal, aside from chronic synovial hypertrophy of MCP joints. How do you manage her medications.
Continue methotrexate, hold adalimumab - biologics should be held for 1 dosing cycle prior to most surgeries EXCEPT in the case of severe SLE
300
The diagnosis for a patient with R facial palsy and the following findings
Ramsay Hunt syndrome (herpes zoster infection)
300
The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults in this age range who are overweight or obese.
35-70
300
This disease characterized by progressive bile duct destruction and biliary cirrhosis appears as a "string of beads' pattern on MRCP seen below
Primary Sclerosing Cholangitis
300
General wound care for second degree partial thickness burns
Cleaning the wound with soap and water, topical antibiotic ointment
300
Monica, who had been fired, gets a job as a recipe creator for a terrible tasting chocolate substitute called this.
Mockolate
400
The amount of time you would hold a patient's warfarin (for nonvalvular A fib) for an elective cholecystectomy and the amount of time you would wait before restarting it.
Hold for 5 days prior to surgery, restart 12 hours after surgery
400
Post-transplant lymphoproliferative disease in solid organ transplantation is associated with this infection
EBV
400
List how each of these medications affects weight (either loss, gain, or neutral):
Metformin
GLP-1 receptor agonist
Thiazolidinediones
Insulin
Metformin: weight loss
GLP-1 receptor agonist: weight loss
Thiazolidinediones: weight gain
Insulin: weight gain
400
The progressive disease involve the central retina that causes painless central vision loss.
Age related macular degeneration
400
The type of treatment you would give for this patient's burn
Excision and skin grafting for third degree burn
400
The name of the prize for the winner of the Thanksgiving football game
The Geller Cup
500
If your patient is taking alpha-1 blockers, is going for cataract surgery, it is important to notify the surgeon for risk of this.
floppy iris syndrome
500
Patient with recent liver transplant 4 months ago on mycophenolate, prednisone, and tacrolimus presents with 3 days of fever, abdominal pain, and bloody diarrhea due to this illness.
CMV - significant pathogen in solid organ transplant can cause retinitis, pneumonitis, hepatitis, bone marrow suppression, colitis with bloody diarrhea, esophagitis, adrenalitis
500
In most patients who need the greater glucose-lowering effect of an injectable medication, this category of medication is preferred to insulin.
GLP-1 receptor agonist
500
This syndrome (a form of dermatomyositis) is characterized by mechanic's hands, gottron papules, arthritis, Raynaud phenomenon, and rapidly progressive interstitial lung disease.
Antisynthetase syndrome (anti-Jo-1)
500
In Body Surface Area calculations, the head and neck represent this percent of the body
9% (remember: rule of 9's!)
500
The Friends character who is trying to name all 50 states before eating Thanksgiving dinner.
Ross