Spellcheck
First Word
Phlegm
A patient has a positive straight leg raise test on their exam. What diagnosis does this suggest?
Sciatica
A patient undergoes a colonoscopy and has no abnormal findings. When will the GI tell them to return for a repeat?
10 years
Common PPI prescribed for acid reflux. Also available over the counter.
Omeprazole (Prilosec)
What's the difference between a fracture and a break?
They are the same.
Second Word
Ophthalmology
A patient has nystagmus after going through the Dix-Hallpike maneuver. What diagnosis does this suggest?
Benign Positional Vertigo
A patient without a prior diagnosis of diabetes has their A1c checked. It comes back at 6.6. Are they now considered to be diabetic?
Yes. (Greater than 6.5)
What is Alendronate used to treat/prevent?
Osteoporosis
Serotonin is most commonly found in the brain and in the _____
Gut (GI system)
Third Word
Alzheimer's
What is thalassemia minor?
A genetic form of anemia most commonly found in patient's of Mediterranean dissent.
A patient has a recurrent ventral hernia. What surgery would the surgeon recommend?
Abdominal component separation.
This is a first line DMARD commonly used to treat rheumatoid arthritis. This medication requires a yearly eye exam for maintenance.
Plaquenil
Where is the anatomical snuffbox?
Radial aspect of the wrist below the thumb.
Fourth Word
Metromenorrhagia
A patient's EKG indicates LBBB. What does this stand for and what does it mean to have this condition.
Left bundle branch block. Delayed electrical activation of the left ventricle.
An x ray comes back indicating a Jones fracture. What part of the body has been injured?
Foot (Specifically fifth lateral metatarsal)
Names four ACE inhibitors or ARBs and specify which one they are.
ACE: Lisinopril, Enalapril (Vasotec), Benzazepril (Lotensin) etc...
ARB: Losartan (Cozaar), Valsartan (Diovan), Irbesartan (Avapro) etc...
Who do doctors take an oath to when they graduate medical school?
Hippocrates
Fifth Word
Guillain-Barré Syndrome
A patient' chest x ray shows a very large dark area (lucency) over the right lung space with no pulmonary vascular markings. What does this suggest?
Pneumothorax (Collapsed Lung)
OPSI (pronounced "Oopsie") is a super rare and super deadly condition that can occur in individuals after they have had their ______ removed. Hint: The O, P, and I stand for Overwhelming, Post, and Infection respectively.
Spleen
A 65 year old female presents with a chief complaint of urinary frequency. Her exam is normal. A UTI is ruled out. Her blood pressure is 118/78 and her last lipid panel showed a total cholesterol of 159 with a LDL/HDL of 101 and 58 respectively. She is currently taking Losartan 40 mg, HCTZ 12.5 mg, Amlodipine 10 mg, Atorvastatin 40 mg, and Omeprazole 20 mg. The physician wants to start her on Oxybutynin for her symptoms but also wants her to stop one of her medications. Which medication is most likely to be discontinued and why?
HCTZ because it's a diuretic and can cause increased urination. Also it's a very low dose and her BP is good.
What is Cobalamin?
Vitamin B12