Like a Cancer
I'm Anemic
A Shot to the Kidney
Ride the Waves
There's A Drug for That
200
These can occur before, during or after CA diagnosis from tumor producing hormones, peptides, or cytokines.
What are Paraneoplastic Syndromes?
200
Point mutation where valine is substituted for glutamic acid in the beta globin chain, leading to conformational change of the RBC. Physical exam for 15-month old female is remarkable for pain, jaundice, splenomegaly, and ulcers on low tibia.
What is Sickle Cell Anemia?
200
Can result from crash injury, prolonged immobility, grand mal seizures, substance abuse, hypothermia, or statin medication. Common in kidney or liver disease, DM, and hypothyroidism. Diagnostics will show serum CK of 16,000-50,000 IU/L.
What is Rhabdomyolysis?
200
The diagnosis of this patient's rhythm strip.
What is Normal Sinus Rhythm?
200
This medication works both centrally and peripherally to suppress cough.
What is Benzonatate (Tessalon®)?
400
This affects children 2-9 years old. The result of genetic mutation, presents with fever, pallor, bleeding anorexia, fatigue, tachycardia, HA, weakness, arthralgias, increased intracranial pressure.
What is Acute Lymphocytic Leukemia (ALL)?
400
Signs of this common disease include:
Pallor, fatigue, SOB, pica, HA, poor concentration in school, and cognitive disturbances.
What is Iron Deficiency Anemia?
400
Urinary tract obstruction leading dilation of collecting system of one or both kidneys. Obstruction of urine passage leads to decreased GFR. Treatment includes removal of obstruction and post-obstructive diuresis.
What is Hydronephrosis?
400
While normal during exercise or when under stress, this is one of the several possible underlying causes for this rhythm strip.
What is:
Heart failure
COPD
Fever
Myocarditis
Cardiac Tamponade
PE
Stimulants
400
If a patient is experiencing bronchoconstriction
(asthma attack), this type of medication could be
given to relieve their bronchoconstriction.
What is Beta-2 agonists?
600
Disease of B cell origin, more common in African American males with bimodal distribution 20-50 years.
What is Hodgkin's Lymphoma?
600
Easily treatable, but if left untreated, complications include neurological changes (memory loss, pins and needles, ataxia, peripheral neuropathy) and infertility.
What is B-12 Deficiency?
600
Common in children and elderly caused by inadequate fluid intake. Treatment includes admission to step down or ICU to identify and treat underlying cause and slowly correct metabolic abnormality. Left untreated can cause shrinkage of the brain leading to permanent brain damage or coma.
What is Hypermatremia?
600
Diagnosis of patient with this EKG printout.
What is 2nd Degree AV Block Type I?
600
This medication is the antidote for another medication that interferes with the action of coagulation factors.
What is Protamine sulfate?
800
You confirm this diagnosis with a JAK2 Mutation Screening. Median age of patient is 60 years, mostly male. Presents with increased blood viscosity, generalized pruritus following warm bath/shower, HA, blurred vision, dizziness, tinnitus, fatigue, epistaxis. A physical exam includes palpable splenomegaly and hyperuricemia.
What is Polycythemia Vera?
800
2 year old of Italian dissent presents with jaundice, pallor, irritability, dyspnea, and mental delay. Diagnostic iron studies reveal high serum iron and high serum ferritin.
What is Beta Thalassemia Major?
800
Adult male presents at ED with tachycardia, hypotension, cold extremeites. Emergency condition such as this can lose 1/5 of blood volume or fluid volume causing hypoperfusion of the tissues. First line of treament is 2 large bore IV's or central line.
What is Hypovolemic Shock?
800
Diagnosis of patient with this rhythm strip.
What is 3rd Degree Heart Block?
800
A 52-year-old female presents with uncontrolled HTN(150/83). She is currently taking lisinopril. She has a history of a recent MI, diabetes, HTN, hyperlipidemia, and osteoarthritis. This drug would be appropriate to add to her antihypertensive therapy.
What is Metoprolol?
1000
A 60 year old, African American male takes time off work as a cabinet maker to be seen at urgent care clinic. He has been experiencing arthralgia in his back and hips as well as bleeding gums, vertigo, nausea, and vision problems which he appears to have difficulty clearly articulating. Physical exam is remarkable for pale conjunctiva, bone tenderness, temperature of 101 degrees, with enlarged spleen and liver.
What is Multiple Myeloma?
1000
50 year old female with history of breast cancer presents feeling tired and generally weak with a temperature of 100.4, pulse 105, and petechiae on exam.
What is Aplastic Anemia?
1000
30 year old male presents with hematuria, dysuria, flank pain, n/v, abdominal pain, urinary urgency, oligura, and mild edema. Physical exam remarkable for HTN, dyspnea, periorbital and scrotal edema, gross hematuria, and costovertebral angle tenderness. Urine microscopy shows hemoglobin dysmorphic red blood cells and RBC casts and possible U or T waves on EKG.
What is Glomerulonephritis (Nephritic Syndrome)?
1000
Diagnosis of this patient's rhythm strip.
What is Atrial Fibrillation (AF or A-Fib)?
1000
An elderly patient with heart disease is complaining of difficulty breathing. She is diagnosed with acute pulmonary edema. This would be the appropriate treatment.
What is Furosemide?