Picture perfect
Little things
Let’s screen
Signs
Life is not about medicine
200
40 year old male with fever, malaise and myalgia
Stevens-Johnson syndrome (SJS)/Ten epidermal necrolysis (TEN)
Nikolsky sign
200
30 year old vegan male admitted a week ago with pancytopenia for investigation; found out to have B12 level of 14 and replacement was initiated; other labs on admission unremarkable but never repeated. You receive a call during your night shift that the patient has arrested; what is the most probable cause and how could it been prevented?
Hypokalemia secondary to B12 replacement
Repeat RFT and K replacement if indicated
200
This 35-year-old asymptomatic woman has no history of colorectal cancer or adenomatous polyps, but her mother was diagnosed with colon cancer at age 54. There is no other family history of colorectal cancer or polyps. She is up to date on all routine screenings. At what age will you recommend screening her?
Age 40 years or 10 years earlier than the age of the youngest first-degree relative at diagnosis, whichever comes first.
200
On this nuclear test, you can see:
- The absence of perfusion in normally ventilated areas (mismatch)
- Discordance between V/Q scan results
Pulmonary embolism
200
In Quidditch, this position's main job is to catch the Golden Snitch, earning 150 points for their team?
Seeker
400
65 year old male with hypotension and JVD
Cardiac tamponade (Beck triad)
400
This infectious disease, often transmitted from animals to humans, primarily affects the respiratory and reproductive systems, causing fever, fatigue, and joint pain. It is commonly associated with livestock like cattle, goats, and sheep.
Brucellosis
400
This 64-year-old woman has a 39-pack-year history of cigarette smoking, quit smoking at age 62, and has COPD. She reports no symptoms suggestive of lung cancer. When will you screen him for Lung Ca?
Now LDCT screening for over 3 years
400
On this radiological imaging you would see: Multifocal intrahepatic and extrahepatic bile duct strictures alternating with dilatation and beading of bile ducts
Primary sclerosing cholangitis
400
Dr. House is known for his expertise in diagnosing rare diseases, but he is also infamous for his addiction to this painkiller. What is the painkiller?
Vicodin (Hydrocodone and acetaminophen)
600
A 42 year old male with severe headache and impaired consciousness
AD polycystic kidney disease
Subarachnoid hemorrhage
600
Long-term use of this class of medications, often prescribed for acid reflux, can lead to adverse effects such as nutrient malabsorption, bone fractures, and an increased risk of infections like Clostridium difficile.
Proton pump inhibitors
600
This type of screening is recommended for all men aged 65 to 75 who have ever smoked, as well as for selected men in the same age group who have never smoked but have a family history of this condition.
Ultrasonographic screening for abdominal aortic aneurysm
(In any man between the ages of 65 and 75 years who has ever smoked and in selected men ages 65 to 75 years who have never smoked (e.g., family history of AAA).
600
On CT you can see any or either:
- Possible abnormalities of the sclera and/or optic nerve (e.g., scleral flattening)
- Possible cerebral venous sinus stenosis(especially transverse sinus)
- Empty sella
Idiopathic intracranial hypertension (Pseudotumor Cerebri)
600
How many times has Lionel Messi won the Ballon d’Or?
8 times
800
Young male presenting with platelet count of 1 and elevated PT/APTT
Acute promyelocytic leukemia (APML)
DIC
800
67 year old female K/C/O 2 year H/O recurrent nephrolithiasis requiring multiple urological intervention and depression; presenting with acute pancreatitis. What is your initial impression and the initial lab investigations you would order?
Hyperparathyrodism
iPTH and Serum calcium level
800
A 52-year-old woman with no significant family history of breast cancer, visits her doctor for a routine check-up. After discussing her health and risk factors, her doctor recommends a specific screening every two years. What screening test she being advised to undergo?
Mammogram
800
Imaging findings showing:
Absence of flow in venography
Focal edema secondary to ischemia
Intraparenchymal hemorrhage
Empty delta sign
CVST (Cerebral venous sinus thrombosis)
800
Who won the FIFA World Cup in 1982?
Italy
1000
IV drug user
Broken needles in the pelvic region (Away from NVB)
1000
This severe and often fatal condition, typically occurring in patients who have undergone splenectomy, is caused by bacterial infections that the body struggles to fight off due to the absence of the spleen’s immune functions. It primarily involves infections from encapsulated organisms.
What is this syndrome called?
OPSI (Overwhelming Post-Splenectomy Infection)
1000
This screening test, recommended for women starting at age 21 to 29, it is typically advised every three years, and for those 30 and older, it can be combined with another test. What is the name of this procedure?
Pap smear (Cervical Ca)
1000
On MRI, this condition is characterized by:
Bilateral posterior white matter lesions, typically in the occipital and parietal lobes, with pulsatile contrast enhancement in the cortical veins, often seen in association with acute hypertension or postpartum status?
Posterior Reversible Encephalopathy Syndrome (PRES)
1000
This Harry Potter creature is often mistaken for a common bird, but it can burst into flames when threatened.
Phoenix