Sepsis
Diabetes
Heart Failure
Batman
Group Love
100

When administering the initial 30 cc/kg crystalloid fluid bolus to resuscitate a septic patient, this specific fluid is generally preferred.

What is Ringer's Lactate (or RL)

100

Causes of hypoglycemia (list 3): 

  • Medications: insulin, sulfonylureas, meglitinides.
  • Alcohol, particularly with fasting.
  • Critical illness: sepsis, liver failure, renal failure.
  • Malnutrition/prolonged fasting.
  • Hormonal deficiency: adrenal insufficiency, hypopituitarism.
  • Endogenous hyperinsulinism: insulinoma, post-bariatric hypoglycemia.
  • Rare: insulin autoimmune syndrome, IGF-II–producing tumours.
100

The four core "pillars" of mortality-reducing medications for HFrEF include:

beta blocker, an SGLT2 inhibitor, an ARNI/ACEi/ARB, MRAs

100

This is the real name of Batman.

What is Bruce Wayne?

100

At our maximum potential, how many learners did we have in the group (including myself)? 

SEVEN. Idk if this is a record, btw. 

200

In a patient presenting with suspected septic shock, this is the critical timeframe within which broad-spectrum antibiotics must be administered.

What is within 1 hour?

200

Antibodies ordered in suspected type 1 diabetes (list 3)

  • Anti-GAD65 — usually the first test in adults.
  • Anti–IA-2 — islet antigen 2.
  • Anti-ZnT8 — zinc transporter 8.
  • Insulin autoantibodies (IAA) — most useful before starting exogenous insulin.
  • Islet-cell antibodies (ICA) — a traditional answer; modern antigen-specific assays are preferred.
200

An elevated BNP or NT-proBNP level specifically reflects this physiological change in the heart.

What is ventricular wall stretch?

200

This police commissioner is Batman’s most trusted ally within Gotham’s police force.

Who is James Gordon?

200

Chetan wrote his NEJM exam on this day.

Thursday. Good Luck. 

300

This is the precise weight-based volume of crystalloid fluid that should be administered initially when resuscitating a patient with sepsis

What is 30 cc/kg?

300

Whipple's Triad? 

compatible symptoms, low plasma glucose, and symptom resolution when glucose is corrected.

300

It is important to remember that oral furosemide is less potent than IV furosemide because its oral bioavailability is only about this percentage: 

What is 50%?

300

This villain uses a question-mark motif and leaves riddles as clues to his crimes.

Who is the Riddler?

300

What does Laraib do when she gets home?

Sleep.

400

When fluid resuscitation fails to maintain a mean arterial pressure of 65 or higher, this is the first-line vasopressor you should start?

What is norepinephrine?

400

Insulin ratio in an insulin-naive patient

50% basal : 50% bolus, with the bolus portion divided among three meals.

A typical starting total daily dose is 0.3–0.5 units/kg/day, individualized for renal function, frailty, and hypoglycemia risk. For example, 30 units/day → 15 units basal + 5 units with each meal.

400

What is HFrEF? 

Ejection Fraction less than 40 %

400

This high-tech vehicle is Batman’s primary mode of transportation and combat on the streets of Gotham.

What is the Batmobile?

400

From where did Dr. Abimboye order food on Thursday?

Chopped Leaf.

500

Reaching or exceeding this specific serum lactate level is an early threshold that warrants an immediate ICU discussion for a septic patient

What is a lactate of 4?

500

Workup for unexplained hypoglycemia:

  • Plasma glucose.
  • Insulin.
  • C-peptide.
  • Proinsulin.
  • β-hydroxybutyrate.
  • Sulfonylurea/meglitinide screen.
500

If a heart failure patient presents with acute pulmonary edema, hypoxia, a blood pressure of 92/60, and an irregular heart rate of 150, this is the immediate treatment of choice:

What is synchronized cardioversion?

500

This butler raised Bruce Wayne after his parents’ death and often provides him with medical and tactical support.

Who is Alfred Pennyworth?

500

Name the last names of 5 people in this group: 

Entwhistle
Pascarel
Fatima
Faisal
L
Oni
Korbo
Singh

M
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