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My chest hurts
I can't breath
What's nec fasc?
I got the sugars
Bloody BM
100
This must be done next to a pt who was recently hit in the chest and now presents with hypotension, distended neck veins, distant heart sounds, and electrical alternans on ekg.
What is a pericardiocentesis for a cardiac tamponade
100
The 80 y/o male w/ no smoking history got this type of cancer, commonly found in the lining of the lungs, from spending many years working as a ship builder
What is mesothelioma
100
This commonly prescribed drug by PCPs can affect a person's ability to kill clostridium difficile spores and vegetations that enter the stomach.
What is a PPI
100
This is the HgbA1C level used to diagnose diabetes
What is 6.5%
100
Top Differential diagnosis for an elderly patient who presents with abdominal pain that is "out of proportion" compared to physical exam.
What is Acute Mesenteric Arterial Occlusion.
200
A 50 y/o female in with chronic Afib was given this medication but now presents with hair loss, fatigue, dry skin, increased work of breathing, and an enlarged liver
What is Amiodarone. Amiodarone can cause pulmonary fibrosis, hepatotoxicity, and hypothyroidism.
200
This must be done next to help the pt breath who is in respiratory distress with unilateral chest expansion, tracheal deviation, and hypotension.
What is a needle decompression
200
This readily available diagnostic test has the highest sensitivity and specificity for detecting Osteomyelitis.
What is MRI. Although PET scan has higher sensitivity and specificity, it is not readily available...especially at ALMH.
200
This test needs to be performed yearly on diabetic patients as an early indicator of renal damage.
What is urine microalbumin.
200
In descending order, these are the three most common cause of bacterial gastroenteritis in the US for both adults and children.
What is Salmonella, camplyobacter, shigella.
300
This skin lesion is a bright uniformly red papule with clear borders that presented on a 3 week old female infant, and remained constant in size, color, and shape until it resolved by 6 years of age.
What is a strawberry hemangioma
300
This 55 y/o male had this screening done to look for long cancer because he has >30 pack year smoking history but is asymptomatic.
What is a low dose helical CT
300
Azithromycin will help cover these 3 common atypical causes of community acquired pneumonia in patients.
What is Mycoplasma, Chlamydia, and Legionella.
300
Invokana, Jardiance, and Farxiga all work on this receptor in the kidney to promote renal excretion of glucose and lower blood sugar. Watch out, they have a risk of causing UTI, pyelo, hypotension, hyperkalemia, ketoacidosis, and AKI.
What is the SGLT-2 receptor.
300
This is the most common cause of pathological Pneumoperitoneum.
What is a perforated duodenal ulcer.
400
These are the two most efficient lifestyle modifications to lower one's blood pressure
What is weight loss and DASH diet
400
This type of fluid from a thoracentesis shows pleural fluid protein content >50% of serum protein and pleural fluid LDH content >60% serum LDH
What is an exudative fluid
400
Patients normally need at least this many neutrophils in a sample to diagnose Spontaneous Bacterial Peritonitis.
What is 250 per mm3.
400
According to the USPSTF, everyone should be screened for obesity beginning at this age.
What is 6 years old.
400
Campylobacter Gastroentetritis usually resolves spontaneously without treatment. If treatment is indicated however, flouroquinolones are not effective unlike for shigella and salmonella infections. This is the treatment of choice for Campylobacter infections.
What is Erythromycin.
500
This is the most common cause of HTN in adults
What is we don't know. Essential HTN is the most common form of HTN in adults and in 95% of cases we cannot identify a clear etiology as to why this patient has HTN.
500
This 25 y/o male with a 5 year smoking history presents barrel-chested and breathing through pursed lips because he is deficient in this enzyme.
What is Alpha 1 antitrypsin deficiency
500
This antibiotic which is part of triple therapy of H. pylori is not widely used much due to it's cost, metallic taste, and ability to cause prolonged QT syndrome.
What is Clarithromycin (Biaxin).
500
These are the FOUR parameters used in the Diagnosis of Diabetes.
What is: 1) Hgb A1c >= 6.5% 2) Fasting plasma glucose >= 126 mg/dl 3) 2-hr lasma glucose >= 200 mg/dl (after 75g glucose trial) 4) random plasma glucose >= 200 with classic hyperglycemia symptoms.
500
A 2 yr old male presents with a 2-day Hx of rectal bleeding, and has soaked 3 diapers today. He is acting normally and in no obvious discomfort. Perianal exam does not reveal any abnormality. This is the imaging test of choice.
What is radionucleotide (t99) scan