The Heart
Medicine Fundamentals/Misc
Critical Care/Pulm
Zebra Diagnoses
Oncology - for the internist ;)
100

These medication classes comprise the 4 pillars of GDMT

What is BB, ACE/ARNI, SGLT-2i, and MRAs

100

This electrolyte abnormality is a common cause of U waves on EKG

What is hypokalemia? 

100

This metabolic derangement often leads to decreased effectiveness of vasopressor medications

What is acidosis?

100

This disease often presents with facial rash and joint pain

what is lupus?

100

This life threatening disease typically presents after treatment initiation for liquid tumors and is characterized by significant electrolyte derangements and renal injury

What is TLS? 

200

This modality of afib treatment was shown to have lower risk of poor cardiovascular outcomes in the EAST AFNET4 trial

What is rhythm control? 

200

This commonly used antibiotic can cause an increase in serum creatinine without a true decline in GFR

What is bactrim? 

200

This life threatening lung pathology is associated with absent unilateral breath sounds and causes shock through decreased venous return 2/2 high intrathoracic pressures 

What is tension PTX?

200

This disease is characterized by hypertension, episodic headaches, pallor, and palpitations

What is a pheochromocytoma? 

200

This life threatening pathology can be seen in liquid cancers such as AML and is characterized by symptoms such as headache, dizziness, blurry vision, and shortness of breath

100 bonus if treatment is named

What is hyperviscosity syndrome? 

What is PLEX? 

300

This anti platelet medication is commonly used after PCI and may cause severe dyspnea in patients with underlying COPD

What is Brilinta (ticagrelor)? (14-21% of patients)

300

This equation is used to calculate the expected PaCO₂ in metabolic acidosis to determine if appropriate respiratory compensation is present.

200 bonus if entire formula is correct

What is winters formula

PCO2 = (1.5 x HCO3) + 8 +/- 2

300

This pulmonary pathology presents with dry crackles and can be associated with other systemic disease such as polymyositis 

what is ILD?

300

This disease is characterized by rhinonasal lesions, renal injury, and pulmonary involvement (cough/hemoptysis)

what is GPA? 

(accept wegener's but with a sad face and some education)

300

This organ is the most common metastatic site in patients with colon cancer

What is the liver? 

400

This post MI complication can be seen in patients with severely depressed ejection fraction and is typically managed with warfarin therapy

What is LV thrombus?

400

This transfusion reaction presents with acute respiratory distress, bilateral pulmonary infiltrates, and noncardiogenic pulmonary edema within 6 hours of transfusion.

what is TRALI? 

400

This is the formula that is calculated as RR/TV and helps predict success of weaning mechanical ventilation

What is RSBI (rapid shallow breathing index)? 

400

This rare cause of pulmonary-renal syndrome is characterized by anti-GBM antibodies targeting type IV collagen.

what is goodpasture syndrome?

400

This life threatening intrabdominal pathology is typically seen in patients undergoing chemotherapy and presents with fever, RLQ pain, and bloody diarrhea

What is neutropenic enterocolitis (typhilitis)? 

500

These are the 3 values that are required to diagnose severe AS

What is valve area < 1cm2, peak aortic valve jet velocity > 4 m/s, and transvalvular gradient > 40 mmHg

500

This blood product is typically given in TTP alongside PLEX to replace ADAMTS13

what is FFP? 

500

Intubation in this disease should be avoided unless absolutely necessary despite it often presenting with profound tachypnea and acidosis 

What is DKA? (also accept salicylate toxicity!!)

500

This disease presents with severe hyperglycemia, weight loss, and necrolytic migratory erythema

what is a glucagonoma?

500

This mutation can be seen within melanoma patients and tends to predict a better response to therapy

What is BRAF (V600E or V600K)? 

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