VIRTUAL DX
Nephrology
PULM
Ethics
FINAL JEOPARDY!
200
A 23-year-old man is evaluated for anemia, abdominal pain, and arthralgia. He recently renovated an old house, which included scraping and repainting.
What is the most likely diagnosis?
Lead intoxication
200
Site of action of the diuretic effect of acetazolamide.
Proximal tubule
200
Spirometric measure of the volume of air expired following maximal inspiration.
Vital capacity (accept VC; forced vital capacity; FVC)
200
English translation of 'Primum non nocere'.
First, do no harm
400
A 58-year-old man is evaluated for a rash on the right side of his abdomen that developed over the past 2 weeks. What is the most likely diagnosis?
Erythema migrans
400
Specific target of autoantibodies in anti-glomerular basement disease.
Type IV collagen
400
Etiology of pneumonia classically associated with 'currant jelly sputum'.
Klebsiella pneumoniae (accept Klebsiella)
400
Federal database containing physician malpractice payment and adverse action information.
National Practitioner Data Bank
600
A 40-year-old man is evaluated for a dystrophic toenail. What is the most likely diagnosis?
Onychomycosis
600
Most common cause of primary nephrotic syndrome in adults.
Membranous nephropathy
600
Name for combination of asthma, nasal polyposis, and sensivity to aspirin.
Aspirin-exacerbated respiratory disease (accept Samter triad)
600
Legislative act requiring pharmaceutical companies to publicly report payments to physicians.
Physician Payments Sunshine Act (accept Sunshine Act or Sunshine Law)
800
A 19-year-old woman is evaluated for meningitis. She is a college student living in a dormitory. A cerebrospinal fluid Gram stain specimen is shown.
What is the most likely causative agent?
Neisseria meningitidis
800
Circulating protease inhibitor biomarker for GFR less affected by age, gender, and muscle mass than creatinine.
Cystatin C (accept gamma trace, post-gamma-globulin, or neuroendocrine basic polypeptide)
800
The two variables used to calculate the rapid shallow breathing index to assess readiness for weaning from mechanical ventilation.
Respiratory frequency (accept respiratory rate) and tidal volume
800
Term for a patient's ability to comprehend, evaluate, and choose among realistic medical options.
Capacity (accept decision-making capacity)
1000
A 57-year-old man with hypertension and epilepsy is evaluated for numerous skin nodules, located primarily on his trunk, as shown. What is the most likely diagnosis?
Neurofibromatosis
1000
B vitamin deficiency resulting from increased excretion during aggressive diuresis.
Thiamine (accept vitamin B1)
1000
Diagnosis associated with abundant lipoproteinaceous material in bronchoalveolar lavage fluid
Pulmonary alveolar proteinosis (accept pulmonary alveolar phospholipoproteinosis)
1000
Term for withholding relevant information from a patient if disclosure is believed to be medically contraindicated.
Therapeutic privilege (accept therapeutic non-disclosure; therapeutic exception)
1000
Gouda cheese originates from this country.
The Netherlands