Pulm
Allergy
GI
ID
Virtual Dx
FINAL JEOPARDY
200
Diagnosis suggested by hyperthermia, rigidity, inhaled anesthetic
What is malignant hyperthermia?
200
Most common metal causing a type IV hypersensitivity reaction
What is nickel?
200
Endoscopy timing for rapid upper GI bleeding?
What is within 24 hours?
200
Three component tests included in the CDC-recommended initial blood test for HIV infection
What are HIV-1 antibody, HIV-2-antibody, p24 viral antigen?
(accept 'HIV 1 and 2 antibodies and p24 viral antigen', do not accept 'viral load')
200
A 33-year-old woman is evaluated for double vision. Examination shows dysconjugate eye movements and nystagmus. Brain MRI is performed.
What is multiple sclerosis?
400
Sarcoidosis management for asymptomatic patients without organ dysfunction
What is observation? (accept none, nothing, etc.)
400
Recommended treatment for nonallergic (vasomotor) rhinitis
What are intranasal glucocorticoid or intranasal antihistamine spray? (either; accept intranasal steroid or corticosteroid)
400
Timing of next colonoscopy after removal of adenoma ≥10 mm
What are 3 years?
400
Term for strains of enteric Escherichia coli capable of producing Shiga toxin
What is Enterohemorrhagic Escherichia coli? (accept enterhemorrhagic E. coli)
400
A 57-year-old woman is evaluated for fever, hypotension, and respiratory distress at the end of an erythrocyte transfusion.
Chest radiograph is shown.
What is transfusion-related acute lung injury (TRALI)?
600
Most common CT finding associated with pulmonary adenocarcinoma-in-situ
What is ground-glass opacification? (accept ground-glass nodule or subsolid nodule)
600
Characteristic endoscopic appearance of eosinophilic esophagitis
What are stacked circular rings? (accept linear furrows or attenuation of normal vascular pattern)
600
When to resume aspirin for secondary prevention of CVD in GI bleeding
What is as soon as possible after hemostasis? (accept immediately after hemostasis)
600
Name of reclassified genus for Clostridium difficile
What is Clostridioides?
600
A 48-year-old woman is evaluated for dyspnea associated with nausea and diaphoresis. ECG is shown.
What is inferior STEMI?
800
Cirrhosis complication characterized by hypoxemia, platypnea, and orthodeoxia
What is hepatopulmonary syndrome?
800
Intravenous epinephrine concentration used for anaphylactic shock
What is 1:10,000?
800
Medication that delays progression and improves survival in primary biliary cholangitis
What is Ursodeoxycholic Acid?
800
Aspergillus-specific serum immunoassay potentially useful in diagnosing invasive infection
What is galactomannan assay?
800
A 77-year-old woman with confirmed hyperthyroidism is evaluated with radioiodine uptake and thyroid scan. Thyroid scan findings are shown.
What is multinodular goiter?
1000
PDE-4 inhibitor to reduce severe COPD exacerbations and chronic bronchitis symptoms
What is Roflumilast?
1000
Drug combination for initial treatment of Kawasaki disease
What is aspirin and gamma globulin?
1000
Microscopic colitis causative drugs (3 classes; must name all three)
What are NSAIDs, SSRIs, PPIs?
1000
Genetic disorder associated with fulminant infection in Rocky Mountain Spotted Fever
What is glucose-6-phosphate dehydrogenase (G6PD) deficiency? (accept G6PD deficeincy)
1000
A 58-year-old woman undergoes colonoscopy for evaluation of chronic, watery diarrhea. Testing for celiac disease and stool examination for pathogens are negative. She is otherwise well and maintains a normal weight.
Representative histology findings are shown.
What is microscopic colitis?
1000
Number of polio vaccines you get as a child.
What is four (4)?
CDC recommends that children get four doses of polio vaccine. They should get one dose at each of the following ages: 2 months old, 4 months old, 6 through 18 months old, and 4 through 6 years old.