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Doctor's Dilemma Maryland ACP Scientific Meeting February 09, 2008 Heat 6. Have Fun. FINAL. Final Jeopardy. Doctor’s Dilemma. Show your ID. Pulm/Critical Care. Hematology. Endocrinology. Rheumatology. Drugs. 100. 100. 100. 100. 100. 100. 200. 200. 200. 200. 200. 200.

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  1. Doctor's Dilemma Maryland ACP Scientific Meeting February 09, 2008 Heat 6 Have Fun FINAL

  2. Final Jeopardy Doctor’s Dilemma Show your ID Pulm/Critical Care Hematology Endocrinology Rheumatology Drugs 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  3. Show Your ‘ID’ 100Q • This class of antibiotics, which is a derivative of thienamycin, is the most appropriate empiric agent for the treatment of infections due to GNB that produce Extended Spectrum Beta Lactamase (ESBL) Topic I 100 Question

  4. Show Your ‘ID’ 100A What are carbapenems? Go To Single Quizitor Topic I 100 Answer

  5. Show Your ‘ID’ 200Q • This organism is associated with hypersensitivity pneumonitis following hot-tub exposure Topic I 200 Question

  6. Show Your ‘ID’ 200A What is Mycobacterium avium complex? Go To Single Quizitor Topic I 200 Answer

  7. Show Your ‘ID’ 300Q This gentleman lives in Arkansas and presents with fever and this lesion. He is also fond of the animals below. Topic I 300 Question

  8. Show Your ‘ID’ 300A What is Tularemia? Go To Single Quizitor Topic I 300 Answer

  9. Show Your ‘ID’ 400Q This HIV patient presents with this lesion.The causative agent of this pruritic lesion belongs to the family of bartonellaceae. Erythromycin is an effective treatment. Warthin-starry stain Topic I 400 Question

  10. Show Your ‘ID’ 400A What is Bacillary angiomatosis? Go To Single Quizitor Topic I 400 Answer

  11. Show Your ‘ID’ 500Q • She lives in St. Louis county in Minnesota and presents with this lesion. Topic I 500 Question

  12. Show Your ‘ID’ 500A What is blastomycosis dermatitidis? Go To Single Quizitor Topic I 500 Answer

  13. Pul/Critical Care 100Q USPSTF recommendation regarding Lung Cancer Screening? Topic II 100 Question

  14. Pul/Critical Care 100A What is NONE? Go To Single Quizitor Topic II 100 Answer

  15. Pul/Critical Care 200Q The criteria for the diagnosis of Acute respiratory distress syndrome Topic II 200 Question

  16. Pul/Critical Care 200A • PCWP <18 mmHg • PaO2/FiO2 <200 • B/L infiltrates, no CHF Go To Single Quizitor Topic II 200 Answer

  17. Pul/Critical Care 300Q Increased RAP, increased PCWP, increased SVR and decreased cardiac output are the hemodynamic findings in this type of shock Topic II 300 Question

  18. Pul/Critical Care 300A What is Cardiogenic shock? Go To Single Quizitor Topic II 300 Answer

  19. Pul/Critical Care 400Q This sign, commonly seen in COPD patients is present when you have the failure of the diaphragm to expand the ribs or even move them inwards during inspiration Topic II 400 Question

  20. Pul/Critical Care 400A What is Hoover Sign? Go To Single Quizitor Topic II 400 Answer

  21. Pul/Critical Care 500Q A small vessel necrotizing vasculitis that presents as eosinophilic pneumonia in patients with corticosteroid dependent asthma. Manifests as fever and weight loss. Positive serology for P-ANCA supports the diagnosis Topic II 500 Question

  22. Pul/Critical Care 500A What is Churg-Strauss disease? Go To Single Quizitor Topic II 500 Answer

  23. Hematology 100Q • Diagnosis supported by the smear. Found in African immigrants who develop jaundice following administration of sulfur drugs. Topic III 100 Question

  24. Hematology 100A What is G6PD- deficiency? (Heinz bodies are seen in the smear) Go To Single Quizitor Topic III 100 Answer

  25. Hematology 200Q Presence of Donath Landsteiner antibody in a patient with Paroxysmal cold hemoglobinuria indicates this infection Topic III 200 Question

