<Enter Number Here>
Drug >>> Bug
Whiskey for My Men...
Risk and Benefits
Core Memory Unlocked
100
PMN cutoff for diagnosis of spontaneous bacterial peritonitis
>250
100
Which antibiotic cant be used to treat pneumonia
Daptomycin
100
What is the spironolactone to lasix ratio in the treatment of chronic ascites?
Spironolactone 100mg to lasix 40 mg (5:2)
100
Name one risk stratification for likelihood of PE
Well's Criteria or PERC
100
What does "hakuna matata" mean?
Bonus: what is the original language
"No Worries"
Swahili
200
Pulmonary capillary wedge pressure value for diagnosis of pulmonary artery hypertension
<15
200
Name only oral medication that can cover pseudomonas
levofloxacin
200
How often do you screen a cirrhotic patient for varices if they have active liver disease?
Bonus: if they have known esophageal varices how often do you do EGD with ligation?
2nd Bonus: on average how many sessions of ligation are required to obliterate vessels?
Yearly
Bonus 1: every 2-4 weeks
Bonus 2: 2-4 sessions
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6707816/
and UTD
200
What is the name of the risk stratification tool for pneumonia severity?
Bonus if you can tell me all components
CURB-65
Confusion, BUN>19, RR >30, SBP <90 or DBP <60, Age >65
200
What was the first Pixar movie?
Toy Story
300
What is the expected correction of PaCO2 in a patient with metabolic acidosis with a bicarb of 13
27.5 +/- 2
PaCO2 = (1.5 x serum HCO3)+(8±2)
300
Name 4 oral medications that can cover MRSA
bactrim, doxy, linezolid, clindamycin
300
Name and explain the pathophysiology of this exam finding.
Caput Medusae, recanalization of the umbilical vein 2/2 portal hypertension
300
Name 2 risk assessment tools that can help to predict ICU mortality
APACHE-2 and SOFA
300
Who voices the character of Elsa in Frozen?
Idina Menzel
400
What is the targeted blood pressure for someone with an ischemic stroke and gets tPA. What if they are not a tPA candidate.
With tPA:<185/110
Without tPA: <220/120
400
What are the recommended CAP Coverage regimens for someone with comorbidities and someone without comorbidities/risk factors
Without: amoxicillin or doxy or macrolide
With: augmentin or cefuroxime plus macrolide or doxy400
What is the scoring system used to grade severity for cirrhosis mortality
Bonus if you can tell me the 5 components.
Bonus 2: what are the 3 classes and what is their significance
Child-Pugh
Bonus: elevated T bili, hypoalbuminemia, elevated INR, +/- ascites, +/- encephalopathy
Bonus: A-C, 15-20yr lifespan, consider transplant eval, 1-3 yr lifespan
400
What is the predictive risk calculator for VTE while hospitalized (as in, who needs anticoagulation in the hospital setting?)
400
Who was the first Disney princess?
Snow White
500
What are the KDIGO classifications for a stage 3 AKI (must provide 3 of the criteria)
3x baseline, increase in Cr >4.0, UOP <.3ml/kg/hr for 24rs, anuria for >12 hrs, initiation of RRT
500
68-year-old man is hospitalized following a seizure. Symptoms of fever, chills, dark urine, and headache began when he returned from a 3-week trip to Malaysia, Laos, and Cambodia. He is adherent to a mefloquine chemoprophylactic malaria regimen. Past surgical history significant for splenectomy at age 12 years.
Labs: HCT 23%, T bili 3.1, Cr 2.9, K+ 5, Bicarb 19, UA with 3+ blood.
What is the initial treatment?
IV Artesunate
Once Stabilized: Atovaquone-proguanil
500
Name 2/3 classes of medications that should be discontinued or lowered in the setting of worsening ascites?
Bonus if you can name all 3 and give appropriate lifestyle modifications
NSAIDs reduce urinary excretion of sodium as well as can cause additional renal impairment.
ACEi/ARB (decrease renal perfusion pressure, thus functional renal impairment, which leads to ineffective natriuresis and retention of sodium.
Beta Blocker: hypotension, hypoalbuminemia, renal injury
Lifestyle modifications include: sodium restriction, high protein diet.
500
What assessment can be used to predict the success of extubation, how do you calculate it, and what is the cutoff for a likely successful extubation?
Rapid shallow breathing index "RSBI"
RR/TV in liters
A RSBI of <105-110 is considered likely to succeed in extubation
500
What is the most expensive Disney movie ever made?
Tangled ($260 Million)