Name that Disease.
Are you on drugs?
Path-Make the Call!
Name that bug.
100
A 30-year-old woman presents with bloating, abdominal cramps, and diarrhea that occur 30 minutes to 2 hours after consuming dairy products, particularly milk and ice cream. She reports that her symptoms improve when she avoids dairy. She has no significant past medical history and is otherwise healthy. Upon further questioning, she mentions that these symptoms have been intermittent for several years but have worsened recently. Physical examination is unremarkable, and no other systemic findings are noted.
Lactose Intolerance
100
Metoclopramide and domperidone belong to which class of drugs?
Dopamine Receptor Antagonists
100
Inflammation around the bile ducts, what's the diagnosis?
Cholecystitis
100
I can grow at cold temperatures. I mimic appendicitis. My virulence factors are an antiphagocytic capsule, plasminogen activator protease and inhibition of platelet aggregation. Who am I?
Yersinia enterocolitica
200
A 72-year-old man presents with difficulty swallowing, particularly when eating solids, and frequent coughing or choking episodes during meals. He reports a sensation of food "sticking" in his throat, along with regurgitation of undigested food hours after eating. He also mentions occasional halitosis (bad breath). His medical history includes hypertension and mild gastroesophageal reflux disease (GERD). On examination, he appears otherwise healthy, but there is no sign of acute distress. A barium swallow reveals a protrusion in the posterior pharyngeal wall. What is the diagnosis?
Zenker's Diverticulum
200
Which drug is associated with microcytic anemia and constipation?
Aluminum hydroxide
200
What is the most common malignant lesion of the oral mucosa?
Squamous Cell Carcinoma
200
I am the most common cause of death from seafood consumption in the United States.
V. vulnificus septicemia
300
A 45-year-old man with a history of alcohol use disorder presents to the emergency department with vomiting blood after a binge drinking episode. He reports several episodes of forceful vomiting prior to noticing the bright red blood in his vomit. His vital signs are stable, and he is otherwise alert and oriented. On examination, he has no signs of systemic shock, and his abdomen is soft with no tenderness. A nasogastric tube reveals more blood, but no evidence of ongoing active bleeding. Upper endoscopy is performed, revealing a linear tear in the mucosa at the gastroesophageal junction, what is the diagnosis?
Mallory Weiss Tear
300
Which drug is a somatostatin analog that inhibits the release of gastrin from G cells?
Octreotide
300
What is chronic mouth dryness due to lack of saliva?
Xerostomia
300
I am catalase positive, oxidase positive, and a high urease producer.
H. pylori
400
A 28-year-old woman presents with chronic diarrhea, bloating, and weight loss over the past 6 months. She also reports fatigue and intermittent joint pain. She has a history of occasional abdominal discomfort after eating but has noticed worsening symptoms, particularly after consuming foods containing gluten. On physical examination, she is mildly cachectic with a distended abdomen and slight tenderness to palpation in the lower abdomen.
Laboratory workup shows an elevated serum anti-tissue transglutaminase (tTG) IgA level, and total IgA is normal. A follow-up duodenal biopsy reveals villous atrophy and crypt hyperplasia, what is the diagnosis?
Celiac Disease
400
The following adverse effects are associated with which drug?
increased mental status changes
gynecomastia
P450 inhibition
Cimetidine
400
A 22-year-old man presents with a 6-month history of intermittent difficulty swallowing, particularly with solid foods, and occasional food impaction. He also reports heartburn and retrosternal chest pain, which are not relieved by antacids. He has a history of seasonal allergies but no known food allergies. Diagnosis?
Eosinophilic esophagitis
400
I am a test used to detect the presence of neutrophils.
Methylene blue
500
A 35-year-old man recently returned from a 3-month trip to Southeast Asia presents with chronic diarrhea, weight loss, and fatigue that have persisted since his return. He also reports bloating and occasional abdominal discomfort. On examination, he appears malnourished with pale conjunctivae, suggestive of anemia. Laboratory tests show a macrocytic anemia with a low serum folate and vitamin B12 level. Stool studies are negative for infections. A small bowel biopsy reveals partial villous atrophy and increased intraepithelial lymphocytes, what is the diagnosis?
Tropical Sprue
500
Which drug is an M1 receptor antagonist that blocks gastric acid secretions?
Pirenzipine
500
What is the most common primary salivary gland tumor in both adults and children?
Mucoepidermoid carcinoma
500
We are the most common streptococci associated with dental caries.
S. mutans and S. sobrinus