Diabetes
Infections
Abdominal Pain
EKGs
Geography
100

This range of HbA1c levels is consistent with 'pre-diabetes'

5.7-6.4%

100

What type of tick is the most common vector for Lyme disease. 

Ixodes (Deer) tick 

100


Toxic Mega-colon 

100

Pericarditis

100

Argentina

200

How does Metformin lower blood sugar?

decreased hepatic gluconeogenesis (also increased insulin sensitivity)

200

Name 3 of the most common causative organisms of community acquired bacterial pneumonia. 

Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Klebsiella pneumoniae, Staphylococcus aureus, Mycoplasma pneumoniae    

200


Intussusception

200
Inferior wall STEMI
200
Syria
300

This insulin, which has a peak effect in 4-8 hour range, should be given twice daily.

NPH (cheaper for some patients without insurance)

300

A 22 year old 38-week pregnant female is found to have asymptomatic bacteriuria. The urine culture is E. coli sensitive to  ampicillin, nitrofurantoin, and bactrim. How do you treat the patient?

Amoxicillin.

Asymptomatic bacteriuria during pregnancy increases the risk of pyelonephritis and has been associated with preterm birth and low-birthweight infants, so should be screened for and treated. Amoxicillin is safe to use in the third trimester of pregnancy.

300


Achlasia

300
Mobitz Type I (Wenkebach)
300
Zimbabwe
400

These are the four ways to diagnose type II diabetes mellitus

What are:

HgbA1c > 6.5%,

2 random blood glucose > 200 mg/dL,

fasting blood glucose > 126 mg/dL,

2 hour 75 gm oral glucose tolerance > 200 mg/dL

400

The CD4 count at which you initiate PCP prophylaxis, and the agent of choice, in a patient with HIV


What are 200 and trimethoprim/sulfamethoxazole (Bactrim)viral load is undetectable or for 28 days. 

400


Chronic pancreatitis 

400

Filipino man with syncope

Brugada syndrome - typical ECG findings of a pseudo-right bundle branch block and persistent ST segment elevation in leads V1 to V2. 

400

Brunei

500

"Euglycemic" (usually meaning plasma glucose <250) diabetic ketoacidosis has been reported with this medication used in type 2 diabetics. 

SGLT2 inhibitors (Dapagliflozin, canagliflozin, and empagliflozin)

500

Drug of choice for close contacts of patients with meningococcal meningitis

What is rifampin

500

ERCP image


Primary Sclerosing Cholangitis

500

Elderly man found outside in February

marked J (Osborn) waves indicating Hypothermia. You may also see sinus bradycardia, QT prolongation and T wave inversion.

500

Luxembourg

M
e
n
u