Days Gone By
These are the three components of the qSOFA score
What are
RR>22,
GCS <15,
SBP <100
A Greek fable about a man who spurned the love of the nymphs by falling in love with his own reflection was later used to name this personality disorder
What is Narcissistic Personality Disorder
A 72 y.o male comes into the ED meeting sepsis criteria. UA showed a WBC >25, no epithelial cells, and Bacteria to numerous to count. Along with starting antibiotics, this key piece to your physical exam will change length of treatment
What is a prostate exam (DRE also acceptable)
This is the Anion Gap
7.27/52/113/24
Na: 142, Cl: 112, CO2: 18, Alb: 3.0
What is 14.5
(142-130+2.5)
A resident cannot exceed 80hrs worked a week averaged over this number of weeks
What is four
This febrile event after a transfusion will have no change in haptoglobin, blood cultures, oxygen demand, blood pressure
What is a Febrile Non-Hemolytic Tranfusion Reaction
This is the answer to life, the universe, and everything
What is 42
A 19 y.o female is brought to the hospital due to altered mental status by her parents. In the ED you find her to have a HR of 108, Tmax of 102.3, RR, 21, WBC 21.3. Her physical exam is unremarkable except she struggles to touch her chin to her chest and screams of an electrical sensation down her spine when she tries. This is the treatment regimen you should immediately start
What is Rocephin (3rd gen cephalosporin), Vancomycin IV and Dexamethasone.
This is the diagnosis
7.37/70/113.6/33
Na: 142, K: 4.9, Cl: 112, CO2: 33, Alb: 3.8
What is Chronic Respiratory Acidosis with Metabolic Compensation
(Likely COPD with chronic hypercapneic respiratory failure)
To complete residency in Internal Medicine this is the number of half days you are required to complete in clinic, at minimum
What is 130 half days.
Use of EPO in CAD patients is relatively contraindicated due to the risk of this
What is a venothrombotic events.
These are the three dangers of the fire swamp
What are the flame spurts, the lightning Sand, the rodents of unusual size (ROUSs)
A 76 y.o male comes in 10 days after a fall on his right knee which was replaced 12 years ago. He states he has been having fever and chills for 6 days and it is only getting worse. His right knee continues to hurt but states he has not noted any real severe swelling. On physical exam there are several scabs and the skin is mildly warm and erythematous but no fluctuance is noted. He meets SIRS criteria and the xray of his knee is equivocal. This would be the ideal imaging modality to run next.
What is an MRI without contrast (to evaluate osteomyelitis and prosthetic involvement)
This is the expected PaCO2
7.27/52/113/16
Na: 142, K: 4.9, Cl: 112, CO2: 20, Alb: 3.1
What is 36-40 (any number in this range will be accepted)
(1.5 x 20) + 8 +/- 2
This is the total number of admissions, not including transfers, a PGY 1 can perform in a 24hr and 48hr period respectively
What is 5 and 8
This extremely lipophilic sedation medication with antiseizure properties has these two unique risks
What are Hypertriglyceridemia and Propofol Related Infusion Syndrome (PRIS)
This book series holds the most spots on the Top 20 books sold of all time
What is the harry potter series.
A 61 y.o female with PMH CHFrEF and ESRD comes in due to a skin lesion 6 days after cutting her leg. The area is erythematous with a small area of induration with expressible purulence. Her blood pressure of 84/52. RR 18, HR 85, WBC 9.2, Temp 99.9. This is an acceptable volume of IVF to initially provide her
What is 250-1000ml max. (as long as you don't say over 1L it will be accepted)
This is the diagnosis (there is no secondary disease)
7.28/32/99/17
Na: 144, K: 4.9, Cl: 94, CO2: 16, Alb: 4.0
What is Anion Gap Metabolic Acidosis with Respiratory Compensation
ACGME requires a minimum of four weeks in these two rotations
What are Emergency Medicine and Geriatrics.
A CLABSI is defined as this
A laboratory confirmed blood stream infection at least 48 hours after a central line placement wo an alternative source.
This unconquerable beast from Persian Mythology, with its body of a lion, wings of a dragon, head of a man and tail of a scorpion, would lure prey to it death by hiding its body and calling to people in tall grass
What is the Manticore
A 66 y.o male who has never been to a doctor comes in with neurological symptoms. During his MRI small areas in the brain are described as “gummas” by the radiologist. The patient admits to numerous sexual partners when he was younger. This medicine is the ideal first choice for treatment.
What is Penicillin G.
This is the expected HCO3 in an acute situation
7.27/60/95/22
Na: 142, K: 4.9, Cl: 112, CO2: 25, Alb: 3.1
What is 26-30
These are 3 of the 6 competencies ACGME requires a program to track
What are
1. Professionalism
2. Patient Care and Procedural Skills
3. Medical Knowledge
4. Practice Based Learning and Improvement
5. Interpersonal and Communication Skills
6. Systemic Based Practices.