What's the Diagnosis?
Name That Bug
Cardiology
Drug of Choice
Next Best Step
100

The classic cause of pseudomembranous colitis after antibiotic use.

Clostridioides difficile

100

The most common cause of infective endocarditis in IV drug users.

Staphylococcus aureus

100

The drug class that reduces mortality after myocardial infarction by reducing cardiac remodeling.

Beta-blockers
100

First-line treatment for tuberculosis.

RIPE therapy (rifampin, isoniazid, pyrazinamide, ethambutol)

100

A patient with chest pain and ST elevations on ECG should receive this immediately.

Emergent reperfusion (PCI)

200

This intracellular organism causes atypical pneumonia and spreads through contaminated water systems.

Legionella pneumophila

200

A gram-negative curved rod causing watery diarrhea after ingestion of contaminated seafood.

Vibrio cholerae

200

The arrhythmia characterized by irregularly irregular rhythm without P waves.

Atrial fibrillation

200

The antidote for acetaminophen toxicity.

N-acetylcysteine

200

A patient with tension pneumothorax requires this immediate procedure.

Needle decompression

300

A patient with hemoptysis, hematuria, and anti-GBM antibodies.

Goodpasture syndrome

300

A dimorphic fungus causing meningitis in patients with AIDS.

Cryptococcus neoformans

300

The triad of hypotension, jugular venous distension, and muffled heart sounds.

Beck’s triad (cardiac tamponade)

300

First-line therapy for spontaneous bacterial peritonitis.

Ceftriaxone or cefotaxime

300

A patient with unstable bradycardia should receive this treatment immediately.

Transcutaneous pacing

400

A patient with noncaseating granulomas, bilateral hilar lymphadenopathy, and elevated ACE levels.

Sarcoidosis

400

This intracellular organism causes atypical pneumonia and spreads through contaminated water systems.

Legionella pneumophila

400

A widened pulse pressure and bounding pulses are classic for this valvular disorder.

Aortic regurgitation

400

First-line therapy for tumor lysis syndrome prophylaxis in high-risk patients.

Rasburicase

400

A patient with suspected giant cell arteritis and vision symptoms should receive this immediately.

High-dose corticosteroids

500

A patient presents with episodic flushing, diarrhea, bronchospasm, and elevated urinary 5-HIAA.

Carcinoid syndrome

500

A gram-negative coccobacillus causing ulceroglandular disease from rabbits or ticks.

Francisella tularensis

500

This congenital cardiac defect is the most common cause of Eisenmenger syndrome.

Ventricular septal defect (VSD)

500

The antidote used for methanol or ethylene glycol poisoning.

Fomepizole

500

A patient presents with hypercalcemia, bone pain, anemia, and renal failure. Serum protein electrophoresis suggests multiple myeloma. What is the next step to confirm the diagnosis?

Bone marrow biopsy