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100

USPSTF recommends screening for high blood pressure in this age group.

What is adults aged 18 and older? The USPSTF recommends obtaining measurements outside the clinical setting for diagnostic confirmation before starting treatment. GRADE A.

100
A chronic inflammatory condition characterized by central facial erythema with transient papules or pustules.

What is rosacea?

100

The most likely diagnosis in a 78 year old male with a 2 month history of increasing memory loss and impaired judgement, gait ataxia, and occasional urinary incontinence.

What is normal pressure hydrocephalus? A condition in which excess cerebrospinal fluid (CSF) occurs in the ventricles, and with normal or slightly elevated cerebrospinal fluid pressure. As the fluid builds up, it causes the ventricles to enlarge and the pressure inside the head to increase, compressing surrounding brain tissue and leading to neurological complications. The disease presents in a classic triad of symptoms, which are urinary incontinence, gait deviations, and dementia (wet, wobbly, wacky). 

100

Viability is typically beyond this week of pregnancy.

What is 24 weeks?

100

This pathogen is known to cause diarrhea after eating leftover rice.

What is Bacillus cereus?

200

The USPSTF recommendation for screening for carotid artery stenosis.

What is do not screen for asymptomatic carotid artery stenosis. The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population. GRADE D.

200
The number one cause of hirsutism in premenopausal women.

What is polycystic ovary syndrome?

200

Oxygen can be used for acute treatment of this type of headache (and name 2 features of this kind of headache).

Cluster headache. These are most commonly seen in men and are characterized by one sided exquisite pain, typically centered at the orbit. Conjunctival injection, rhinorrhea, and lacrimation frequently accompany the headache. Pain is often disabling. As the name suggests, the patient tends to have headaches in groups (or clusters). These headaches are more common at night, and REM sleep is thought to be a triggering factor. Treatment with high-flow oxygen has also shown significant efficacy as an abortive treatment: a typical protocol would be 8 L oxygen on nonrebreather for 15 minutes, with reports of 70% of patients achieving headache relief. 

200

DOUBLE JEOPARDY!!! The definition of an acceleration during fetal monitoring.

Rise in the heart rate of at least 15 beats per minute lasting at least 15 seconds.

200

This medication may be helpful for a patient who has gone camping and has had weeks of diarrhea caused by this pathogen.

What is metronidazole, for treating diarrhea caused by giardia?

300
The USPSTF recommendation for screening for AAA.

What is one-time screening for abdominal aortic aneurysm by ultrasound in men ages 65 to 75 years who have ever smoked? GRADE B.

300

A rash associated with this tick borne illness which begins as 1-5 mm macules, typically on the ankles, wrists, and forearms that spreads centripetally.

What is Rocky Mountain Spotted Fever?

300
A patient with myasthenia gravis would be expected to have this serum antibody.

What is the anti acetylcholine receptor antibody? Myasthenia gravis is an autoimmune disease which results from antibodies that block or destroy nicotinic acetylcholine receptors at the junction between the nerve and muscle, that leads to varying degrees of skeletal muscle weakness. The most commonly affected muscles are those of the eyes, face, and swallowing. It can result in double vision, drooping eyelids, trouble talking, and trouble walking. Onset can be sudden. Those affected often have a large thymus or develop a thymoma.

300

The most common cause of postpartum hemorrhage.

Uterine atony.

300

The most likely diagnosis in a 61 year old woman complaining of halitosis, heartburn, and regurgitation of undigested food 4 hours after eating and a sensation that food is sticking in her throat.

What is Zenker diverticulum? Late regurgitation of undigested food is pathognomonic for Zenker diverticulum. A Zenker diverticulum is an acquired outpouching of esophageal mucosa, which typically becomes symptomatic in middle age or later in life. The diagnosis is confirmed by lateral view of a barium swallow or by visual confirmation with EGD.

400

The USPSTF blood glucose screening recommendation (age group/risk factor(s)).

What is screening adults aged 40-70 who are overweight or obese? Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity. GRADE B.

400

The treatment of choice for scabies (medication and strength).

5% permethrin cream
400
Lab test that should be done once the diagnosis of restless legs syndrome is made.

Serum iron studies, including ferritin. 

                                               

Studies have shown a link between low iron stores and restless legs syndrome. All patients with restless legs syndrome should have an iron profile performed, and low iron or ferritin levels merit iron supplementation (and workup for underlying cause, of course). Other associations are diabetes, pregnancy, end-stage renal disease, Parkinson disease, venous insufficiency, folate deficiency, and caffeine intake.

400

This drug should not be given for treatment of postpartum hemorrhage in women with a history of asthma.

What is hemabate (carboprost)? 

400

This pathogen is known to cause diarrhea after eating contaminated raw oysters.

What is vibrio (parahemolyticus)?

500

The USPSTF recommendation for initiation of low-dose aspirin for primary prevention of cardiovascular disease and colorectal cancer (age group, other criteria).

What is adults aged 50 to 59 years who have a 10% or greater 10-year cardiovascular risk, are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years. GRADE B.

500

The most common cause of death in patients with severe psoriasis.

What is cardiovascular disease? 

500

DOUBLE JEOPARDY!!! Names of the 12 cranial nerves.

What are the following nerves?

I. Olfactory

II. Optic

III. Oculomotor

IV. Trochlear

V. Trigeminal

VI. Abducens

VII. Facial

VIII. Vestibulocochlear

IX. Glossopharyngeal

X. Vagus

XI. Accessory

XII. Hypoglossal

500

The USPSTF recommends that this medication (name and dose) is given at this gestational age as a preventative medication in women who are at high risk for preeclampsia. 

What is 81 mg aspirin after 12 weeks of gestation in women who are at high risk for preeclampsia (patients who have a history of early-onset preeclampsia with preterm delivery or in patients with a history of preeclampsia in more than one prior pregnancy)?

                                   


    

500

Patients with GERD are at risk for developing this disorder, which is a change in the esophageal mucosa from this cell type to this cell type.

Barrett esophagus is diagnosed histologically when esophageal mucosal metaplasia has occurred and squamous epithelial cells have changed to columnar epithelial cells.