Them BEANS
In My Belly!
Blood Everywhere
You Mean They Cause Problems?
5 Rings
100
Which Stone is which?
calcium oxalate, calcium phosphate, uric acid, struvite, cystine
100
What 2 medications can be used to help treat gastroparesis?
Bonus: what other lifestyle modifications should be made for these patients?
metoclopramide (only FDA approved)>>> erythromycin (only to be used for short 2-3 week courses as there is a high rate of tachyphylaxis)
Bonus: dietary intervention should consist of small, frequent meals that are low in fat and soluble fiber.
100
What is the typical timeline associated with Heparin Induced Thrombocytopenia?
Bonus: What are the 2 confirmatory tests of choice?
5-10 days after administration on Heparin product
Bonus: ELISA for heparin/PF4 antibodies and serotonin release assay.
100
These blood pressures medications can precipitate gouty arthritis.
Thiazides
100
In which country did the Olympics originate?
Greece
200
Adult patients with this have an increased risk for ....
Patients with ADPKD should be offered screening for cerebral aneurysms by CT or MR angiography, particularly those with a family history of intracranial aneurysm or hemorrhage.
200
What is the characteristic imaging finding of autoimmune pancreatitis?
Bonus: tell me the antibody associated with autoimmune pancreatitis.
The presence of a narrowed main pancreatic duct and parenchymal swelling ("sausage-shaped" pancreas)
Bonus: IgG4
200
Which 2 pathogens are commonly associated with Hemolytic Uremia Syndrome?
Escherichia coli O157:H7 and Shigella
200
Dont drink alcohol while on these meds or you will surely feel worse.
sulfa, metro
200
Which athlete has the most number of gold medals?
Bonus: How many?
Michael phelps, 23
300
A 31-year-old woman is evaluated for lower extremity edema, a rash over both legs, and fatigue that have worsened during the past 3 months. The patient was born in Egypt and moved to the United States at 20 years of age. What infectious investigation would you do for this patient?
Albumin 3.9 g/dL (39 g/L)
C3 58 mg/dL (580 mg/L)
C4 5.0 mg/dL (50 mg/L)
Creatinine 2.6 mg/dL (229.8 µmol/L)
Cryoglobulins Positive
Rheumatoid factor Positive
Urinalysis: 3+ blood; 3+ protein; erythrocytes and rare erythrocyte casts
Urine protein-creatinine ratio: 2100 mg/g
Hep C Antibody testing
- Hepatitis C virus infection is associated with cryoglobulinemic glomerulonephritis.
- Treatment of hepatitis C–associated cryoglobulinemic glomerulonephritis is direct-acting antiviral drugs with or without concomitant immunosuppression based on severity of disease.
300
What are the classic clinical symptoms associated of acute obstructive cholangitis
Bonus: What is the eponymic name for the triad
Bonus 2: what are the 2 additional things that make up the 5 symptom eponymic pentad and what is the name
intermittent abdominal pain, fever, and jaundice
Bonus: Charcot's Triad
Bonus: Reynold pentad, shock, AMS
300
Patients with this condition are at increased risk for allergic reactions to blood transfusions.
IgA Deficiency, allergic transfusion reaction occurs when donor plasma constituents react with a recipient's IgE on mast cells, AKA they have anti-IgA antibodies
300
list as many medications that cause drug induced lupus as you can (points for each one)
hydralazine, procainamide, isoniazid, phenytoin, carbamazepine.
300
This Comedian played a crucial role in the 2012 London opening ceremony
Rowan Atkinson, Mr Bean.
400
Treat a patient with this renal biopsy
Glucocorticoids, RAS inhibition, low sodium diet, statin
Calcineurin inhibitors (tacrolimus, cyclosporine) are recommended for patients who are resistant to or intolerant of glucocorticoids. Other immunosuppressive agents, including mycophenolate mofetil, alkylating agents, and rituximab, have been used as second-line agents, but there are no high-quality data supporting their use.
400
55-year-old man is evaluated for follow-up of fundic gland polyps. Upper endoscopy was performed to screen for Barrett esophagus; it revealed a normal esophagus and approximately 10 to 15 polyps with a similar appearance in the gastric body (1-8 mm). Multiple biopsy specimens revealed fundic gland polyps without dysplasia. His only medication is omeprazole. Findings on colonoscopy are normal.
When should Follow up endoscopy be performed?
No follow up needed.
Fundic gland polyps are the most common benign epithelial gastric polyp and require no endoscopic follow-up.
400
In addition to induction chemotherapy, patients with ALL need what additional hem/onc related therapy?
CNS prophylaxis with intrathecal chemotherapy +/- radiation.
400
These headache medications can cause coronary vasospasm
Triptans
400
Who is the only person to win both an oscar and a gold medal
Kobe Bryant
500
This bone condition is caused by abnormally high bone turnover in the setting of CKD
Osteitis Fibrosa Cystica is due to abnormally high bone turnover that occurs after prolonged exposure of bone to sustained high levels of PTH in secondary hyperparathyroidism. It is associated with increased number and activity of osteoblasts and osteoclasts and expansion of osteoid surfaces.
Classic skeletal changes on radiograph include subperiosteal resorption of bone, most prominently at the phalanges of the hands, and radiolucent bone cysts of the long bones
500
What are the 3 cancer screening recommendations for someone with Primary Sclerosing Cholangitis?
GB, annual US. Colonoscopy, q1-2 yrs, Cholangiocarcinoma with MRCP and carbohydrate antigen 19-9 level q1-2 yrs.
500
What are the laboratory values associated with TTP (Hb, hapto, retic, T bili, indirect bili, ADAMTS13, PBS findings) and what is the treatment of choice?
Bonus: what scoring system on MDCALC can be used to help rule in/out this disease.
Hb low, hapto low, retic high, T bili high, indirect bili high, ADAMTS13 typically low and <10%, schistocytes
Plasma Exchange, prednisone, rituximab. 
Bonus: PLASMIC Score
500
This antiplatelet agent causes idiopathic shortness of breath
Ticagrelor (Brilanta)
500
What is the only sport not being played in France this year?
Surfing, Tahiti