Don’t touch that
Flare and square
Blood stuff
Mood Matters
Never too many beans
100
This common antibiotic is the first-line treatment for Streptococcus pyogenes pharyngitis.
What is penicillin/amoxicillin?
100
What is the first line treatment of acute gout? (3 options)
What is NSAIDs, corticosteroids, or Colchicine?
100
Which hereditary hemoglobin disorder results in excessive production of abnormal hemoglobin consisting of four γ-chains?
Hemoglobin Bart's disease (the most severe form of alpha thalassemia)
100
Patient with history of depression develops nausea, runny nose, cough 3 days after admission. Diagnosis?
SSRI discontinuation syndrome
100
A patient with salicylate poisoning has this classic acid–base pattern.
What is mixed respiratory alkalosis + metabolic acidosis?
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Disrupts the respiratory center (hyperventilation)
Uncoupling of oxidative phosphorylation --> accumulation of lactic acid
200
A positive urine antigen test for this encapsulated bacteria is commonly used in diagnosing atypical community-acquired pneumonia.
Hint: could cause hyponatremia
What is Legionella Pneumophila?
200
What lab abnormality is typically elevated in polymyalgia rheumatica and helps monitor response to steroids?
What is ESR/CRP?
200
Auer rods are seen in _______
Acute Promyelocytic Leukemia (APML)
200
This disorder includes psychotic symptoms lasting more than one day but less than one month, with full return to baseline.
What is brief psychotic disorder?
200
Nephrotic syndrome associated with solid tumors.
What is membranous nephropathy?
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Patients should receive appropriate cancer screenings with this syndrome.
300
This parasitic infection, acquired by eating undercooked pork, causes seizures due to neurocysticercosis, especially in endemic regions.
What is Taenia Solium?
300
What is the standard initial (induction) therapy for Class III/IV lupus nephritis per KDIGO guidelines?
(2 medications)
What is corticosteroids + mycofenolate mofetil or cyclophosphamide?
300
The classic pentad of fever, neurologic symptoms, thrombocytopenia, hemolytic anemia, and impaired renal function is seen in _____
TTP
300
This disorder involves preoccupation with having a serious illness despite medical reassurance
illness anxiety disorder
300
This drug is contraindicated in patients with bilateral renal artery stenosis.
What are ACE inhibitors (or ARBs)?
400
This parasitic infection is diagnosed by identifying oocysts with acid-fast stain stain in stool and is a common cause of chronic diarrhea in HIV pts with CD4 <100?
What is Cryptosporidiosis?
400
A young adult presents with daily spiking fever, arthritis, and a salmon-colored rash that comes and goes with fever. Labs show leukocytosis, elevated ferritin and negative ANA/RF.
Diagnosis?
What is Adult-onset Still Disease?
400
Rho(D) immune globulin (RhoGAM) is used to treat hemolytic disease of the newborn and ______
ITP
400
This antipsychotic is associated with agranulocytosis and requires regular blood monitoring.
Clozapine
400
Medication indicated in high-risk pregnancy at 12 weeks to reduce the rates of pre-eclampsia
What is Low dose aspirin!
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High risk individuals including: multipregnancy (twins+); gestational diabetes, placenta previa.
Reminder: pre-eclampsia is defined as new-onset HTN and urine protein:Cr >300mg/g after 20 weeks of pregnancy.
500
A patient has endocarditis with long-standing bacteremia but negative blood cultures… what could be the causative agent?
Hint: she lives on a dairy farm
What is Coxiella Burnetii (q fever)?
500
A patient with diffuse cutaneous systemic sclerosis presents with acute hypertension, rising creatinine, and microangiopathic hemolytic anemia.
Diagnosis and first-treatment?
Scleroderma renal crisis; ACE inhibitor (e.g. captopril)
500
Which condition results from a point mutation in the β-globin gene on chromosome 11 → glutamic acid replaced with valine?
Sickle cell anemia
500
This dementia type is associated with visual hallucinations, parkinsonism, and fluctuating cognition.
Lewy body dementia
500
This glomerular syndrome can present with this kidney biopsy.
What is Rapidly progressive glomerulonephritis aka crescentic glomerulonephritis
Arrows pointing to "crescents" which indicate rupture of glomerular capillary walls, allowing fibrin/fibronectin to accumulate.
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RPGN is a clinical process! Not a disease itself.
Most commonly associated with ANCA-associated glomerulonephritis, lupus nephritis, and anti–GBM glomerulonephritis.