Onc emergencies!
Bugs
Drugs
ACS
Winter vibes
100

Often due to lung cancer or lymphoma, this complication can present with facial swelling, venous distension, and dyspnea.

What is SVC syndrome?

100

This class of organisms can lead to rapid sepsis and death in patients with febrile neutropenia and should be covered empirically.

What are gram negative rods (especially Pseudomonas)?

100

Resistance to this antibiotic is a classic diagnostic sign of ESBL resistance.

What is ceftriaxone?

100

ST elevations in II, III and AvF signal an infarct in this  territory and vascular distribution.

What is the inferior territory / RCA distribution?

100

This vitamin is often deficient in winter months.

What is Vitamin D?
200

You should avoid repleting this electrolyte in a patient with Tumor Lysis Syndrome (unless deficiency is severe or symptomatic).

What is calcium?

200

This bug can cause endocarditis and is sometimes a harbinger of a gastrointestinal mucosal lesion.

What is strep bovis (or gallolyticus)?

200

This medication covers atypical organisms in CAP without causing QTc prolongation.

What is doxycycline?

200

This conduction disturbance on ECG is considered a "STEMI equivalent" (if new from prior).

What is a LBBB?

200

This disorder consists of painful attacks and discoloration in extremities, often triggered by cold exposure.

What is Raynaud phenomenon?

300

This medication is used to achieve long-term control of cancer-related hypercalcemia. 

What is a bisphosphonate?

300

A common gram-positive organism implicated in both GI and GU infections.

What is enterococcus?

300

This class of antibiotics is your only PO stepdown option to treat Pseudomonal infections.

What is a fluoroquinolone (e.g. ciprofloxacin)?

300

IV fibrinolytic therapy is indicated if PCI cannot be achieved within this timeframe. 

What is 120 minutes?

300

This is the definitive medical treatment for severe carbon monoxide poisoning.

What is hyperbaric oxygen therapy?

400

65F with metastatic breast cancer complains of progressive lower back pain and new difficulty lifting her legs. She has urinary retention. This is your first intervention.

What is IV dexamethasone?

400

This organism can cause rapidly progressive cellulitis after cat and dog bites.

What is pasteurella multocida?

400

In Breaking Bad, Walter White becomes an expert manufacturer of this class of drugs.

What are amphetamines?

400

ST elevation in this lead can signal left main artery or proximal LAD occlusion. 

What is avR?

400

This virus is strongly associated with increased risk of acute myocardial infarction. 

What is influenza?

500

This enzyme is inhibited by allopurinol and is a key step in the formation of uric acid.

What is xanthine oxidase?

500

This organism is classically associated with osteomyelitis in patients with sickle cell disease. 

What is Salmonella?

500

This antibiotic is the narrowest effective treatment for ESBL E. Coli.

What is IV ertapenem?

500
This score helps risk-stratify NSTEMI to guide urgency of PCI. 

What is the GRACE score (or TIMI)?

500

Mariah Carey's best-selling Christmas song (you know it), was released this year.

What is 1994?