Morning Report: Double Jeopardy

GI

200

Dysphagia to both solids and liquids is most likely related to

Motility disorder

400

Hepatitis D requires this to complete its lifestyle

The presence of hepatitis B

600

As part of management for liver transplant rejection, prior to initiating antihymocyte globulin, you must obtain quantitative PCR testing for which two viruses (can name one of 2)

CMV and EBV

800

Name one of two pathogens commonly seen as causative agent in diarrhea when CD4 count <180

Cryptosporidium, Cyclospora

1000

When uncertain if a patient has acute hep B or acute exacerbation of chronic hep B, one of these two medications are preferred because of a higher barrier to resistance

Entecavir or tenofovir

Rheum

200

Thromboangiitis obliterans (Buerger disease) is strongly associated with the use of these products

Tobacco

400

This is a mono or oligoarticular pattern of arthritis that usually affects the lower extremities and is associated with enthesitis, dactylitis, and a preceding infection.

Reactive arthritis

600

Leukocytoclasic vasculitis can be triggered by infections, most commonly seen in URI with this organism

Streptococcal species

800

Red Eye: inflammation of the iris, ciliary body, and choroid

Uveitis

1000

Autoantibodies associated with immune mediated necrotizing myositis (name one of two)

Anti-HMGCR and anti-signal recognition particle [SRP]

Nephrology

200

Management of proteinuria in nephrotic syndrome

ACE-I or ARB

400

Classic triad of acute interstitial nephritis

Low grade fever, eosinophilia, fleeting skin rash

600

Post-obstructive diuresis typically occurs after drainage of large amounts of urine from the bladder, typically once you exceed ______mL

1500

800

Name at least 2 of 4 common causes of AKI in renal transplant

Structural, calcineurin inhibitor toxicity, infection, rejection

1000

In patients with AKI from suspected AIN that is severe enough to warrant dialysis within 24-72 hours of initial evaluation should have a kidney biopsy and initiate this therapy without delay

Glucocorticoids

ID

200

Transplant patients with greatest susceptibility to Nocardiosis include which population

Solid organ transplant

400

Induction therapy for cryptococcal pneumonia associated with CNS disease in immunosuppressed patients

Amphotericin B and flucytosine

600

25% of patients in the first few weeks of ART initiation are at risk of developing this syndrome

IRIS- immune reconstitution inflammatory syndrome

800

This reaction is an acute self-limited febrile reaction that usually occurs within the first 24 hours after a patient receives treatment for a spirochetal infection.

Jarisch Herxheimer

1000

This is a rare variant of pyelonephritis in which there is massive destruction of the kidney by granulomatous tissue

Xanthogranulomatous pyelonephritis

Misc

200

Name the two clinical phenotypes of thiamine deficiency

Beriberi and Wernicke-Korsakoff syndrome

400

This test can detect antibodies that are not detected by standard methods, namely IgG bound at low levels, low affinity IgG, and IgA

Enhanced DAT or Super Coombs

600

This syndrome includes hilar adenopathy, erythema nodosum, arthritis and fever

Lofgren syndrome

800

What is the treatment for neuroleptic malignant syndrome?

Bromocriptine

1000

Patients with less than 10% bone marrow plasma cells or low M-protein are diagnosed with ______ and do not need treatment but do need regular follow up because of potential for progression to multiple myeloma

Monoclonal gammopathy of unknown sigificance