Think Outside the Joint
Q: Name of connective tissue that runs from the ilium to the anterolateral aspect of the proximal tibia
Iliotibial band
Q: Therapy for refractory variceal bleeding that increases risk for encephalopathy
Transjugular intrahepatic portosystemic shunt (accept TIPS)
Q: The most common cause of lymphocytic gastritis
Celiac disease (accept celiac sprue, nontropical sprue, endemic sprue, gluten enteropathy)
Q: Most common primary brain tumor, traditionally associated with the dural tail sign
Meningioma
Q: Rheumatologic condition classically associated with the plain film radiographic finding of joints of the hands and feet described as a 'pencil-in-cup' deformity
Psoriatic arthritis
Q: Mechanical intervention for severe ARDS that reduces the ventral-dorsal transpulmonary pressure difference
Prone positioning
Q: Most commonly used serum marker for hepatocellular carcinoma
Alpha-fetoprotein (accept AFP)
Q: Headache characterized by increased intracranial pressure and papilledema without identifiable structural pathology
Idiopathic intracranial hypertension (accept pseudotumor cerebri)
Q: Most common parenchymal pulmonary complication associated with ankylosing spondylitis
Apical pulmonary fibrosis (accept pulmonary fibrosis)
Q: Gold standard diagnostic test for cardiac allograft rejection
Endomyocardial biopsy (accept biopsy)
Q: Initial medical therapy for primary biliary cholangitis
Ursodeoxycholic acid (accept UDCA, ursodiol)
Q: Shock-like sensation radiating down the spine or limbs induced by neck movements due to a lesion within the spinal cord
Lhermitte sign (accept the barber chair phenomenon)
Q: Eponymous name for tremor with rest, action, and postural components resulting in a wing-beating movement of the upper body
A: Holmes tremor
Q: Likely joint involved in patients with rheumatoid arthritis presenting with hoarseness or stridor
Cricoarytenoid
Q: Drug used in treatment of malignant hyperthermia
Dantrolene (accept Dantrium, Revonto, Ryanodex)
Q: Superior-most arterial branch off the aorta associated with chronic mesenteric ischemia
Celiac artery (accept celiac trunk)
Q: Acronym for the three-step oculomotor exam used to help differentiate central versus peripheral cause of acute vestibulopathy
HINTS
Q: Rheumatologic disease in which the presence of anti-transcriptional intermediary factor-1 antibody is associated with an increased risk of malignancy
Dermatomyositis
Q: Anaphylaxis, followed by an asymptomatic period, with a return of anaphylactic symptoms without reexposure
Biphasic anaphylaxis (also accept rebound anaphylaxis)
Q: Eponymous stratification tool that identifies upper GI bleeding patients who are “low risk” and candidates for outpatient management
Glasgow-Blatchford score (accept Blatchford score or Rockall score)
Q: Opthalmologic diagnosis with acute monocular eye pain, visual loss and relative afferent pupillary defect
Optic neuritis