Red Team Jeopardy

Don’t touch that

100

This common antibiotic is the first-line treatment for Streptococcus pyogenes pharyngitis.

What is penicillin/amoxicillin?

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?

300

This parasitic infection, acquired by eating undercooked pork, causes seizures due to neurocysticercosis, especially in endemic regions.

What is Taenia Solium?

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?

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)? 

Flare and square

100

What is the first line treatment of acute gout? (3 options) 

What is NSAIDs, corticosteroids, or Colchicine? 

200

What lab abnormality is typically elevated in polymyalgia rheumatica and helps monitor response to steroids? 

What is ESR/CRP? 

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?

400

A young adult presents with daily spiking, 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? 

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)

Blood stuff

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)

200

Auer rods are seen in _______

Acute Promyelocytic Leukemia (APML)

300

The classic pentad of fever, neurologic symptoms, thrombocytopenia, hemolytic anemia, and impaired renal function is seen in _____

TTP

400

Rho(D) immune globulin (RhoGAM) is used to treat hemolytic disease of the newborn and ______

ITP

500

Which condition results from a point mutation in the β-globin gene on chromosome 11 →  glutamic acid replaced with valine?

Sickle cell anemia

Mood Matters

100

Patient with history of depression develops nausea, runny nose, cough 3 days after admission. Diagnosis?

SSRI discontinuation syndrome

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?

300

This disorder involves preoccupation with having a serious illness despite medical reassurance

illness anxiety disorder

400

This antipsychotic is associated with agranulocytosis and requires regular blood monitoring.

Clozapine

500

This dementia type is associated with visual hallucinations, parkinsonism, and fluctuating cognition.

Lewy body dementia

Hands-on Medicine

100

What main procedure is indicated for ascites? 

paracentesis

200

When should you get a CT prior to LP? 

• Age >60 years.
• Immunocompromised state.
• History of CNS lesion (mass lesion, stroke, and/or focal CNS infection).
• Seizure in the week prior to presentation.
• Neurologic findings (altered mental status, inability to answer two questions or follow two commands correctly, and/or any focal neurologic deficits).

300

A patient with significant pleural effusion get this procedure, what would qualify this as an exudate? 

Thoracocentesis

• To be an exudate, an effusion has to meet only one of the following criteria (98% sensitive, 83% specific for exudates):
  • Pleural fluid/serum LDH ratio >0.6.
  • Pleural fluid/serum total protein ratio >0.5.
  • Pleural fluid LDH >2/3 the upper limit of normal.

400

What are the five general/main complications of a central line procedure?

1. Vascular (i.e arterial puncture, hematoma)

2. Infection

3. Pneumothorax 

4. Arrythmias

5. Air Embolism

500

In patients with large-volume ascites undergoing therapeutic paracentesis, this delayed complication can present with acute kidney injury, hyponatremia, and hypotension within days of the procedure. It is more likely if ≥5 liters of fluid are removed without appropriate volume resuscitation.

post-paracentesis circulatory dysfunction (PPCD)