Ambulatory Jeopardy 1

Derm

100

Tx for Tinea Pedis?

Terbinafine or Griseofulvin

200

Purple lesions in HIV+ patient 

Kaposi Sarcoma 

300

Tx for athlete that presents to clinic w/ hypopigmented patches  

Topical selenium sulfide

400

Tx for 85 y/o male who presents to clinic w/ rough yellow scaly patch on his arm.

5-FU or Imiquimod

Actinic keratosis--> Premalignant (SCC)

500

Patient w/ chronic HSV-1 presents w/ target shaped lesion on palms & soles. 

Erythema-Multiform.

Tx HSV w/ acyclovir 

Heme

100

Positive Rombergs in gastric bypass patient. 

B12 deficiency 

200

Low Fe, High Ferritin, Low TIBC

Anemia of Chronic Disease

300

Name 1 daily vitamin your sickle cell patient should be taking

Folate & Iron d/t chronic hemolysis 

400

You would order an Osmotic fragility test on a patient you think has...?

Hereditary Spherocytosis 

500

Patient presents to clinic c/o hematuria every morning & frequent abdominal pain. You think you know the dx, but what test do you order to confirm your suspicion? 

Flow cytometry- Paroxysmal Nocturnal Hematuria. 

(Flow cytometry shows absence of CD55 & CD59)

Renal

100

Malabsorption causes what kind of kidney stone?

Calcium Oxalate

If chronic tx w. thiazide diuretics (increase Ca2+ reabsorption) 

200

TOC for pregnant patient w/ +CVA tenderness and hematuria 

US for kidney stones!

300

Patient comes to clinic c/o hematuria and flank pain. On PE you palpate a left sided flank mass. Dx?

Renal cell carcinoma. 

400

BUN/Cr >20 tells us the patient is suffering from what kind of uremia?

Pre-renal! Kidneys are working okay, they just aren't getting enough blood. Think dehydration!

500

Name 1 vitamin we should give our CKD patient to protect against secondary hyperparathyroidism

Calcium and 1,25-Vitamin D!

Gyn

100

MCC secondary amenorrhea?

Pregnancy

Always do a pregnancy test!!

200

Tx for overactive bladder

Sympathetic agonist--> Mirabegron

OR

Muscarinic antagonist--> Oxybutynin

300

55 y/o women has elevated FSH & LH on recent blood test. Is this normal? Why?

Yes! Body upregulates FSH & LH b/c the ovaries have failed. She is in menopause. 

400

What psych drug can tx hot flashes?

SSRI: Paroxetine

or

SNRI: Venlafaxine

500

Your patient c/o N/V and kidney stones. W/in the past 6 months she recently started a bunch of new vitamins. Which vitamin has she taken too much of?

Vitamin D toxicity!

Patient has hypercalcemia d/t Vit D toxicity. 

Bones, Stones, Abdominal groans and Psychic moans