Images in ID
RA
Geriatrics
Commonly Missed ITE Topics
Grab Bag
Final Jeopardy
100

the most likely diagnosis for this acute, warm, and tender skin condition?

Cellulitis 

100

These are the two lab studies that aid in the diagnosis of RA

Rheumatoid Factor and anti cyclic citrullinated peptide antibodies 

100

The leading cause of injury in adults >65

Falls (30-40% fall every year) 

100

a patient on atorvastatin and colchicine is at risk for this condition

rhabdomyolysis 

100

most likely diagnosis for this skin condition


allergic contact dermatitis 

100

this syndrome, characterized by fever and diffuse capillary leak, occurs in up to 25% of patients receiving ATRA as part of induction therapy for APML 

differentiation syndrome 

200

Most likely diagnosis in a 25 year old woman with a two day history of dysphasia which has preogressed to AMS? 

Herpes Simplex Encephalitis 

200

RA pleural effusions are characterized by: (name 3/7)

Low glucose 

low ph

low complement

elevated total protein

elevated RF 

elevated LDH 

Mononuclear inflammatory cells 

200

These criteria provide a list of medications that could be problematic in elderly patients 

Beers 

200

the length of time from IBD diagnosis to start screening for colon cancer 

8 years 

200

Which of the following diagnoses is most compatible with the urinalysis findings shown under polarized light?

Nephrotic syndrome

300

The most likely infectious agent responsible for this skin condition in a patient with cirrhosis and sea water exposure? 

Vibrio Vulnificus

300

This syndrome consists of neutropenia, splenomegaly, and RA and occurs in patients with long standing, severe, seropositive RA

Felty Syndrome 
300

this drug  is approved for moderate to severe dementia in patients with Alzheimer disease associated with significant functional impairment. 

memantine

300

This is the less severe form of cutaneous t cell lymphoma (and the most common type)

mycosis fungoides

300

A patient with long-standing osteoarthritis of the knee with a large effusion develops acute calf pain. Three days later, this skin finding is noted. What is the most likely cause of the leg pain and new finding?


Baker cyst with rupture


 ecchymosis below the medial malleolus, a finding known as the “crescent sign

400

The most likely diagnosis in a patient with fever, hemolytic anemia, and this peripheral blood smear following a tick bite?

Babesiosis 

400

These two RA specific conditions significantly increase the risks associated with intubation 

Cervical subluxation 

cricoarytenoid arthritis

400

pseudobulbar affect and gait impairment are two early signs of this etiology of cognitive impairment 

vascular 

400

a patient with claudication symptoms and normal vasculature should be evaluated for this disease

lumbar spinal stenosis 
400

this type of fracture can occur with minimal trauma in patients with severe ankylosing spondylitis

 

Chalkstick fracture

500

Most likely explanation for abnormality with this CXR + fever + cough?

Miliary TB 



500

This bacterium, which is associated with periodontitis, is a risk factor for development of RA.

Porphyromonas gingivalis 

500

this disease occurs in as many as 20% to 30% of patients with behavior-variant fronto-temporal dementia

ALS 

500

these drugs should be discontinued in patients undergoing cataract surgery because of the risk of floppy iris syndrome 

alpha blockers

500

A 28-year-old woman is evaluated for hypokalemia found during evaluation of dry eyes and mouth of several months' duration. In addition to hypokalemia, she has a low serum bicarbonate level and a normal anion gap of 8 mEq/L. A spot urine potassium ratio is 20. What is the most likely origin of her hypokalemia. 

Renal

Type I RTA (associated with Sjogrens syndrome) 

Key here:
spot urine K:Cr ratio distinguishes between renal and non renal losses.  <13 = non renal