Heart of the Matter
Hormone Havoc
Breathless
Medicine’s Grab Bag
The Bug Stops Here
100

Office measurement to identify lower extremity peripheral artery disease

Ankle-brachial index (accept ABI)

100

Diagnosis with low TSH but normal T4 and T3 levels

Subclinical hyperthyroidism

100

Name for combination of asthma, nasal polyposis, and sensivity to aspirin

Aspirin-exacerbated respiratory disease (accept Samter triad)

100

HLA subtype positive in 92% of White persons with axial spondyloarthritis

HLA-B27 (accept B27)

100

Severe neurologic complication of Campylobacter jejuni infection

 Guillain-Barré syndrome (accept GBS)

200

Recommended endocarditis prophylaxis for a patient with native valve aortic stenosis undergoing dental extraction

None

200

Most likely cause of primary amenorrhea, lack of secondary sexual characteristics, webbed neck, and short stature

Turner syndrome (accept karyotype 45,X0)

200

Etiology of pneumonia classically associated with 'currant jelly sputum'

Klebsiella pneumoniae (accept Klebsiella)

200

French physician who invented the stethoscope

René Laënnec (accept Laënnec)

200

Acute, self-limited, febrile illness occurring in the first 24 hours of treatment of spirochetal infections

Jarisch-Herxheimer reaction (accept Herxheimer)

300

Second-degree heart block with progressive prolongation of the PR interval until a beat is dropped

Wenckebach (accept Mobitz type 1)

300

Hypogonadotropic hypogonadism associated with anosmia

Kallmann syndrome

300

Chronic lung disease of the major airways associated with cystic fibrosis

Bronchiectasis

300

Aquaretic medication used to slow the increase in kidney size and the decrease in function in adult polycystic kidney disease

Tolvaptan (accept Samsca, Jynarque)

300

Group 1 carbapenem that lacks activity against Pseudomonas species

Ertapenem (accept Invanz)

400

In pericardial tamponade, the 3 components of Becks triad

Jugular venous distension (accept JVD), diminished (accept muffled) heart sounds, and hypotension

400

Eponym for syndrome resulting from hemorrhagic adrenal gland failure associated with severe bacterial infection

Waterhouse-Friderichsen syndrome

400

Occupational pneumoconiosis found in patients working in mining, denim sandblasting, and engineering stone industries

Silicosis

400

Subcutaneous opioid antagonist approved for opioid-induced constipation

Methylnaltrexone (accept Relistor)

400

 Treatment for herpes simplex encephalitis

Intravenous acyclovir (accept IV acyclovir, but NOT acyclovir alone)

500

Eponymous congenital heart disease presenting as severe pulmonary hypertension resulting in right-to-left shunt reversal

Eisenmenger syndrome

500

Class of type 2 diabetes medication associated with euglycemic diabetic ketoacidosis

Sodium-glucose co-transporter 2 (SGLT-2) inhibitors

500

 Interstitial lung disease associated with working in the yarn and fabric industries

Byssinosis

500

Cancer associated with highest levels of cancer antigen 15-3

Breast cancer (accept metastatic breast cancer)

500

Organism responsible for cat scratch disease

Bartonella henselae (do not accept Bartonella alone)