Water on the Lungs
Big Guns, Small Guns
Trippin on Acid
Wheezing and Sneezing
Do-you-think-he-saurus Rex
100
This bacteria is the most common pathogen causing lobar pneumonia in infants and children.
What is streptococcus pneumoniae?
100
This antibiotic is first line for outpatient treatment of uncomplicated pneumonia in children. (Bonus: what dosage should you use?)
What is amoxicillin
100
Interpret this blood gas: 7.27/52/_/23
What is uncompensated respiratory acidosis Give an example of a clinical scenario in which this could occur
100
This type of cell is responsible for release of histamine in type-1 hypersensitivity
What is a mast cell?
100
Who directed Jurassic Park?
Who is Stephen Spielberg
200
This pathogen is a common cause of secondary pneumonia in children with influenza virus and is usually complicated by pleural effusion
What is Staphylococcus aureus
200
This antibiotic is first-line for ruptured appendicitis.
What is Zosyn? Why is Zosyn used in this context?
200
7.27/35/_/16
What is uncompensated metabolic acidosis?
200
This medication is first-line therapy for seasonal allergies.
What is an intranasal steroid?
200
Jurassic Park (the film) was released in this year
What is 1993
300
A 16 year old girl presents to your office with non-productive, cough, fever to 101, sore throat, and maculo-papular rash on her trunk. She has mild but diffuse crackles on auscultation. Her oropharynx is erythematous without exudate. Her CXR has diffusely increased lung markings with no areas of consolidation. What is the most likely pathogen?
What is mycoplasma pneumoniae
300
A 14 year old female presents to the emergency room with temp 102, HR 115, RR 22, and BP 110/68. She has diminished breath sounds at the left base with crackles above. Her CXR shows left lower lobe pneumonia and US is positive for effusion with septae. What is the most appropriate antibiotic for this patient?
What is ceftriaxone
300
7.29/28/_/13
What is partially compensated metabolic acidosis? Give a clinical scenario
300
A patient with a known peanut allergy comes to the emergency room with lip swelling, urticarial rash, and stridor. He has not used his EpiPen. What concentration and dose of epinephrine should you order?
What is 0.01 mg/kg of 1:1000
300
A completely preserved skeleton of this dinosaur is uncovered in one of the first scenes in the movie
What is the velociraptor
400
A three week old former term infant female presents to the ER with cough and fever to 101. HR 170, RR 55. Presented for prenatal care at approximately 30 weeks. CXR shows bilateral areas of consolidation. What is the most likely pathogen?
What is chlamydia trachomonatis
400
An 8 year old boy is admitted with diffuse cellulitis of his right leg after accidentally cutting himself with a kitchen knife. He is started on empiric one-drug therapy and initially improves. On day 2 of admission, his blood culture grows staphylococcus aureus, and your attending asks you to change his antibiotic coverage to Vancomycin because the original antibiotic does not have appropriate intravenous availablility. What was the first antibiotic?
What is clindamycin? What is the correct IV dosage? PO? What else does it provide coverage for?
400
7.36/26/_/14
What is compensated metabolic acidosis?
400
A child with chronic allergic rhinitis and atopic dermatitis presents to your clinic. He has a family history of anemia, and his mother asks you to check his blood counts. He has one abnormal value on his CBC. What is most likely?
What is increased eosinophil count?
400
Many of Jurassic Park's outdoor scenes were filmed on this Hawaiian island
What is Kauai'i
500
This pathogen is associated with pneumonia following water births
What is legionella
500
A 12-year-old boy who is receiving intensive myeloablative therapy for acute lymphocytic leukemia has been febrile and neutropenic for 10 days despite receiving intravenous vancomycin and piperacillin-tazobactam. Auscultation of his chest reveals only coarse breath sounds bilaterally. Abdominal examination is notable for hepatosplenomegaly that is not new. No rash. His WBC is 0.1, with 90% lymphocytes and 10% monocytes. Hgb 8, platelet count 60, and his serum galactomannan test yields a positive result. CT chest shows scattered densities throughout the lung. What is the most appropriate therapy to add?
What is voriconazole?
500
7.39/57/_/33
What is compensated respiratory acidosis?
500
A 10 year old boy presents with chronic, recurrent staphylococcal abscesses. He has been hospitalized more than 10 times for infections and went to the PICU twice with sepsis. He has diffuse scarring from recurrent abscess and furuncles, including scarring of his face. He has severe asthma and anaphylactic allergies to fish, eggs, peanuts, wheat, tomatoes, shellfish, and penicillin. What is the most likely diagnosis?
What is Job Syndrome? (IgE syndrome)
500
This actor was offered the role of John Hammond before Richard Attenborough accepted the job.
Who is Sean Connery (Bonus: Who was Spielberg's first choice to play Alan Grant?)
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