Pre-Slides
Below the Belt
Above the Diaphragm
Bright IDeas
Jeopardy of Jeopardies: Primary Care Edition
100
This is the date of the next virtual happy hour.
12/10
100
This is the type of hypersensitivity reaction triggered in a patient with contact dermatitis due to a new nickel belt buckle.
Type IV - T-cell mediated hypersensitivity.
100
These medications are the four "pillars" of medical management of heart failure with reduced ejection fraction (guideline-directed medical therapy).
ACEi/ARB/ARNI (ARNI preferred if feasible)
Beta blocker
MRA
SGLT2i
100
This is the most common causative organism of vertebral osteomyelitis.
Staph aureus.
100
These are the 4 rotator cuff muscles.
What is supraspinatus, infraspinatus, teres minor, subscapularis?
200
This is the method by which 1 "unit" of insulin was originally defined.
The dose that would give a rabbit a hypoglycemic seizure.
200
This medication class is the first line treatment for reactive arthritis due to an enteric infection.
NSAIDs.
200
This PERC score rules out PE (in conjunction with clinical judgment that PE is unlikely!)
PERC score of 0.
Can eliminate need for D-dimer testing.
200
This combination of medications for this duration is first line for treatment of latent tuberculosis. (Need all meds + duration.)
Preferred regimens
Rifampin 10mg/kg daily x 4 months
INH 5mg/kg daily and rifampin 10mg/kg daily x 3 months
INH 15mg/kg and rifapentine weekly x 3 months
200
This is the amount by which moderate intensity exercise tends to lower blood pressure.
What is 5-8 mmHg?
A BP med reduces BP about 10-15 mmHg.
300
This Shakespeare play makes reference to oral herpes.
Double points for the mythological figure invoked in the speech where this is referenced.
Romeo and Juliet.
Queen Mab.
300
These are the three main ANCA-associated small-vessel vasculitis pathologies.
- Microscopic polyangiitis
- Granulomatosis with polyangiitis (GPA/ Wegner's)
- Eosinophilic granulomatosis with polyangiitis (EGPA/Churg Strauss)
300
These 4 modifiable risk factors (factor and goal level, if applicable) should be targeted in all patients after acute thrombotic ischemic stroke.
Hypertension: goal BP < 130/80
Hyperlipidemia: goal LDL < 70
Diabetes: goal A1c < 7.0%
OSA screening.
Also acceptable: obesity (5-10% weight loss), Nutrition, Physical activity, substance use cessation.
300
This infection is characterized by ipsilateral facial paralysis, otalgia, and vesicles near the ear canal. (Need name of syndrome and causative organism.)
Ramsay-Hunt Syndrome.
Caused by Varicella-Zoster Virus (VZV).
300
This is the GFR cutoff for initiation of SGLT2 inhibitor in a patient with diabetes.
GFR >=20
400
This VM resident played basketball against Sue Bird.
Alan Boyd!
400
These are the three categories and one sub-category of chronic diarrhea classification.
Watery - Osmotic or secretory?
Inflammatory
Fatty
"Take a WIF of chronic diarrhea"
400
This was the final diagnosis in a case of a 45 yo nonsmoking woman who was treated for what appeared to be lobar pneumonia on CXR without improvement, and was then found to have Atoll sign on chest CT, among several other regions of consolidation and groundglass opacity.
Cryptogenic organizing pneumonia (COP).
400
At this CD4 count you should re-screen a patient with HIV for TB who previously had negative TB testing with a CD4 count < 50.
CD4 count > 200.
400
These are the two antidepressants with the highest risk of withdrawal symptoms.
What are paroxetine and venlafaxine?
Fluoxetine has the lowest risk.
500
This painter created the following image:
Hieronymus Bosch.
500
List three causes of nephritic syndrome can be associated with decreases in serum C3 and C4 levels.
SLE / Lupus nephritis
Postinfectious glomerulonephritis
Immune-complex mediated glomerulonephritis / MPGN / Cryoglobulinemia
500
Give three indications for parathyroidectomy in an asymptomatic patient with primary hyperparathyroidism.
Serum Ca >1 mg/dL above ULN
Osteoporosis (spine, hip, wrist)
GFR <60
High risk for kidney stone
Males: Urine Ca excretion >300mg/d
Females: Urine Ca excretion >250mg/d
Age <50
500
This pneumonia-causing bacteria is associated on board exams and in real life with bird farmers/bird handlers.
Chlamydia psittaci.
500
List two medications that can be used to stop/abort a migraine in a patient who is 16 weeks pregnant.
Acetaminophen
Antiemetics: diphenhydramine, metoclopramide, promethazine
NSAIDs can be used in the 2nd trimester up to 20 weeks.
Avoid use in first trimester and after 20 weeks of gestation due to risk of embryotoxicity (1st trimester), fetal renal dysfunction and oligohydramnios (after 20 weeks), premature closure of the ductus arteriosus (after 30 weeks)
Sumatriptan – 2nd line – no known congenital defects or pregnancy complications to date
If remains intractable, can consider prednisone, magnesium