Feel the rhythm
Not just your father's arthritis
Huffing and puffing
Emergencies with a capital E
It takes guts
100

This is the QRS measurement that best predicts benefit from cardiac resynchronization therapy

What is a QRS complex > 150ms

100

These are two cutaneous pathognomic findings associated with dermatomyositis.

What are gottron papules and a heliotrope rash?


100

This is the initial ventilation strategy for cardiogenic pulmonary edema.

What is NIPPV? (non-invasive positive pressure ventilation)

100

This drug helps block the enzyme alcohol dehydrogenase from turning menthol or ethylene glycol into toxic metabolites.

What is fomepizole.

100

This is the preferred drug class for primary prevention of variceal bleeding

What are nonselective beta-blockers 

-nadolol, propranolol

200

Diagnosis for 3 or more consecutive ventricular beats at a rate > 100/min with a duration <30 seconds

What is non-sustained ventricular tachycardia

200

These negatively birefringent, needle-like crystals appear yellow under polarized light and are the gold standard of diagnosis of this disease.

What is gout?

200

The name of the hemoglobin abnormality associated with falsely elevated oxygen saturation on pulse oximetry

What is carboxyhemoglobin or methemoglobinemia?

200

The condition associated with this EKG finding


Hypothermia

200

This is the most specific physical examination finding for the presence of ascites 

What is a fluid wave (positive likelihood ratio =5) 

300

This tachyarrhythmia syndrome is a form of dysautonomia characterized by orthostatic intolerance and excessive tachycardia especially with standing.

POTS or postural orthostatic tachycardia syndrome

300

This type of arthritis is associated with pitting nails and a characteristic spoon in cup deformity on xray.

What is psoriatic arthritis?

300

This class of antibiotics have inflammatory and antimicrobial effects. In patients with severe COPD they may be prescribed long term.

What are macrolides?

300

For adults without a severe compelling condition (eclampsia, aortic dissection) it is recommended to lower blood pressure by no more than this percent within the first hour when treating a hypertensive Emergency.

What is 25%?

300

The name of a cyclical vomiting syndrome relieved by taking a hot shower.

What is cannabinoid hyperemesis syndrome

400

The syndrome pictured below iss distinguished by ST segment coving in V1-V3 with or without RBBB morphology and may lead to VFib or cardiac arrest.


Brugada syndrome

400

This arthritis is the primary spondyloarthritis seen in patients with HIV infection and is likely a response to other STIs rather than the HIV itself

What is reactive arthritis?

400

Appearance of the flow-volume loop pattern for active vocal cord dysfunction

 Flattening of the inspiratory loop (flattening of the bottom of the flow volume loop)

400

Agitation, fevers, hyperreflexibility, tremor, hypertonia and spontaneous clonus are hallmarks of this rare diagnosis associated with a common drug.

What is serotonin syndrome?

400

In addition to gallstones this classic ultrasound finding seen on imaging is a sign of acute cholecystitis

What is pericholecystic fluid and thickened wall?

500


This is the first line therapy for patients with the syndrome associated with this EKG.

What is catheter ablation?

500

This is the first line treatment for pain associated with the disease pictured below. This therapy may even slow disease progression. 


What are NSAIDs

500

Cause of shortness of breath and pleuritic chest pain at beginning of menstruation

What is catamenial pneumothorax (accept endometriosis or pleural endometriosis)

500

Cyanocobalamin is the recommended antidote to this poison agent that blocks cellular respiraton by binding to cytochrome oxidase a3 in the mitochrondria. 

What is cyanide?

500

This is the most likely diagnosis causing generalized pruritus in the setting of inflammatory bowel disease 

Primary sclerosing cholangitis

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