Three Clues, One Condition
Sugars Highs and Lows
The Nephron Zone
Head Scratchers
Skeletal Mysteries
Pores and More
Final Jeopardy
200
ptosis, miosis, anhydrosis
Horner's syndrome
200
ACP-recommended goal HgbA1c in most patients with T2DM
7%-8%
200
Preferred thiazide to treat hypertension
Chlorthalidone
200
Trigeminal neuralgia treatment
Carbamazepine
200
Painful oral and genital ulcers, uveitis, DVT
Behçet syndrome
200
A 73-year-old woman is evaluated for a 3-week history of proximal muscle weakness.
Diagnosis?
Dermatomyositis
400
Right Upper Quadrant Pain, Fever, Jaundice
Cholangitis
400
Test when preprandial glucose is normal but HgbA1c is elevated
Postprandial glucose level
400
CKD indication for bicarbonate therapy
<22 mEq/L
400
Test for suspected subarachnoid hemorrhage and normal head CT
Lumbar puncture
400
Treatment of scleroderma renal crisis
Captopril
400
30-year-old man is evaluated for a 2-week history of fever and malaise.
Diagnosis?
Endocarditis
600
Coagulopathy, Hypothermia, Acidosis
Death
600
Treatment of hyperglycemia in hospitalized, fasting patients
Basal and correction insulin
600
Normal anion gap metabolic acidosis, positive urine anion gap, urine pH > 6, hypokalemia
Type 1 RTA
600
Common causes of subacute combined degeneration
Vitamin B12 and copper deficiencies
600
Time window for temporal artery biopsy in giant cell arteritis after starting glucocorticoids
Up to 4 weeks
600
A 43-year-old man has developed changes in skin color and is evaluated for weight loss, nausea, and weakness.
Diagnosis?
Primary Adrenal Insufficiency
800
Aspirin sensitivity, Nasal polyps, Asthma (Samter's Triad)
Aspirin-exacerbated respiratory disease (AERD)
800
Inpatient glucose threshold for insulin initiation
180mg/dL
800
Infection in kidney transplant patient mimicking acute rejection with interstitial nephritis
BK polyoma virus
800
Diagnosis suggested by language loss before cognitive dysfunction
Language-variant frontotemporal dementia (primary progressive aphasia)
800
Initial management of sicca symptoms (2)
Artificial tears and sugar-free candies
800
A patient is admitted to the ICU with profound azotemia
Diagnosis?
Uremic Frost
1000
purpura, arthralgias, weakness/myalgias (Meltzer's Triad)
Cryoglobulinemia
1000
Diabetic proliferative retinopathy treatment
Photocoagulation or intravitreal anti-VEGF
1000
Toxicity from herbs containing aristolochic acid
Balkan endemic nephropathy
1000
Peripheral neuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes
POEMS syndrome
1000
Life-threatening pulmonary manifestations of SLE (2)
Lupus pneumonitis and diffuse alveolar hemorrhage
1000
A 19-year-old woman with epilepsy and learning disabilities is evaluated for the skin findings shown
Diagnosis?
Tuberous Sclerosis
1200
What country is considered the birthplace of Halloween?
Ireland