Brain Attack
Troponin Made Me Do It
ITP or IDK
Do You Even Lift?
Jersey Legends
100
Name three indications for a code stroke.
What are
1. Focal neuro deficit
2. Hyperacute mental status change
3. Acute dysphagia
4. Neglect - hemi-inattention?
100
These are the three medication classes for treatment of angina.
What are beta blockers, calcium channel blockers, and nitrates.
100
This is how textbook ITP presents on a CBC.
What is isolated thrombocytopenia?
PLT count needs to be < 100,000
100
This is the number of essential amino acids.
What is 9?
Your body cannot make these - must get these from food source.
100
This Newark-born basketball star was the No. 1 overall NBA draft pick in 1992 and gave himself the nickname “The Big Aristotle.”
Who is Shaquille O'neal?
200
This is the standard TNK time window when CTH is negative for bleed and CT perfusion and MRI are not available.
What is 0 - 4.5 hours?
Extended window up to 24 hours requires CT perfusion and MRI imaging.
200
P2Y12 inhibitors are often avoided in the acute management of suspected type I NSTEMI for this reason.
What is unknown coronary anatomy?
Patients with left main disease or multivessel disease will require CABG. Surgery will thus be delayed to allow for washout of the medication to reduce bleeding risk (plavix washout = 5 days)
200
This is the treatment for ITP when the platelet count is <30K and there is no clinical significant bleeding.
What is steroids or IVIG?
200
Specific caution should be taken in this population when recommending high protein intake.
What is chronic kidney disease?
Some evidence that glomerular pressures increase with higher protein intake but data to support kidney injury caused by high protein intake is lacking.
200
This New Jersey-born basketball legend led the Lakers to five NBA championships and scored 81 points in a single game.
Who is Kobe Bryant?
300
This is the blood pressure goal for ischemic stroke patients within the first 24 hours of presentation.
What is < 220/110 with a slow reduction to < 180 by day 2?
300
Multiple randomized trials have shown better outcomes with lower rates of recurrent MI and all-cause mortality with an early invasive approach to type I NSTEMI management, which involves cardiac catheterization within this time frame from presentation.
What is 24 hours?
300
DAILY DOUBLE
This bacteria should be checked in patients with suspicious symptoms and presenting with newly diagnosed ITP.
What is H. Pylori?
300
In 2025, the US dietary guidelines were updated to recommend this amount of daily protein intake.
What is 1.2 to 1.6 g/kg/day?
An increase from the long standing 0.8 g/kg/day RDA
300
Born in Englewood, this actor played Tony Soprano, perhaps New Jersey’s most famous fictional resident.
HINT: he has a rest stop named after him in Bergen County
Who is James Gandolfini?
400
Name two IV calcium channel blockers recommended for blood pressure control in the acute management of hemorrhagic stroke.
What are clevidipine (cleviprex) and nicardipine (cardene)?
BP goal 130-150.
400
This class of anti-platelet medication may be used at the time of percutaneous coronary intervention if there is heavy clot burden or high risk features.
What is glycoprotein IIb/IIIa inhibitors?
Epitifibatide and Tirofiban
400
These are the two types of heparin induced thrombocytopenia and mechanisms for each.
What are
Type I - direct platelet destruction, non immune mediated, non-thrombotic, less severe
Type II - immune mediated platelet destruction, thrombotic, more severe?
400
Protein has a higher thermic effect than carbohydrates and fats, requiring roughly this amount of its own energy production for digestion/metabolism.
What is 20-30% (this is the ATP cost)?
400
Born in Newark, this singer became the first woman to debut at No. 1 on the Billboard 200 and remains one of the best-selling recording artists ever.
Who is Whitney Houston?
500
This stroke syndrome is characterized by an ipsilateral third-nerve palsy with contralateral hemiparesis.
What is Weber Syndrome?
A crossed brainstem lesion caused by a midbrain lesion that affects the CN III nucleus and the cerebral peduncle (contains descending motor fibers before they decussate in the medullary pyramids)
500
DAILY DOUBLE
This IV P2Y12 inhibitor can be used in patients who cannot tolerate PO.
What is Cangrelor?
500
Name three potential treatments for refractory ITP.
What are
TPO receptor agonists
Rituximab
Splenectomy
Fostamatinib
Rilzabrutinib?
500
After protein breakdown in muscle, ammonia is packaged onto pyruvate to form this amino acid, which travels to the liver for gluconeogenesis and urea synthesis.
What is alanine (feeds hepatic gluconeogenesis)?
500
Before becoming a three-time Academy Award winner, this New Jersey native attended Bernards High School and later portrayed Margaret Thatcher on screen.
Who is Meryl Streep?