Alphabet Soup
Picture Perfect
Christmas Movies (Final Category)
Oh, my aching back!
So you think you're a doctor?
100
An autoimmune phenomenon where a drug exposure leads to the development of this disease and antibodies.
Drug-induced Lupus & Anti-Histones Ab
100
This rash appears everytime the patient has a fever...hint hint he has a lot of fevers. What is the diagnosis?
Adult onset Still disease
(AOSD) is a rare systemic inflammatory disorder characterized by daily fever, inflammatory polyarthritis, and a transient salmon-pink maculopapular rash.
100
Name that movie
Its a Wonderful Life
100
Gold Standard therapy for RA
Methotrexate
100
Eponym for combination of hypertension, respiratory depression, and bradycardia associated w/ intracranial hypertension
Cushing Triad
200
What is the most specific Ab for SLE....hint you should order this Ab during flares
Anti-Double Stranded DNA
200
Name of finding and disease 
Gottron papules and Dermatomyositis
On examination, multiple hyperkeratotic, flat, red papules with central atrophy were present on the backs of the patient’s metacarpophalangeal and interphalangeal joints. These skin findings in the absence of functional myopathy are characteristic of amyopathic dermatomyositis.
200
Name that movie and what are the names of the burglars
Home Alone
Harry and Marv
200
In a patient with recurrent gout that has had a hypersensitivity reaction to allopurinol, this drug is a safe alternative
Febuxostat
200
Type of viral hepatitis with the highest maternal mortality in pregnancy
Hep E
300
This patient does not like cold weather and has this on their exam. Name of disease and Ab associated w/ this disease
Anti-Centromere Ab
300
Name the treatment options for acute flares and indications for chronic lowering therapy and what is your goal or goals 
Acute: Colchicine, NSAIDs, Prednisone
Chronic: One or more subcutaneous tophi, evidence of radiographic damage, two or more gout flares in a year
Uric acid: < 6 and < 5 w/ tophi
300
Name that movie and what forest does buddy travel through to reach New York City?
Elf
The Candy Cane Forest
300
Non-Biologic DMARD associated with bladder cancer, lymphoma and other malignancy
Cyclophosphamide
300
Most common ocular condition associated with reactive arthritis
Conjunctivitis
400
If this patient had a baby what should the pediatrician be looking for ? 
Neonatal Heart block from Anti-Ro/SSA and Anti-La/SSB antibodies
Learning Points: Remember patients w/ Sjogren are at increased risk for Non-Hodgkin lymphoma compared w/ the general population w/ large B-cell and MALT Lymphomas being the most common
400
Patient presents w/ acute onset abdominal pain w/ elevated lipase. Physical exam: Enlarged parotid glands. PMH chronic lower back pain. What is the diagnosis.
Igg4-Related Disease
CT: Diffuse or focal enlargement of the pancreas with loss of definition of the pancreatic clefts; diffuse involvement results in "sausage-shaped pancreas"
Physical exam: Major salivary gland (parotid or submandibular) involvement is a common feature of IgG4-RD. Patients may present with lacrimal gland, parotid gland, and submandibular gland enlargement, a triad once termed "Mikulicz disease." Isolated involvement of the submandibular gland, a feature that is strongly suggestive of IgG4-RD if the glandular involvement is bilateral, was once often referred to as either a "Küttner tumor" or sclerosing sialadenitis.
Back Pain: Retroperitoneal fibrosis
400
Name that movie and what is his name...you fancy if you know what he is looking for.
Rudolph the Red Nose Reindeer and Yukon Cornelius and he is looking for gold
400
Abdominal pain, arthritis and skin biopsy showing leukocytoclastic vasculitis...
HSP (Henoch Schonlein Purpura)
400
Autoimmune syndrome characterized by muscle stiffness, rigidity, and spasm involving the axial muscles
Stiff-Person syndrome (SPS, Stiff-man syndrome)
500
This disease replaces normal tissue w/ thick dense connective tissue and can cause the below findings.
Name that disease and antibodies (full name)
Scleroderma (Systemic Sclerosis)
Anti-topoisomerase antibody (Anti-Scl 70)
500
Name this condition and systemic disease that it can be associated with...if you fancy you will name lab tests needed to make the diagnosis of the systemic disease 
Calcium Pyrophosphate Deposition Disease (CPPD) or Chondrocalcinosis or Pseudogout
Hemochromatosis: Ferritin (> 200 females, >300 males), TSAT (>45%)
HFE C282Y
500
Name that movie and characters name
The nightmare before Christmas and Jack Skellington
500
Asymmetric pulses in arms and legs, cool extremities and arm/leg claudication in young women
Takayasu arteritis (pulseless disease)
500
Organism responsible for Rat Bite Fever
Streptobacillus moniliformis
Symptoms: Fever, Vomiting, Headache, Muscle pain, Joint pain or swelling (about 5 in 10 people with RBF have this), Rash (occurs in about 3 out of 4 people with RBF)