The Truth about Sickle Cell Disease
Artist and Song (with a medical theme)
Global Warming (and other environmental emergencies)
Rules of the Road
So Long, Farewell
100
NSAIDs are considered appropriate treatment for moderate pain in SCD.
What is True?
100
Some old-school rappers enjoy large amounts of adipose tissue in the gluteal area and can't fabricate about it.
What is Sir-Mix-A-Lot, ""I Like Big butts"
100
In hypothermia, they're "not dead til they're warm and dead." Specifically, how warm do they need to be?
What is 30 to 32 degrees Celsius (86-90F)?
100
Name the Ottawa Ankle (not foot) rules (no partial credit on this one!)
What is -inability to bear weight immediately or in the ED for four steps -bony TTP at posterior edge/tip of lateral or medial malleolus
100
Which members of the fourth year class will be your attendings next year? (Note: YOUR attendings, not the new interns' attendings)
What is Andy Yoon and Josh Silverberg?
200
Folic Acid is the most successful drug at reducing frequency and intensity of crises.
What is False? Hydroxyurea is most successful at reducing crises.
200
This Columbian star's ilial crests won't misinform.
What is Shakira "Hips Don't Lie"?
200
What are the cardinal features of heat stroke?
What is temperature >104F and altered mental status?
200
Name the Nexus criteria that necessitate C-spine imaging?
What is - focal neurologic deficit - midline spinal TTP - altered level of consciousness - intoxication - distracting injury
200
Vince Nguyen and Sam Ayala are doing fellowships next year. Who's going where and doing what?
What is Vince Nguyen is headed for Bellevue and toxicology and Sam Ayala is off to New York Methodist and ultrasound?
300
Sickle Cell-SC disease do not get crises.
What is False? They can get vaso-occlusive crises, but they are not usually as frequent nor as severe.
300
This band would ambulate with steady gait approximately 804.6 km, and then do it again, just to be the male who ambulated 804.6 km to have a mechanical trip and fall at your entrance.
What is the Proclaimers "I Would Walk 500 miles"?
300
EMS brings in a lightning strike victim found on the sidewalk. Which of the following would not be consistent with lightning strike: -Cutaneous lacy ferning pattern -dilated non-reactive pupils -hypotension -deafness to questioning
What is hypotension? This should prompt evaluation for other injuries and hemorrhagic shock.
300
Name the three traditional protocols for evaluating fever in baby. (hint, they're all city names. 100 points each)
What is -Boston -Philadelphia -Rochester
300
California knows how to party. Which two members of this year's class will be joining what four members of last year's class in Cali in July (hint, one of last year's class is moving out there now...) 50 points each
What is Chris and Akshay, joining Moira, Pedro, Carolyn, and Mary?
400
94% of children with sickle cell disease are functionally asplenic by the age of 5.
What is True? Those H. Flu and S. pneumo vaccines are important!
400
This Long Island native will inform you, just the people who follow the rules will expire prematurely.
What is Billy Joel, "Only the Good Die Young?"
400
What three plants contain digitalis-like compounds, and what lab test confirms ingestion (although does not correlate with amount or toxicity)? (100 points each)
What is lily of the valley, foxglove, and oleander, and send a digoxin level?
400
Name the PERC criteria (50 points each)
What is -age less than 50 -Heart rate less than 100 bpm -O2 sat >95% on RA -No hemoptysis -No estrogen use -No prior DVT or PE -No unilateral leg swelling -No trauma or surgery requiring hospitalization in the past 4 weeks
400
Who in the fourth year class didn't start in July 2009 and which grad from last year DID start in July 2009? (100 points each)
What is Shermil, Andy, Alena and Sheba?
500
The etiology of acute chest syndrome is thromboembolic.
What is False? There are considered to be multiple etiologies, the most common precipitating events are infection, fat embolism, and rib infarction. They precipitate a cycle of microvasoocclusion, which causes regional hypoxia...which increases sickling...and microvasoocclusion...etc.
500
This band (also the artists behind "All of My Love" and "Going to California") has a 6 minute 26 second song dedicated to being momentarily incapacitated and having altered mental status.
What is Led Zeppelin "Dazed and Confused"?
500
What two substances can be used to decontaminate nematocysts from jellyfish?
What is vinegar (5% acetic acid) or isopropyl alcohol? Freshwater rinsing is associated with increased nematocyst discharge.
500
What criteria go into the TIMI risk score?
What is -Age >65 ->3 risk factors for CAD -known CAD (>50% stenosis) -ASA use in past 7 days -Severe angina (>2 episodes in 24 hours) -ST changes (>0.5mm) -positive enzymes
500
Which fourth year met his or her significant other (100 points each): -at a bar/club -at a post-med school fellowship -at a deli -at a wedding -on the second year ski trip
What is -Akshay -Allison -Danielle -Pat -Chris or Alena