Three Clues, One Condition
Sugars Highs and Lows
The Nephron Zone
Head Scratchers
Skeletal Mysteries
Pores and More
Final Jeopardy
200

 ptosis, miosis, anhydrosis 

Horner's syndrome

200

ACP-recommended goal HgbA1c in most patients with T2DM

7%-8%

200

Preferred thiazide to treat hypertension

Chlorthalidone

200

Trigeminal neuralgia treatment

Carbamazepine

200

Painful oral and genital ulcers, uveitis, DVT

Behçet syndrome

200

A 73-year-old woman is evaluated for a 3-week history of proximal muscle weakness.

Diagnosis?

 

Dermatomyositis

400

Right Upper Quadrant Pain, Fever, Jaundice

Cholangitis

400

Test when preprandial glucose is normal but HgbA1c is elevated

Postprandial glucose level

400

CKD indication for bicarbonate therapy

<22 mEq/L

400

Test for suspected subarachnoid hemorrhage and normal head CT

Lumbar puncture

400

Treatment of scleroderma renal crisis

Captopril

400

30-year-old man is evaluated for a 2-week history of fever and malaise. 

Diagnosis?


Endocarditis
600

Coagulopathy, Hypothermia, Acidosis

Death

600

Treatment of hyperglycemia in hospitalized, fasting patients

Basal and correction insulin

600

Normal anion gap metabolic acidosis, positive urine anion gap, urine pH > 6, hypokalemia

Type 1 RTA

600

Common causes of subacute combined degeneration

Vitamin B12 and copper deficiencies

600

Time window for temporal artery biopsy in giant cell arteritis after starting glucocorticoids

Up to 4 weeks

600

A 43-year-old man has developed changes in skin color and is evaluated for weight loss, nausea, and weakness. 

Diagnosis?



Primary Adrenal Insufficiency

800

Aspirin sensitivity, Nasal polyps, Asthma (Samter's Triad)

Aspirin-exacerbated respiratory disease (AERD)

800

Inpatient glucose threshold for insulin initiation

180mg/dL

800

Infection in kidney transplant patient mimicking acute rejection with interstitial nephritis

BK polyoma virus

800

Diagnosis suggested by language loss before cognitive dysfunction

Language-variant frontotemporal dementia (primary progressive aphasia)

800

Initial management of sicca symptoms (2)

Artificial tears and sugar-free candies

800

A patient is admitted to the ICU with profound azotemia

Diagnosis?


Uremic Frost

1000

purpura, arthralgias, weakness/myalgias (Meltzer's Triad)

Cryoglobulinemia

1000

Diabetic proliferative retinopathy treatment

Photocoagulation or intravitreal anti-VEGF

1000

Toxicity from herbs containing aristolochic acid

Balkan endemic nephropathy

1000

Peripheral neuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes

POEMS syndrome

1000

Life-threatening pulmonary manifestations of SLE (2)

Lupus pneumonitis and diffuse alveolar hemorrhage

1000

A 19-year-old woman with epilepsy and learning disabilities is evaluated for the skin findings shown 

Diagnosis?


Tuberous Sclerosis
1200

What country is considered the birthplace of Halloween?

Ireland