  26. Hematology 200A • What is Syphilis? Go To Single Quizitor Topic III 200 Answer

  27. Hematology 300Q • This chimeric anti-CD20 monoclonal antibody has been used successfully in autoimmune hemolytic anemia, chronic ITP, mixed cryoglobulinemia and acquired hemophilias? Topic III 300 Question

  28. Hematology 300A What is rituximab? Go To Single Quizitor Topic III 300 Answer

  29. Hematology 400Q This von Willebrand factor cleaving protease has been shown to be deficient in most patients with thrombotic thrombocytopenic purpura Topic III 400 Question

  30. Hematology 400A • What is ADAMTS13? • (A Disintegrin And Metalloproteinase with a ThromboSpondin type 1 motif, member 13) Go To Single Quizitor Topic III 400 Answer

  31. Hematology 500Q Pathology in a 68 year-old asymptomatic woman with the following: serum monoclonal proteins 3.6 g/dL, calcium 9.2, creatinine 0.8 and bone marrow showing 12% plasma cells? Topic III 500 Question

  32. Hematology 500A What is Smoldering Multiple Myeloma? Go To Single Quizitor Topic III 500 Answer

  33. Endocrinology 100Q Thyroglobulin level and radioactive iodine uptake (RAIU) scan findings in thyrotoxicosis factitia Topic IV 100 Question

  34. Endocrinology 100A What are Low/Normal thyroglobulin and Low RAIU? Go To Single Quizitor Topic IV 100 Answer

  35. Endocrinology 200Q Low urinary osmolality; plasma anti-diuretic hormone (ADH) does not increase with increasing plasma osmolality. Desmopressin (DDAVP) may be an effective treatment Topic IV 200 Question

  36. Endocrinology 200A What is Neurogenic Diabetes Insipidus? Go To Single Quizitor Topic IV 200 Answer

  37. Endocrinology 300Q A rare autosomal dominant syndrome associated with cardiac myxomas, spotty pigmentations, and endocrine overactivity disorders (Cushing’s and acromegaly). Topic IV 300 Question

  38. Endocrinology 300A What is Carney’s Complex? Go To Single Quizitor Topic IV 300 Answer

  39. Endocrinology 400Q This diagnostic test is valuable in patients with high clinical probability for pheochromocytoma but with unremarkable CT/MRI of the abdomen, head and neck. Topic IV 400 Question

  40. Endocrinology 400A • What is iodine-131-meta-iodobenzyl • Guanidine (MIBG) ? Go To Single Quizitor Topic IV 400 Answer

  41. Endocrinology 500Q The next diagnostic procedure of choice in this patient: Primary aldosteronism is confirmed with salt loading protocol; Computerized Tomography (CT) is negative or equivocal Topic IV 500 Question

  42. Endocrinology 500A • What is bilateral renal vein sampling? Go To Single Quizitor Topic IV 500 Answer

  43. Rheumatology 100Q An initial test for establishing a diagnosis in a 22y/o white man with iritis and an 8 month history of low back pain with morning stiffness Topic V 100 Question

  44. Rheumatology 100A What is Plain radiograph of the lumbar spine including the sacro-iliac joint? Go To Single Quizitor Topic V 100 Answer

  45. Rheumatology 200Q A premenopausal renal transplant patient might have gout secondary to this medication Topic V 200 Question

  46. Rheumatology 200A What is Cyclosporine? Go To Single Quizitor Topic V 200 Answer

  47. Rheumatology 300Q Diabetic patient: burning pain anterolateral region of thigh with reduced sensation; percussion over inguinal ligament on same side causes pain over lateral thigh Topic V 300 Question

  48. Rheumatology 300A What is meralgia parasthetica? (lateral femoral cutaneous nerve entrapment) Go To Single Quizitor Topic V 300 Answer

  49. Rheumatology 400Q The antibody associated with the scaly pruritic papulosquamous red macules/plaques in a 24 year-old woman with SLE. Topic V 400 Question

  50. Rheumatology 400A What is anti-Ro antibody? (subcutaneous lupus) Go To Single Quizitor Topic V 400 Answer

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