Burkitt's lymphoma and chronic myelogenous leukemia are common culprits for this oncologic emergency where phosphate and potassium levels acutely elevate and rasburicase is used for prophylaxis
What is tumor lysis syndrome?
(Rasburicase - recombinant urate oxidase)
100
The age at which a patient with no risk factors should get the first screening colonoscopy + the age at which a female with no risk factors should get the first screening DEXA scan
What is 115? (50+65)
100
Lucent leading edge in a long bone seen during the lytic phase of this disease
What is Paget disease of bone? (blade of grass sign)
100
A very common side effect of this medication is a metallic taste. This should also not be taken with alcohol.
What is metronidazole?
100
Studies have shown that ingestion of this substance chronically commonly leads to fibrosis of liver tissue.
What is alcohol?
200
Patients with this hormone-producing tumor tend to have a characteristic rash often described as erythematous areas that become raised with superficial central blistering and rupture to leave crusts.
What is glucagonoma (necrolytic migratory erythema)?
200
The cutoff for fasting glucose to diagnose diabetes + the cutoff for random glucose to diagnose diabetes.
What is 326? (126+200)
200
Multiple linearly arranged small pockets of air in a fluid-dilated small bowel loop is suggestive of this disease.
What is small bowel (mechanical) obstruction? (string of beads sign)
200
You should not be giving this class of medications to patients with renal failure, but you should also be concerned if your patient develops severe tinnitus from them.
What is aminoglycosides? (amikacin, gentamicin, tobramycin)
Loop diuretics and platinum drugs can also give you ototoxicity.
200
This IV drug used in supraventricular tachycardias should be placed in a central line due to its very short half-life.
What is adenosine?
300
The presence of this gene in a man would most increase the risk of him having breast cancer.
What is BRCA2? (6% of men with BRCA2 and 1% of men with BRCA1)
300
The age cutoff for the TIMI risk score + the age cutoff for the CHADS2 risk score
What is 140? (65 + 75)
300
Central depressions in vertebral endplates can suggest avascular necrosis especially in patients with this disease
What is sickle cell disease? (H-shaped vertebrae)
300
Patients on this class of medications should avoid sunlight exposure as much as possible. It can also tooth discoloration in children
What is tetracyclines? (tetracycline, doxycycline, minocycline)
300
This IV solution, commonly used in the treatment of hyperkalemia, works by exchanging cellular H+ for Na+, thus leading to stimulation of the sodium-potassium ATPase.
What is sodium bicarbonate?
400
The most common acquired risk factor associated with pancreatic cancer.
What is smoking?
400
The LDH cutoff + the AST cutoff in Ranson criteria on admission.
What is 600? (350+250)
400
Patients with a rigid, ahaustral appearance of the colon have a chronic form of this disease.
What is ulcerative colitis? (lead pipe colon)
400
This is a commonly cited drug responsible for pseudomembranous colitis, but also is responsible for jaundice
What is clindamycin?
400
This common IV solution used for nausea is also known to decrease alcohol cravings in early alcoholism and decrease post-anesthesia shivers.
What is ondansetron (Zofran)?
500
With some apical lung cancers, this is the syndrome that causes atrophy of hand muscles and shoulder pain.
What is Pancoast syndrome?
(Horner's syndrome, shoulder pain, rib destruction, atrophy of hand muscles)
500
The sum of the numbered hydroxylase deficiencies of congenital adrenal hyperplasia that give you hypertension.
What is 28? (11+17)
21-OH deficiency gives you hypotension.
500
Sharply tapered erosion of the distal clavicle is usually seen in this disease.
What is rheumatoid arthritis? (pencil pointing)
500
Vancomycin must be infused slowly over 60 minutes to prevent this side effect from occurring.
What is red man syndrome (red neck syndrome)?
Flushing and/or an erythematous rash that affects the face, neck, and upper torso due to mast cell degranulation
500
This is commonly used to quickly achieve hemostasis in a patient with supratherapic international normalized ratio.