it's giving code sepsis
golytely or go home
who dat
you're the captain now!
we like to have fun here
100
How do you successfully order a urine culture at McLaren?
Order a urinalysis with microscopic and urine culture separately
The lab does not reflex the culture automatically and often does not do "UA with culture" at all
100
What does ERCP and EUS stand for?
Endoscopic Retrograde Cholangiopancreatography
Endoscopic Ultrasound
100
This scientist is credited for developing the live-attenuated oral Polio vaccine. (First and last name)
Albert Sabin
100
What is the code to the ER crash carts?
1234
100
What are the operating hours of the McLaren Cafeteria?
7:30-9 for breakfast, 11-2 for lunch
BONUS (for 100 extra points): What are the hours of PERKS cafe?
200
What is the vector for lyme disease?
deer tick (Ixodes scapularis)
200
Name at least 3 causes of hyperammonemia not including hepatic encephalopathy (because ammonia may be normal anyways and it does not guide treatment)
200
Name the scientist who discovered penicillin
Alexander Fleming
200
Which services do you need to call for a new consult?
OBGYN
Surgery
ENT
200
Name the actor and character they play on at least two medical tv shows
Grey's Anatomy- Ellen Pompeo (Meredith Grey)
House MD- Hugh Laurie (Dr. House)
Scrubs- Zach Braff (J.D), Donald Faison (Turk)
etc.
300
Gram-positive bacteria stain a violet color due to the presence of a thick layer of this material on their cell walls.
peptidoglycan
300
What are the two most important causes of massive GI bleed to think of (present with anemia, persistent large volume hematochezia, hypotension)?
Diverticular disease- stops spontaneously in 80% of cases
Ischemic colitis- rare, obtain CTA
BONUS for 300 points: what are the 2 most common sites of ischemic colitis (specifically)
300
Name the physician who created smallpox vaccine?
Edward Jenner
300
How do you contact/figure out who is the on-call radiologist?
search michrad.com to find their full schedule or call the ER CT scanner and ask who the on-call radiologist is (you can ask for their cell number too)
300
Finish this quote from Dr. Ríos-Bedoya:
"Any questions, comments, ___________?"
clarifications
400
What is the order at McLaren for HIV screening/confirmation?
HIV 1 2 Ab p24 Ag
400
Name at least 2 of 3 GI emergencies for which you should immediately call the GI attending on call?
1. Cirrhotic or suspected cirrhotic with hematemesis (bleeding EV)
2. Ascending cholangitis
3. Obstructing food bolus
BONUS for 200 points: Name Raynaud's pentad of ascending cholangitis
400
Also called a pancreaticoduodenectomy, this procedure is named for the surgeon who devised the operation?
Whipple
400
What are the contraindications to NIPPV (BiPAP)?
1. Cardiovascular instability
2. Impaired mental status
3. Inability to cooperate
4. Copious secretions/inability to clear secretions
5. Craniofacial abnormalities or trauma precluding fitting of mask (extreme obesity, burns)
400
Finish this quote:
"You can't find a fever if you don't ___________"
take a temperature
(applies to all vitals at McLaren)
500
How to differentiate between measles and rubella rash?
Both start from face and move down. Measles has koplik spots (blue/white specks on buccal mucosa) and Rubella has Forschheimer spots (tiny red spots that appear on the soft palate).
500
How can you differentiate the different types of diarrhea (secretory, osmotic, inflammatory, malabsorptive)?
(dont overthink this)
by history!
Osmotic: stool volume <1L/day. Diarrhea relieved with fasting.
Secretory: may have multiple liters of stool per day. Diarrhea persists with fasting.
Inflammatory: usually has blood/mucus. Diarrhea persists with fasting.
Malabsorptive: unable to absorb fat, carbs, protein from food so stool becomes pale, floats. Diarrhea persists with fasting.
500
Spell Sami's last name (Sami is not allowed to answer this)
Alqurneh
500
SCENARIO: You're the senior on night shift and a nurse from 4W PerfectServes you that patients BP is 80/50. Tell us what you would do.
1) Check if they are sleeping/symptomatic
2) Ask for other vitals (like HR)
3) Check what the baseline is
4) Recheck blood pressure on both arms
5) Give fluids or whatever appropriate measure
500
Name a group of three attendings who did residency at the same time here together
Nelson, Ternes, Ianitelli
Logan, Kosal, Barnosky, Schendel