General Holidays
Country of origin of candy cane
Germany
What flavor of Pop Tarts does Buddy the Elf use in his spaghetti in Elf?
chocolate
In Forrest Gump, according to Forrest’s mom, what is life like?
A box of chocolates.
Longest river in the world
Amazon River
A 72-year-old Caucasian man presents to his cardiologist for increasing dyspnea. He has a history of congestive heart failure following a myocardial infarction ten years ago. For the past month, he has had difficulty performing daily tasks, such as getting dressed, without experiencing dyspnea. Over the last week it has worsened, and he is unable to have a conversation without dyspnea. He has a grade III/VI systolic ejection murmur at the lower left sternal border, jugular venous distension, and bilateral crackles on auscultation. His cardiologist decides to start digitalis. Which of the following electrolytes must be monitored in this patient?
A. Calcium B. Magnesium C. Phosphate D. Potassium E. Sodium
D. Potassium
Where was the first Christmas celebration?
Rome (Italy)
Name the two thieves in Home Alone 1 and 2
Harry and Marv
What was the first feature-length animated movie ever released?
Snow White and the Seven Dwarfs
Name the five oceans in the world
Atlantic, Pacific, Indian, Arctic, and the Antarctic
A 62-year-old man comes to the office because of hypertension that was diagnosed 4 months ago. The patient declined treatment with medication on initial diagnosis but has been exercising 5 times weekly and eating a low-salt diet since then. Today, BMI is 26 kg/m2. Pulse is 80/min, and blood pressure is 144/86 mm Hg. Cardiopulmonary examination discloses no abnormalities. Laboratory studies reveal a creatinine of 1.3 mg/dL and a 24-hour urine protein excretion of 750 mg. The patient is initiated on first-line therapy with a medication to treat his hypertension. Which of the following physiologic changes is most likely in this patient as a result of treatment with this medication?
A. Decreased production of Angiotensin I
B. Decreased production of renin
C. Decreased reabsorption of sodium
D. Increased excretion of potassium
E. Increased production of aldosterone
C. Decreased reabsorption of sodium (ACE inhibitors work by inhibiting AT-I to AT-II decreasing AT-II action on the adrenal glands --> less aldosterone release from zona glomerulosa ---> less aldosterone means less absorption of sodium in the kidney)
Meaning of the word "Hanukka"
Dedication
Who played Santa in the Santa Clause 1994?
Tim Allen
Which superhero has the magic lasso and the bullet-proof bracelets?
Wonder woman
Name one of the borders (land or water) of Qatar
correct answers: Saudi Arabia, Iran, United Arab Emirates, Bahrain, and Persian Gulf
A 68-year-old woman awakens with difficulty breathing on the morning of hospital day 4. She was admitted for acute ST-segment elevation myocardial infarction (STEMI) with cardiac arrest, and a stent was placed in the left anterior descending (LAD) coronary artery. The patient also has severe, diffuse chest pain that is worse with inhalation. A bedside ECG is promptly obtained, which shows ST-segment elevation in all precordial leads and leads I and aVL, and ST-segment depression in lead aVR. Which of the following is the most likely diagnosis?
A. Dressler Syndrome B. Fibrinous Pericarditis C. Repeat MI D. Rupture of Ventricular wall E. Sustained ventricular arrhythmia
B. Fibrinous Pericarditis
The country the original St. Nicholas came from
Turkey
Name the 8 reindeers in "Rudoph, the red nosed reindeer"
Dasher, Dancer, Prancer, Vixen, Comet, Cupid, Donner, and Blitzen
Who is the most popular comic book?
Superman
Canada
A 24-year-old man comes to the office because of a heart murmur that was discovered at a community health fair. The patient feels well and does not have chest pain, palpitations, dyspnea, or syncope. He does not take any medications. His lungs are clear to auscultation bilaterally. Cardiac auscultation discloses a III/VI systolic ejection murmur that is best heard along the lower left sternal border. The murmur increases in intensity when the patient moves from the sitting to standing position and decreases in intensity with sustained hand grip. The remainder of his examination is normal. Which of the following is the most likely underlying cause of this patient's heart murmur?
A. Abnormal connection between the left and right ventricles
B. Autosomal dominant mutation in a cardiac sarcomere gene
C. Autosomal recessive mutation in a cardiac sarcomere gene
D. Congenital defect in the aortic valve
E. Intermittent Obstruction of the mitral valve by a left atrial tumor
B. Autosomal dominant mutation in a cardiac sarcomere gene (Hypertrophic cardiomyopathy)
Maneuvers that increase afterload such as sustained hand grip will reduce the murmur.
There are three colors used in Kwanzaa. What do each represent?
Black- African people
Red- Struggle
Green- Land
After becoming a common phrase, in the song "You're a mean one, Mr. Grinch," the song artist describes Mr. Grinch and says "I wouldn't touch you with a ___ foot poll"
39.5
Where was the Lord of the Rings movie filmed?
New Zealand
Who was the second president of the United States
John Adams
A 56-year-old woman comes to the office for follow-up 1 week after initiating treatment with warfarin because of underlying atrial fibrillation. She has noticed some minor skin bruising but has no other complaints. Her other medical conditions include hypertension and type 2 diabetes mellitus. In addition to warfarin, her current medications also include metoprolol, simvastatin, lisinopril, and metformin. She does not smoke cigarettes, drink alcoholic beverages, or use illicit drugs. She eats a balanced diet of fish, chicken, fruits, and some vegetables, including spinach and green beans. She walks outdoors for 20-40 minutes daily. Her temperature is 37.0°C (98.6°F), pulse is 84/min and irregular, and blood pressure is 123/80 mm Hg. Cardiopulmonary examination discloses no abnormalities. Examination of the skin shows small, nontender ecchymoses on the arms and legs. Laboratory studies show an INR of 2.2. Which of the following may be associated with an increased risk of bruising and bleeding in this patient due to interaction with cytochrome P450?
A. Dietary supplementation with St. John's Wort
B. Increased aerobic exercise
C. Increased consumption of leafy, green vegetables
D. Treatment with erythromycin
E. Treatment with ibuprofen
D. Treatment with erythromycin (inhibits CYP450 --> increasing warfarin levels)