Urine Trouble Now
Rash Decisions
Culture Shock
Antibiotics & Pathogens
Fun facts from the world
100
Mention at least 3 meds that are both, ototoxic and nephrotoxic
what is:
Cyclosporine
Aminoglycosides
Loop diuretics
Vancomycin
Amphoterecin
100
What is the most common association of a patient with dry/Greasy yellow sharply demarcated scales on an erythematous base localized to scalp, post auricular region, central face
What is Screen for HIV (affecting 85–95%) & Parkinson's disease (PD, affecting 18.6% to 59% of patients)
Dx: Seborrheic Dermatitis
tx; Shampoos (selenium/ketoconazole) for scalp. Antifungal creams +/- topical steroids for face
100
When do antibodies to HIV appear in the blood after infection?
HIV antibodies appear in blood within 2-3 weeks of infection
100
Oseltamivir is used in the treatment of what illness?
Influenza A & B
100
This wall, visible from space according to popular myth
What is the Great Wall of China?
200
A 32-year-old woman presents with weakness and muscle cramps. Labs show metabolic alkalosis. Urine chloride is 8 mEq/L. This is the most likely underlying cause.
What is vomiting (or nasogastric suction)?
200
Multiple skin lesions, as shown, show up suddenly. Think of?
What is internal malignancy?
Lesser trelat sign
200
What is the standard screening method used to test for HIV in most clinic and hospital settings?
HIV-1/2 antigen/antibody tests are used to identify HIV infection.
These tests use p24 antigens to identify patients in early stages of infection. Other available tests include nucleic acid amplification testing (NAAT), such as polymerase chain reaction (PCR) measurement of HIV viral load, as well as isolated antibody testing (HIV-1/2 IgM and IgG). A positive HIV-1/2 antigen-antibody screening test always requires viral load confirmation with NAAT/PCR testing.
200
A cirrhotic patient develops rapidly progressive hemorrhagic bullae and septic shock after eating raw oysters. Which organism is the most likely cause?
What is Vibrio vulnificus?
200
This event in 1969 marked the first time humans landed on the Moon.
What was the Apollo 11 Moon Landing?
300
Treatment of lithium-induced nephrogenic diabetes insipidus
What is Amiloride?
300
Extensive UV exposure hx, erythematous, rough, scaly papules
Concerns for?
What is SCC?
Dx Actinic keratosis, this is Clinical, but perform Bxto r/o SCC
Tx: Cryotherapy if few lesions. Topical agensts (imiquimod) for many
300
Reye syndrome is a rare form of encephalopathy associated with what infection and what medication?
What is Influenza & Salicylate (aspirin)?
300
A patient has cough for more than 2 weeks with post-tussive vomiting and inspiratory whoop. Which organism is the most likely cause?
What is Bordetella pertussis?
300
This queen ruled Ancient Egypt and is famous for her alliance with Julius Caesar and Mark Antony.
Who was Cleopatra?
400
A 62-year-old man with ESRD on hemodialysis has persistently elevated PTH despite phosphate restriction and sevelamer therapy. His phosphate is 6.2 mg/dL and calcium is 10.1 mg/dL. This medication should be added next.
What is cinacalcet?
400
Dx test & Tx?
Dx: Skin bx, direct immunofluorescence
tx: Topical high-pot steroids for local
Systemic CSs are still the first-line treatment for PV for rapid disease control
Immunosuppressants for diffuse
400
Which rash pattern is associated with RMSF?
What is Hands and feet (wrist and ankles)?
Spreading to the trunk
400
Which mosquito transmits Dengue, Zika, and Chikungunya infections?
What is the Aedes aegypti mosquito?
400
These two brothers are credited with achieving the first successful powered flight in 1903.
Who were Orville Wright and Wilbur Wright?
500
A 58-year-old man presents with progressive edema and frothy urine. Labs show albumin 2.1 g/dL and proteinuria of 8 g/day. Kidney biopsy demonstrates subepithelial immune complex deposits with spike-and-dome appearance on silver stain. Serologies are negative except for anti-PLA2R antibodies. The most appropriate initial management strategy?
What is conservative/supportive therapy with observation?
spontaneous remission is common
ACE inhibitor or ARB → reduce proteinuria
Diuretics → treat edema
Salt restriction → help edema control
Statin → if hyperlipidemia
Anticoagulation consideration → if severe hypoalbuminemia, especially albumin <2–2.5 g/dL
500
27 yo woman with bipolar disorder develops fever, mucosal ulcers, and painful erythematous skin lesions with epidermal detachment involving 7% of body surface area shortly after starting a new mood stabilizer. This medication most likely caused her condition.
What is lamotrigine?
500
Young adult develops migratory polyarthritis, fever, and elevated ASO titers three weeks after untreated pharyngitis, What is the Dx?
What is Acute rheumatic fever?
500
Mention at least 3 side effects of rifampin?
Hepatotoxicity
Rash
Nephritis
Hematologic toxicity
GI side effects
Colors sweat, urine, and tears orange (harmless)
500
This scientist developed the three laws of motion and the law of universal gravitation after observing a falling apple.
Who was Isaac Newton?