Internal Medicine
Name at least 3 hormones produced by the anterior pituitary gland.
Prolactin (PRL), Growth hormone (GH), Adrenocorticotropic hormone (ACTH), Thyroid-stimulating hormone (TSH), Luteinizing hormone (LH), Follicle-stimulating hormone (FSH)
Source: Harrison's Principles of Internal Medicine, 21st edition
In a patient coming in for trauma, the primary survey is an assessment of the "ABCs". What do the "ABCs" mean?
Airway
Breathing
Circulation
Source: Schwartz's Principles of Surgery, 11th edition
What is the longest bone in the body?
Femur bone
In a medical prescription, define the following parts: Superscription, Inscription, Subscription, and Sig
Superscription - yung sa taas (Rx)
Inscription - the drug itself + formulation and dosage
Subscription - dispense & refills (instructions to pharmacist)
Sig - instructions for usage
Who is the BINI member with the most Instagram followers?
Bonus 50 points: Dance the chorus of either Pantropiko or Salamin, Salamin
BINI Mikha (1.1 million)
What are the 3 components of the qSOFA score? Be SPECIFIC (e.g., values).
Bonus 50 points: What score has a predictive value for sepsis?
Systolic hypotension (< 100 mmHg)
Tachypnea (> 22 breaths/min)
Altered mentation
Bonus: >2
Source: Harrisons Principles of Internal Medicine, 21st edition
Surgical wounds are classified based on the presumed magnitude of bacterial load at the time of surgery. What are the 4 wound classes based off this?
Hint: The classes are used to describe the wound. Think of how you'd describe it based on appearance.
Class I - Clean
Class II - Clean, contaminated
Class III - Contaminated
Class IV - Dirty
Source: Schwartz's Principles of Surgery, 11th edition
Describe the flow of blood through the heart (COMPLETE).
Deoxygenated blood from SVC & IVC --> Right Atrium --> Tricuspid Valve --> Right Ventricle --> Pulmonary Valve --> Pulmonary Arteries --> Lungs --> Pulmonary Veins --> Left Atrium --> Mitral Valve --> Left Ventricle --> Aortic Valve --> Aorta --> Rest of body
What is the site of action of thiazide diuretics in the kidneys?
a. Thick ascending loop of Henle
b. Distal convoluted tubule
c. Medullary collecting duct
d. Proximal convoluted tubule
Bonus 50 points: What do thiazides inhibit (transport/reabsorption of WHAT ion/s)?
Distal Convoluted Tubule
Bonus: NaCl reabsorption
Source: Katzung Basic Clinical Pharmacology, 18th edition
Who is the popular mayor right now being questioned in the Senate for being a possible Chinese spy?
Bonus 50 points: Where is she from?
Mayor Alice Guo
Farm in Tarlac
In the stages of CKD, what is the eGFR range of Stage 5?
a. <15 mL/min/1.73m2
b. <20 mL/min/1.73m2
c. < 10 mL/min/1.73m2
d. < 25 mL/min/1.73m2
Stage 5: <15 mL/min/1.73m2
Source: Harrison's Principles of Internal Medicine, 21st edition
Based on the guidelines for food and fluid intake before elective surgery, which of the following CANNOT be taken 8 hours before surgery?
a. Water
b. Heavy food (e.g., rice with ulam)
c. Light food (e.g., crackers)
d. None of the above
D. None of the above
Up to 8 hours before an elective surgery, a patient can consume food and fluids as desired.
Source: Schwartz's Principles of Surgery, 11th edition
Enumerate all 12 Cranial Nerves
I - Olfactory nerve: Sense of smell.
II - Optic nerve: Ability to see.
III - Oculomotor nerve: Ability to move and blink your eyes.
IV - Trochlear nerve: Ability to move your eyes up and down or back and forth.
V - Trigeminal nerve: Sensations in your face and cheeks, taste and jaw movements.
VI - Abducens nerve: Ability to move your eyes.
VII - Facial nerve: Facial expressions and sense of taste.
VIII - Auditory/vestibular nerve: Sense of hearing and balance.
IX - Glossopharyngeal nerve: Ability to taste and swallow.
X - Vagus nerve: Digestion and heart rate.
XI - Accessory nerve (or spinal accessory nerve): Shoulder and neck muscle movement.
XII - Hypoglossal nerve: Ability to move your tongue.
Give an example EACH of 1st-4th gen cephalosporins.
Bonus 50 points: Which generation has the highest activity against gram positive organisms?
1st gen - Cefazolin, Cefadroxil, Cephalexin, Cephalothin, Cephapirin, and Cephradine
2nd gen - Cefaclor, Cefamandole, Cefonicid, Cefuroxime, Cefprozil, Loracarbef, Ceforanide, Cefoxitin, and Cefotetan
3rd gen - Cefoperazone, Cefotaxime, Ceftazidime, Ceftizoxime, Ceftriaxone, Cefixime, Cefpodoxime Proxetil, Cefdinir, Cefditoren pivoxil, Ceftibuten, and Moxalactam
4th gen - Cefepime
Bonus: 1st generation cephalosporins
Source: Katzung Basic Clinical Pharmacology, 14th edition
What are the end stations of LRT-2?
Antipolo and Recto station
What vitamin deficiency presents with the following symptoms pointing to a particular disease: neuropathy, muscle weakness and wasting, cardiomegaly, edema, ophthalmoplegia, confabulation?
a. Vitamin E
b. Vitamin B6
c. Vitamin B1
d. Vitamin K
Bonus 50 points: What is the name of the disease manifested by this deficiency and the listed symptoms?
Vitamin B1 (Thiamine)
Bonus: Beriberi
Source: Harrison's Principles of Internal Medicine, 21st edition
Which medical school won overall champion in the most recent Palarong Medisina 2024?
UST-FMS
Patient is reported to have multiple daydreaming episodes in school, as reported by his teacher. The teacher says that she has to call his attention for a few seconds, and the patient suddenly goes back to noticing the present. The teacher also notices that at times, the patient blinks a lot, as if they really were daydreaming. What is your most probable diagnosis?
Bonus 50 points: This occurrence is most commonly misdiagnosed as what?
Absence seizure - Characterized by sudden, brief lapses of consciousness without loss of postural control. The seizure usually lasts for only seconds, consciousness returns as suddenly as it was lost, and there is no postictal confusion. Although the brief loss of consciousness may be clinically inapparent or the sole manifestation of the seizure discharge, absence seizures are usually accompanied by subtle, bilateral motor signs such as rapid blinking of the eyelids, chewing movements, or small-amplitude, clonic movements of the hands.
Bonus: ADHD
Source: Harrison's Principles of Internal Medicine, 21st edition
Complete the lyrics of Song for Mary:
Down from the hill, down to the world go I
Remembering still, how the bright Blue Eagles fly
_________________________
_________________________
This is the place where we belong!
Down from the hill, down to the world go I
Remembering still, how the bright Blue Eagles fly
Through joys and tears, through the laughing years, we sing our battle song:
Win or lose, it's the school we choose
This is the place where we belong!