Endocrinology
Rheumatology
Fever and Rash
Heme/Onc
Happy Birthday!
100

Test to distinguish exogenous from endogenous production of insulin

C-peptide

100

The HLA type associated with a finding of "bamboo spine" on imaging. 


HLA-B27

100

70 YOM presents with several weeks of worsening fever, sore throat, swollen lymph nodes, and fatigue. Only travel is to Las Vegas 1 month prior for a business trip. On exam, the following rash is found:


Secondary Syphilis

100

Hematological diagnosis classically associated with pica and pallor  

Iron deficiency anemia

100

When you turn the same age as the date of your birthday. 

Golden Birthday

200

Most common cause of hypoparathyroidism

Surgical Removal

200

Name this condition.


Raynaud's phenomenon

200

A 64 YOM who returned from a hunting trip 2 days prior presents to the ER with fever, painful "armpit lumps" and the following skin lesion.

 

Tularemia or glandular fever or Francisella Tularensis

200

Diagnosis


Hairy Cell Leukemia

200

The age when a Bah Mitzvah is traditionally celebrated

13

300

The follow up test for a 47 YOM with fatigue and decreased libido whose labs drawn at 3pm show a total testosterone of 275 ng/dL (300-1200 ng/dL) and a luteinizing hormone level of 5mU/mL (3-15mU/mL).

8 am total testosterone

300

Term describing erythematous papular or pustular response to local skin injury in patient with Behçet syndrome

Pathergy

300

A 54 YOM presents with fever, fatigue, myalgias, and rash 1 weeks after returning from camping in Missouri. 


Rocky Mountain Spotted Fever

300

The familial syndrome consisting of hemangioblastoma of the retina, renal cell carcinoma, and pheochromocytoma.

Von Hippel-Lindau Disease

300

A Mexican tradition celebrating the passage from girlhood to womanhood on her 15th birthday.

Quinceanera

400

The class of diabetes drugs associated with euglycemic or only mildly hyperglycemic DKA

SGLT-2 inhibitors (-flozins)

400

The Diagnosis for a 56-YOM with recently diagnosed hypertension presents for 1-month of malaise, myalgia, weight loss, numbness & weakness of R foot, testicular pain, and small necrotic ulcers on his legs. He is hypertensive 170/90, Temp 99.0. Labs show mild anemia, acute renal failure. ANCA is negative and urinalysis is normal. Renal angiogram shows micro-aneurysms of the renal arteries. 

Polyarteritis Nodosa

(Teaching point: Non-glomerular kidney disease. Negative ANCA. New Hypertension)

400

A 21 year old female who presents to the ER after 5 days of severe diarrhea and abdominal pain with new fever, skin yellowing, and rash. Symptoms started shortly after eating hamburgers at a cookout where 2 others ha Labs show thrombocytopenia, anemia, indirect hyperbilirubinemia, and renal failure. Exam demonstrates the rash pictured below, splenomegaly, and confusion. 

 

Thrombotic Thrombocytopenic Purpura (will accept hemolytic uremic syndrome)

400

Mutation of this gene is responsible for familial adenomatous polyposis syndrome

APC gene

400

The Germans introduced this popular feature of birthday celebrations. 

Birthday Cake

500

A cause of hypocalcemia in a 79 YOF patient who presents to the ER with weakness and fatigue 2 days after receiving IV zoledronic acid.

Hypovitaminosis D (Vitamin D Deficiency)

(Teaching point: Antiresorptive drugs can cause severe hypocalcemia by repairing efflux of calcium from the skeleton in vitamin D deficiency--this is why we correct first!)

500

The antibody associated with the condition causing calcinosis cutis, Raynauds, esophageal dysmotility, sclerodactyly and telangiectasias.

Anti-Centromere Abs

500

A 55 year old patient with HIV and medication noncompliance presents to the hospital for pneumonia and is treated. Shortly after discharge, he returns to the hospital with this progressively worsening rash, fevers, tachycardia, and hypotension. Diagnosis?


Stevens-Johnson Syndrome

500

Class of immunotherapy drugs that disrupt signaling by malignant cells exposing them to attack by the immune system  

Checkpoint inhibitors (accept immune checkpoint inhibitors or checkpoint inhibition)  

500

The society credited with the founding of the 12 zodiac symbols

The Babylonians