Infection Connection
When a Heart Breaks ...
Captain Nephron
A Picture is Worth a Thousand Words
Instantaneous Miscellaneous
100

This percent of women will have a UTI in their lifetime

50-60%

100

Pulsus Paradoxus is defined as a drop in systolic blood pressure by greater than this amount during inspiration

10 mmHg

100

CRRT stands for ... 

Continuous renal replacement therapy

100

The abnormality depicted in this image is ...

Pericardial Effusion

100

The three principal features of Beck's triad are ...

Hypotension, JVD, muffled heart sounds

200

The recommended duration of therapy of Bactrim (TMP/SMX) in the use of uncomplicated UTI in women is ...

Three Days

200

The overwhelmingly most common cause of acute pericarditis is classified as ...

Idiopathic


200

This filter anticoagulant is preferred in CRRT

Citrate

200

These Erythematous raised lesions found on the hands of a dermatomysitis patient are referred to as ...

Gottron's Papules

200

Patients with Dermatomyositis has a __ fold increased risk of cancer compared to the general population

6

300

The first line agents for uncomplicated UTI in the United States are .... (must name 2/3)

nitrofurantoin, TMP-SMX, or fosfomycin

300

The positive LR for a Pulses Paradoxus of > 12 mmHg in the diagnosis of cardiac tamponade is ...

~ 6 (5.9)

300

Lactic acid is cleared within the liver by a process known as ....

The Cori Cycle

300

The following EKG finding is seen can be seen in patients with pericardial effusions

Electrical alternans

300

This classical anti-mitotic is associated with decreased recurrence of pericarditis

Colchicine

400

Among women with uncomplicated UTI, a 5-day course of this antibiotic had better microbiologic resolution at 28 days after therapy completion than with single-dose fosfomycin.

Nitrofurantoin (Macrobid)


400

This sign is a highly specific but not sensitive EKG finding for early pericarditis and is described as reciprocal ST segment depression and PR segment elevation in aVR

Knuckle sign


400

This strategy of maintaining a higher plasma sodium, and thus osmolality, during the earliest part of the hemodialysis procedure when solute removal is at its maximum, counterbalances the decrease in osmolality caused by urea, and is used to prevent dialysis disequilibrium syndrome

Sodium Modeling

400

This rash, associated with dermatomyositis, is a widespread, flat, reddened area that appears on the upper back, shoulders, and back of the neck. It can worsen with exposure to ultraviolet light

Shawl sign


400

This physical exam finding has the highest positive LR (3.6) for assessing hypovolemia

Dry tongue


500

These are the three main indications for treating asymptomatic bacteriuria ...

Pregnancy, Urologic Procedures, Kidney transplant (1st 30 days)


500

The phenomenon that describes the distension of one ventricle altering the distensibility and filling pressure of the other, is referred to as ... 

ventricular interdependence

500

The four general indications for CRRT in AKI/ESRD are (must name all four)

1.Pressor Dependent Hypotension

2.Gross volume overload

3. Acute Fulminant Hepatic Failure

4. Increased ICP with ABI/TBI



500

The cranial nerve palsy AND muscle involved of the R eye of the patient seen below are ...


CN3/medial rectus muscle

500

This physical exam finding has the highest positive LR (6.4) for determining a diagnosis of heart failure

Abdominal jugular reflux (AJR) *HJR also acceptable*