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Maxed Out!
You make my skin crawl!
TargetedParasitic Infections
Twice as nice
WHO?
100
For treatment of croup, what is the name of the steroid typically prescribed and what dose would you prescribe?
What is dexamethasone and 0.6 mg/kg?
100
Scabies is treated with what medication?
What is permethrin (Elimite)?
100
A 15 yo teenager comes in to the clinic with c/o vaginal itching and a foul-smelling vaginal discharge. What is the most likely parasitic infection she could have and how would you treat it?
What is trichomoniasis and treat with Flagyl for patient and all partners?
100
Duoneb
What are Albuterol + Altrovent?
100
Which country has the longest life expectancy
What is Japan?
200
What is the maximum dose of ativan you would give to treat a child experiencing status epilepticus?
What is 2 mg?
200
A family moved into a shelter after dad lost his job. Two days later mom brings the 3 yo in for an itchy red rash noted on his shoulders and arms. What insect is the most likely causative agent?
What is a bedbug?
200
You are seeing a 3 yo for her well child check up and upon vision screening you becoome concerned that she has no vision in her left eye; there is no strabismus. The mom tells you there has been a stray cat defecating in the kids' sandbox. You send her to the eye doctor and tell him you are concerned about what parasitic infection?
What is toxocariasis?
200
Unasyn
What are Ampicillin and Sulbactam?
200
What is the leading cause of death for Americans traveling abroad?
What is accidents?
300
For a pt who attempted suicide using Acetaminophen, what ingested dose per kg of Acetaminophen would you treat the patient with mucomyst?
What is 150 mg/kg
300
A 5 yo is brought to clinic for you to evaluate a bull's eye rash on his leg. You notice a lump at the back of his scalp and are able to pull out a vector. What is the vector and what bacteria does it transmit?
What is a black-legged tick or deer tick and Borrelia burgdorferi? Lyme Disease
300
A migrant worker from Mexico brings his daughter into your clinic c/o fever, rash, fatigue, vomiting and diarrhea. On exam, you notice a reddened area near the right temporal region and the right eyelid appears slightly swollen. You discover that they lived in a mud hut prior to emigrating to the U.S. What is the most likely parasitic infection this patient is experiencing?
What is Chagas Disease? American trypanosomiasis, is caused by the parasite Trypanosoma cruzi. Infection is most commonly acquired through contact with the feces of an infected triatomine bug (or "kissing bug"), a blood-sucking insect that feeds on humans and animals.
300
EMLA
What are lidocaine and prilocaine?
300
The best predictor of one's health?
What is wealth?
400
A 5 yo 20 kg boy sustains a leg laceration and you wish to suture the laceration. If using a 1% concentration of lidocaine with epinephrine, what is the maximum volume of the anesthetic you would inject?
What is 14 mls? (7 mg/kg/dose; 1% lido = 10mg/ml)
400
A dad brings in his 12 yo son who was helping clean the garage when the young man felt a sharp pick of his finger and then experienced a radiating pain up his arm. On exam you see 2 red fang marks, redness, tenderness, and a nodule at the bite site. Within 15-20 minutes he develops muscle spasm of the arm. What is the likely cause and how would you treat him?
What is a brown widow spider and anti-venom?
400
Most healthy people recover from toxoplasmosis without treatment. Persons who are ill can be treated with a combination of what 3 drugs?
What is pyrimethamine and sulfadiazine, plus folinic acid. Parasite is toxoplasma gondii
400
Lortab
What is hydrocodone and acetaminophen?
400
A key preventive health measure to reduce the rate of malaria infection
What is providing mosquito bed nets?
500
A 5 yo 20 kg boy sustains a leg laceration and you wish to suture the laceration. If using a 2.5% concentration of lidocaine with epinephrine, what is the maximum volume of the anesthetic you would inject?
What is 5.6 mls? (7 mg/kg/dose and 2.5% = 25 mg/ml)
500
A 17 yo female returns from Brazil having spent a few weeks there on a medical mission. Within 2 days of returning she experiences high fever and states she wants to jump out of her skin. Associated findings include HA, nausea, vomiting, arthralgia and myalgia as well as rash over her trunk and extremities? What is the most likely diagnosis and what vector caused this problem?
What is Dengue Fever and mosquito?
500
A 10 yo boy is brought to the clinic for c/o muscle aches, mainly in his right thigh. There has been no trauma. The family owns a pig farm. What is the most likely parasitic infection this patient may have and how would you treat him?
What is cysticercosis and Albendazole.
500
Advair
What is fluticasone and salmeterol?
500
Of the 35 wealthy countries noted by UNICEF, the United States ranks where in terms of childhood poverty with #1 being the lowest percentage of poverty?
What is 34th?