Pharm Phrenzy
This antidote is used to treat acetaminophen overdose
What is N-acetylcysteine? (NAC)
A crescendo-decrescendo systolic murmur best heard at the right upper chest is associated with this valvular disorder
What is aortic stenosis?
Fever
Jaundice
Right upper quadrant pain
What is acute cholangitis?
Order this test to screen for primary hyperaldosteronism
What is aldosterone-renin ratio?
This iconic Iowa State Fair bovine is sculpted fresh each year and attracts hundreds of thousands of visitors to the Agriculture Building
What is the butter cow?
Among the P2Y12 inhibitors, this agent is uniquely associated with dyspnea
What is ticagrelor?
This second-degree AV block is characterized by progressive PR interval prolongation until a QRS complex is dropped
What is Mobitz type I (Wenckebach)?
Dermatitis
Diarrhea
Dementia
What is pellagra? (vitamin B3/niacin deficiency)
Order this test to distinguish immune-mediated hemolytic anemia from nonimmune causes of hemolysis
What is the direct antiglobulin test (DAT or direct Coombs test)?
From pork chops to deep-fried Snickers, fair food is famously served this portable, walkable way
What is on a stick?
This antibiotic is first-line therapy for uncomplicated MSSA bacteremia and preferred for its tolerability and lower rates of AKI
What is cefazolin?
A 58-year-old man with borderline ASCVD risk is unsure about starting a statin. This noninvasive test can help refine risk and a result of zero may support deferring statin therapy
Bronchiectasis
Chronic sinusitis
Situs inversus
What is Kartagener syndrome?
In patients with extremes of muscle mass, order this biomarker to obtain a more accurate estimate of kidney function
What is cystatin C?
In 2022, the Iowa State Fair earned a Guinness World Record by hosting the world's largest tournament of this yard game
What is cornhole? (bags)
A patient with cirrhosis presents with hematemesis and suspected esophageal variceal bleeding. Before endoscopy, this medication is started to reduce portal venous pressure and bleeding
What is octreotide?
Before elective cardioversion of atrial fibrillation present for more than 48 hours, this cardiac structure must be evaluated for thrombus formation
What is the left atrial appendage?
Medullary thyroid carcinoma
Pheochromocytoma
Hyperparathyroidism
What is MEN 2A?
Before referring a patient with hypercalcemia and elevated PTH for parathyroidectomy, order this test to exclude familial hypocalciuric hypercalcemia
What is a 24-hour urine calcium collection?
At the Iowa State Fair, contestants compete in this event by loudly and creatively summoning their spouses, often with theatrical flair
What is husband calling?
Hours after starting chemotherapy, a patient develops hyperkalemia, hyperphosphatemia, hypocalcemia, hyperuricemia, and AKI. This medication should be administered to rapidly reduce the patient's uric acid
What is rasburicase?
In patients with cardiogenic shock from post-MI ventricular septal rupture, this form of mechanical cardiopulmonary support can serve as a bridge to definitive surgical repair
What is VA-ECMO?
Ophthalmoplegia
Ataxia
Areflexia
What is Miller Fisher syndrome?
Order this test to confirm heparin-induced thrombocytopenia
What is serotonin release assay?
New in 2026 and priced at $99, this dish pairs a luxury fish delicacy with a humble fried favorite
What is a caviar topped chicken nugget?