Make the Dx
Tx
Eponyms
RCT's
Potent Potables
100
Diffuse, fluffy, bilateral infiltrate on chest x-ray. EF is 65%. PaO2/FiO2 ratio is 180. CHF has been ruled out.
What is ARDS? (acute lung injury NOT acceptable)
100
The patient has unstable symptomatic Bradycardia with a crash cart at the bedside. There are two preferred treatments.
What is atropine? or What is transcutaneous pacing?
100
Exam maneuver that is neither sensitive nor specific for the diagnosis of DVT.
What is Homan's sign?
100
Begun in 1948 in a small town in Massachusetts, this study continues to this day and established hypertension and dyslipidemia as coronary risk factors.
What is the Framingham heart study?
100
This alcohol is sometimes unintentionally manufactured in the process of creating "moonshine" and its ingestion can result in blindness.
What is Methanol?
200
ABG - 7.20/55/85/22.0
What is a combined metabolic and respiratory acidosis?
200
A patient is hypertensive on their home BP log and in your office. They are currently on lisinopril, metoprolol, and amlodipine.
What is (any diuretic)?
200
A wedge shaped, peripheral infiltrate on chest xray due to pulmonary infarction in the setting of a PE.
What is Hampton's Hump?
200
The RALES trial established that the use of this drug in the setting of NYHA class 3 and 4 CHF decreases mortality.
What is Spironolactone?
200
This questionnaire consists of four questions and is commonly used to screen for alcoholism.
What is CAGE?
300
The Gold Standard test to diagnose iron deficiency anemia.
What is a Bone Marrow biopsy?
300
This patient is thought to have pneumonia due to pneumocystis jirovecii. The PaO2 on room air is 58 and they are currently receiving Bactrim IV and oxygen therapy. This drug class should be administered next.
What are steroids?
300
An EKG finding in patients with ACS due to an LAD lesion: Symmetric T-wave inversions anteriorly.
What is Wellen's sign?
300
The ASCOT trial demonstrated that sequentially starting these two drugs for treatment of hypertension was better than starting with Hydrochlorothiazide and a beta-blocker.
What is an ACE inhibitor and a calcium channel blocker?
300
Ataxia, ophthalmoplegia, and encephalopathy secondary to decreased thiamine levels.
What is Wernicke's Encephalopathy?
400
BP 150/95 on 3 anti-hypertensive medications.
What is resistant HTN?
400
A patient with a history of dialysis dependent End-Stage Renal Disease reports to the ER in obvious volume overload. They are in respiratory distress and the dialysis nurse will be there in 1.5 hours at the earliest. They have not urinated in years. Pick one appropriate next step to treat their respiratory distress.
What is nitroglycerine drip, morphine IV, or Bipap? If you're on the ferry to Nantucket you can exsanguinate them too :)
400
Bradycardia, hypertension, and irregular heart rate in the setting of elevated intracranial pressure.
What is Cushing's triad?
400
The DCCT trial provided evidence for tight glucose control for patients with this diagnosis to decrease the incidence of Retinopathy, Nephropathy, and Neuropathy.
What is type 1 Diabetes Mellitus?
400
This drug inhibits aldehyde dehydrogenase and causes vomiting, sweating, headeache, and sympathetic overactivity if a patient on it drinks ethanol.
What is Disulfiram?
500
28 male with vitiligo presents with insidious onset low back pain over months. Worse at night. Better with exercise. Doesn't improve with rest. Positive Schober test. No inciting injury.
What is Ankylosing Spondylitis?
500
A 24 year old female with a history of hyperthyroidism on Methimazole comes to your office after her home pregnancy test is positive. Naegal's rule suggests she is well within the first trimester. You decide to change her Methimazole to this drug.
What is Propothiouracil (PTU)? (acceptable: beta-blocker)
500
Symmetric bihilar lymphadenopathy and right paratracheal lymphadenopathy in the setting of sarcoidosis.
What is Garland's triad? (Accept 1-2-3 sign)
500
Published in Feburary 2011, a randomized control trial established that this new drug has a statistically significant lower recurrence rate than oral vancomycin in the treatment of C.Dif diarrhea.
What is Fidaxomicin?
500
A patient with acute alcoholic hepatitis presents with a discriminant function of 35. Pentoxyfilline, steroids, diet, and supportive care are initiated. The patient refuses to eat because he is not hungry. The next most important treatment to render is?
NG tube feeding.
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