General IM Jeopardy Quiz

Gen IM 1

100

HIT drug treatment

Argatroban or rivaroxaban

200

• Describe Nikolsky’s sign and state a disease that it appears in

Epidermal detachment with pressure adjacent to bullae.

Diseases- SJS, TEN, Pemphigus Vulgaris

300

Drug with highest extrapyramidal side effetcs

Haldol

400

Major chemotherapeutic agent for most metastatic colorectal cancers

5 Flourouracil

500

Name any 4 oral agents that can be used to treat community acquired MRSA infection

Bactrim

Doxycyline

Clindamycin

Linezolid

Rifampin

Gen IM 2

100

Ascites leukocyte count diagnostic for SBP

≥250/µL

200

Acute pancreatitis lab tests predicting poor outcome

Elevated hematocrit and BUN

300

Patient presents with AKI, fever, rash and eosinophilia. What is the treatment? What is the next treatment if first line treatment does not work? 

Diagnosis is AIN. Treatment is to remove offending agent or underlying cause. If not improving, consider treating with steroids.

400

Screenings before TNF inhibitor therapy?

Interferon-γ release assay, HBV and HCV serologic testing, HIV screening

500

Drug treatments for high-altitude pulmonary edema

Nifedipine, PDE-5 inhibitor

Gen IM 3

100

• What diabetes medication causes risk of euglycemic DKA?

Empagliflozin

200

Diagnostic tests for IgA vasculitis

Kidney or skin biopsy

300

Age to begin osteoporosis screening in average-risk women

65 years old

400

Indications for high-intensity statin therapy for the primary prevention of ASCVD per AHA/ACC guidelines

LDL cholesterol level ≥190 mg/dL; age 40-75 years with 10-year ASCVD risk ≥20%

500

Cholecystectomy indications for asymptomatic gallstones

Gallstones >3 cm, porcelain gallbladder, gallbladder polyp >1 cm

Gen IM 4

100

Anterior hip pain associated with glucocorticoid use, SLE, sickle cell anemia, or alcohol use disorder

Osteonecrosis of hip

200

Primary prognostic feature for melanoma

Depth of invasion (Breslow depth)

300

First nonstatin added to maximal statin therapy for secondary ASCVD prevention in patients not considered at very high risk

Ezetimibe

400

eGFR contraindication to metformin therapy

<30 mL/min/1.73 m2

500

First-line treatment of acute aortic dissection without shock

IV β-blocker

Gen IM 5

100

First-line drugs for alcohol dependence

Naltrexone and acamprosate

200

Sudden-onset peripheral vertigo and hearing loss

Labyrinthitis

300

Fluid-filled swelling caused by herniated synovial tissue surrounding tendon sheaths or joints

Ganglion cyst

400

A 58-year-old man is evaluated because of a 7-month history of tingling and numbness involving the right index finger, thumb, and adjacent palm associated with recent onset of reduced grip strength. Sensory symptoms are worse at night.

On physical examination, there is right thumb abductor weakness and thenar eminence atrophy. Nerve conduction studies show median nerve sensorimotor denervation.

Next Step in management?

Decompression surgery

500

Indication for recombinant zoster vaccine

Age 50 years or older or 19-49 years and immunodeficient/immunocompromised