In The News
The Humors
Obstruction Junction
Doc, It Hurts When I Pee
There's a Fungus Among Us
Bagels and Smears
100

The Pentagon and White House were recently attacked by envelopes containing this bioterror agent produced from castor beans

What is Ricin?

100

Heparin acts by potentiating the action of this protein involved with blood clotting

What is antithrombin III?

100

This is the FEV1/FVC ratio that is defines obstruction

What is < 0.70?

100

This is the eponymous pupilary findings in patients with neurosyphilis

What is Argyll-Robertson pupil?

100

This fundoscopic finding was seen in a patient with a bloodstream infection of this organism

What is Candida?

100

Hematologic diagnosis in a patient with WBC count of 100K and the peripheral smear seen here


What is CLL?

200

Senator John McCain recently lost his battle with this malignancy

What is glioblastoma multiforme (GBM)?

200

This medication, found naturally in bear bile, is approved for the treatment of primary biliary cholangitis

What is ursodeoxycholic acid?

200

Patients with GOLD4 severity COPD have a FEV1 less than this

What is <30% predicted?

200

This febrile reaction that occurs within 24 hours of syphilis treatment is a systemic response to dying spirochetes

What is the Jarisch-Herxheimer reaction?

200

Colonization and allergic reaction to this organism can often imitate asthma

What is Aspergillus?

200

Seen here, this cell is pathognomonic for Hodgkin's lymphoma

What is a Reed-Sternberg cell?

300

In June of 2018, the Kellogg Company was forced to recall all of its Honey Smacks cereal due to an outbreak of this organism

What is Salmonella?

300

Isolated direct hyperbilirubinemia in the absence of other LFT abnormalities can be associated with this inherited condition (as can a black liver)

What is Dubin Johnson Syndrome?

300

Supplemental oxygen should be considered in patient COPD patients with SpO2 89-90% and these comorbities (please give 2 out of 3)

What are Pulmonary HTN, right heart failure, and polycythemia?

300

All sexually active women under this age should be screened for Chlamydia

What is ≤ 25 years?

300

Infection with this organsim requires immediate surgical management

What is Mucor (also accept Rhizopus)?

300

Treatment for patients with AKI, thrombocytopenia and peripheral smear seen here

What is plasma exchange?

400

The ASPREE trial found higher all-cause mortality among apparently healthy older adults who received a daily dose of this medication, compared to those who received placebo



What is aspirin?

400

Mutations in the gene for the protein Ankyrin can cause this condition

What is Hereditary Spherocytosis?

400

Test that should be considered in younger patients with COPD and bullous changes that are more prominent at the lung bases

What is alpha-1 antitrypsin level?

400

This treatment for genital warts is a powerful cytokine inducer that stimulates production of interferon-alpha, tumor necrosis factor, and interleukin (IL)-1, IL-6, and IL-8


What is imiquimod (Aldara)?

400

Meningitis caused by this organism usually requires daily LP to reduce CSF pressure

What is Cryptococcus?

400

Diagnosis in a patient with mild anemia, renal insufficiency, a high calcium level, and the peripheral blood smear seen here

What is multiple myeloma?

500

An October 2018 study published in the Lancet found that this treatment does not prevent fractures or falls, or have clinically meaningful effects on bone mineral density


What is Vitamin D?

500

The pictured finding can be found in the phlegm of patients suffering from this disease


What is asthma?

500

This oral PDE-4 inhibitor is approved to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of frequent COPD exacerbations 



What is roflumilast?

500

This is an accepted treatment regimen in patients with uncomplicated Gonorrhea infections and cephalosporin allergy

What is gemifloxacin 320mg PO x1 + azitrhomycin 2g PO x1, OR gentamicin 240mg IM x1 + azitrhomycin 2g PO x1?

500

Identify this dimorphic fungus

What is Blastomyces?

500

Identify this cell


What is a megakaryocyte