Guillain the Bear
Cirrho-ho-ho-sis
Holiday Heart
Osteo-oh-no-sis
Let it Snow
100

This is the most common pathognomonic description of GBS.

What is ascending paralysis?

100

This is the scenario in which the KCC score predicts hospital mortality more accurate than the MELD score.

What is Acetaminophen associated Acute Liver Failure?

100

These four classes of medications form the foundation of guideline-directed medical therapy for HFrEF.

What are ACEi (or ARB/ARNIs), Beta blockers, Mineralcorticoid receptor antagonists, and SGLT2 inhibitors?

100

This class of drugs is typically the first-line treatment for osteoporosis due to its efficacy, cost-effectiveness, and long-term safety data. 

What are bisphosphonates?

100

Oversedation, paradoxical hyperactivity, depression, and addictive potential are all side effects of this sedating class of medication.

What are benzodiazepines?

200

These are the two most commonly used treatments.

What are IVIG and Plasmapheresis?

200

Grade of hepatic encephalopathy in which you transfer to ICU.

What is grade 2?

200

This is the preferred long term anticoagulant for a patient with a mechanical aortic valve to prevent thromboembolism.

What is Warfarin?

200

This is the most common clinical manifestation of osteoporosis, often detected incidentally on imaging.

What is a vertebral fracture?

200

This antipsychotic, commonly used for acutely agitated patients, has a black-box warning for increased mortality in elderly patients with dementia-related psychosis.

What is haloperidol?

300

This is typically found on CSF analysis (specific terminology).

What is albuminocytologic dissociation?

300

This type of LF (ALF vs. ACLF) has a higher risk of cerebral edema.

What is ALF?

300

This is the most common cause of sudden death in patients with hypertrophic obstructive cardiomyopathy.

What is ventricular arrhythmia?

300

These lifestyle measures, recommended for all postmenopausal women, include smoking cessation, weightbearing exercise, and adequate intake of two key nutrients. 

What are calcium and vitamin D?

300

The Society of Critical Care Medicine suggestion to use dexmedetomidine for delirium in mechanically ventilated adults where agitation is precluding weaning/extubation has a (low/medium/high) quality of evidence.

What is low?

400

The most common infectious antecedent is this pathogen, which is associated with molecular mimicry of gangliosides.

What is Campylobacter jejuni?

400

This test provides the most accurate evaluation of coagulopathy in ALF patients.

What is viscoelastic tests?

400

You are called for a rapid response for a 65 year old patient with abrupt onset of dizziness after a coughing episode. Vital signs are significant for a HR of 38, BP 88/65, SpO2 94%. EKG reveals sinus bradycardia. Which medication is the first line treatment for the patient in this scenario?

What is atropine?

400

This diagnostic tool calculates a 10-year probability of hip and major osteoporotic fractures, aiding in treatment decisions.

What is the FRAX tool?

400

 _______________________ in critically ill patients is associated with decreased length of mechanical ventilation, length of ICU stay, and incidence of delirium, although possibly no difference in 90-day mortality.

What is daily protocolized interruption of sedation and analgesia? (happy sedation holidays!)

500

This rare but distinct variant is characterized by ophthalmoplegia, ataxia, and areflexia, and is associated with anti-GQ1b antibodies.

What is Miller Fisher Syndrome?

500

The IV administration of either of these two agents can help with mushroom intake induced ALF.

What is IV Penicillin G or IV silibinin dihemisuccinate?

500

This is the specific location in the heart where a Watchman device is placed to reduce stroke risk in patients with atrial fibrillation who cannot tolerate long term anticoagulation.

What is the left atrial appendage?

500

This anabolic agent, a monoclonal antibody, enhances bone formation by inhibiting sclerostin and is associated with both increased BMD and a unique fracture risk reduction pattern.

What is romosozumab?

500

A 2005 study found that in comparison with hаlοреriԁοl, οlаոzaрiոе, and risperidone, _________ has a relatively greater propensity to increase the corrected QT interval and, therefore, should not be used in patients with known QTc interval-associated conditions.

What is ziprasidone?

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