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100

This arrhythmia is characterized by a chaotic, irregular rhythm without identifiable p waves and requires immediate defibrillation. 

What is ventricular fibrillation? 

100

This toxidrome presents with hyperthermia, clonus, agitation, and diaphoresis after use of serotonergic medications.

What is serotonin syndrome? 

100

This condition presents with a barking cough, inspiratory stridor, and is most commonly caused by parainfluenza virus.

What is croup? 

100

This syndrome is characterized by fever, hypotension, rash, and multi‑organ failure. 

What is toxic shock syndrome? 

100

This is the first‑line medication for type 2 diabetes in an overweight patient with normal renal function and no contraindications.

What is Metformin? 

200

This high‑risk ECG finding shows tall, peaked T waves and widening of the QRS complex.

What is severe hyperkalemia? 

200

This medication is the treatment of choice for life‑threatening agitation in patients with excited delirium from stimulant intoxication.

What is a benzodiazepine? (Lorazepam) 

200

This serious illness in newborns presents with poor feeding, lethargy, temperature instability, and requires immediate antibiotics.

What is neonatal sepsis? 

200

This partially acid‑fast organism causes pneumonia in immunocompromised patients and is treated with trimethoprim‑sulfamethoxazole.

What is pneumocystis jirovecii? 

200

This cancer screening test is recommended every 3 years for women ages 21–29 with a normal risk profile.

What is a Papanicolaou (Pap) smear?

300
This type of myocardial infarction is identified by ECG changes and requires reperfusion therapy. 

What is STEMI? 

300

This ingestion causes metabolic acidosis, visual disturbances, and requires treatment with fomepizole.

What is methanol poisoning? 

300

This pediatric emergency causes colicky abdominal pain, currant jelly stools, and is treated with an air or contrast enema.

What is intussusception?

300

This tick‑borne illness presents with fever, leukopenia, thrombocytopenia, elevated LFTs, and is treated with doxycycline.

What is ehrlichiosis? 

300

This is the most appropriate antibiotic for uncomplicated acute cystitis in a non‑pregnant woman with no drug allergies.

What is nitrofurantoin? 

400

This life-threatening disorder causes tearing chest pain radiating to the back and is associated with blood pressure differences between arms. 

What is aortic dissection? 

400

This type of poisoning--often seen in farmers--causes salivation, lacrimation, urination, diarrhea, bradycardia, bronchospasm, and miosis. 

What is organophosphate exposure/poisoning? 

400

This heart condition causes cyanosis during feeding or crying and improves when infants squat or flex their knees.

What is Tetraology of Fallot? 

400

This zoonotic infection causes fever, jaundice, renal failure, and conjunctival suffusion after exposure to animal urine.

What is leptospirosis? 

400

This shoulder condition presents with progressive pain and global loss of both active and passive range of motion.

What is adhesive capsulitis? 

500

This condition presents with hypotension, muffled heart sounds, and jugular venous distention after trauma. 

What is cardiac tamponade? 

500

This antipsychotic-related emergency presents with hyperthermia, lead-pipe rigidity, autonomic instability, and elevated CK. 

What is neuroleptic malignant syndrome? 

500

This disease presents with fever lasting more than five days, conjunctivitis, strawberry tongue, and risk of coronary aneurysms.

What is Kawasaki disease? 

500

This disease presents with fever, headache, neck stiffness, and requires immediate antibiotics even before culture results return.

What is Neisseria meningitis? 

500

This long‑acting reversible contraceptive is safe for use in nulliparous women, lasts up to 8 years, and can reduce heavy menstrual bleeding.

What is the levonorgestrel intrauterine device (IUD)?