His palms are sweaty, knees weak, arms are heavy
There's vomit on his sweater already, mom's NSTEMI
"He's too altered for BiPAP"
"Just put him on BiPAP"
How about just one more round of chemotherapy
Glandz III: The Return of the Electrolytes
"Do we have to come see them today?" - Rheum consult, 11am
100

Disease of this organ is the most common cause of mortality in hypertensive patients

What is the heart?

100

PDE4 inhibitor used in COPD

What is roflumilast?
100

This class of chemotherapeutics causes cardiotoxicity 

What are anthracyclines?

100

First step in the algorithm after determining the patient has true hypercalcemia (confirmed by two blood samples)

What is measure PTH levels?
100

Patients on hydroxychloroquine require this type of monitoring

What is annual eye exams?

200

Which beta-blockers have been shown to reduce mortality in heart failure? (be veerrry specific...)

What are metoprolol succinate, bisoprolol, and carvedilol? 

200

The volume at which outward recoil of the chest wall equals inward elastic recoil of the lung

What is the functional residual capacity?

200

Mucosal bleeding and a variably prolonged aPTT

What is Von Willebrand disease?

200

This is the amount of time you have to wait before screening for retinopathy in a newly diagnosed type 2 diabetes patient

What is start screening at the time of diagnosis?
200

These are the four types of spondyloarthropathies

What is PAIR?

Psoriatic arthritis

Ankylosing spondylitis

IBD

Reactive arthritis

300

What is the most appropriate step to take for a young athlete who experiences Mobitz 1 AV block while sleeping?

What is reassure/do nothing

300

A farmer presenting with acute pulmonary symptoms who had been stacking hay earlier would likely be infected with this organism

What is actinomyces?

300

The drug class to think of when you see chromosome 9;22 translocation

What are BCR-ABL tyrosine kinase inhibitors?

300

This diagnosis is characterized by hypernatremia with an elevated serum osmolality and a urine osmolality <300

What is diabetes inspidius?

300

This is the target serum uric goal for patients with gout on urate-lowering therapy

What is a uric acid < 6.0mg/dL?

400

The property of the SA node that allows it to act as the dominant pacemaker of the heart (compared to other cardiac cells)

What is the most rapid spontaneous depolarization?

400

A drug named for the second largest city in Canada

What is montelukast?

400

This is the age a 38 year old evaluated at his annual physical exam has to undergo a colonoscopy granted he has a father with colon cancer at the age of 52

What is 40?

(10 years younger or 40)

- first degree relative w cancer or advanced adenoma before age of 60


400

This is the reason why we offer drug holidays after 3 (IV) to 5 (oral) years of bisphosphonate therapy

What is the risk of atypical femur fracture increases with duration of therapy?

(Osteonecrosis of the jaw is NOT duration dependent, but rather can occur at any point during treatment)

400

This adverse effect is observed at a higher rate in Black and Asian populations initiated on Allopurinol

What is a hypersensitive rash that progresses to DRESS syndrome?

*Certain groups in this population need to be tested for HLA B58*01 before starting therapy

500

You would expect this to happen if you administered atropine to someone with type II AV block

What is worsening of the AV block?

500

The auscultation of the sound “AH” instead of “EEE” when a patient phonates “EEE”

What is egophony?

500

DAILY DOUBLE!

These are the 4 criteria needed to diagnose Lynch syndrome (5 + 6 are excused)

What is

- 3 family members w Lynch syndrome-associated cancer

- 2 successive generations affected

- 1 family member is a 1st degree relative of the other two

- 1 of the cancers are diagnosed before the age of 50

- FAP has been excluded

- Tumors have been histologically verified

500

These are the expected lab abnormalities in euthyroid sick syndrome

(TSH, T3, reverse T3 and T4)

TSH: suppressed but DETECTABLE (important)

T3: reduced

Reverse T3: increased

T4: low or low-normal

500

This antibody is measured in patients suspected to have statin-induced immune-mediated necrotizing myopathy?

What is anti-HMG CoA reductase antibodies?